and osteoporosis are age-related health risks differentially expressed in men and women
. Here we have analysed their prevalence in a randomly selected cross-sectional cohort [CARTaGENE (CaG) of Quebec, Canada and explored their existing relationships along with height
, arterial stiffness
and bone fractures
The principal cohort CaG included 20 007 individuals of age 40–70 years. Participants were subjected to an extensive phenotyping and a questionnaire of medical history and habits.
We determined the differences in height
of participants and their relation to hypertension
status and sex in this cohort and validated it in two other cohorts (The Canadian Heart Health Study and a family cohort from the Saguenay Lac Saint-Jean, a region of Quebec). In all three cohorts, we found that at younger age individuals with hypertension
are taller than normotensive individuals, but they have a shorter stature at an older age compared with normotensive individuals. In CaG, we observed that hypertension
, low bone mineral density
(BMD) and arterial stiffness
are strongly associated with height
when adjusted for antihypertensive medications (P
< 0.0001). Fractures
are the net outcome of low BMD, and a significant association is observed (odds ratio = 2.34, confidence interval = 2.12–2.57); this relation was stronger in hypertensive individuals compared with normotensive individuals particularly in younger hypertensive individuals. In addition, we observed that increased arterial stiffness
was significantly correlated with a low BMD in both men and women
at all ages.
Shorter stature in elderly, low BMD and fractures
correlated with increased arterial stiffness
. We propose that hypertension
and osteoporosis share components of accelerated aging.