Osteoporosis International

, Volume 17, Issue 9, pp 1420–1427

Femoral bone mineral density in patients with heart failure

  • A. M. Kenny
  • R. Boxer
  • S. Walsh
  • W. D. Hager
  • L. G. Raisz
Original Article

DOI: 10.1007/s00198-006-0148-4

Cite this article as:
Kenny, A.M., Boxer, R., Walsh, S. et al. Osteoporos Int (2006) 17: 1420. doi:10.1007/s00198-006-0148-4

Abstract

Introduction

Heart failure and osteoporosis are common conditions in older, frail individuals. It is important to investigate interactions of the common problems in the aging population to devise relevant interventions.

Methods

Sixty individuals (43 men, mean age 77±9 years, and 17 women, mean age 78±12 years) with heart failure (HF) and 23 age- and gender-matched non-HF controls (15 men, eight women; mean age 77±9 years) underwent hip and bone mineral density (BMD) assessments; frailty assessment; physical performance assessment including 6-min walk, grip strength, and self-reported physical activity; and biochemical assessment including calcium, parathyroid hormone (PTH), 25-hydroxy vitamin D (25-OHD), estradiol, creatinine (Cr), and blood urea nitrogen levels (BUN).

Results

Significant differences between HF and control groups were found for BMD Z-scores of the femoral neck, total femur, and trochanteric region at the femur (p<.05). Further differences between groups included frailty score (p=.02), 6-min walking distance (p<.001), and self-reported physical activity (p=.001). In addition, several differences between groups were present for calcium (p=.054), PTH (p<.001), 25-OHD (p=.01), Cr (p=.04), and BUN (p=.01). In regression analysis, HF (defined as case, by ejection fraction, or by New York Heart Association class), frailty status, and vitamin D were significant predictors of lower bone mass at the femur.

Conclusions

Individuals with HF have lower BMD, in part related to lower vitamin D status and higher frailty rates. Interventions to optimize vitamin D and physical activity should be explored to prevent bone loss in individuals with heart failure.

Keywords

Frailty Heart failure Osteoporosis 25-OHD 

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2006

Authors and Affiliations

  • A. M. Kenny
    • 1
  • R. Boxer
    • 2
  • S. Walsh
    • 3
  • W. D. Hager
    • 4
  • L. G. Raisz
    • 5
  1. 1.Center on Aging, MC-5215University of Connecticut Health CenterFarmingtonUSA
  2. 2.Case Western University HospitalClevelandUSA
  3. 3.Center on BiostatisticsUniversity of Connecticut Health CenterFarmingtonUSA
  4. 4.Division of CardiologyUniversity of Connecticut Health CenterFarmingtonUSA
  5. 5.Division of Musculoskeletal HealthUniversity of Connecticut Health CenterFarmingtonUSA