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“Introduction Increased rates of bone loss, osteoporosis, and osteoporotic fractures have been STI571 reported in adults with cardiovascular disease, suggesting an association between osteoporosis and atherosclerosis [1–3]. A few studies have suggested an association between osteoporosis and peripheral arterial disease (PAD) in women [4–6], but studies in men yielded inconsistent results [5, 7]. Low bone mineral content at menopause appears to be a risk factor for increased cardiovascular disease mortality in later life [8–10]. To our knowledge, the association of PAD with osteoporotic fractures has not been reported. We report here a study examining the association between PAD based on the ankle–brachial index (ABI), with measures of bone health assessed by dual energy X-ray absorptiometry (DXA) and fracture status in a large population-based sample of older men and women.

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