Associations between bone mineral density and chronic obstructive pulmonary disease

Abstract Objective To assess the relationship between chronic obstructive pulmonary disease (COPD) severity and bone mineral density (BMD) in the whole body and different body areas. Methods This retrospective, cross-sectional study included patients with COPD. Demographic and lung function data, CO...

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Main Authors: Xiaodiao Zhang, Keke Ding, Xiaqi Miao, Jianing Wang, Binbin Hu, Jiamin Shen, Xueting Hu, Yage Xu, Beibei Yu, Tingting Tu, Aiju Lin, Xianjing Chen, Yiben Huang
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221094644
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author Xiaodiao Zhang
Keke Ding
Xiaqi Miao
Jianing Wang
Binbin Hu
Jiamin Shen
Xueting Hu
Yage Xu
Beibei Yu
Tingting Tu
Aiju Lin
Xianjing Chen
Yiben Huang
author_facet Xiaodiao Zhang
Keke Ding
Xiaqi Miao
Jianing Wang
Binbin Hu
Jiamin Shen
Xueting Hu
Yage Xu
Beibei Yu
Tingting Tu
Aiju Lin
Xianjing Chen
Yiben Huang
author_sort Xiaodiao Zhang
collection DOAJ
description Abstract Objective To assess the relationship between chronic obstructive pulmonary disease (COPD) severity and bone mineral density (BMD) in the whole body and different body areas. Methods This retrospective, cross-sectional study included patients with COPD. Demographic and lung function data, COPD severity scales, BMD, and T scores were collected. Patients were grouped by high (≥–1) and low (<–1) T scores, and stratified by body mass index, airway obstruction, dyspnoea, and exercise capacity (BODE) index. The relationship between whole-body BMD and BODE was evaluated by Kendall’s tau-b correlation coefficient. Risk factors associated with COPD severity were identified by univariate analyses. BMD as an independent predictor of severe COPD (BODE ≥5) was verified by multivariate logistic regression. BMD values in different body areas for predicting severe COPD were assessed by receiver operating characteristic curves. Results Of 88 patients with COPD, lung-function indicators and COPD severity were significantly different between those with high and low T scores. Whole-body BMD was inversely related to COPD severity scales, including BODE. Multivariate logistic regression revealed that BMD was independently associated with COPD severity. The area under the curve for pelvic BMD in predicting severe COPD was 0.728. Conclusion BMD may be a novel marker in predicting COPD severity, and pelvic BMD may have the strongest relative predictive power.
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spelling doaj.art-6d1bdf5f3ad5456f9f25328d6660bcc42022-12-22T02:37:41ZengSAGE PublishingJournal of International Medical Research1473-23002022-05-015010.1177/03000605221094644Associations between bone mineral density and chronic obstructive pulmonary diseaseXiaodiao ZhangKeke DingXiaqi MiaoJianing WangBinbin HuJiamin ShenXueting HuYage XuBeibei YuTingting TuAiju LinXianjing ChenYiben HuangAbstract Objective To assess the relationship between chronic obstructive pulmonary disease (COPD) severity and bone mineral density (BMD) in the whole body and different body areas. Methods This retrospective, cross-sectional study included patients with COPD. Demographic and lung function data, COPD severity scales, BMD, and T scores were collected. Patients were grouped by high (≥–1) and low (<–1) T scores, and stratified by body mass index, airway obstruction, dyspnoea, and exercise capacity (BODE) index. The relationship between whole-body BMD and BODE was evaluated by Kendall’s tau-b correlation coefficient. Risk factors associated with COPD severity were identified by univariate analyses. BMD as an independent predictor of severe COPD (BODE ≥5) was verified by multivariate logistic regression. BMD values in different body areas for predicting severe COPD were assessed by receiver operating characteristic curves. Results Of 88 patients with COPD, lung-function indicators and COPD severity were significantly different between those with high and low T scores. Whole-body BMD was inversely related to COPD severity scales, including BODE. Multivariate logistic regression revealed that BMD was independently associated with COPD severity. The area under the curve for pelvic BMD in predicting severe COPD was 0.728. Conclusion BMD may be a novel marker in predicting COPD severity, and pelvic BMD may have the strongest relative predictive power.https://doi.org/10.1177/03000605221094644
spellingShingle Xiaodiao Zhang
Keke Ding
Xiaqi Miao
Jianing Wang
Binbin Hu
Jiamin Shen
Xueting Hu
Yage Xu
Beibei Yu
Tingting Tu
Aiju Lin
Xianjing Chen
Yiben Huang
Associations between bone mineral density and chronic obstructive pulmonary disease
Journal of International Medical Research
title Associations between bone mineral density and chronic obstructive pulmonary disease
title_full Associations between bone mineral density and chronic obstructive pulmonary disease
title_fullStr Associations between bone mineral density and chronic obstructive pulmonary disease
title_full_unstemmed Associations between bone mineral density and chronic obstructive pulmonary disease
title_short Associations between bone mineral density and chronic obstructive pulmonary disease
title_sort associations between bone mineral density and chronic obstructive pulmonary disease
url https://doi.org/10.1177/03000605221094644
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