Measuring forearm bone density instead of lumbar spine bone density improves the sensitivity of diagnosing osteoporosis in older adults with cardiovascular diseases: Data from SARCOS study.

In older individuals with cardiovascular diseases, it has been challenging to diagnose osteoporosis due to aortic calcification and degenerative processes in the spine of older adults, especially in very old adults. To assess whether the distal forearm BMD with the proximal femur BMD has greater sensitivity for the diagnosis of osteoporosis than the lumbar spine BMD with the proximal femur BMD. We evaluated 515 older adults with cardiovascular disease from the SARCOS study and stratified them into under and over 80-year-old age groups and according to gender. Two diagnostic criteria were used to assess osteoporosis, SPF (lumbar spine and proximal femur BMD) and DFF (distal forearm and proximal femur BMD), which were compared with the multiple bone sites (MS) criteria (lumbar spine, distal radius, femoral neck, and total femur BMD). 43.9% were aged ≥80 years. Osteoporosis by SPF was diagnosed in 34% ( In the elderly population with cardiovascular disease evaluated in our study, the use of distal forearm BMD instead of lumbar spine BMD, associated with proximal femur BMD, showed higher sensitivity for the diagnosis of osteoporosis, regardless of gender, and especially among the very older adults.

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© 2021 Published by Elsevier Inc.

Déclaration de conflit d'intérêts

oAlberto Frisoli Jr. declares that there is no conflict of interest.oAngela T Paes declares that there is no conflict of interest.oAmanda Diniz Kimura declares that there is no conflict of interest.oElaine Azevedo declares that there is no conflict of interestoValdir Ambrosio declares that there is no conflict of interest.oPrevious publicationoWe declare that the current version of this study has not been published in any medical journal.