Bone mineral density is associated with left ventricular diastolic function in women
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Published on: June 15, 2020
Rui-Tao Wang1, Xue-Song Li2, Ji-Rong Zhang3
1Department of Internal Medicine, Third Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Insights
Osteoporosis is linked to impaired heart function in women. Lower bone mineral density (BMD) correlates with poorer left ventricular (LV) diastolic function, suggesting a connection between bone health and cardiac health.
Area of Science:
- Cardiology
- Endocrinology
- Gerontology
Background:
- Low bone mineral density (BMD) and left ventricular (LV) diastolic dysfunction are risk factors for heart failure.
- The relationship between BMD and LV diastolic function remains unclear.
Purpose of the Study:
- To investigate the association between BMD and LV diastolic function in women.
- To determine if BMD is an independent predictor of LV diastolic dysfunction.
Main Methods:
- Cross-sectional study of 432 women.
- Assessment of BMD, brachial-ankle pulse wave velocity (baPWV), and LV diastolic function via echocardiography.
- Statistical analysis including partial correlation and multivariate logistic regression.
Main Results:
- Progressive bone loss was associated with increased baPWV and LV diastolic dysfunction.
- BMD at the spine and femoral neck correlated with baPWV and LV diastolic parameters.
- Osteoporosis was an independent predictor of LV diastolic dysfunction in women.
Conclusions:
- Osteoporosis is independently associated with LV diastolic dysfunction in women.
- Further prospective research is warranted to explore the impact of BMD on cardiac function.
Background:
Low bone mineral density (BMD) and left ventricular (LV) diastolic function are associated with heart failure. However, little is known about the association between BMD and LV diastolic function.
Hypothesis:
BMD is independently related to LV diastolic function in women.
Methods:
We conducted a cross-sectional study of 432 women. Brachial-ankle pulse wave velocity (baPWV) and BMD measurements were performed. LV diastolic function and structure were assessed by echocardiographic examination.
Results:
BaPWV and the percentage of LV diastolic dysfunction increased with progressive bone loss. Moreover, partial correlation analysis demonstrated that BMD at spine L2-4 and at femoral neck were correlated with baPWV and LV diastolic function parameters after adjusting covariates. Multivariate logistic regression analysis revealed that osteoporosis was independently associated with LV diastolic dysfunction in women.
Conclusions:
Osteoporosis is independently associated with LV diastolic dysfunction in women. A prospective study is needed to elucidate the effects of BMD on cardiac function in women.
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