Abstract

BackgroundOsteoporosis and cardiovascular disease (CVD) are age-related diseases. It is reported that patients with CVD have a higher risk of bone loss. This retrospective study sought to reveal the association between osteoporosis and CVD in Chinese women. Although epidemiological evidence has indicated a relationship between the two, clinical data in southeast China are lacking.MethodsIn total, 2873 participants completed the baseline survey from January 2007 to October 2019, and 2039 were included in this retrospective study. We divided all subjects into an osteoporosis group and a non-osteoporosis group based on their bone mineral density (BMD). Dual-energy X-ray absorptiometry (DXA) was used to examine BMD. The general information came from the questionnaire survey. Cardiovascular diseases were defined by asking participants at the first visit and checking relevant medical records if they had suffered from hypertension, coronary heart disease, or cerebral infarction.ResultsAccording to the criterion, the osteoporosis group had 678 subjects, and the non-osteoporosis group had 1361 subjects. Subjects in the osteoporosis group had a significantly higher prevalence of hypertension and coronary heart disease. Besides, the proportion of subjects who drank tea and drank milk were relatively higher in the osteoporosis group. The odds ratio (OR) for suffering from osteoporosis was high if the patients had hypertension.ConclusionsThis study indicated that Chinese postmenopausal women with osteoporosis had a higher prevalence of hypertension. Hypertension was significantly associated with osteoporosis.

Highlights

  • Osteoporosis and cardiovascular disease (CVD) are age-related diseases

  • In Tibet, a retrospective study of 99 Chinese Tibetan postmenopausal women with type 2 diabetes indicated that the bone mineral density (BMD) T-score of the spine and femoral neck was inversely associated with systolic blood pressure (SBP) [14]

  • Cardiovascular diseases were defined by asking participants at the first visit and checking relevant medical records if they had suffered from hypertension, coronary heart disease, or cerebral infarction, as indicated by International Statistical Classification of Diseases and Related Health Problems (ICD)

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Summary

Methods

Study population This retrospective study was carried out from January 2007 to October 2019 with participants from Fuzhou, capital of Fujian Province. Clinical characteristics The data required for the study came from the questionnaire survey General information, such as age, height, weight, blood pressure, menarche age, menopausal age, past medical history, and personal lifestyle, was collected and carefully filled in the unified form by trained physicians. Cardiovascular diseases were defined by asking participants at the first visit and checking relevant medical records if they had suffered from hypertension, coronary heart disease, or cerebral infarction, as indicated by International Statistical Classification of Diseases and Related Health Problems (ICD) (tenth revision, ICD-10). The diagnosis of coronary heart disease (ICD-10 code I25) was based on the guidelines of the European Society of Cardiology and Chinese Society of Cardiology of Chinese Medical Association: the subjects had discomfort related to myocardial ischaemia, including location, character, duration and relationship to exertion and other exacerbating or relieving factors. All statistical hypothesis tests were two-sided and performed at the 0.05 significance level

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