2013, Number 3
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Rev Cubana Invest Bioméd 2013; 32 (3)
Characterization of the association between atherosclerosis and osteoporosis in men and women: study of deceased subjects
Solís AL, Fernández-Britto RJE, Bacallao GJ
Language: Spanish
References: 38
Page: 321-337
PDF size: 354.97 Kb.
ABSTRACT
Objectives: characterize the association between atherosclerotic lesions of the coronary arteries and osteoporosis of the lumbar spine and the proximal femur in men and women.
Methods: a study was conducted of 79 necropsies by postmortem densitometry of the lumbar spine and proximal femur. Bone mineral density (BMD) levels were classified according to T score into normal, osteopenia and osteoporosis; followed by pathomorphological and morphometric examination of the three major epicardial
coronary arteries, applying the atherometric system and classifying the atherosclerotic lesions into adipose stria, fibrous plate and grave plate.
Results: the association between atherosclerosis and osteoporosis exhibited specific features for each sex, with a significant predominance of osteoporosis in men and osteopenia in women. After removing the effect of cigarette smoking, there was a change in the differences between the sexes, with smokers of both sexes presenting a similar BMD and a similar association between atherosclerosis and osteoporosis.
Conclusions: the influence of sex upon the association between atherosclerosis and osteoporosis was negligible.
REFERENCES
Sinnott B, Syed I, Sevrukov A. Coronary calcification and osteoporosis in men and postmenopausal women are independent processes associated with aging. Calcif Tissue Int. 2006;78(4):195-202.
Shaffer JR, Kammerer CM, Rainwater DL. Decreased bone mineral density is correlated with increased subclinical atherosclerosis in older, but not younger, Mexican American women and men: the San Antonio Family Osteoporosis Study. Calcif Tissue Int. 2007;81:430-41.
Hyder JA, Allison MA, Criqui MH. Association between systemic calcified atherosclerosis and bone density. Calif Tissue Int. 2007; 80:301-6.
Sennerby U, Farahmand B, Ahlbom A. Cardiovascular diseases and future risk of hip fracture in women. Osteoporos Int. 2007; 18:1355-62.
Tekin GO, Kekilli E, Yagmur J, Uckan A, Yagmur C, Aksoy Y, et al. Evaluation of cardiovascular risk factors and bone mineral density in post menopausal women undergoing coronary angiography. Int J Cardiol. 2008;131(1):66-9.
Pinheiro MM, Castro CM, Szejnfeld VL. Low femoral bone mineral density and quantitative ultrasound are risk factors for new osteoporotic fracture and total and cardiovascular mortality: a 5-year population-based study of brazilian Brazilian elderly women. J Gerontol A Biol Sci Med Sci. 2006; 61:196-203.
Nowicka G, Panczenko-Kresowska B. Coronary heart disease and osteoporosis: factors related to development of both diseases. Przegl Lek. 2007; 64(3):153-8.
Abad Manteca L, Izquierdo E, Andres M, Vega G, Mendo M, Pérez Castrillon JL. Prevalencia de osteoporosis en pacientes con síndrome coronario agudo. Rev Osteoporos Metab Miner. 2010; 2(1):15-22.
Rahman MM, Laher I. Structural and functional alteration of blood vessels caused by cigarette smoking: an overview of molecular mechanisms. Curr Vasc Pharmacol. 2007;5:276-92.
Supervía A, Nogues X, Enjuanes A, Villa J, Mellibovsky L, Serrano S, et al. Effect of smoking and smoking cessation on bone mass, bone remodeling, vitamin D, PTH and sex hormones. J Musculoskelet Neuronal Interact. 2006; 6:234-41.
Valero Díaz De Lamadrid C, González Macias J. Osteoporosis y arteriosclerosis. Rev Esp Enferm Metab Óseas. 2004; 13(2):34-45.
Gómez de Tejada MJ, Sosa Henríquez M. «Los ultrasonidos, la densitometría, el T-SCORE y los criterios de la OMS para el diagnóstico de la osteoporosis». Rev Esp Enferm Metab Óseas. 2002; 11(5):165-6.
Blake GM, Fogelman I. An update on dual-energy x-ray absorptiometry. Semin Nucl Med. 2010; 40(1):62-73.
Gómez Alonso C, Díaz López JB. Métodos de determinación de la densidad mineral ósea. Rev Clin Esp. 2009;209(1):15-22.
Sweet MG, Sweet JM, Jeremiah MP, Galazka SS. Diagnosis and treatment of osteoporosis. Am Fam Physician 2009; 79(3):193-200.
Paradiñeiro Somoza A, Valero Crespo LM. Patología de la mineralización ósea (y II): osteoporosis. Medicina general 2009; 123:747-75.
Coruña A. Osteoporosis. Guías Clínicas 2010; 10(20).
Santos Hernández MC, Ugarte JC, González de la Nuez J. Criterios normativos de diagnóstico de la Osteoporosis y la composición corporal en la población cubana. [Internet] 2004. Disponible en: URL: http://www.monografias.com/trabajos16/criterios -osteoporosis/criteriososteoporosis. shtml .
Lewiecki EM, Gordon CM, Baim S, Leonard MB, Bishop NJ, Bianchi ML, et al. International Society for Clinical Densitometry 2007 Adult and Pediatric Official Positions. Bone 2008; 43(6):1115-21.
Compston J, Cooper A, Cooper C, Francis R, Kanis JA, Marsh D, McCloskey EV, Reid DM, Selby P, Wilkins M; National Osteoporosis Guideline Group (NOGG). Guidelines for the diagnosis and management of osteoporosis in postmenopausal women and men from the age of 50 years in the UK. Maturitas. 2009;62(2):105-8.
Holman RL. Technics for studying atherosclerotic lesions. Lab Invest. 1958; 7:42-9.
Fernández-Britto JE, Carlevaro PV. Sistema Aterométrico: conjunto de métodos y procedimientos para la caracterización de la lesión aterosclerótica. Base Científica. Clin Inves Arteriosclerosis. 1998; 10(3):148-53.
Fernández-Britto JE, Bacallao J, Carlevaro PV, Campos R., Falcon L, Guski H. Coronary atherosclerosis lesion: its characterization applying an atherometric system using principal components analysis. Z Klin Med. 1988; 43:291-4.
Fernández-Britto JE, Carlevaro PV. Atherometric system: morphometric standardized methodology to study atherosclerosis and its consequences. Gegenbaurs Morphol Jahrb. 1989; 135(1):2-12.
Fernández-Britto JF, Carlevaro PV, Bacallao J, Koch AS, Guski H, Campos R. Atherosclerotic lesion: morphometric weighting indices to characterize severity. Z Klin Med. 1987; 42:1985-88.
Fernández-Britto JE, Bacallao J, Carlevaro PV, Campos R, Falcon L, Guski H, Hufngl P. Coronary atherosclerosis lesion: Its characterization applying an Atherometric System, using discriminant analysis. Zentralbl Allg Pathol. 1988; 134:243-9.
León OG, Montero I. Cómo explicar el concepto de interacción sin estadística: análisis gráfico de todos los casos posibles en un diseño 2 x 2. Psicothema. 2001; 13(1):159-165.
Del Pino Montes J. Epidemiología de las fracturas osteoporóticas: las fracturas vertebrales y no vertebrales. Rev Osteoporos Metab Miner. 2010; 2(5):S8-S12.
Juan Mas T, Cabanesi B. Prevalencia de osteoporosis y su asociación a factores de riesgo en personas mayores de ambos sexos en Mallorca. Medicina Balear. 2007; 22(3): 156-67.
Mendoza S, Noa M, Más R. Osteoporosis y enfermedad cardiovascular. Revista CENIC Ciencias Biológicas. 2007; 38(2):114-23.
Santana Rondon G, Solís Alfonso L, Gonzáles López A. Evaluación de osteoporosis y aterosclerosis carotídea en relación a enfermedad cerebrovascular oclusiva. Revista Chilena de Radiología. 2010; 16(3):136-46.
William DL, Lix LM. Simplified 10-Year Absolute Fracture Risk Assessment: A Comparison of Men and Women. Journal of Clinical Densitometry 2010; 13(2):141-6.
Kanis JA, Burlet N, Cooper C, Delmas PD, Reginster JY, Borgstrom F, Rizzoli R; European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2008; 19(4):399-428.
Sweet MG, Sweet JM, Jeremiah MP, Galazka SS. Diagnosis and treatment of osteoporosis. Am Fam Physician. 2009; 79(3):193-200.
Bottcher M, Falk E. Pathology of the coronary arteries in smokers and nonsmokers. J Cardiovasc Risk. 1999; 6:299-302.
Ward KD, Klesges RC. A meta-analysis of the effects of cigarette smoking on bone mineral density. Calcif Tissue Int. 2001; 68:259-70.
Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society. Menopause. 2010; 17(1):25-56.
Den Uyl D, Nurmohamed MT, Van Tuyl LHD, Raterman HG, Lems WF. (Sub)clinical cardiovascular disease is associated with increased bone loss and fracture risk; a systematic review of the association between cardiovascular disease and osteoporosis. Arthritis Research & Therapy. 2011; 13(1):R5.