Associations between osteoporosis and coronary artery disease in postmenopausal women

医学 冠状动脉疾病 骨质疏松症 内科学 无症状的 心脏病学 糖尿病 体质指数 骨量减少 骨矿物 内分泌学
作者
S. N. Lee,J.S. Cho,Youngmi Eun,Shengguan Song,K-W. Moon
出处
期刊:Climacteric [Informa]
卷期号:19 (5): 458-462 被引量:31
标识
DOI:10.1080/13697137.2016.1200550
摘要

Objective: Coronary artery disease (CAD) and osteoporosis are major causes of mortality and morbidity in postmenopausal women. We aimed to investigate the association between osteoporosis and CAD in asymptomatic postmenopausal women at a single center.Methods: This study included 863 postmenopausal women without histories of cardiovascular diseases who visited the Health Promotion Center from June 1, 2004 to May 31, 2015. All subjects were screened for bone mineral density (BMD) by dual-energy X-ray absorptiometry and for the degree of CAD by multidetector computed tomography.Results: Low BMD including osteopenia and osteoporosis was found to be significantly associated with old age, low body mass index, and a higher prevalence of diabetes mellitus. The incidences of CAD including a high coronary artery calcium score (≥100), obstructive coronary artery disease, and multivessel disease were significantly higher in subjects with low BMD. After adjusting for age and cardiovascular risk factors, osteoporosis was associated with a high coronary artery calcium score (p = 0.015) and with obstructive coronary artery disease (p = 0.002). There was a trend toward significance with multivessel disease (p = 0.052).Conclusions: High coronary artery calcium score and obstructive coronary artery disease, as revealed by multidetector computed tomography, were associated with osteoporosis in asymptomatic postmenopausal women, independent of cardiovascular risk factors and age.
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