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01.12.2020 | Review

A meta-analysis of secondary osteoporosis in systemic lupus erythematosus: prevalence and risk factors

verfasst von: Chaoyu Gu, Rui Zhao, Xiaomei Zhang, Zhifeng Gu, Wei Zhou, Yilin Wang, Jiaxin Guo, Yanfeng Bao, Chi Sun, Chen Dong, Jianlin Gao

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2020

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Abstract

Purpose

This study aimed to evaluate the prevalence and risk factors of secondary osteoporosis (OP) in patients with systemic lupus erythematosus (SLE) and provide a theoretical basis for clinical prevention and treatment of SLE.

Methods

Take systematic review and meta-analysis of relevant studies. Data sources are CINAHL databases, PubMed, Embase, Wan Fang, Weipu, and CNKI databases. Eligibility criteria are cross-sectional or case–control studies which analyzed the prevalence and risk factors of OP in SLE. Two authors independently screened all studies; a third author verified and identify controversial studies. The quality of the included articles was evaluated. Stata 11 and Rev-Man 5.2 software were used for data processing.

Results

Thirty-one articles were included, with a total sample size of 3089 SLE, including 529 OP cases and 2560 non-OP cases. Meta-analysis showed that the prevalence of OP among SLE was 16% (95% CI (0.12, 0.19)). The risk of OP in SLE cases compared with controls was significantly greater with OR of 2.03 (95% CI 1.33–3.10, P = 0.001). Age, disease duration, cumulative glucocorticoid dose, duration of glucocorticoid therapy, SLICC, and menopause had significant differences between two groups. No statistical differences of daily glucocorticoid dose, SLEDAI, and BMI were found between OP and non-OP cases.

Conclusions

Our study found a statistically significant increased risk of OP in SLE patients compared with controls. SLE patients should be actively screened for OP and its consequences. Larger longitudinal studies are needed to confirm this possible association.

The prevalence of OP in SLE was 16%. Compared with controls, the risk of OP in SLE was 2.03. There were significant differences of age, disease duration, cumulative glucocorticoid dose, time of glucocorticoid, SLICC, and menopause, while daily glucocorticoid dose, SLEDAI, and BMI had no statistical differences between OP and non-OP cases.

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Titel: A meta-analysis of secondary osteoporosis in systemic lupus erythematosus: prevalence and risk factors
verfasst von: Chaoyu Gu
Rui Zhao
Xiaomei Zhang
Zhifeng Gu
Wei Zhou
Yilin Wang
Jiaxin Guo
Yanfeng Bao
Chi Sun
Chen Dong
Jianlin Gao
Publikationsdatum: 01.12.2020
Verlag: Springer London
Erschienen in: Archives of Osteoporosis / Ausgabe 1/2020
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-019-0667-1

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A meta-analysis of secondary osteoporosis in systemic lupus erythematosus: prevalence and risk factors

Abstract

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