The association of microvascular disease and endothelial dysfunction with vertebral trabecular bone mineral density
The MESA study
- 24.06.2024
- Original Article
Erschienen in:
- Verfasst von
- Joshua I. Barzilay
- Petra Buzkova
- Suzette J. Bielinski
- Mary Frances Cotch
- Bryan Kestenbaum
- Thomas R. Austin
- Laura Carbone
- Kenneth J. Mukamal
- Matthew J. Budoff
- Erschienen in
- Osteoporosis International | Ausgabe 9/2024
Abstract
Summary
Retinopathy and albuminuria are associated with hip fracture risk. We investigated whether these disorders and endothelial dysfunction (which underlies microvascular diseases) were associated with low trabecular bone density. No significant associations were found, suggesting that microvascular diseases are not related to fracture risk through low trabecular bone density.
Purpose
Microvascular diseases of the eye, kidney, and brain are associated with endothelial dysfunction and increased hip fracture risk. To explore the basis for higher hip fracture risk, we comprehensively examined whether markers of microvascular disease and/or endothelial dysfunction are related to trabecular bone mineral density (BMD), a proximate risk factor for osteoporotic fractures.
Methods
Among 6814 participants in the Multi-Ethnic Study of Atherosclerosis study (MESA), we derived thoracic vertebral trabecular BMD from computed tomography of the chest and measured urine albumin to creatinine ratios (UACR), retinal arteriolar and venular widths, flow mediated dilation (FMD) of the brachial artery after 5 min of ischemia; and levels of five soluble endothelial adhesion markers (ICAM-1, VCAM-1, L-selectin, P-selectin, and E-selectin). Linear regression models were used to examine the association of trabecular BMD with markers of microvascular disease and with markers of endothelial dysfunction.
Results
We observed no significant associations of UACR, retinal arteriolar or venular widths, or FMD with BMD. We also observed no statistically significant association of spine trabecular BMD with levels of endothelial adhesion markers. Men and women had largely similar results.
Conclusion
We conclude that there is little evidence to connect thoracic spine trabecular BMD to microvascular disorders or to endothelial dysfunction among multi-ethnic middle-aged and older adults. Other factors beyond trabecular BMD (e.g., bone quality or predisposition to falling) may be responsible for the associations of microvascular disease with osteoporotic fractures.
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- Titel
-
The association of microvascular disease and endothelial dysfunction with vertebral trabecular bone mineral density
The MESA study - Verfasst von
-
Joshua I. Barzilay
Petra Buzkova
Suzette J. Bielinski
Mary Frances Cotch
Bryan Kestenbaum
Thomas R. Austin
Laura Carbone
Kenneth J. Mukamal
Matthew J. Budoff
- Publikationsdatum
- 24.06.2024
- Verlag
- Springer London
- Erschienen in
-
Osteoporosis International / Ausgabe 9/2024
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965 - DOI
- https://doi.org/10.1007/s00198-024-07152-y
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