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Journal of Bone and Mineral Metabolism

, Volume 36, Issue 2, pp 229–237 | Cite as

Vitamin D status and abdominal aortic calcification in postmenopausal women

  • A. El MaghraouiEmail author
  • T. Hamza
  • S. Sadni
  • A. El Maataoui
  • A. Majjad
  • A. Rezqi
  • Z. Ouzzif
  • A. Mounach
Original Article

Abstract

Vitamin D has an important role in bone metabolism and may be involved in the process of vascular calcification. The objective of this study was to evaluate the effect of vitamin D status on the presence of abdominal aortic calcification (AAC). We enrolled, in a cross-sectional study, 429 postmenopausal women [mean age, weight, and BMI of 59.5 ± 8.3 (50–83) years, 75.8 ± 13.3 (35–165) kg, and 29.9 ± 5.2 (14.6–50.8) kg/m2, respectively]. Lateral vertebral fracture assessment (VFA) images and scans of the lumbar spine and proximal femur were obtained using a Lunar Prodigy densitometer. Vertebral fractures (VFs) were defined using the Genant semiquantitative (SQ) approach. We used the Kauppila score to assess AAC extension. Clinical risk factors of osteoporosis were collected, and 25-hydroxy vitamin D was measured using electrochemiluminescence (Roche). Prevalence of osteoporosis and hypovitaminosis D (<20 ng/ml) was 21.0% and 78.1%, respectively. VFs grade 2/3 were identified in 76 patients (17.7%). Two thirds of the evaluable participants did not have any detectable AAC. The prevalence of significant atherosclerotic burden, defined as a radiographic 24-point AAC score of 5 or higher, was 7.9%. The group of women with extended AAC were older and had a statistically significant higher menopause duration and more prevalent grade 2/3 VFs. Compared to women with normal values of vitamin D, women with vitamin D insufficiency (<20 ng/ml) and deficiency (<10 ng/ml) had a lower BMD and more prevalent VFs. No difference was noted with regard to AAC among the three groups. Multiple stepwise conditional logistic regression analysis showed that the presence of AAC was associated significantly with age and the presence of VFs. Extended aortic calcifications are independently associated with prevalent VFA-identified VFs but not with serum vitamin D levels in postmenopausal women. VFA imaging using DXA may detect at the same time prevalent VFs and AAC, an important cardiovascular disease risk factor.

Keywords

Abdominal aortic calcification Vertebral fracture assessment (VFA) Dual-energy X-ray absorptiometry (DXA) Osteoporosis Women 

Notes

Acknowledgements

The study was funded by grants from the University Mohammed V of Rabat and AMIRHAL (Association Marocaine d’Information et de Recherche sur l’Handicap et l’Appareil Locomoteur).

Compliance with ethical standards

Conflict of interest

None.

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Copyright information

© The Japanese Society for Bone and Mineral Research and Springer Japan 2017

Authors and Affiliations

  • A. El Maghraoui
    • 1
    Email author
  • T. Hamza
    • 1
  • S. Sadni
    • 1
  • A. El Maataoui
    • 2
  • A. Majjad
    • 1
  • A. Rezqi
    • 1
  • Z. Ouzzif
    • 2
  • A. Mounach
    • 1
  1. 1.Rheumatology Department, Military Hospital Mohammed VMohammed V Souissi UniversityRabatMorocco
  2. 2.Biochemistry Department, Military Hospital Mohammed VMohammed V Souissi UniversityRabatMorocco

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