Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis

Peng Niu,1 Haibo Li,2 Dejun Liu,2 Yan Feng Zhang,1 YongXi Liu,1 Cheng Liang3 1Department of Spine and Joint Surgery, Second General Hospital of Nanyang, Nanyang City, 473009, Henan Province, People’s Republic of China; 2China Department of Orthopaedics, People’s Hospital of Xuecheng, Zaozhuang City,...

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Autores principales: Niu P, Li H, Liu D, Zhang YF, Liu Y, Liang C
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:6d8b5913434a4dd3af636a888cb0c2bc2021-11-25T18:55:29ZAssociation Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis1178-7074https://doaj.org/article/6d8b5913434a4dd3af636a888cb0c2bc2021-11-01T00:00:00Zhttps://www.dovepress.com/association-between-hdl-c-and-bone-mineral-density-an-cross-sectional--peer-reviewed-fulltext-article-IJGMhttps://doaj.org/toc/1178-7074Peng Niu,1 Haibo Li,2 Dejun Liu,2 Yan Feng Zhang,1 YongXi Liu,1 Cheng Liang3 1Department of Spine and Joint Surgery, Second General Hospital of Nanyang, Nanyang City, 473009, Henan Province, People’s Republic of China; 2China Department of Orthopaedics, People’s Hospital of Xuecheng, Zaozhuang City, 277000, Shandong Province, People’s Republic of China; 3The Orthopaedic Center of Joint and Trauma Surgery, The Affiliated Hiser Hospital of Qingdao University, Qingdao City, Shandong Province, 266000, People’s Republic of ChinaCorrespondence: Cheng Liang Tel +86 15589897463Email 593441085@qq.comBackground: Dyslipidemia has been found to contribute to increased risk of osteoporosis and its association with bone mineral density (BMD) remains controversial. We determined whether blood lipid levels are linked with change of BMD.Methods: In a large sample from the MIDUS II study, we sought to evaluate the relationship between blood lipid levels and BMD. Multivariate linear regression models and smooth curve analysis were constructed by controlling a great range of confounding factors.Results: The median age of them was 52.5 years, and the number of males was 176 (40%). Univariate analysis showed that blood high-density lipoprotein-cholesterol (HDL-C) level was negatively related to lunar total femur (r = − 0.266, P < 0.001), lunar radius ultradistal (UD) (r = − 0.297, P < 0.001), lunar radius 1/3 (r = − 0.307, P = 0.001) and femoral neck (r = − 0.172, P = 0.001). In multivariate linear analysis, except for blood triglyceride, total cholesterol and low-density lipoprotein cholesterol (LDL-C), we found that blood HDL-C level was still negatively related to lunar total femur [B = − 0.002, B 95% CI (− 0.002, − 0.001), P < 0.001], lunar radius UD [B = − 0.001, 95% CI (− 0.001, 0), P = 0.002], lunar radius 1/3 [B = − 0.001, 95% CI (− 0.001, 0), P = 0.003] and femoral neck [B = − 0.001, 95% CI (− 0.002, 0), P = 0.039] after adjustments of demographic characteristics, lifestyle, disease history were made. Furthermore, we found that age, sex, and body mass index (BMI) had modifying effects on this negative association.Conclusion: This study confirmed the negative association between HDL-C and BMD in the observational analysis from (MIDUS) study and provides high-quality evidence that age, sex and BMI had modifying effects on this negative association.Keywords: blood lipid, bone mineral density, osteoporosis, MIDUS II studyNiu PLi HLiu DZhang YFLiu YLiang CDove Medical Pressarticleblood lipidbone mineral densityosteoporosismidus ii studyMedicine (General)R5-920ENInternational Journal of General Medicine, Vol Volume 14, Pp 8863-8872 (2021)
institution DOAJ
collection DOAJ
language EN
topic blood lipid
bone mineral density
osteoporosis
midus ii study
Medicine (General)
R5-920
spellingShingle blood lipid
bone mineral density
osteoporosis
midus ii study
Medicine (General)
R5-920
Niu P
Li H
Liu D
Zhang YF
Liu Y
Liang C
Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis
description Peng Niu,1 Haibo Li,2 Dejun Liu,2 Yan Feng Zhang,1 YongXi Liu,1 Cheng Liang3 1Department of Spine and Joint Surgery, Second General Hospital of Nanyang, Nanyang City, 473009, Henan Province, People’s Republic of China; 2China Department of Orthopaedics, People’s Hospital of Xuecheng, Zaozhuang City, 277000, Shandong Province, People’s Republic of China; 3The Orthopaedic Center of Joint and Trauma Surgery, The Affiliated Hiser Hospital of Qingdao University, Qingdao City, Shandong Province, 266000, People’s Republic of ChinaCorrespondence: Cheng Liang Tel +86 15589897463Email 593441085@qq.comBackground: Dyslipidemia has been found to contribute to increased risk of osteoporosis and its association with bone mineral density (BMD) remains controversial. We determined whether blood lipid levels are linked with change of BMD.Methods: In a large sample from the MIDUS II study, we sought to evaluate the relationship between blood lipid levels and BMD. Multivariate linear regression models and smooth curve analysis were constructed by controlling a great range of confounding factors.Results: The median age of them was 52.5 years, and the number of males was 176 (40%). Univariate analysis showed that blood high-density lipoprotein-cholesterol (HDL-C) level was negatively related to lunar total femur (r = − 0.266, P < 0.001), lunar radius ultradistal (UD) (r = − 0.297, P < 0.001), lunar radius 1/3 (r = − 0.307, P = 0.001) and femoral neck (r = − 0.172, P = 0.001). In multivariate linear analysis, except for blood triglyceride, total cholesterol and low-density lipoprotein cholesterol (LDL-C), we found that blood HDL-C level was still negatively related to lunar total femur [B = − 0.002, B 95% CI (− 0.002, − 0.001), P < 0.001], lunar radius UD [B = − 0.001, 95% CI (− 0.001, 0), P = 0.002], lunar radius 1/3 [B = − 0.001, 95% CI (− 0.001, 0), P = 0.003] and femoral neck [B = − 0.001, 95% CI (− 0.002, 0), P = 0.039] after adjustments of demographic characteristics, lifestyle, disease history were made. Furthermore, we found that age, sex, and body mass index (BMI) had modifying effects on this negative association.Conclusion: This study confirmed the negative association between HDL-C and BMD in the observational analysis from (MIDUS) study and provides high-quality evidence that age, sex and BMI had modifying effects on this negative association.Keywords: blood lipid, bone mineral density, osteoporosis, MIDUS II study
format article
author Niu P
Li H
Liu D
Zhang YF
Liu Y
Liang C
author_facet Niu P
Li H
Liu D
Zhang YF
Liu Y
Liang C
author_sort Niu P
title Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis
title_short Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis
title_full Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis
title_fullStr Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis
title_full_unstemmed Association Between HDL-C and Bone Mineral Density: An Cross-Sectional Analysis
title_sort association between hdl-c and bone mineral density: an cross-sectional analysis
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/6d8b5913434a4dd3af636a888cb0c2bc
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AT zhangyf associationbetweenhdlcandbonemineraldensityancrosssectionalanalysis
AT liuy associationbetweenhdlcandbonemineraldensityancrosssectionalanalysis
AT liangc associationbetweenhdlcandbonemineraldensityancrosssectionalanalysis
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