Relationships between vascular calcification, calcium metabolism, bone density, and fractures

Factors involved with calcium metabolism, such as serum calcium and phosphate and calcium intake, have been associated with vascular disease in different populations. We investigated whether this association is mediated via increased vascular calcification by assessing relationships between these fa...

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Veröffentlicht in:Journal of bone and mineral research 2010-12, Vol.25 (12), p.2777-2785
Hauptverfasser: Wang, Tom KM, Bolland, Mark J, Pelt, Niels C van, Horne, Anne M, Mason, Barbara H, Ames, Ruth W, Grey, Andrew B, Ruygrok, Peter N, Gamble, Greg D, Reid, Ian R
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container_end_page 2785
container_issue 12
container_start_page 2777
container_title Journal of bone and mineral research
container_volume 25
creator Wang, Tom KM
Bolland, Mark J
Pelt, Niels C van
Horne, Anne M
Mason, Barbara H
Ames, Ruth W
Grey, Andrew B
Ruygrok, Peter N
Gamble, Greg D
Reid, Ian R
description Factors involved with calcium metabolism, such as serum calcium and phosphate and calcium intake, have been associated with vascular disease in different populations. We investigated whether this association is mediated via increased vascular calcification by assessing relationships between these factors and abdominal aortic calcification (AAC) and coronary artery calcification (CAC). A total of 1471 healthy postmenopausal women participated in a 5‐year randomized, placebo‐controlled trial of calcium 1 g/day, and 323 healthy middle‐aged and older men participated in a 2‐year randomized, placebo‐controlled trial of calcium 600 or 1200 mg/day. AAC was assessed on vertebral morphometric images at baseline and follow‐up. Based on computed tomography, 163 men had CAC assessed, on average, 1.5 years after study completion. In elderly women, AAC was positively related to serum calcium (p 
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We investigated whether this association is mediated via increased vascular calcification by assessing relationships between these factors and abdominal aortic calcification (AAC) and coronary artery calcification (CAC). A total of 1471 healthy postmenopausal women participated in a 5‐year randomized, placebo‐controlled trial of calcium 1 g/day, and 323 healthy middle‐aged and older men participated in a 2‐year randomized, placebo‐controlled trial of calcium 600 or 1200 mg/day. AAC was assessed on vertebral morphometric images at baseline and follow‐up. Based on computed tomography, 163 men had CAC assessed, on average, 1.5 years after study completion. In elderly women, AAC was positively related to serum calcium (p &lt; .001), phosphate (p = .04), and the calcium‐phosphate product (p = .003), but changes in AAC over time and incidence of cardiovascular events were not related to these variables. In middle‐aged men, AAC and CAC were not consistently related to these variables. Neither dietary calcium intake nor calcium supplementation was associated with changes in the prevalence of AAC over time, and calcium supplementation also was not related to CAC scores in men. After adjusting for age, AAC was not associated with low bone mineral density (BMD) at baseline, changes in BMD over time, or fracture incidence. CAC also was not related to baseline BMD. In summary, serum calcium and phosphate are associated with AAC in older women, but dietary calcium intake and calcium supplementation were not associated with changes in AAC over 2 to 5 years. © 2010 American Society for Bone and Mineral Research.</description><identifier>ISSN: 0884-0431</identifier><identifier>EISSN: 1523-4681</identifier><identifier>DOI: 10.1002/jbmr.183</identifier><identifier>PMID: 20641031</identifier><identifier>CODEN: JBMREJ</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; AORTA ; Aorta, Abdominal - metabolism ; Aorta, Abdominal - pathology ; Biological and medical sciences ; BONE DENSITOMETRY ; Bone Density - physiology ; CALCIFICATION ; Calcinosis - blood ; Calcinosis - complications ; CALCIUM ; Calcium - blood ; Calcium - metabolism ; Calcium, Dietary - metabolism ; Cohort Studies ; Female ; Fractures, Bone - blood ; Fractures, Bone - complications ; Fractures, Bone - physiopathology ; Fundamental and applied biological sciences. 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Neither dietary calcium intake nor calcium supplementation was associated with changes in the prevalence of AAC over time, and calcium supplementation also was not related to CAC scores in men. After adjusting for age, AAC was not associated with low bone mineral density (BMD) at baseline, changes in BMD over time, or fracture incidence. CAC also was not related to baseline BMD. In summary, serum calcium and phosphate are associated with AAC in older women, but dietary calcium intake and calcium supplementation were not associated with changes in AAC over 2 to 5 years. © 2010 American Society for Bone and Mineral Research.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20641031</pmid><doi>10.1002/jbmr.183</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
AORTA
Aorta, Abdominal - metabolism
Aorta, Abdominal - pathology
Biological and medical sciences
BONE DENSITOMETRY
Bone Density - physiology
CALCIFICATION
Calcinosis - blood
Calcinosis - complications
CALCIUM
Calcium - blood
Calcium - metabolism
Calcium, Dietary - metabolism
Cohort Studies
Female
Fractures, Bone - blood
Fractures, Bone - complications
Fractures, Bone - physiopathology
Fundamental and applied biological sciences. Psychology
Humans
Male
PHOSPHATE
Phosphates - blood
Sex Characteristics
Skeleton and joints
Vascular Diseases - blood
Vascular Diseases - complications
Vertebrates: osteoarticular system, musculoskeletal system
title Relationships between vascular calcification, calcium metabolism, bone density, and fractures
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