Osteoporosis is highly prevalent in Japanese males with chronic obstructive pulmonary disease and is associated with deteriorated pulmonary function

Verfasser / Beitragende:
[Reiko Watanabe, Takeshi Tanaka, Keisuke Aita, Masaaki Hagiya, Toshiaki Homma, Kyoko Yokosuka, Hisami Yamakawa, Tsutomu Yarita, Nobuyuki Tai, Junko Hirano, Daisuke Inoue, Ryo Okazaki]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Bone and Mineral Metabolism, 33/4(2015-07-01), 392-400
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00774-014-0605-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00774-014-0605-7 
245 0 0 |a Osteoporosis is highly prevalent in Japanese males with chronic obstructive pulmonary disease and is associated with deteriorated pulmonary function  |h [Elektronische Daten]  |c [Reiko Watanabe, Takeshi Tanaka, Keisuke Aita, Masaaki Hagiya, Toshiaki Homma, Kyoko Yokosuka, Hisami Yamakawa, Tsutomu Yarita, Nobuyuki Tai, Junko Hirano, Daisuke Inoue, Ryo Okazaki] 
520 3 |a Osteoporosis has recently been recognized as a major comorbidity in chronic obstructive pulmonary disease (COPD). We conducted a cross-sectional study in a cohort of 136 Japanese males with COPD to evaluate the prevalence of vertebral fracture (VF) and to explore its relationship with pulmonary function parameters. VFs were present in 108 (79.4%); multiple and severe (SQ grade 2 or 3) VFs were found in 77 (56.6%) and 25 (18.4%), respectively. Multivariate logistic regression analyses revealed that decrease in forced expiratory volume in one second (FEV1.0)/forced vital capacity (FVC) [odds ratio (OR) 0.963, 95% confidence interval (CI) 0.929-998, p=0.036] was associated with the presence of VF after adjustment for age and that FVC (OR 0.462, 95% CI 0.220-0.968, p=0.041) and current smoking (OR 2.992, 95% CI 1.128-7.940, p=0.028) were associated with VF severity (grade 2-3 vs. 1). We also found that FEV1.0 was the sole independent determinant of the number of VFs by stepwise multivariate linear regression (p<0.001). Bone mineral density (BMD) values were available in 49 subjects. Mean T scores were −2.0±1.2 in femoral neck, −1.4±1.2 in total hip and −1.1±1.4 in lumbar spine. Nineteen patients (38.8%) had a BMD T score less than −2.5. BMD Z scores of all the sites showed a progressive decrease as GOLD stage of COPD advanced (p<0.05). Our results indicate a high prevalence of osteoporosis in Japanese male COPD patients and a strong inter-relationship between the two diseases, re-emphasizing the urgent need for appropriate intervention to maintain both bone and lung health. 
540 |a The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 
690 7 |a Chronic obstructive pulmonary disease (COPD)  |2 nationallicence 
690 7 |a Osteoporosis  |2 nationallicence 
690 7 |a Vertebral fracture  |2 nationallicence 
690 7 |a Bone mineral density  |2 nationallicence 
690 7 |a COPD assessment test (CAT)  |2 nationallicence 
700 1 |a Watanabe  |D Reiko  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Tanaka  |D Takeshi  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Aita  |D Keisuke  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Hagiya  |D Masaaki  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Homma  |D Toshiaki  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Yokosuka  |D Kyoko  |u Yarita Hospital, 899 Goi, 299-0056, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Yamakawa  |D Hisami  |u Yarita Hospital, 899 Goi, 299-0056, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Yarita  |D Tsutomu  |u Yarita Hospital, 899 Goi, 299-0056, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Tai  |D Nobuyuki  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Hirano  |D Junko  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Inoue  |D Daisuke  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
700 1 |a Okazaki  |D Ryo  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
773 0 |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/4(2015-07-01), 392-400  |x 0914-8779  |q 33:4<392  |1 2015  |2 33  |o 774 
856 4 0 |u https://doi.org/10.1007/s00774-014-0605-7  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Watanabe  |D Reiko  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tanaka  |D Takeshi  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aita  |D Keisuke  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hagiya  |D Masaaki  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Homma  |D Toshiaki  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yokosuka  |D Kyoko  |u Yarita Hospital, 899 Goi, 299-0056, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamakawa  |D Hisami  |u Yarita Hospital, 899 Goi, 299-0056, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yarita  |D Tsutomu  |u Yarita Hospital, 899 Goi, 299-0056, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tai  |D Nobuyuki  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hirano  |D Junko  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Inoue  |D Daisuke  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okazaki  |D Ryo  |u Third Department of Medicine, Teikyo University Chiba Medical Center, 3426-3 Anesaki, 299-0111, Ichihara, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/4(2015-07-01), 392-400  |x 0914-8779  |q 33:4<392  |1 2015  |2 33  |o 774