Bone mineral density is not related to angiographically diagnosed coronary artery disease

Dariush Iranpour1, Mohammadreza Pourbehi, Marzieh Afroozandeh

  • 1The Persian Gulf Nuclear Medicine, Research Center, Bushehr University of Medical Sciences, Bushehr 3631, Iran. assadipoya@yahoo.com, asadi@bpums.ac.ir.

Insights

This study found no association between low bone mineral density (BMD) and coronary artery disease (CAD) in men or women. However, body mass index (BMI) was found to be an independent predictor of reduced BMD.

Area of Science:

  • Cardiology
  • Endocrinology
  • Orthopedics

Background:

  • Atherosclerosis, a condition involving plaque buildup in arteries, has been suggested to correlate with low bone mineral density (BMD).
  • Coronary artery disease (CAD) is a significant manifestation of atherosclerosis, impacting cardiovascular health.
  • Understanding potential links between BMD and CAD is crucial for comprehensive patient assessment.

Purpose of the Study:

  • To investigate the potential association between bone mineral density (BMD) and the presence and severity of coronary artery disease (CAD).
  • To explore demographic and clinical factors influencing BMD in patients with and without CAD.

Main Methods:

  • Cross-sectional study comparing BMD in male and female patients with and without CAD.
  • BMD measurements were taken for both spinal and femoral regions.
  • Statistical analyses were performed to assess the relationship between BMD, CAD status, CAD severity, and other clinical factors like body mass index (BMI), age, and anti-diabetic treatment.

Main Results:

  • Spinal and femoral BMD values were significantly higher in men compared to women.
  • No significant difference in BMD was observed between patients with CAD and control subjects (normal angiography).
  • BMD did not correlate with the severity of CAD.
  • Body mass index (BMI) showed a positive correlation with BMD in both sexes.
  • Advanced age and anti-diabetic treatment were associated with lower BMD in women.

Conclusions:

  • This study did not find evidence supporting an association between low bone mineral density (BMD) and coronary artery disease (CAD).
  • Body mass index (BMI) emerged as an independent predictor of diminished BMD.
  • Further research may be needed to elucidate the complex interplay between bone health and cardiovascular conditions.

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