Research Article

Assessment of Serum sRANKL, sRANKL/OPG Ratio, and Other Bone Turnover Markers with the Estimated 10-Year Risk of Major and Hip Osteoporotic Fractures in Rheumatoid Arthritis: A Cross-Sectional Study

Table 2

Correlations of bone mineral density in two regions in RA patients with clinical characteristics, serological features, and bone biomarker serum levels.

Total hip BMD (g/cm2)Lumbar spine BMD (g/cm2)

Clinical characteristics and serological features
Age (yr)-0.462<0.001-0.380<0.001
Body mass index (kg/cm2)0.2750.0010.1790.025
Disease duration (yr)-0.2340.003-0.0150.852
Menopausal duration (yr)-0.385<0.001-0.348<0.001
DAS28 score-0.1210.1330.0030.970
HAQ-Di score-0.0580.473-0.0260.751
ESR (mm/hr)-0.2360.003-0.1030.202
Rheumatoid factor (UI/mL)-0.1010.210-0.0520.518
Tumor necrosis factor-α (pg/mL)0.0250.7560.0760.348
Anti-CCP2 (RU/mL)-0.0530.510-0.0640.426
Anti-MCV (U/mL)-0.1540.055-0.0120.880
Treatment characteristics
Glucocorticoid dose (mg)-0.0310.697-0.1080.180
Biomarker serum levels
sRANKL (pmol/L)-0.2670.001-0.0440.587
OPG (pg/mL)0.0070.9330.0770.338
sRANKL/OPG ratio-0.2220.005-0.0430.594
DKK-1(pg/mL)0.2090.0090.1570.050
SOST (pg/mL)0.317<0.0010.370<0.001
OC (ng/mL)0.0850.2940.0850.292
CTSK (pg/mL)-0.0060.945-0.1250.121

BMD: bone mineral density; DAS28: Disease Activity Score for 28 joints; HAQ-DI: Health Assessment Questionnaire Disability Index; ESR: erythrocyte sedimentation rate; anti-CCP2: 2nd-generation antibodies against citrullinated proteins; anti-MCV: antimutated citrullinated vimentin antibodies; sRANKL: Soluble Receptor Activator for Nuclear Factor kappa B Ligand; OPG: osteoprotegerin; DKK-1: Dickkopf-1; SOST: sclerostin; OC: osteocalcin; CTSK: cathepsin k. Correlations between biomarker serum levels and quantitative variables were performed using Pearson test.