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논문 기본 정보

자료유형
학술저널
저자정보
Mojgan Asadi (Tehran University of Medical Sciences) Farideh Razi (Tehran University of Medical Sciences) Noushin Fahimfar (Tehran University of Medical Sciences) Shapour Shirani (Tehran University of Medical Sciences Tehran) Ghazal Behzad (Tehran University of Medical Sciences) Pooneh Salari (Tehran University of Medical Sciences)
저널정보
대한골대사학회 대한골대사학회지 대한골대사학회지 제29권 제4호
발행연도
2022.11
수록면
245 - 254 (10page)

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Background: The association between osteoporosis, a common metabolic bone disor der, and atherosclerosis has been reported in different studies. In this study, we aimed to investigate the association between the coronary artery calcium score (CACS) and bone mineral density (BMD) at different sites and bone biomarkers in postmenopausal wom en. Methods: A total of 184 participants were enrolled in this study. The CACS and BMD at different sites, including the spinal, total hip, and femoral neck, were measured using computed tomography angiography and dual energy X-ray absorptiometry, respective ly. Serum levels of osteocalcin, β-C-terminal telopeptide (β-CTX), parathyroid hormone, and 25-hydroxy-vitamin D were measured. Results: A negative association between CACS and bone biomarker levels (osteocalcin, P=0.021; β-CTX, P=0.013) was noted. The univariable model showed an association between CACS and osteoporosis of the femo ral neck (P=0.03). It was found that with an increase of 10 U in CACS, the odds of osteo porosis at the femoral neck escalates by 2% (odds ratio=1.02, 95% confidence interval, 1.002–1.03) using the multivariate logistic regression model, while such an association with osteoporosis could not be found at the spinal site. The best cutoff point of the calci um score was estimated to be 127. Conclusions: The results suggest that in postmeno pausal women, coronary atherosclerosis is independently associated with osteoporosis of the femoral neck, but such an association could not be detected with spinal osteopo rosis. The importance of screening for osteoporosis in patients with cardiovascular dis ease and the implications of preventive measures in the primary care setting were high lighted considering the common risk factors

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