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Updated: Jul 14, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Association between systemic calcified atherosclerosis and bone density
J A Hyder1, M A Allison, M H Criqui
1Department of Family and Preventive Medicine, University of California San Diego, 3855 Health Sciences Drive, MC 0817, La Jolla, CA 92093-0817, USA.
Insights
Lower bone mineral density (BMD) is linked to increased arterial calcification in major blood vessels. This suggests a potential connection between bone health and cardiovascular disease risk, warranting further investigation.
Area of Science:
- Cardiovascular Science
- Bone Metabolism
- Vascular Biology
Background:
- Atherosclerosis and osteoporosis contribute significantly to morbidity and mortality.
- Shared regulatory mechanisms and histopathology may link these conditions.
- Traditional cardiovascular disease risk factors show weak associations with calcified atherosclerosis, prompting research into novel predictors.
Purpose of the Study:
- To investigate the hypothesis of an inverse relationship between lumbar bone mineral density (BMD) and calcified atherosclerosis.
- To assess the association between BMD and arterial calcification in the carotid, coronary, and iliac arteries, as well as the aorta.
Main Methods:
- Cross-sectional and prospective study designs have primarily indicated an inverse association between BMD and arterial calcification.
- Previous studies on men are equivocal.
- No prior study has examined BMD in relation to systemic arterial calcification.
Main Results:
- The majority of existing studies demonstrate a significant inverse association between arterial calcium deposits and BMD.
- Some studies report weak or null relationships, highlighting the need for further research.
- Limited data exists for men, and systemic arterial calcification has not been previously studied in relation to BMD.
Conclusions:
- A significant inverse association between lumbar BMD and arterial atherosclerotic calcium in multiple vascular beds is hypothesized.
- Understanding this relationship could identify novel predictors for cardiovascular disease events.
- Further research is needed to clarify the association, particularly in diverse populations and across systemic arterial beds.
Abstract:
Both atherosclerosis and osteoporosis are responsible for significant morbidity and mortality, are independent predictors of cardiovascular disease (CVD) events, and may share common regulatory mechanisms as well as histopathology. Multiple reports of weak or null relationships between traditional CVD risk factors and calcified atherosclerosis have heightened interest in novel predictors of arterial calcium. One such hypothesis is for an inverse relationship between bone mineral density (BMD) and calcified coronary atherosclerosis. Although contrary findings have been reported, the majority of cross-sectional and all prospective studies have demonstrated a significant inverse association between arterial calcium deposits and BMD. The few studies that include men are equivocal, and, to date, no study has investigated the relationship between BMD and systemic arterial calcium. The aim of this study was to test the hypothesis that lumbar BMD is significantly associated with the presence of arterial atherosclerotic calcium in the carotid, coronary, and iliac vascular beds as well as the aorta.
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