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Low heel ultrasound parameters predict mortality in men: results from the European Male Ageing Study (EMAS).
- Source :
-
Age and ageing [Age Ageing] 2015 Sep; Vol. 44 (5), pp. 801-7. Date of Electronic Publication: 2015 Jul 09. - Publication Year :
- 2015
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Abstract
- Background: low bone mineral density measured by dual-energy x-ray absorptiometry is associated with increased mortality. The relationship between other skeletal phenotypes and mortality is unclear. The aim of this study was to determine the relationship between quantitative heel ultrasound parameters and mortality in a cohort of European men.<br />Methods: men aged 40-79 years were recruited for participation in a prospective study of male ageing: the European Male Ageing Study (EMAS). At baseline, subjects attended for quantitative ultrasound (QUS) of the heel (Hologic-SAHARA) and completed questionnaires on lifestyle factors and co-morbidities. Height and weight were measured. After a median of 4.3 years, subjects were invited to attend a follow-up assessment, and reasons for non-participation, including death, were recorded. The relationship between QUS parameters (broadband ultrasound attenuation [BUA] and speed of sound [SOS]) and mortality was assessed using Cox proportional hazards model.<br />Results: from a total of 3,244 men (mean age 59.8, standard deviation [SD] 10.8 years), 185 (5.7%) died during the follow-up period. After adjusting for age, centre, body mass index, physical activity, current smoking, number of co-morbidities and general health, each SD decrease in BUA was associated with a 20% higher risk of mortality (hazard ratio [HR] per SD = 1.2; 95% confidence interval [CI] = 1.0-1.4). Compared with those in higher quintiles (2nd-5th), those in the lowest quintile of BUA and SOS had a greater mortality risk (BUA: HR = 1.6; 95% CI = 1.1-2.3 and SOS: HR = 1.6; 95% CI = 1.2-2.2).<br />Conclusion: lower heel ultrasound parameters are associated with increased mortality in European men.<br /> (© The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society.)
- Subjects :
- Adult
Age Factors
Aged
Body Mass Index
Cause of Death
Comorbidity
Europe
Geriatric Assessment
Humans
Life Style
Male
Middle Aged
Predictive Value of Tests
Prognosis
Proportional Hazards Models
Prospective Studies
Risk Assessment
Risk Factors
Surveys and Questionnaires
Time Factors
Ultrasonography
Aging
Health Status
Heel diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1468-2834
- Volume :
- 44
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Age and ageing
- Publication Type :
- Academic Journal
- Accession number :
- 26162912
- Full Text :
- https://doi.org/10.1093/ageing/afv073