Background
We evaluated the association of BMD measured by DXA and quantitative computerized tomography (QCT) (integral, cortical and trabecular volumetric BMD (vBMD)) and radiographic hip OA (RHOA) in a cohort of elderly men.
Methods
A cross-sectional analysis was conducted within the Study of Osteoporotic Fractures in Men (MrOS), a prospective cohort study of 5,995 U.S. men age ≥ 65 yrs. Standing pelvic x-rays were done in 4024 subjects and scored for prevalent RHOA severity. DXA was done in 3886 subjects and aBMD and vBMD associations were compared with RHOA score using linear regression, adjusting for covariates.
Results
Both moderate and severe RHOA groups had significantly higher aBMD at all BMD sites (range: 3.7 – 10.0% difference, p-value 0.0012 and p-value< 0.005) compared to the control group with no RHOA. The difference remained strong after adjusting for co-variates. While the total hip and lumbar spine cortical vBMD measurements of subjects with moderate or severe RHOA was increased compared to controls, trabecular vBMD was not.
Conclusion
Older men, with both moderate or severe RHOA had significantly higher aBMD and integral vBMD at the hip and lumbar spine compared to controls without RHOA.