Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study.

Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study. Research Abstract Details 

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Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study. Abstract Text:

J Jeffrey Carr,Thomas C Register,Fang-Chi Hsu,Kurt Lohman,Leon Lenchik,Donald W Bowden,Carl D Langefeld,Jianzhou Xu,Stephen S Rich,Lynne E Wagenknecht,Barry I Freedman,J Jeffrey Carr,Thomas C Register,Fang-Chi Hsu,Kurt Lohman,Leon Lenchik,Donald W Bowden,Carl D Langefeld,Jianzhou Xu,Stephen S Rich,Lynne E Wagenknecht,Barry I Freedman,J Jeffrey Carr,Thomas C Register,Fang-Chi Hsu,Kurt Lohman,Leon Lenchik,Donald W Bowden,Carl D Langefeld,Jianzhou Xu,Stephen S Rich,Lynne E Wagenknecht,Barry I Freedman,

The purpose of the present study was to determine the relationships between atherosclerotic calcified plaque (CP) and bone mineral density (BMD) in subjects with type 2 diabetes mellitus (DM2). CP in the coronary arteries, carotid bifurcation, and abdominal aorta was measured using computed tomography (CT) in 1023 diabetic subjects from 453 families. Trabecular volumetric BMD in thoracic (T-vBMD) and lumbar (L-vBMD) spine was measured with quantitative CT (QCT), while areal BMD (aBMD) in the lumbar spine and hip was measured by dual X-ray absorptiometry (DXA). Correlation coefficients were computed to assess the magnitude of associations and generalized estimating equations (GEE1) were used to make statistical inferences while accounting for familial correlation. Subjects were 53.8% female, 85% European American (EA) and 15% African American (AA). After adjustment for age, significant inverse associations between CP and vBMD persisted in EA men (correlations between -0.11 and -0.16, all p<0.05 with the exception of carotid CP vs. T-vBMD, p=0.076) and in AA women, excluding aortic CP (correlations between -0.16 and -0.25, all p<0.05). Estrogen use in AA but not EA women was consistently associated with an inverse relation between CP and vBMD. Significant inverse relationships between CP and vBMD were observed in EA men and AA women with DM2 after adjusting for age and other covariates. QCT determined vBMD was more strongly related to CP than aBMD by DXA. The relation between CP and BMD in diabetes is influenced by age, sex, and ethnicity, with further effect modification by hormone replacement therapy.

Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study. Publishing Authors By Initials

JJ Carr,TC Register,FC Hsu,K Lohman,L Lenchik,DW Bowden,CD Langefeld,J Xu,SS Rich,LE Wagenknecht,BI Freedman,JJ Carr,TC Register,FC Hsu,K Lohman,L Lenchik,DW Bowden,CD Langefeld,J Xu,SS Rich,LE Wagenknecht,BI Freedman,JJ Carr,TC Register,FC Hsu,K Lohman,L Lenchik,DW Bowden,CD Langefeld,J Xu,SS Rich,LE Wagenknecht,BI Freedman,

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Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Bone

VOLUME: 42

Page Numbers: 43-52

Journal Abbreviation: Bone

ISSN: 8756-3282

DAY: 22

MONTH: 08

YEAR: 2007

Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Calcified atherosclerotic plaque and bone mineral density in type 2 diabetes: The diabetes heart study.

AFFILIATION: Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA; Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Country: United States

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MEDLINETA: Bone

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