Osteoporosis, bone & mineral

Accelerated Bone Loss in Older Men With Severe Abdominal Aortic Calcification—the Prospective MINOS Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Severe AAC is associated with faster bone loss in older men and may contribute to the higher fracture risk observed in this population.

Study context

Population
Men aged 50 to 85 years (MINOS), abdominal aortic calcification (AAC) assessed on lateral spine radiograph, followed 7.5 years
Participants
778 men
Exposure
Severe AAC vs no AAC
Outcome
Bone loss (BMD and BMC by DXA every 18 months)
Follow-up
7.5 years
Methodological detailsLinear mixed models
  • Linear mixed models

Main finding

As reported in the abstract

Bone loss, total hip

Severe AAC

−0.62

± 0.06 · %/year

No AAC

−0.32

± 0.04 · %/year

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeSevere AACHighest decileNo AACP value
Bone loss, distal forearmSevere AAC vs No AAC−0.72 ± 0.06 %/year— not stated in the abstract−0.45 ± 0.03 %/yearP < 0.001
Bone loss, ultradistal radiusHighest decile vs No AAC · more rapid bone loss also at femoral neck and whole body— not stated in the abstract−0.86 ± 0.12 %/year−0.34 ± 0.05 %/yearP < 0.001

— not stated in the abstract

Bone mineral density (BMD) vs bone mineral content (BMC); sensitivity analyses

Results similar for BMD and for BMC
Patterns similar in sensitivity analyses (eg, excluding abdominal obesity, current smokers, ischemic heart disease or DM, abnormal lipids, bioavailable 17β-estradiol or 25-hydroxycholecalciferol, GFR <60 mL/min)

Original publication

Accelerated Bone Loss in Older Men With Severe Abdominal Aortic Calcification—the Prospective MINOS Study. J Clin Endocrinol Metab. Published 23 August 2023. doi:10.1210/clinem/dgad459

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