P1NP

Q: What is osteoporosis?

Osteoporosis is an ailment that results in the weakening of the bones, making them brittle and weak. In fact, this condition can easily lead to bone fractures in the hip, spine or wrist. Osteoporosis occurs when the creation of new bone cannot keep up with the loss of old bone. It is more likely to affect people over 30 with lower peak bone mass.

Q: What is the lab test to track bone formation?

The P1NP test is a diagnostic test employed to check if the patient's bone formation process has no complications. It does so by using Procollagen Type 1 Intact N-Terminal Propeptide to monitor bone health. Additionally, it is also used to track antiresorptive and anabolic therapy during the treatment of osteoporosis.

Q: What are the common symptoms pointing to osteoporosis?

Osteoporosis is a disorder in which the bones are weakened. As a result, they turn brittle and weak, resulting in frequent fractures. Usually, there are no definite symptoms before the condition. However, some of the common signs that may indicate osteoporosis are: Back pain due to a fractured vertebra Height loss A stooped posture Easily broken bones

Q: What are some factors that are responsible for causing osteoporosis?

There are multiple factors responsible for causing osteoporosis in humans. Among these, some are unchangeable, while some involve a change in the body's hormonal levels. Here are some factors that might influence osteoporosis: Sex, with women more likely to get this condition than men Family history Body frame size, since individuals with smaller body frames are more likely to develop this condition due to lower bone mass Sex hormones, since a low composition of sex hormones, may lead to weaker bones Excess thyroid hormones may also contribute to low bone strength Consuming low calcium can result in the weakening of bones

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P1NP
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About

SAMPLE TYPE

BLOOD

GENDER

Both

AGE GROUP

7 years & above

The Procollagen Type 1 Intact N-Terminal Propeptide (P1NP) test is the most sensitive and precise marker of bone formation. It helps monitor bone health and the effectiveness of osteoporosis therapy.

Osteoporosis is a silent condition that results in the weakening of bones. It makes the bones more vulnerable to sudden and unexpected fractures. This ailment progresses without any pain and cannot be detected until the bones fracture.

The P1NP test helps track antiresorptive and anabolic therapy in patients with osteoporosis.

P1NP Test - Overview

P1NP is a peptide derived from collagen type 1—the most common collagen found in mineralised bone.

In the human bone, osteoblasts are responsible for synthesising collagen and leading to the formation of procollagen. It also consists of a short signal sequence along with terminal extension peptides.

The removal of these extensions is done before the collagen molecules are formed. Owing to this formation, P1NP is regarded as one of the most sensitive markers used for bone formation.

It also finds wide use in monitoring response to medicines used for the treatment of osteoporosis. The P1NP test is recommended to be performed before starting osteoporosis therapy. The procedure is required again 3-6 months after the therapy.

The change in the P1NP levels will depend on the type of treatment. Combining it with other procedures like hormone replacement therapy leads to a decrease in P1NP levels, thereby decreasing its effects.

P1NP should not be considered a screening test for osteoporosis. It is important to collect the P1NP values at the same time since they are believed to show diurnal variation.

Why Should You Get Tested?

P1NP is a reliable test that effectively monitors your bone health and delivers accurate results. The sensitivity of this test assists with tracking bone formation and assessing response to antiresorptive therapies used for osteoporosis.

It might be challenging to detect osteoporosis in the initial stages. However, some of its common symptoms include:

Back pain
Loss of height over time
Stooped posture
Brittle bones

The P1NP blood test is a flexible procedure that can be performed on everyone, irrespective of age or gender. It is always recommended to consult your doctor to ensure that you can take the test safely.

Medically reviewed by Dr. Arun Kannan, Orthopedician from Apollo Hospitals Greams Road, Chennai.

Frequently Asked Questions (FAQs)

What is osteoporosis?
Osteoporosis is an ailment that results in the weakening of the bones, making them brittle and weak. In fact, this condition can easily lead to bone fractures in the hip, spine or wrist. Osteoporosis occurs when the creation of new bone cannot keep up with the loss of old bone. It is more likely to affect people over 30 with lower peak bone mass.
What is the lab test to track bone formation?
The P1NP test is a diagnostic test employed to check if the patient's bone formation process has no complications. It does so by using Procollagen Type 1 Intact N-Terminal Propeptide to monitor bone health. Additionally, it is also used to track antiresorptive and anabolic therapy during the treatment of osteoporosis.
What are the common symptoms pointing to osteoporosis?
Osteoporosis is a disorder in which the bones are weakened. As a result, they turn brittle and weak, resulting in frequent fractures. Usually, there are no definite symptoms before the condition. However,  some of the common signs that may indicate osteoporosis are: Back pain due to a fractured vertebra Height loss  A stooped posture Easily broken bones
What are some factors that are responsible for causing osteoporosis?
There are multiple factors responsible for causing osteoporosis in humans. Among these, some are unchangeable, while some involve a change in the body's hormonal levels. Here are some factors that might influence osteoporosis: Sex, with women more likely to get this condition than men Family history Body frame size, since individuals with smaller body frames are more likely to develop this condition due to lower bone mass Sex hormones, since a low composition of sex hormones, may lead to weaker bones Excess thyroid hormones may also contribute to low bone strength Consuming low calcium can result in the weakening of bones

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The information mentioned above is meant for educational purposes only and should not be taken as a substitute to your Physician’s advice. It is highly recommended that the customer consults with a qualified healthcare professional to interpret test results