Table 2.
Univariable linear regressions between variables and femoral neck bone mineral density (g/cm2) for entire cohort and stratified by sex. Beta coefficients (β) and associated p-values are presented.
Variables | Whole cohort (N = 138) |
Female (N = 117) |
Male (N = 21) |
|||
---|---|---|---|---|---|---|
β | p-Value | β | p-Value | β | p-Value | |
Basic demographics | ||||||
Age | −0.004 | <0.0001 | −0.004 | <0.0001 | −0.006 | 0.198 |
White race | 0.000 | 0.991 | −0.013 | 0.625 | 0.036 | 0.791 |
Female sex | −0.080 | 0.013 | – | – | – | – |
Disease characteristics | ||||||
RF positive | −0.060 | 0.018 | −0.062 | 0.014 | −0.058 | 0.508 |
High positive anti-CCPa | −0.069 | 0.003 | −0.063 | 0.007 | −0.108 | 0.169 |
Disease duration (years) | −0.003 | 0.006 | −0.002 | 0.043 | −0.007 | 0.114 |
Current smoker | 0.038 | 0.447 | 0.076 | 0.152 | −0.114 | 0.393 |
RADAI score | 0.006 | 0.375 | 0.010 | 0.106 | −0.016 | 0.578 |
ESR | 0.000 | 0.749 | 0.000 | 0.645 | 0.001 | 0.578 |
CRP | −0.001 | 0.452 | 0.000 | 0.787 | −0.004 | 0.162 |
Body composition variables | ||||||
BMI (kg/m2) | 0.006 | 0.002 | 0.006 | <0.0001 | −0.008 | 0.446 |
FMI (kg/m2) | 0.004 | 0.083 | 0.007 | 0.002 | −0.026 | 0.061 |
DXA obeseb | 0.035 | 0.143 | 0.063 | 0.007 | −0.098 | 0.208 |
Appendicular LMI (kg/m2) | 0.052 | <0.0001 | 0.045 | <0.0001 | 0.093 | 0.016 |
Medications | ||||||
Mean prednisone dose (mg/day) | −0.003 | 0.261 | 0.000 | 0.913 | −0.016 | 0.020 |
TNF inhibitor | −0.004 | 0.854 | −0.003 | 0.909 | −0.051 | 0.521 |
Osteoporosis medicationc, d | −0.100 | <0.0001 | −0.087 | 0.001 | −0.150 | 0.162 |
Frailty categorye | ||||||
Robust | Ref | – | Ref | – | Ref | – |
Pre-frail | −0.101 | 0.001 | −0.041 | 0.202 | −0.246 | 0.001 |
Frail | −0.099 | 0.025 | −0.035 | 0.443 | −0.295 | 0.045 |
Bolded values = significant at p < 0.05 level. Italicized values = significant at p < 0.1 level.
RF: rheumatoid factor; CCP: cyclic citrullinated peptide antibody; RADAI: rheumatoid arthritis disease activity index; ESR: erythrocyte sedimentation rate; CRP: high-sensitivity c-reactive protein; BMI: body mass index; FMI: fat mass index; DXA: dual x-ray absorptiometry; LMI: lean mass index; BMD: bone mineral density; TNF: tumor necrosis factor.
High positive anti-CCP defined as level three times the upper limit of normal (>60 units) based on the 2010 EULAR/ACR RA classification criteria (Aletaha et al., 2010). This threshold was used to minimize heterogeneity of this group.
DXA obese was defined using % body fat from DXA based on age, sex, and race-specific criteria.
Osteoporosis medications represent bisphosphonate use. One patient self-reported estrogen use, but was also taking bisphosphonates. No subjects recorded use of parathyroid hormone, raloxifene or calcitonin.
n = 117. Due to differences in interview protocols, this question was not asked of all participants.
Frailty category as defined by Fried Frailty Index (Fried et al., 2001) (score of 0 = robust; 1–2 = pre-frail; 3+ = frail).