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Published on: May 31, 2016
Reduced bone mineral density is associated with breast arterial calcification
Jhansi Reddy1, John P Bilezikian, Suzanne J Smith
1Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Osteoporosis and breast arterial calcification (BAC) are strongly linked. Reduced bone mineral density (BMD) may indicate a higher risk of vascular disease in women.
Area of Science:
- Cardiovascular Health
- Bone Metabolism
- Biomineralization
Background:
- Arterial calcification, a key marker of atherosclerosis, involves biomineralization similar to bone formation.
- Breast arterial calcification (BAC) is linked to cardiovascular disease.
- Shared pathophysiology between reduced bone mineral density (BMD) and BAC is hypothesized.
Purpose of the Study:
- To investigate the association between reduced BMD and BAC.
- To explore potential common pathways in bone and vascular calcification.
Main Methods:
- Retrospective analysis of 228 women with mammography and BMD evaluation.
- Mammograms reviewed for BAC; BMD assessed using dual-energy x-ray absorptiometry.
- Logistic regression models used to analyze the association between reduced BMD and BAC.
Main Results:
- Prevalence of BAC, osteopenia, and osteoporosis was 39%, 42%, and 29%, respectively.
- Women with BAC were more likely to be older, Hispanic, postmenopausal, and have osteoporosis.
- Reduced BMD (OR 3.0, P < 0.01) and osteoporosis (OR 3.5, P < 0.01) were significantly associated with BAC.
Conclusions:
- Osteoporosis and arterial calcification are independently correlated.
- Reduced BMD may serve as an indicator for women at risk of vascular disease.
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