ArticleFrontiers in endocrinology2026
Association between platelet-to-albumin ratio and total spine bone mineral density in older adults with thoracolumbar fragility fractures: a retrospective cross-sectional study.
Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Global aging elevates the incidence of thoracolumbar fragility fractures (TLFFs), which are linked to osteoporosis. Platelets (PLT) and albumin influence bone health; the platelet-to-albumin ratio (PAR) is applied in multi-disease research, but it has not yet been applied to patients with TLFF. This study thus explores PAR's association with bone mineral density (BMD). Methods: This retrospective cross-sectional analysis based on a cohort of TLFF patients included 703 elderly TLFF patients from Huizhou First Hospital (2020-2025). BMD was measured, PAR calculated, and grouped; covariates were collected. Subsequently, characterization of the study population, univariate linear regression analyses, and subgroup as well as interaction analyses were carried out. Results: High-PAR groups had higher PLT, lower albumin, and lower BMD. PAR showed a significant negative association with total spine BMD (TS-BMD) even after adjustment; the initial association of neutrophill-to-albumin ratio (NPAR) became non-significant post-adjustment. Conclusion: In elderly TLFF patients, PAR is negatively associated with TS-BMD. As an easily measurable index, PAR may act as a clinical tool.
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