Osteoporosis & bone health

Lupus nephritis and U1-RNP-antibodies are associated with low bone mineral density and osteoporosis in patients with systemic lupus erythematosus: baseline findings in a sub-cohort of patients with inflammatory rheumatic diseases

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

Disease severity indicated by LN, high CRP, presence of U1-RNP antibodies, and extended disease duration are detrimental to bone health.

Study context

Population
Patients with systemic lupus erythematosus (SLE) with current or past GC treatment, fulfilling the EULAR/ACR 2019 SLE classification criteria
Participants
110 patients
Outcome
Disease-specific factors associated with BMD and the risk of osteoporosis
Follow-up
Baseline
Methodological detailsbaseline data of a consecutive subcohort, multivariable linear and logistic regression
  • Baseline data of a consecutive subcohort
  • Multivariable linear and logistic regression

Main finding

As reported in the abstract

Osteoporosis prevalence

41%

Observational data: associations, not effects.

Further findings

Lupus nephritis · baseline

Lupus nephritis (LN) present
35%
LN predominantly classes IV and V
61% (23/38)

Discrimination of past vertebral fractures by 3D-DXA femur parameters

3D bone structure analysis may be helpful in discriminating past vertebral fractures

Original publication

Lupus nephritis and U1-RNP-antibodies are associated with low bone mineral density and osteoporosis in patients with systemic lupus erythematosus: baseline findings in a sub-cohort of patients with inflammatory rheumatic diseases. Arthritis Res Ther. Published 28 July 2025. doi:10.1186/s13075-025-03610-y

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