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Research ArticlePediatric Rheumatology

Cross-sectional and Longitudinal Evaluation of Bone Mass in Children and Young Adults with Juvenile Idiopathic Arthritis: The Role of Bone Mass Determinants in a Large Cohort of Patients

STEFANO STAGI, LAURA MASI, SERENA CAPANNINI, ROLANDO CIMAZ, GIULIA TONINI, MARCO MATUCCI-CERINIC, MAURIZIO de MARTINO and FERNANDA FALCINI
The Journal of Rheumatology September 2010, 37 (9) 1935-1943; DOI: https://doi.org/10.3899/jrheum.091241
STEFANO STAGI
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LAURA MASI
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SERENA CAPANNINI
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ROLANDO CIMAZ
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GIULIA TONINI
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MARCO MATUCCI-CERINIC
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MAURIZIO de MARTINO
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FERNANDA FALCINI
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  • For correspondence: falcini@unifi.it
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    Figure 1.

    Spine bone mineral apparent density standard deviation scores (BMAD SDS) in patients with oligoarticular, polyarticular, systemic, and enthesitis-arthritis JIA vs controls at first DEXA scan. Bars represent mean and 95% CI. **p < 0.005; ***p < 0.001. NS: nonsignificant.

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    Figure 2.

    Spine bone mineral apparent density standard deviation scores (BMAD SDS) in patients with oligoarticular, polyarticular, systemic, and enthesitis-arthritis JIA vs controls at second DEXA scan. Bars represent mean and 95% CI. **p < 0.005; ***p < 0.001. NS: non-significant.

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    Figure 3.

    Spine bone mineral apparent density standard deviation scores (BMAD SDS) in patients with oligoarticular, polyarticular, systemic, and enthesitis-arthritis JIA vs controls at third DEXA scan. Bars represent mean and 95% CI. **p < 0.005; ***p < 0.001. NS: non-significant.

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    Table 1.

    Data on 219 patients with JIA and 80 controls at the first DEXA evaluation.

    CharacteristicJIAControls (n)p
    No. of patients at first DEXA (F:M)155:6456:24NS
    Age at first DEXA, yrs ± SD8.5 ± 3.38.5 ± 4.0NS
    Type of JIA onset (%)
      Oligoarticular105 (48)
      Polyarticular61 (28)——
      Systemic20 (9)
      Enthesitis-related arthritis34 (15)
    Age at diagnosis, yrs ± SD5.0 ± 3.8
      Oligoarticular4.7 ± 2.7
      Polyarticular5.7 ± 3.7——
      Systemic4.0 ± 3.4
      Enthesitis-related arthritis8.5 ± 2.7
    Disease duration, yrs ± SD3.5 ± 3.0
      Oligoarticular3.6 ± 2.9
      Polyarticular3.1 ± 3.2——
      Systemic3.2 ± 3.1
      Enthesitis-related arthritis3.1 ± 2.6
    Height (SDS)−0.6 ± 1.1−0.1 ± 0.9< 0.05
    BMI (SDS)−0.3 ± 0.80.1 ± 0.7NS
    BMAD L2-L4 SDS
      Oligoarticular−0.41 ± 0.70.02 ± 0.9< 0.005
      Polyarticular−0.63 ± 0.80.02 ± 0.9< 0.001
      Systemic−1.41 ± 0.70.02 ± 0.9< 0.001
      Enthesitis-related arthritis−0.09 ± 0.50.02 ± 0.9NS
    Total−0.78 ± 1.000.02 ± 0.9NS
    • JIA: juvenile idiopathic arthritis; DEXA: dual energy x-ray absorptiometry; SDS: standard deviation scores; BMAD: bone mineral apparent density; BMI: body mass index; NS: nonsignificant.

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    Table 2.

    Data on 89 patients with JIA longitudinally evaluated and their respective control groups, at second and third DEXA evaluation.

    CharacteristicJIAControls (n)p
    No. of patients at second DEXA (F:M)64:2559:23NS
    Age at second DEXA, yrs ± SD12.1 ± 2.911.8 ± 3.2NS
    Type of JIA onset at second and third DEXA (%)
      Oligoarticular43 (48)
      Polyarticular24 (27)——
      Systemic10 (11)
      Enthesitis-related arthritis12 (14)
    Disease duration at second DEXA, yrs ± SD7.1 ± 3.5
      Oligoarticular7.4 ± 3.6
      Polyarticular6.5 ± 3.3——
      Systemic7.1 ± 3.6
      Enthesitis-related arthritis5.3 ± 3.1
    No. of disease flares at second DEXA1.2 ± 1.3
    BMAD L2-L4 SDS at second DEXA
      Oligoarticular−0.52 ± 0.80.10 ± 0.8< 0.005
      Polyarticular−0.60 ± 0.80.10 ± 0.8< 0.001
      Systemic−1.19 ± 0.50.10 ± 0.8< 0.001
      Enthesitis-related arthritis−0.10 ± 0.80.10 ± 0.8NS
    No. of patients at third DEXA (F:M)64:2556:22NS
    Age at third DEXA, yrs ± SD13.8 ± 3.213.4 ± 3.8NS
    Disease duration at third DEXA, yrs ± SD8.3 ± 3.4
      Oligoarticular9.1 ± 3.6
      Polyarticular8.3 ± 3.7——
      Systemic9.0 ± 3.3
      Enthesitis-related arthritis7.4 ± 3.5
    No. of disease flares at the third DEXA1.5 ± 1.2
    BMAD L2–L4 SDS at third DEXA
      Oligoarticular−0.46 ± 0.90.07 ± 0.9< 0.005
      Polyarticular−0.62 ± 0.70.07 ± 0.9< 0.001
      Systemic−1.11 ± 0.80.07 ± 0.9< 0.001
    Enthesitis-related arthritis−0.20 ± 0.90.07 ± 0.9NS
    • JIA: juvenile idiopathic arthritis; DEXA: dual energy x-ray absorptiometry; SDS: standard deviation scores; BMAD: bone mineral apparent density; BMI: body mass index; NS: nonsignificant.

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Vol. 37, Issue 9
1 Sep 2010
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Cross-sectional and Longitudinal Evaluation of Bone Mass in Children and Young Adults with Juvenile Idiopathic Arthritis: The Role of Bone Mass Determinants in a Large Cohort of Patients
STEFANO STAGI, LAURA MASI, SERENA CAPANNINI, ROLANDO CIMAZ, GIULIA TONINI, MARCO MATUCCI-CERINIC, MAURIZIO de MARTINO, FERNANDA FALCINI
The Journal of Rheumatology Sep 2010, 37 (9) 1935-1943; DOI: 10.3899/jrheum.091241

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Cross-sectional and Longitudinal Evaluation of Bone Mass in Children and Young Adults with Juvenile Idiopathic Arthritis: The Role of Bone Mass Determinants in a Large Cohort of Patients
STEFANO STAGI, LAURA MASI, SERENA CAPANNINI, ROLANDO CIMAZ, GIULIA TONINI, MARCO MATUCCI-CERINIC, MAURIZIO de MARTINO, FERNANDA FALCINI
The Journal of Rheumatology Sep 2010, 37 (9) 1935-1943; DOI: 10.3899/jrheum.091241
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