Relationship Between Brachial Arterial Endothelial Function and Lumbar Spine Bone Mineral Density in Postmenopausal Women
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概要
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Background Osteoporosis and endothelial dysfunction have been associated with atherosclerosis. The correlation between brachial arterial endothelial function and lumbar spine bone mineral density (BMD) in postmenopausal women will be investigated. Methods and Results The endothelial function in 85 postmenopausal women, including 28 women with normal spinal BMD, 27 women with osteopenia, and 30 women with osteoporosis were studied. Brachial arterial flow-mediated vasodilatation (FMD) after reactive hyperemia was assessed by ultrasonography. The BMD at the lumbar spine (lumbar 2 to 4 vertebrae) was measured by dual-energy X-ray absorptiometry. Age, years since menopause, and FMD were significantly greater in the osteoporosis group than in the normal BMD group (p<0.01, p<0.05, and p<0.05, respectively). The BMD was significantly lower in the osteoporosis group than in the osteoporosis or normal BMD group (both p<0.01). After adjusting for age and years since menopause, women with osteoporosis had significantly lesser FMD than those with normal BMD (p<0.05). The univariate linear regression analysis revealed that brachial arterial FMD was significantly positively correlated with BMD (r=0.31, p<0.01), but showed no significant association with other clinical variables. In multivariate regression analysis, the FMD was significantly positively correlated with BMD (p<0.01), but not with other variables. Conclusions Postmenopausal women with osteoporosis might have impaired brachial arterial endothelial function, suggesting that brachial artery endothelial function might be associated with lumbar spine bone mass in postmenopausal women.
- 社団法人日本循環器学会の論文
- 2007-09-20
著者
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TAKAHASHI Takashi
Department of General Medicine, Kanazawa Medical University
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Sasano H
Tohoku University 21st Century Coe Program 'comprehensive Research And Education Center For Pla
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Kurabayashi Masahiko
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine
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Kumakura Hisao
Department Of Vascular Medicine Cardiovascular Hospital Of Central Japan (kitakanto Cardiovascular H
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Takayama Yoshiaki
Kitakanto Cardiovascular Hospital
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SUMINO Hiroyuki
Department of Vascular Medicine, Cardiovascular Hospital of Central Japan (Kitakanto Cardiovascular
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Kasama Shu
Internal Medicine, Kitakanto Cardiovascular Hospital
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Kumakura Hisao
Internal Medicine, Kitakanto Cardiovascular Hospital
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Takayama Yoshiaki
Internal Medicine, Kitakanto Cardiovascular Hospital
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Ichikawa Shuichi
Internal Medicine, Kitakanto Cardiovascular Hospital
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Sakamoto Hironosuke
Department of Nursing, Faculty of Nursing, Takasaki University of Health and Welfare
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Sakamoto Hironosuke
Department Of General Medicine Gunma University School Of Medicine
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Kanai Hiroyoshi
高崎健康福祉大学 看護学部看護学科
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Ichikawa Shuichi
Department Of Vascular Medicine Cardiovascular Hospital Of Central Japan (kitakanto Cardiovascular H
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Ichikawa Shuichi
群馬大学 第2内科
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Kumakura Hisao
Cardiovascular Hospital of Central Japan
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Kanda Tsugiyasu
Department of General Medicine, Kanazawa Medical University
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Kumakura Hisao
Second Department Of Internal Medicine Gunma University School Of Medicine
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Murakami Masami
Departments of Clinical Laboratory Medicine, Gunma University Graduate School of Medicine
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Kanda Tsugiyasu
高崎健康福祉大学 看護学部看護学科
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Tsugiyasu Kanda
Second Department Of Internal Medicine Gunma University School Of Medicine
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Kato Tatsuya
Second Department Of Internal Medicine Gunma University School Of Medicine
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Kurabayashi Masahiko
Department Of Cardiovascular Medicine Gunma University School Of Medicine
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Yamagishi Takahiro
Second Department Of Internal Medicine Gunma University School Of Medicine
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Ichikawa Shuichi
Division Of Cardiology Cardiovascular Hospital Of Central Japan
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Kumakura Hisao
高崎健康福祉大学 看護学部
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Kanda Tsugiyasu
Department Of General Medicine Gunma University School Of Medicine
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Murakami Masami
Department Of Clinical Laboratory Medicine Gunma University Graduate School Of Medicine
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Murakami Masami
Department Of Cardio-angiology Kitasato University School Of Medicine
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Ichikawa Shuichi
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Yamagishi Takahiro
Second Department Of Internal Medicine Gunma University
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Ichikawa Shuichi
Internal Medicine Cardiovascular Hospital Of Central Japan
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Kanda Tsugiyasu
Second Department Of Internal Medicine Gunma University
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Kanai Hiroyoshi
Department Of Cardiovascular Medicine Gunma University Graduate School Of Medicine
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Takahashi Takashi
Department Of Applied Chemistry Tokyo Institute Of Technology
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Manita Mamoru
Department Of Clinical Laboratory Medicine Gunma University Graduate School Of Medicine
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Sumino Hiroyuki
Department Of Pathology Tohoku University Graduate School Of Medicine
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Kuro-o Makoto
東京大学 第3内科
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Kurabayashi Masahiko
Department Of Cardiology Kanazawa Medical University
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Takahashi Tohru
Division Of Internal Medicine Tama-hokubu Medical Center Tokyo Metropolitan Health And Medical Treat
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Sumino Hiroyuki
Department Of Medicine And Biological Science Graduate School Of Medical Sciences Gunma University
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Takahashi Takashi
Department Of Applied Chemistry Graduate School Of Science And Engineering Tokyo Institute Of Techno
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Sumino Hiroyuki
Department Of Integrated Japanese Oriental Medicine School Of Medicine Gunma University
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Kanda Tsugiyasu
The Department Of General Medicine Kanazawa Medical University
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KANDA Tsugiyasu
Department of Cardiology, Prefectural Maebashi Hospital
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