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Breast arterial calcification and hypertension associated with vertebral fracture
Hiroshi Wada1, Fuminori Hirano, Tatsuhiko Kuroda
1Wada Women's Clinic, Asahikawa Medical College, Asahikawa, Japan. wada@potato.hokkai.net
Insights
Hypertension and breast arterial calcifications (BAC) are significant risk factors for vertebral fractures in Japanese postmenopausal women. These conditions, along with osteoporosis, may share common underlying metabolic pathways.
Area of Science:
- Endocrinology
- Gerontology
- Cardiovascular Medicine
Background:
- Arterial calcification and osteoporosis are common comorbidities in postmenopausal women.
- Hypertension is a known contributor to arterial calcification.
Purpose of the Study:
- To investigate the associations between hypertension, arterial calcification, and vertebral fractures.
- Cross-sectional study in Japanese postmenopausal women.
Main Methods:
- Medical histories of 421 postmenopausal Japanese women were reviewed.
- Measurements included body weight, height, and bone mineral density (BMD).
- Vertebral fractures diagnosed via semiquantitative method; breast arterial calcifications (BAC) assessed by mammography.
Main Results:
- Vertebral fracture patients were older, shorter, had lower BMD, and more BAC.
- Higher prevalence of hypertension observed in patients with vertebral fractures.
- Independent risk factors for vertebral fractures: age, BAC, and hypertension.
Conclusions:
- First report on the relevance of BAC and hypertension to vertebral fractures in Japanese women.
- Suggests a shared common metabolic pathway for hypertension, BAC, and osteoporotic fractures.
Aim:
Arterial calcification and osteoporosis commonly accompany one another in postmenopausal women. Hypertension is a known contributing factor to arterial calcification. Thus, we aimed to investigate any associations between hypertension, arterial calcification and vertebral fractures in a cross-sectional study in Japanese postmenopausal women.
Methods:
The medical histories of 421 postmenopausal Japanese women diagnosed with hypertension, diabetes mellitus or hyperlipidemia were investigated. Bodyweight, body height and ultradistal bone mineral density (BMD) were measured. The prevalent vertebral fractures were diagnosed by a semiquantitative method, and the number of breast arterial calcifications (BAC) was investigated by mammography screening.
Results:
Patients with vertebral fractures were of a significantly higher age, lower height, lower ultradistal BMD and had a higher number of BAC compared with those without vertebral fractures. Furthermore, a significantly higher prevalence of hypertension was observed in the patients with vertebral fractures as compared with those without. A multivariate stepwise regression analysis using these variables for vertebral fractures showed that the significant odds ratios (OR) of age (OR 1.76, 95% CI 1.11-2.77, P = 0.016), the prevalence of BAC (OR 2.52, 95% CI 1.62-3.93, P < 0.001) and the presence of hypertension (OR 1.76, 95% CI 1.11-2.80, P = 0.017) were found as significant independent risk factors for vertebral fractures.
Conclusion:
This is the first report of the relevance of BAC or hypertension to vertebral fractures in Japanese women. The results suggest that hypertension, BAC and osteoporotic fractures share a common metabolic pathway in their pathogenesis.
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