Table 5. Predictors of BMD-LS, BMD-FN and BMD-H (independent variables used: age, female gender, postmenopausal status, BMI, disease duration, cumulative GC dose, pretreatment with bDMARD, pretreatment with BP, ESR, CRP, seropositivity) in RA subgroups according to disease duration ((A) all patients; (B) patients without bisphosphonates); multiple linear regression analysis.
(A) | |||||||
RA with disease duration ≤2 years (n=386) | RA with disease duration >2 years (n=700) | ||||||
Site | BMD-LS | BMD-FN | BMD-H | Site | BMD-LS | BMD-FN | BMD-H |
Age | ns | <0.001 | <0.001 | Age | 0.034 | <0.001 | <0.001 |
Female | ns | 0.011 | 0.001 | Female | 0.018 | ns | ns |
PMP | <0.001 | ns | ns | PMP | <0.001 | <0.001 | <0.001 |
BMI | 0.002 | <0.001 | <0.001 | BMI | <0.001 | <0.001 | <0.001 |
DD | ns | ns | ns | DD | ns | ns | ns |
cGCD | ns | ns | ns | cGCD | 0.006 | <0.001 | <0.001 |
bDMARD | 0.034 | ns | ns | bDMARD | <0.001 | 0.009 | 0.008 |
BP | ns | ns | ns | BP | 0.027 | ns | 0.016 |
ESR | ns | ns | ns | ESR | 0.024 | ns | 0.004 |
CRP | ns | ns | ns | CRP | ns | ns | ns |
Seropositivity | 0.031 | ns | ns | Seropositivity | ns | ns | ns |
R2 | 0.166 | 0.224 | 0.279 | R2 | 0.210 | 0.309 | 0.401 |
P value | <0.001 | <0.001 | <0.001 | P value | <0.001 | <0.001 | <0.001 |
(B) | |||||||
RA with disease duration ≤2 years (n=357) | RA with disease duration >2 years (n=577) | ||||||
Site | BMD-LS | BMD-FN | BMD-H | Site | BMD-LS | BMD-FN | BMD-H |
Age | 0.033 | <0.001 | <0.001 | Age | 0.060 | <0.001 | <0.001 |
Female | <0.001 | 0.004 | <0.001 | Female | 0.027 | ns | ns |
PMP | ns | ns | ns | PMP | 0.001 | <0.001 | <0.001 |
BMI | 0.011 | <0.001 | <0.001 | BMI | <0.001 | <0.001 | <0.001 |
DD | 0.018 | ns | ns | DD | ns | 0.028 | ns |
cGCD | ns | ns | ns | cGCD | 0.021 | 0.020 | <0.001 |
bDMARD | 0.003 | ns | ns | bDMARD | 0.001 | 0.008 | 0.008 |
ESR | ns | ns | ns | ESR | 0.007 | ns | 0.012 |
CRP | ns | ns | ns | CRP | ns | 0.011 | ns |
Seropositivity | 0.006 | ns | ns | Seropositivity | ns | ns | ns |
R2 | 0.210 | 0.235 | 0.278 | R2 | 0.202 | 0.364 | 0.428 |
P value | <0.001 | <0.001 | <0.001 | P value | <0.001 | <0.001 | <0.001 |
Positive associations with BMD are highlighted in bold font.
bDMARDs, biologic disease-modifying antirheumatic drugs; BMD, bone mineral density; BMD-FN, BMD femoral neck; BMD-H, BMD total hip; BMD-LS, BMD lumbar spine; BMI, body mass index; BP, bisphosphonates; cGCD, cumulative glucocorticoid dose; CRP, C reactive protein; DD, disease duration; ESR, erythrocyte sedimentation rate; Female, female gender; ns, not significantPMP, postmenopausal statusRArheumatoid arthritis