Cited 7 times in

Association between low bone mass and aortic valve sclerosis in Koreans

Authors
 Han S. Choi  ;  Yumie Rhee  ;  Nam W. Hur  ;  Namsik Chung  ;  Eun J. Lee  ;  Sung-Kil Lim 
Citation
 CLINICAL ENDOCRINOLOGY, Vol.71(6) : 792-797, 2009 
Journal Title
CLINICAL ENDOCRINOLOGY
ISSN
 0300-0664 
Issue Date
2009
MeSH
Absorptiometry, Photon ; Aged ; Aortic Valve/metabolism* ; Aortic Valve/pathology* ; Asian Continental Ancestry Group ; Bone Density/physiology* ; Female ; Heart Valve Diseases/metabolism* ; Humans ; Logistic Models ; Male ; Middle Aged ; Sclerosis/metabolism*
Abstract
BACKGROUND: Osteoporosis or low bone mass has been associated with cardiovascular disease and calcification in several clinical studies. However, few studies have assessed the relationship between bone mass and valvular calcification. The aim of this study was to evaluate the relationship between low bone mass and aortic valve sclerosis in Korean men and women.

METHODS: A total of 211 men and 117 women were included in this study. Each subject's bone mineral density (BMD) was measured with dual-energy X-ray absorptiometry, and aortic valve sclerosis was assessed using transthoracic echocardiography. Association between low bone mass and aortic valve sclerosis was assessed with multivariate logistic regression analysis in this cross-sectional study.

RESULTS: Of 328 total subjects enrolled in this study, 50 men (23.7%) and 18 women (15.4%) were found to have aortic valve sclerosis. The mean (+/-SD) BMD T-scores were -0.5 (+/-0.8) in men and -0.9 (+/-1.0) in women. After adjusting for covariates, only women with aortic valve sclerosis had significantly lower BMD T-scores than those without it. Multivariate logistic regression analysis showed that age, smoking and hypertension were independently associated with increased risk of aortic valve sclerosis in men. In women, however, logistic regression analysis showed that BMD T-score, as well as age, was an independent variable for aortic valve sclerosis. We also found that a T-score of less than -1.5 was significantly associated with increased risk of aortic valve sclerosis in women compared to normal T-scores.

CONCLUSION: Low bone mass might be independently associated with increased risk of aortic valve sclerosis in women, but not in men. Women with low bone mass should be further evaluated for the presence of aortic valve sclerosis and related cardiovascular diseases.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2009.03543.x/abstract
DOI
10.1111/j.1365-2265.2009.03543.x
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Rhee, Yumie(이유미) ORCID logo https://orcid.org/0000-0003-4227-5638
Lee, Eun Jig(이은직) ORCID logo https://orcid.org/0000-0002-9876-8370
Lim, Sung Kil(임승길)
Chung, Nam Sik(정남식)
Choi, Han Seok(최한석)
Hur, Nam Wook(허남욱)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105682
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links