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Current Rheumatology Reviews

Editor-in-Chief

ISSN (Print): 1573-3971
ISSN (Online): 1875-6360

Correlation of Bone Mineral Density Scores and Proton Pump Inhibitors Use in the Elderly

Author(s): Adae O. Amoako, Lena Jafilan, Papia Nasiri and George G.A. Pujalte

Volume 12 , Issue 2 , 2016

Page: [162 - 166] Pages: 5

DOI: 10.2174/1573397111666151026222921

Price: $65

Abstract

Objective: We aimed to identify any correlation between long-term proton pump inhibitor use and low bone mineral density in the elderly.

Materials and Methods: This is a retrospective cohort study looking at PPI usage and bone mineral density scores of patients age 65 and above within a period of two years. Lumbar spine, right hip, and left hip bone mineral density t-scores were reviewed in PPI users and non-users.

Results: A total of 1,016 patients who had bone mineral density scans within that period were identified. Non-adjusted data showed no statistically significant association between PPI users and non-users in lumbar spine (p = 0.903), right hip (p = 0.775) and left hip (p = 0.407) bone mineral density scores. After adjusting for age and gender, PPI use was still not associated with low bone mineral density at the lumbar spine (p = 0.957), right hip (p = 0.440), or left hip (p = 0.691). The logistic regression did not show a statistically significant difference in low bone mineral density scores in lumbar spine (p = 0.162), right hip (p = 0.796), and left hip (p = 0.196) when length of use was considered.

Conclusion: Among adults 65 years and older proton pump inhibitors users; there appears to be no correlation between PPI use and low bone mineral density and/or the length of PPI use.

Keywords: Proton-pump inhibitor, bone density, fracture, osteoporosis.

Graphical Abstract

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