Evidence map›Paper›PMID 41364303›Full record

ArticleArchives of osteoporosis2025

Distinct associations between bone mineral density and severity of white matter hyperintensities of presumed vascular origin in older men and women. The three villages study.

Oscar H Del Brutto, Denisse A Rumbea, Emilio E Arias, Eduardo J Guzmán, Robertino M Mera

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Article in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Oscar H Del BruttoSchool of Medicine and Research Center, Universidad Espiritu Santo - Ecuador, Samborondon, Ecuador. oscardelbrutto@hotmail.com.ORCID 0000-0003-1917-8805
Denisse A RumbeaResearch Center, Universidad Espiritu Santo - Ecuador, Samborondón, Ecuador.ORCID 0000-0001-8257-7572
Emilio E AriasResearch Center, Universidad Espiritu Santo - Ecuador, Samborondón, Ecuador.ORCID 0009-0004-1696-5189
Eduardo J GuzmánMediscan Imaging Center, Guayaquil, Ecuador.ORCID 0009-0002-4669-4776
Robertino M MeraBiostatistics/Epidemiology, Freenome, Inc., South San Francisco, CA, USA.ORCID 0000-0002-1701-560X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a rural cohort of older adults, osteoporosis was associated with moderate-to-severe white matter hyperintensities of presumed vascular origin in men but not women. This association was influenced by age and diet. Study results underscore potential sex-specific cerebrovascular implications of low bone mineral density.

objectivesThis study aimed to assess the association between bone mineral density (BMD) and white matter hyperintensities (WMH) of presumed vascular origin in men and women aged ≥ 60 years living in rural settings.

methodsFollowing a population-based cross-sectional design, participants received dual-energy x-ray absorptiometry to estimate bone health, and a brain MRI to grade WMH severity. Logistic regression models, adjusted for relevant confounders, were fitted to assess the association between categories of BMD (normal, osteopenia and osteoporosis), as well as the continuous BMD value, and the presence of moderate-to-severe WMH.

resultsThe study included 399 participants (mean age 68.8 ± 6.8 years; 42% men). A total of 94 (24%) individuals had normal BMD T-scores, 149 (37%) had osteopenia, and 156 (39%) had osteoporosis. Moderate-to-severe WMH were detected in 88 (22%) cases. Logistic regression models, adjusted for the above-mentioned covariates, showed no significant association between categories of BMD and WMH severity in the total population. When men and women were modeled separately, the association between osteoporosis and moderate-to-severe WMH became significant for men (OR: 7.15; 95% C.I.: 1.13 - 45.3), but not for women. Parsimonious models showed that covariates driving this association significant were the combination of age and diet (OR: 6.41; 95% C.I.: 1.04 - 39.7). Similar findings were noted when BMD was treated as a continuous variable.

conclusionOsteoporosis is associated with a higher prevalence of moderate-to-severe WMH in older men living in a population of frequent fish consumers. Increasing age and an unhealthy diet contributed significantly to this association.

Indexed as

Bone DensityOsteoporosisWhite MatterAbsorptiometry, PhotonAgedAged, 80 and overBone Diseases, MetabolicCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRural PopulationSex FactorsBone mineral densityCerebral small vessel diseaseOlder menOsteoporosisPopulation studyRural settingsWhite matter hyperintensities

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.