Bone Health and Predictors of 15-Year Mortality in a Physically Active Population

Antonio Juan; Guillem Frontera; Ana Paula Cacheda; Mónica Ibáñez; Javier Narváez; Bartolomé Marí; Joan Miquel Nolla

doi:10.1016/j.reuma.2021.07.003

Bone Health and Predictors of 15-Year Mortality in a Physically Active Population

Reumatol Clin (Engl Ed). 2021 Sep 7:S1699-258X(21)00185-6. doi: 10.1016/j.reuma.2021.07.003. Online ahead of print.

[Article in English, Spanish]

Authors

Antonio Juan¹, Guillem Frontera², Ana Paula Cacheda³, Mónica Ibáñez³, Javier Narváez⁴, Bartolomé Marí⁵, Joan Miquel Nolla⁴

Affiliations

¹ Servicio de Reumatología, Hospital Universitari Son Llàtzer, Palma de Mallorca, España. Electronic address: ajuan@hsll.es.
² Unidad de Investigación, Hospital Universitari de Son Espases, Palma de Mallorca, España.
³ Servicio de Reumatología, Hospital Universitari Son Llàtzer, Palma de Mallorca, España.
⁴ Servicio de Reumatología, Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, España; IDIBELL, Hospitalet de Llobregat, Barcelona, España.
⁵ Unidad de Medicina de Deporte, Institut de Serveis Socials i Esportius, Consell de Mallorca, Palma de Mallorca, España.

PMID: 34507875
DOI: 10.1016/j.reuma.2021.07.003

Abstract

Objective: To analyse determinants of mortality at 15years in a population over 60years of age and physically active.

Methods: This is a prospective longitudinal study. After 15years of participating in an active aging programme, participants were contacted by telephone to verify their state of health and to determine whether in that time they had had any fractures.

Results: A total of 561 individuals over 60years of age were included, 82% of whom were women. Only differences in densitometric data, FRAX values and history of previous fracture at baseline characteristics were found between the group that died at 15years and the group that remained alive. The only variables that were related to mortality risk were the basal data of the densitometric T-score (OR=.50, P<.001) and history of fracture in any location (OR=2.44, P<.033).

Conclusions: The value of bone mineral density could be considered as a useful biomarker to calculate the risk of mortality in people over 60years old with a physically active lifestyle.

Keywords: Bone mineral density; Densidad mineral ósea; Mortalidad; Mortality; Osteoporosis.