英国生物库的骨健康,心血管疾病和成像结果:因果分析
Dorina-Gabriela Condurache1,2, Stefania D'Angelo3, Ahmed M Salih1,4,5
1NIHR Barts Biomedical Research Centre, William Harvey Research Institute, Centre for Advanced Cardiovascular Imaging, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, England, United Kingdom.
JBMR plus
|May 24, 2024
概括
较高的脚跟骨矿物质密度 (eBMD) 与心血管疾病 (CVD) 风险和死亡率的降低有关. 然而,基因分析并未证实骨密度与心脏病之间的直接因果关系.
科学领域:
- 心血管健康 心血管健康
- 骨的新陈代谢 骨的新陈代谢
- 流行病学 流行病学
背景情况:
- 心血管疾病 (CVDs) 构成了全球健康的重大负担.
- 已观察到骨矿物质密度 (BMD) 与心血管健康相关.
- 了解 BMD 和 CVD 之间的关系对于公共健康至关重要.
研究的目的:
- 调查估计的脚骨矿物质密度 (eBMD) 与流行/发生心血管疾病之间的关联.
- 检查eBMD与全因,心血管疾病和缺血性心脏病 (IHD) 死亡率之间的关系.
- 评估eBMD与心血管磁共振 (CMR) 测量之间的联系.
主要方法:
- 利用了来自485,257名参与者的英国生物库数据.
- 使用定量超声波进行eBMD估计.
- 进行了前性后续和门德尔随机化 (MR) 分析.
主要成果:
- 较高的eBMD与较低的流行心血管疾病的几率相关,特别是心力衰竭 (HF) 和非缺血性心肌病 (NICM).
- 较高的eBMD与减少全因,心血管疾病和IHD死亡率有关.
- 观察数据显示,更高的eBMD与更大的大动脉延伸性有关,但MR分析不支持因果关系.
结论:
- 高跟鞋的eBMD与普遍和偶发性心血管疾病和死亡率的风险降低有关.
- 这些发现表明共享的风险因素,而不是骨和心血管健康之间的直接因果关系.
- 需要进一步的研究来阐明骨密度和心血管结果之间的复杂相互作用.
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