Evidence map›Paper›PMID 42024227›Full record

Observational studyArchives of osteoporosis2026

Association between bone health and cardiovascular events in a population-based cohort.

Álex García Tellado, Mercedes de la Fuente, José Luis Hernández, Ludovic Humbert, Carmen García Ibarbia, Álvaro Del Real, José A Riancho, Carmen Valero

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Archives of osteoporosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Álex García TelladoDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
Mercedes de la FuenteDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
José Luis HernándezDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
Ludovic HumbertDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
Carmen García IbarbiaDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
Álvaro Del RealDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
José A RianchoDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain.
Carmen ValeroDepartment of Internal Medicine , Marqués de Valdecilla University Hospital, University of Cantabria, Valdecilla Health Research Institute (IDIVAL), 3D-Shaper Medical, Barcelona, Spain. mirvdc@humv.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brief rationale: Low bone mineral density may be linked to cardiovascular risk, but causality is unclear. MAIN

resultIn 1233 individuals followed for 14 years, osteoporotic fractures and trabecular vBMD independently predicted cardiovascular events, while areal BMD did not. Significance of the paper: Bone health could be associated with the development of cardiovascular events. PURPOSE: In this observational cohort of a general population sample, we aimed to assess the association between bone mineral density (BMD) and osteoporotic fractures on the risk of subsequent cardiovascular events in both sexes.

methodsThis prospective study included 1233 individuals (mean age 62.5 ± 8.4 years; 76% women) from the Camargo cohort in Northern Spain, followed for 14.3 ± 4.0 years. Baseline clinical data, DXA-based BMD (lumbar spine, femoral neck, total hip), trabecular bone score (TBS), and volumetric BMD by 3D-DXA were analyzed. Incident cardiovascular events (myocardial infarction, stroke, peripheral artery disease) were documented. Cox regression analyses were performed adjusting for cardiovascular risk factors.

resultsDuring follow-up, 240 participants (19.5%) experienced cardiovascular events. These individuals were older and had higher rates of hypertension, diabetes, dyslipidemia, smoking, atrial fibrillation, and previous cardiovascular event. A history of osteoporotic fracture was more frequent among those with cardiovascular events (9.6% vs. 3.1%, HR 2.59). Lower trabecular vBMD and TBS were observed in the event group, while areal BMD showed no significant differences. Adjusted analyses revealed that a history of osteoporotic fracture independently increased cardiovascular risk by 125% (HR 2.25; 95% CI 1.43-3.54). Moreover, for each 1 SD increase in trabecular vBMD, the risk was slightly reduced by 14% (HR 0.86; 95% CI 0.74-0.99).

conclusionsOur findings indicate that prior osteoporotic fractures and trabecular vBMD are significant predictors of cardiovascular event risk, independent of traditional risk factors.

Indexed as

Bone DensityCardiovascular DiseasesOsteoporotic FracturesAbsorptiometry, PhotonAgedCohort StudiesFemaleHumansIncidenceMaleMiddle AgedOsteoporosisProspective StudiesRisk FactorsSpainBone mineral density (BMD)Cardiovascular disease (CVD)FracturesOsteoporosisVolumetric bone mineral density (vBMD)

Identifiers

What Socratic holds

Textmetadata
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Registered trials

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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.