Bone mineral density of postmenopausal women with rheumatoid arthritis depends on disease duration regardless of treatment

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• 作者：Yu Mori ; Yoshiyuki Kuwahara ; Shinpei Chiba…
• 关键词：Rheumatoid arthritis ; Osteoporosis ; Disease activity ; Bisphosphonates ; Biologics
• 刊名：Journal of Bone and Mineral Metabolism
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：35
• 期：1
• 页码：52-57
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Metabolic Diseases; Orthopedics;
• 出版者：Springer Japan
• ISSN：1435-5604
• 卷排序：35

文摘

The aim of this study was to determine the associations of disease activity and disease duration with the bone mineral density (BMD) in rheumatoid arthritis (RA) patients. We also evaluated the associations of biological drugs with bone loss. A total of 138 postmenopausal RA patients were retrospectively assessed to identify the associations of disease activity, disease duration, and biological drug use with BMD. We assessed the associations of disease duration, a C-reactive protein based disease activity score in 28 joints (DAS28), simplified disease activity index, clinical disease activity index, health assessment questionnaire scores, and the use of biological drugs with the lumbar spine, total hip, and femoral neck BMDs using univariate and multivariate linear regression analyses in bisphosphonate treatment and non-bisphosphonate treatment groups at 1 year of follow-up. The multivariate linear regression analyses showed that disease duration was significantly related to the BMD of the femoral neck and total hip regardless of bisphosphonate treatment. The use of biological drugs was not significantly associated with BMD. Hip BMD in postmenopausal women with RA depends on the disease duration regardless of bisphosphonate use. Biological drugs for RA treatment were not negatively associated with general bone loss.