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The Prevalence of Osteopenia and Osteoporosis in Patients With Bronchiectasis
October 2014, Vol 146, No. 4_MeetingAbstracts
Pulmonary Physiology | October 2014
The Prevalence of Osteopenia and Osteoporosis in Patients With Bronchiectasis Nathan Diehl; Whitlock Joseph; Margaret Johnson Mayo Clinic Florida, Jacksonville, FL
Chest. 2014;146(4_MeetingAbstracts):719A. doi:10.1378/chest.1993701
Abstract SESSION TITLE: Cystic Fibrosis/Bronchiectasis Posters SESSION TYPE: Original Investigation Poster PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM PURPOSE: Define the prevalence of osteopenia and osteoporosis in patients with bronchiectasis METHODS: We conducted a retrospective chart review of all patients with physician diagnosed bronchiectasis evaluated at Mayo Clinic Florida between 1/1/11 and 6/3/13.
RESULTS: We identified 113 patients with physician diagnosed bronchiectasis and confirmatory findings on computed tomography scan. The cohort was overwhelmingly female (90%) with a mean age 72 +/- 10.6 and BMI of 25.1 +/- 7.05. Most were never (53%) or past smokers (36%) and airflow obstruction was present in 58%. 57 patients (50.44%) and 45 patients (39.82%) were using proton pump inhibitors (PPI) and inhaled corticosteroids(ICS), respectively.79/113 (70%) had a documented history of osteopenia or osteoporosis. The presence or absence of osteoporosis or osteopenia was unknown in 25/113 (22%). Bone mineral density (BMD) testing was performed during the study period in 70/113 (62%) of subjects; 19/70 (27%) had osteoporosis, 41/70 (39%) had osteopenia, and 10/70(14%) had normal BMD. Diminished bone mass was present in 22/27 (80%) patients < age 70, with 7/27 (26%) having osteoporosis. Many patients with BMD T-score values >-2.5 for lumbar spine (43%), left (57%) and right femoral neck (40%), and left (67%) and right hip (50%) were current or former smokers. 47% and 32% of osteopenic or osteoporotic patients with bronchiectasis utilizing PPI and ICS, respectively.
CONCLUSIONS: Diminished bone density is very common in patients with bronchiectasis. Although the prevalence of both bronchiectasis and diminished bone density increase with advancing age and female gender, these data suggest a greater prevalence than expected based on demographic risks alone (Looker, AC, NCHS April 2012). Medication use that may predispose to diminshed bone density is not uncommonly prescribed in patients with bronchiectasis.
CLINICAL IMPLICATIONS: Provider awareness of the potentially increased prevalence of diminished bone density in patients with bronchiectasis may improve patient care by prompting appropriate screening for and treatment of osteoporosis and osteopenia and minimization of medications that may worsen the condition .
DISCLOSURE: The following authors have nothing to disclose: Nathan Diehl, Whitlock Joseph, Margaret Johnson No Product/Research Disclosure Information
Pulmonary Physiology | October 2014
The Prevalence of Osteopenia and Osteoporosis in Patients With Bronchiectasis Nathan Diehl; Whitlock Joseph; Margaret Johnson Mayo Clinic Florida, Jacksonville, FL
Chest. 2014;146(4_MeetingAbstracts):719A. doi:10.1378/chest.1993701
Abstract SESSION TITLE: Cystic Fibrosis/Bronchiectasis Posters SESSION TYPE: Original Investigation Poster PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM PURPOSE: Define the prevalence of osteopenia and osteoporosis in patients with bronchiectasis METHODS: We conducted a retrospective chart review of all patients with physician diagnosed bronchiectasis evaluated at Mayo Clinic Florida between 1/1/11 and 6/3/13.
RESULTS: We identified 113 patients with physician diagnosed bronchiectasis and confirmatory findings on computed tomography scan. The cohort was overwhelmingly female (90%) with a mean age 72 +/- 10.6 and BMI of 25.1 +/- 7.05. Most were never (53%) or past smokers (36%) and airflow obstruction was present in 58%. 57 patients (50.44%) and 45 patients (39.82%) were using proton pump inhibitors (PPI) and inhaled corticosteroids(ICS), respectively.79/113 (70%) had a documented history of osteopenia or osteoporosis. The presence or absence of osteoporosis or osteopenia was unknown in 25/113 (22%). Bone mineral density (BMD) testing was performed during the study period in 70/113 (62%) of subjects; 19/70 (27%) had osteoporosis, 41/70 (39%) had osteopenia, and 10/70(14%) had normal BMD. Diminished bone mass was present in 22/27 (80%) patients < age 70, with 7/27 (26%) having osteoporosis. Many patients with BMD T-score values >-2.5 for lumbar spine (43%), left (57%) and right femoral neck (40%), and left (67%) and right hip (50%) were current or former smokers. 47% and 32% of osteopenic or osteoporotic patients with bronchiectasis utilizing PPI and ICS, respectively.
CONCLUSIONS: Diminished bone density is very common in patients with bronchiectasis. Although the prevalence of both bronchiectasis and diminished bone density increase with advancing age and female gender, these data suggest a greater prevalence than expected based on demographic risks alone (Looker, AC, NCHS April 2012). Medication use that may predispose to diminshed bone density is not uncommonly prescribed in patients with bronchiectasis.
CLINICAL IMPLICATIONS: Provider awareness of the potentially increased prevalence of diminished bone density in patients with bronchiectasis may improve patient care by prompting appropriate screening for and treatment of osteoporosis and osteopenia and minimization of medications that may worsen the condition .
DISCLOSURE: The following authors have nothing to disclose: Nathan Diehl, Whitlock Joseph, Margaret Johnson No Product/Research Disclosure Information