Systemic sclerosis & Raynaud's

Elevated pro-BNP and low-grade inflammation are associated with low bone mineral density in systemic sclerosis, a case control study

Arthritis Res TherPublished Case-control study

Authors' conclusion

This large case-control study finds elevated NT-proBNP, indicators of low-grade inflammation and of disease severity negatively associated with BMD in SSc patients, in addition to several established risk factors.

Study context

Population
Systemic sclerosis (SSc) patients (182 women, 29 men; mean age 61 yrs, mean disease duration 9 yrs), Skåne University Hospital, Lund, Sweden, and matched controls182 women and 29 men with SSc
Participants
211 vs 505
Comparison
SSc patients vs age- and sex-matched controls
  • SScn = 211
  • Controlsn = 505reference
Outcome
BMD (hip and spine) and its association with SSc disease-related features and established risk factors
Methodological detailsage- and sex-matched controls, multinomial logistic regression, multiple linear regression, machine learning prediction model
  • Age- and sex-matched controls
  • Multinomial logistic regression
  • Multiple linear regression
  • Machine learning prediction model

Main finding

As reported in the abstract

Factors associated with low BMD in SSc
NT-proBNP and elevated CRP independently associated with low bone mineral density (BMD) in SSc
p<0.001

Observational data: associations, not effects.

Further findings

Associations with hip T-score

BMI, menopausal status, low physical activity and higher medication burden associated with lower hip T-score
Predictive modelling: BMI and NT-proBNP strongest determinants of hip T-score

Original publication

Elevated pro-BNP and low-grade inflammation are associated with low bone mineral density in systemic sclerosis, a case control study. Arthritis Res Ther. Published 1 September 2026. doi:10.1186/s13075-026-03888-6

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