LAUSR

Summary In this cross-sectional study, enrollment included 818 female adults undergoing bone mineral density (BMD) assessment during the health examination. Subjects with osteoporosis had the lowest circulating platelet concentrations. The circulating platelet concentration was positively correlated with BMD. A high platelet concentration had independently low odds of osteoporosis. Purpose Platelets play an important role in bone metabolism. However, the association between circulating platelet counts and bone mineral density (BMD) has been inconsistently reported. We aimed to investigate the relationship between platelet counts and osteoporosis in Chinese women. Methods In this cross-sectional study, a total of 818 female adults who underwent BMD assessment during the health examination were enrolled. Blood cell counts and biochemistry data were recorded. Results Subjects with osteoporosis had the lowest platelet counts (238 ± 59 × 10 9 /L) compared with subjects with osteopenia (256 ± 64 × 10 9 /L) and a normal BMD (269 ± 76 × 10 9 /L, P  < 0.001). The circulating platelet concentration was positively correlated with the BMD of the lumbar spine ( r  = 0.195, P  < 0.001), left hip ( r  = 0.145, P  < 0.001), and right hip ( r  = 0.149, P  < 0.001). According to the receiver operating characteristic curve, the cutoff platelet concentration for differentiating osteoporosis was 260 × 10 9 /L. A high platelet concentration had significantly low odds of osteoporosis after adjusting for other covariates (odds ratio = 0.574, 95% confidence interval: 0.346‒0.953, P  = 0.032). Conclusion The circulating platelet concentration was significantly correlated with BMD in Chinese women.