Assessment of the risk of incident heart failure in patients with osteoporosis: a systematic review and meta-analysis of eligible cohort studies

INTRODUCTION

A relation between cardiovascular diseases and bone health is increasingly reported. However, the association between osteoporosis and incident heart failure (HF) has not been yet determined.

OBJECTIVE

We aimed to summarize available evidence to evaluate whether osteoporosis was associated with an increased risk of incident HF.

PATIENTS AND METHODS

Major databases, including PubMed, Embase, the Cochrane library, Web of Science, and ClinicalTrials, were searched for cohort studies reporting the hazard ratio (HR) for incident HF in patients with osteoporosis. The pooled hazard ratios (HRs) and 95% CIs were estimated by using a random‑effects model. Heterogeneity was evaluated by the I2 statistics and the χ2 test.

RESULTS

Three studies with a total of 70 697 patients were included, with the mean (SD) age of 62.9 (13.3) years. Osteoporosis was associated with an increased overall risk of incident HF (pooled HR, 1.17; 95% CI, 1.08-1.26; P <0.001; heterogeneity I2 = 13.28%, P = 0.32). The risk of incident HF was elevated in osteoporotic men (HR, 1.3; 95% CI, 1.05-1.62; P = 0.02; I2 = 71.57%, P = 0.03); however, no significant association was found for women (HR, 1.14; 95% CI, 0.94-1.37; P = 0.19; I2 = 64.66%, P = 0.06). The association between osteoporosis and incident HF risk was positive among individuals of Asian ethnicity (HR, 1.18; 95% CI, 1.06-1.3; P = 0.002; I2 = 52.61%, P = 0.15).

CONCLUSIONS

Osteoporosis was associated with a modest but significantly increased risk of incident HF. Considering the limited number and quality of available studies, future high‑quality data are required to further demonstrate the association between osteoporosis and incident HF.

An Inflammatory Bowel Diseases Integrated Resources Portal (IBDIRP)

IBD, including ulcerative colitis and Crohn's disease, is a chronic and debilitating gastrointestinal disorder that affects millions of people worldwide. Research on IBD has generated massive amounts of data, including literature, metagenomics, metabolomics, bioresources and databases. We aim to create an IBD Integrated Resources Portal (IBDIRP) that provides the most comprehensive resources for IBD. An integrated platform was developed that provides information on different aspects of IBD research resources, such as single-nucleotide polymorphisms (SNPs), genes, transcriptome, microbiota, metabolomics, single cells and other resources. Valuable and comprehensive IBD-related data were collected from PubMed, Google, GMrepo, gutMega, gutMDisorder, Single Cell Portal and other sources. Then, the data were systematically sorted, and these resources were manually curated. We systematically sorted and cataloged more than 320 unique risk SNPs associated with IBD in the SNP section. We presented over 289 IBD-related genes based on the database collection in the gene section. We also obtained 153 manually curated IBD transcriptomics data, including 12 388 samples, on the Gene Expression Omnibus database. The sorted IBD-related microbiota data from three primary microbiome databases (GMrepo, gutMega and gutMDisorder) were available for download. We selected 23 149 IBD-related taxonomic records from these databases. Additionally, we collected 24 IBD metabolomics studies with 2896 participants in the metabolomics section. We introduced two interactive single-cell data plug-in units that provided data visualization based on cells and genes. Finally, we listed 18 significant IBD web resources, such as the official European Crohn's and Colitis Organisation and International Organization for the Study of IBD websites, IBD scoring tools, IBD genetic and multi-omics resources, IBD biobanks and other useful research resources. The IBDIRP website is the first integrated resource for global IBD researchers. This portal will help researchers by providing comprehensive knowledge and enabling them to reinforce the multidimensional impression of IBD. The IBDIRP website is accessible via www.ibdirp.com Database URL: www.ibdirp.com.