Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis

Introduction. Atherosclerosis and osteoporosis share an age-independent bidirectional correlation. Rheumatoid arthritis (RA) represents a risk factor for both conditions. Objectives. The study aims to evaluate the connection between the estimated cardiovascular risk (CVR) and the loss of bone tissue...

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Main Authors: Claudiu Popescu, Violeta Bojincă, Daniela Opriş, Ruxandra Ionescu
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.1155/2014/465987
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author Claudiu Popescu
Violeta Bojincă
Daniela Opriş
Ruxandra Ionescu
author_facet Claudiu Popescu
Violeta Bojincă
Daniela Opriş
Ruxandra Ionescu
author_sort Claudiu Popescu
collection DOAJ
description Introduction. Atherosclerosis and osteoporosis share an age-independent bidirectional correlation. Rheumatoid arthritis (RA) represents a risk factor for both conditions. Objectives. The study aims to evaluate the connection between the estimated cardiovascular risk (CVR) and the loss of bone tissue in RA patients. Methods. The study has a prospective cross-sectional design and it includes female in-patients with RA or without autoimmune diseases; bone tissue was measured using whole body dual X-ray absorptiometry (wbDXA); CVR was estimated using SCORE charts and PROCAM applications. Results. There were 75 RA women and 66 normal women of similar age. The wbDXA bone indices correlate significantly, negatively, and age-independently with the estimated CVR. The whole body bone percent (wbBP) was a significant predictor of estimated CVR, explaining 26% of SCORE variation along with low density lipoprotein (P < 0.001) and 49.7% of PROCAM variation along with glycemia and menopause duration (P < 0.001). Although obese patients had less bone relative to body composition (wbBP), in terms of quantity their bone content was significantly higher than that of nonobese patients. Conclusions. Female patients with RA and female patients with cardiovascular morbidity have a lower whole body bone percent. Obese female individuals have higher whole body bone mass than nonobese patients.
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issn 2090-8059
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publishDate 2014-01-01
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spelling doaj-art-2fbffd046107416bbe8b9941ff3dde842025-08-20T03:20:24ZengWileyJournal of Osteoporosis2090-80592042-00642014-01-01201410.1155/2014/465987465987Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid ArthritisClaudiu Popescu0Violeta Bojincă1Daniela Opriş2Ruxandra Ionescu3“Sfânta Maria” Clinical Hospital, 37-39 Ion Mihalache Boulevard, District 1, 011192 Bucharest, Romania“Sfânta Maria” Clinical Hospital, 37-39 Ion Mihalache Boulevard, District 1, 011192 Bucharest, Romania“Sfânta Maria” Clinical Hospital, 37-39 Ion Mihalache Boulevard, District 1, 011192 Bucharest, Romania“Sfânta Maria” Clinical Hospital, 37-39 Ion Mihalache Boulevard, District 1, 011192 Bucharest, RomaniaIntroduction. Atherosclerosis and osteoporosis share an age-independent bidirectional correlation. Rheumatoid arthritis (RA) represents a risk factor for both conditions. Objectives. The study aims to evaluate the connection between the estimated cardiovascular risk (CVR) and the loss of bone tissue in RA patients. Methods. The study has a prospective cross-sectional design and it includes female in-patients with RA or without autoimmune diseases; bone tissue was measured using whole body dual X-ray absorptiometry (wbDXA); CVR was estimated using SCORE charts and PROCAM applications. Results. There were 75 RA women and 66 normal women of similar age. The wbDXA bone indices correlate significantly, negatively, and age-independently with the estimated CVR. The whole body bone percent (wbBP) was a significant predictor of estimated CVR, explaining 26% of SCORE variation along with low density lipoprotein (P < 0.001) and 49.7% of PROCAM variation along with glycemia and menopause duration (P < 0.001). Although obese patients had less bone relative to body composition (wbBP), in terms of quantity their bone content was significantly higher than that of nonobese patients. Conclusions. Female patients with RA and female patients with cardiovascular morbidity have a lower whole body bone percent. Obese female individuals have higher whole body bone mass than nonobese patients.http://dx.doi.org/10.1155/2014/465987
spellingShingle Claudiu Popescu
Violeta Bojincă
Daniela Opriş
Ruxandra Ionescu
Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis
Journal of Osteoporosis
title Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis
title_full Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis
title_fullStr Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis
title_full_unstemmed Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis
title_short Whole Body Bone Tissue and Cardiovascular Risk in Rheumatoid Arthritis
title_sort whole body bone tissue and cardiovascular risk in rheumatoid arthritis
url http://dx.doi.org/10.1155/2014/465987
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AT violetabojinca wholebodybonetissueandcardiovascularriskinrheumatoidarthritis
AT danielaopris wholebodybonetissueandcardiovascularriskinrheumatoidarthritis
AT ruxandraionescu wholebodybonetissueandcardiovascularriskinrheumatoidarthritis