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Bone mineral density in Canadian children with severe haemophilia A or B: a cross-sectional study Cover

Bone mineral density in Canadian children with severe haemophilia A or B: a cross-sectional study

Open Access
|Oct 2021

Figures & Tables

A study of Canadian children with severe haemophilia A and B shows they demonstrate difference in spine and total body bone mineral density from height-, age-, and weight-matched controls.
A study of Canadian children with severe haemophilia A and B shows they demonstrate difference in spine and total body bone mineral density from height-, age-, and weight-matched controls.

Figure 1

Bone mineral density height-age-weight-adjusted (HAW) score in Canadian children with severe haemophilia A or B: mean with 95% confidence interval
Bone mineral density height-age-weight-adjusted (HAW) score in Canadian children with severe haemophilia A or B: mean with 95% confidence interval

Figure 2

Spine HAW-score distribution and spine HAW plot
Spine HAW-score distribution and spine HAW plot

Figure 3

Hip HAW-score distribution and hip HAW plot
Hip HAW-score distribution and hip HAW plot

Figure 4

Whole body HAW-score distribution and whole body HAW plot
Whole body HAW-score distribution and whole body HAW plot

Figure 5

Physical activity levels
Physical activity levels

Participant characteristics

CLINICAL CHARACTERISTICSHAEMOPHILIA AMEAN +/− SDHAEMOPHILIA BMEAN +/− SD
N335
Age (years, months)10.2 +/− 4.89.5 +/− 3.8
Height (cm)140.1 +/− 25.2142.6 +/−23.5
Weight (kg)37.9 +/− 21.239.3 +/− 19.1
BMI (kg/m2)17.9 +/− 4.718.8 +/− 2.8
Lifetime joint bleeds31.0 +/− 21.635.2 +/− 27.9
Hemophilia Joint Health Score2.6 +/− 3.44.4 +/− 3.5
Whole body bone mineral content (kg)1.2 +/− 0.71.25 +/− 0.7
Lean body mass (kg)26.5 +/− 15.926.9 +/− 15.2
Fat mass (kg)10.2 +/− 6.325.4 +/− 18.2
Prophylaxis starting age (years, months)2.4 +/− 1.82.7 +/− 2.1
Prophylaxis frequency (days/week)2.9 +/− 1.32.0 +/− 1
Adequate intake calcium (% of subjects)75100
Adequate intake vitamin D (% of subjects)4640
Adequate intake vitamin K (% of subjects)2840
Adequate intake protein (% of subjects)91100
Physical Activity Score (out of 10)6.6 +/− 1.16.3 +/− 0.4

Univariate analysis hip HAW

PARAMETERLEVELESTIMATE (95% CI)PR>CHISQ
Regimen (vs. 1× week)2× week−0.6333 (−2.2199,0.9532)0.4340
Regimen (vs. 1× week)3× week−0.0467 (−1.5201,1.4268)0.9505
Joint score > 01−0.3531 (−1.3340,0.6278)0.4805
Physical activity: overall 0.3024 (−0.1655,0.7703)0.2052
Calcium10.7993 (−0.4363,2.0350)0.2048
Vitamin D11.0996 (0.1709,2.0282)0.0203
Lifetime joint bleeds 0.0023 (−0.0169,0.0216)0.8144

Multivariate analysis total body HAW

PARAMETERLEVELESTIMATE (95% CI)PR>CHISQ
Regimen (vs. 1× week)2× week−0.0813 (−1.1006,0.9379)0.8757
Regimen (vs. 1× week)3× week0.3864 (−0.6681,1.4410)0.4726
Joint score > 010.6312 (0.0632,1.1992)0.0294
Physical activity: overall −0.3563 (−0.8913,0.1786)0.1917
Calcium1−0.4021 (−1.375,0.5707)0.4179
Vitamin D10.6189 (−0.0676,1.3054)0.0772
Lifetime joint bleeds −0.0110 (−0.0261,0.0041)0.1528

Univariate analysis spine HAW

PARAMETERLEVELESTIMATE (95% CI)PR>CHISQ
Regimen (vs. 1× week)2× week−0.4000 (−1.6579,0.8579)0.5331
Regimen (vs. 1× week)3× week−0.1182 (−1.2795,1.0431)0.8419
Joint score > 010.1095 (−0.6067,0.8257)0.7644
Physical activity: overall 0.1256 (−0.2229,0.4741)0.4801
Calcium10.5588 (−0.3073,1.4249)0.2060
Vitamin D10.7800 (0.1023,1.4577)0.0241
Lifetime joint bleeds 0.0095 (−0.0048,0.0238)0.1916
Language: English
Page range: 111 - 118
Published on: Oct 14, 2021
Published by: Haemnet Ltd
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Cecily Bos, Paul Tieu, John K Wu, Karen Strike, Anthony KC Chan, published by Haemnet Ltd
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.