The relationship between bone mineral density and blood pressure in the Korean elderly population: the Korea National Health and Nutrition Examination Survey, 2008–2011

Lee, Hyung Tak; Shin, Jinho; Min, Seung Yeon; Lim, Young‐Hyo; Kim, Kyung Soo; Kim, Soon Gil; Kim, Jeong Hyun; Lim, Heon Kil

doi:10.3109/10641963.2014.933971

Cited by 18 publications

(9 citation statements)

References 28 publications

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“…The association between essential hypertension and the bone mineral density of femoral neck was investigated in 11 studies [ 12 , 13 – 19 , 21 – 23 , 26 ]. The combined standard mean difference (SMD) was −0.06 (95%CI: −0.09∼−0.02, p = 0.001), with significant heterogeneity ( P for heterogeneity = 0.000; I 2 = 96.7%).…”

Section: Resultsmentioning

confidence: 99%

Association between essential hypertension and bone mineral density: a systematic review and meta-analysis

Lü

Liu

2017

Oncotarget

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BackgroundWe conducted this systematic review and meta-analysis to evaluate the association between essential hypertension (EH) and bone mineral density (BMD).Results17 articles were included in our meta-analysis, with a total of 39,491 patients. Of these, 13,375 were patients with EH and 26,116 were patients without EH. Meta-analysis results showed that EH can reduce the BMD of the lumbar spine (95% CI: −0.08∼0.01, P=0.006), femoral neck (95% CI: −0.09∼-0.02, p = 0.001), ward's triangle (95% CI: −0.45∼-0.25, p=0.000), femoral intertrochanteric (95% CI: −0.90∼-0.64, p = 0.000), calcaneus (95% CI: −0.31∼-0.18, p = 0.000) and distal forearm (95% CI: −0.09∼-0.03, p = 0.000), but EH cannot reduce the BMD of the femur rotor (95% CI: −0.07∼0.24, p = 0.273). Subgroup analysis showed that EH can reduce the BMD of the lumbar spine (95% CI: −0.11∼-0.03, p = 0.000) and femoral neck (95% CI: −0.11∼-0.07, p = 0.000) in Asian populations. In non-Asian populations, EH can reduce the BMD of the femoral neck (95% CI: 0.04∼0.19, p = 0.002), but cannot reduce the BMD of the lumbar spine (95% CI: −0.04∼0.11, p = 0.346).Materials and MethodsWe conducted a systematic review of the published literature on the association of EH and BMD by searching the Cochrane Library, PubMed, EMBASE, CBM, CNKI and VIP databases inception to October 2016. Stata 11.0 software was used for data analysis.ConclusionsOur meta-analysis suggests that EH can reduce the BMD of the human body, and for different parts of the bone, the degree of reduction is different. In addition, for different regions and populations, the reduction level of BMD is inconsistent.

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Section: Resultsmentioning

confidence: 99%

Association between essential hypertension and bone mineral density: a systematic review and meta-analysis

Lü

Liu

2017

Oncotarget

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“…The measurement of BP has been described elsewhere. 11 In brief, after at least 5 min rest in a sitting position, BP was manually measured 3 times at 30 s intervals. Finally, the average of the second and third measurements were used.…”

Section: Methodsmentioning

confidence: 99%

Association between secondhand smoke exposure and hypertension in never smokers: a cross-sectional survey using data from Korean National Health and Nutritional Examination Survey V, 2010–2012

et al. 2018

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ObjectivesSecondhand smoke (SHS) exposure is associated with cardiovascular disease. This study aims to determine the association between SHS exposure estimated by questionnaire and hypertension in Korean never smokers.SettingKorean National Health and Nutrition Examination Survey (KNHANES) V was conducted from 2010 to 2012.ParticipantsWe selected the never smokers aged over 20 years who answered the question about the SHS exposure.Primary and secondary measuresSHS exposure in both the home and work place was estimated using a self-reporting questionnaire. We investigated the association between SHS exposure and hypertension by using multivariate analysis. And we evaluated the mean systolic and diastolic blood pressure values according to SHS exposure after adjusting for possible confounding factors. All analyses were stratified by women and men.ResultsThere were 10 532 (women 8987 and men 1545) never smokers. We divided the subjects into three groups according to the amount of SHS exposure: none—group I, <2 hour/day—group II and ≥2 hour/day—group III. Using multivariate analysis, hypertension was more commonly associated with group III than group I in women (adjusted OR 1.50, 95% CI 1.00 to 2.04, p=0.011). Adjusted mean systolic and diastolic blood pressure values in women who were not taking antihypertensive medication were significantly elevated in group III by 2.3 and 1.7 mm Hg, respectively.ConclusionSHS exposure is significantly associated with hypertension in women never smokers.

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“…The BMD values were converted into a T-score. T-score reference ranges were calculated using values derived from healthy young Asian female and male subjects that were provided by a bone densitometry manufacturer [ 8 ]. T-score was defined as the BMD of participant − mean BMD of the reference population/standard deviation (SD) of the reference population [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

Opportunistic osteoporosis screening via the measurement of frontal skull Hounsfield units derived from brain computed tomography images

Won

Kim

et al. 2018

PLoS ONE

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Background and purposeOsteoporosis is one of the most common chronic metabolic diseases, but detection and treatment rates are low. The aim of the current study was to evaluate the correlation between frontal skull Hounsfield unit (HU) values from brain computed tomography (CT) scans and T-scores of the lumbar spine and femoral neck from dual-energy X-ray absorptiometry (DXA) scans.MethodsPatients with < 1 year between brain CT and DXA scans were included in the study. The average frontal skull HU value used for analysis was defined as the average of four HU values of the frontal bone. A receiver operating characteristic curve was generated, and area under the curve (AUC) was used to determine the HU values of the frontal skull for predicting osteoporosis. The frontal skull HU value with the highest sensitivity and specificity was considered the optimal cutoff value.ResultsIn total, 899 patients who underwent both brain CT and DXA scans at a single institution were enrolled. Average skull HU values differed significantly among patients in different bone mineral density categories (p < 0.001). There was a positive correlation between skull HU value and T-score (β = 105.06, p < 0.001, R2 = 0.343). The mean HU value in subjects with osteoporosis was 515, and the optimal cutoff value for the prediction of osteoporosis was 610 HU (AUC = 0.775, 95% CI 0.744–0.806, p < 0.001).ConclusionsClinical brain CT scans can assist in the detection of osteoporosis, and patients with an HU value < 610 as determined via brain CT may be considered for further evaluation for possible osteoporosis.

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The relationship between bone mineral density and blood pressure in the Korean elderly population: the Korea National Health and Nutrition Examination Survey, 2008–2011

Cited by 18 publications

References 28 publications

Association between essential hypertension and bone mineral density: a systematic review and meta-analysis

Association between essential hypertension and bone mineral density: a systematic review and meta-analysis

Association between secondhand smoke exposure and hypertension in never smokers: a cross-sectional survey using data from Korean National Health and Nutritional Examination Survey V, 2010–2012

Opportunistic osteoporosis screening via the measurement of frontal skull Hounsfield units derived from brain computed tomography images

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