Low bone mineral density is not associated with angiographically determined coronary atherosclerosis in men

Summary This study for the first time investigates the association of bone mineral density (BMD) with angiographically determined coronary atherosclerosis in men. Our data show that the prevalence of low BMD is very high in men undergoing coronary angiography. However, neither osteopenia nor osteopo...

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Veröffentlicht in:Osteoporosis international 2010-10, Vol.21 (10), p.1695-1701
Hauptverfasser: Beer, S, Saely, C. H, Hoefle, G, Rein, P, Vonbank, A, Breuss, J, Gaensbacher, B, Muendlein, A, Drexel, H
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container_end_page 1701
container_issue 10
container_start_page 1695
container_title Osteoporosis international
container_volume 21
creator Beer, S
Saely, C. H
Hoefle, G
Rein, P
Vonbank, A
Breuss, J
Gaensbacher, B
Muendlein, A
Drexel, H
description Summary This study for the first time investigates the association of bone mineral density (BMD) with angiographically determined coronary atherosclerosis in men. Our data show that the prevalence of low BMD is very high in men undergoing coronary angiography. However, neither osteopenia nor osteoporosis is associated with an increased prevalence of angiographically determined coronary atherosclerosis. Introduction The association of low BMD with angiographically determined coronary atherosclerosis in men is unknown. Methods We enrolled 623 consecutive men undergoing coronary angiography for the evaluation of established or suspected coronary artery disease (CAD). BMD was assessed by dual X-ray absorptiometry. CAD was diagnosed in the presence of any coronary artery lumen narrowing at angiography; coronary stenoses with lumen narrowing ≥50% were considered significant. Results From the total study cohort (mean age of 64 ± 11 years), 207 patients (33.2%) had osteopenia and 65 (10.4%) had osteoporosis; at angiography, CAD was diagnosed in 558 patients (89.6%) and 403 (64.7%) had significant coronary stenoses. In multivariate logistic regression analysis neither osteopenia nor osteoporosis was associated with an increased prevalence of CAD (adjusted odds ratios (ORs) = 0.71 [95% confidence interval 0.40-1.23]; p = 0.222 and 1.03 [0.38-2.80]; p = 0.955, respectively) or with significant coronary stenoses (OR 0.74 [0.52-1.07], p = 0.112 and 0.72 [0.41-1.26]; p = 0.251, respectively). Also, as a continuous variable, BMD was not associated with angiographically diagnosed CAD. Conclusions The prevalence of low BMD is very high in men undergoing coronary angiography. However, low BMD is not associated with angiographically determined coronary atherosclerosis in men.
doi_str_mv 10.1007/s00198-009-1103-y
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H ; Hoefle, G ; Rein, P ; Vonbank, A ; Breuss, J ; Gaensbacher, B ; Muendlein, A ; Drexel, H</creator><creatorcontrib>Beer, S ; Saely, C. H ; Hoefle, G ; Rein, P ; Vonbank, A ; Breuss, J ; Gaensbacher, B ; Muendlein, A ; Drexel, H</creatorcontrib><description>Summary This study for the first time investigates the association of bone mineral density (BMD) with angiographically determined coronary atherosclerosis in men. Our data show that the prevalence of low BMD is very high in men undergoing coronary angiography. However, neither osteopenia nor osteoporosis is associated with an increased prevalence of angiographically determined coronary atherosclerosis. Introduction The association of low BMD with angiographically determined coronary atherosclerosis in men is unknown. Methods We enrolled 623 consecutive men undergoing coronary angiography for the evaluation of established or suspected coronary artery disease (CAD). BMD was assessed by dual X-ray absorptiometry. CAD was diagnosed in the presence of any coronary artery lumen narrowing at angiography; coronary stenoses with lumen narrowing ≥50% were considered significant. Results From the total study cohort (mean age of 64 ± 11 years), 207 patients (33.2%) had osteopenia and 65 (10.4%) had osteoporosis; at angiography, CAD was diagnosed in 558 patients (89.6%) and 403 (64.7%) had significant coronary stenoses. In multivariate logistic regression analysis neither osteopenia nor osteoporosis was associated with an increased prevalence of CAD (adjusted odds ratios (ORs) = 0.71 [95% confidence interval 0.40-1.23]; p = 0.222 and 1.03 [0.38-2.80]; p = 0.955, respectively) or with significant coronary stenoses (OR 0.74 [0.52-1.07], p = 0.112 and 0.72 [0.41-1.26]; p = 0.251, respectively). Also, as a continuous variable, BMD was not associated with angiographically diagnosed CAD. Conclusions The prevalence of low BMD is very high in men undergoing coronary angiography. However, low BMD is not associated with angiographically determined coronary atherosclerosis in men.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-009-1103-y</identifier><identifier>PMID: 19936870</identifier><language>eng</language><publisher>London: London : Springer-Verlag</publisher><subject>Absorptiometry, Photon - methods ; Aged ; Atherosclerosis ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Bone Density ; Bone Diseases, Metabolic - complications ; Bone Diseases, Metabolic - physiopathology ; Cardiology. Vascular system ; Cardiovascular risk ; Coronary Angiography ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - physiopathology ; Diseases of the osteoarticular system ; Dual X-ray absorptiometry ; Endocrinology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical imaging ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mens health ; Middle Aged ; Original Article ; Orthopedics ; Osteoarticular system. Muscles ; Osteoporosis - complications ; Osteoporosis - physiopathology ; Osteoporosis. Osteomalacia. Paget disease ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Rheumatology ; Risk factors</subject><ispartof>Osteoporosis international, 2010-10, Vol.21 (10), p.1695-1701</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2009</rights><rights>2015 INIST-CNRS</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-dc00ad8b4782655924b91a34ca2ca7267a2b4736ba35ba6e39093a6b02f7223c3</citedby><cites>FETCH-LOGICAL-c456t-dc00ad8b4782655924b91a34ca2ca7267a2b4736ba35ba6e39093a6b02f7223c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00198-009-1103-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-009-1103-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23247580$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19936870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beer, S</creatorcontrib><creatorcontrib>Saely, C. H</creatorcontrib><creatorcontrib>Hoefle, G</creatorcontrib><creatorcontrib>Rein, P</creatorcontrib><creatorcontrib>Vonbank, A</creatorcontrib><creatorcontrib>Breuss, J</creatorcontrib><creatorcontrib>Gaensbacher, B</creatorcontrib><creatorcontrib>Muendlein, A</creatorcontrib><creatorcontrib>Drexel, H</creatorcontrib><title>Low bone mineral density is not associated with angiographically determined coronary atherosclerosis in men</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary This study for the first time investigates the association of bone mineral density (BMD) with angiographically determined coronary atherosclerosis in men. Our data show that the prevalence of low BMD is very high in men undergoing coronary angiography. However, neither osteopenia nor osteoporosis is associated with an increased prevalence of angiographically determined coronary atherosclerosis. Introduction The association of low BMD with angiographically determined coronary atherosclerosis in men is unknown. Methods We enrolled 623 consecutive men undergoing coronary angiography for the evaluation of established or suspected coronary artery disease (CAD). BMD was assessed by dual X-ray absorptiometry. CAD was diagnosed in the presence of any coronary artery lumen narrowing at angiography; coronary stenoses with lumen narrowing ≥50% were considered significant. Results From the total study cohort (mean age of 64 ± 11 years), 207 patients (33.2%) had osteopenia and 65 (10.4%) had osteoporosis; at angiography, CAD was diagnosed in 558 patients (89.6%) and 403 (64.7%) had significant coronary stenoses. In multivariate logistic regression analysis neither osteopenia nor osteoporosis was associated with an increased prevalence of CAD (adjusted odds ratios (ORs) = 0.71 [95% confidence interval 0.40-1.23]; p = 0.222 and 1.03 [0.38-2.80]; p = 0.955, respectively) or with significant coronary stenoses (OR 0.74 [0.52-1.07], p = 0.112 and 0.72 [0.41-1.26]; p = 0.251, respectively). Also, as a continuous variable, BMD was not associated with angiographically diagnosed CAD. Conclusions The prevalence of low BMD is very high in men undergoing coronary angiography. However, low BMD is not associated with angiographically determined coronary atherosclerosis in men.</description><subject>Absorptiometry, Photon - methods</subject><subject>Aged</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Bone Density</subject><subject>Bone Diseases, Metabolic - complications</subject><subject>Bone Diseases, Metabolic - physiopathology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular risk</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Diseases of the osteoarticular system</subject><subject>Dual X-ray absorptiometry</subject><subject>Endocrinology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - physiopathology</subject><subject>Osteoporosis. Osteomalacia. 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Vascular system</topic><topic>Cardiovascular risk</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Diseases of the osteoarticular system</topic><topic>Dual X-ray absorptiometry</topic><topic>Endocrinology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mens health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoarticular system. Muscles</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - physiopathology</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Radiodiagnosis. Nmr imagery. 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H</au><au>Hoefle, G</au><au>Rein, P</au><au>Vonbank, A</au><au>Breuss, J</au><au>Gaensbacher, B</au><au>Muendlein, A</au><au>Drexel, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low bone mineral density is not associated with angiographically determined coronary atherosclerosis in men</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>21</volume><issue>10</issue><spage>1695</spage><epage>1701</epage><pages>1695-1701</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary This study for the first time investigates the association of bone mineral density (BMD) with angiographically determined coronary atherosclerosis in men. Our data show that the prevalence of low BMD is very high in men undergoing coronary angiography. However, neither osteopenia nor osteoporosis is associated with an increased prevalence of angiographically determined coronary atherosclerosis. Introduction The association of low BMD with angiographically determined coronary atherosclerosis in men is unknown. Methods We enrolled 623 consecutive men undergoing coronary angiography for the evaluation of established or suspected coronary artery disease (CAD). BMD was assessed by dual X-ray absorptiometry. CAD was diagnosed in the presence of any coronary artery lumen narrowing at angiography; coronary stenoses with lumen narrowing ≥50% were considered significant. Results From the total study cohort (mean age of 64 ± 11 years), 207 patients (33.2%) had osteopenia and 65 (10.4%) had osteoporosis; at angiography, CAD was diagnosed in 558 patients (89.6%) and 403 (64.7%) had significant coronary stenoses. In multivariate logistic regression analysis neither osteopenia nor osteoporosis was associated with an increased prevalence of CAD (adjusted odds ratios (ORs) = 0.71 [95% confidence interval 0.40-1.23]; p = 0.222 and 1.03 [0.38-2.80]; p = 0.955, respectively) or with significant coronary stenoses (OR 0.74 [0.52-1.07], p = 0.112 and 0.72 [0.41-1.26]; p = 0.251, respectively). Also, as a continuous variable, BMD was not associated with angiographically diagnosed CAD. Conclusions The prevalence of low BMD is very high in men undergoing coronary angiography. However, low BMD is not associated with angiographically determined coronary atherosclerosis in men.</abstract><cop>London</cop><pub>London : Springer-Verlag</pub><pmid>19936870</pmid><doi>10.1007/s00198-009-1103-y</doi><tpages>7</tpages></addata></record>
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subjects Absorptiometry, Photon - methods
Aged
Atherosclerosis
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Bone Density
Bone Diseases, Metabolic - complications
Bone Diseases, Metabolic - physiopathology
Cardiology. Vascular system
Cardiovascular risk
Coronary Angiography
Coronary Artery Disease - complications
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - physiopathology
Diseases of the osteoarticular system
Dual X-ray absorptiometry
Endocrinology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical imaging
Medical sciences
Medicine
Medicine & Public Health
Mens health
Middle Aged
Original Article
Orthopedics
Osteoarticular system. Muscles
Osteoporosis - complications
Osteoporosis - physiopathology
Osteoporosis. Osteomalacia. Paget disease
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Rheumatology
Risk factors
title Low bone mineral density is not associated with angiographically determined coronary atherosclerosis in men
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