{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:54:03Z","timestamp":1781762043224,"version":"3.54.5"},"reference-count":38,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Osteoporosis and Sarcopenia"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.afos.2026.05.002","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T19:22:45Z","timestamp":1780773765000},"page":"98-103","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Discordance in bone mineral density between lumbar spine and hip in patients with rheumatoid arthritis: A cross-sectional study"],"prefix":"10.1016","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8316-8671","authenticated-orcid":false,"given":"Takeshi","family":"Mochizuki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9514-2719","authenticated-orcid":false,"given":"Koichiro","family":"Yano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoko","family":"Koenuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsunori","family":"Ikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-8406","authenticated-orcid":false,"given":"Ken","family":"Okazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.afos.2026.05.002_bib1","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1111\/1756-185X.13974","article-title":"Prevalence of patients with rheumatoid arthritis and age-stratified trends in clinical characteristics and treatment, based on the national database of health insurance claims and specific health checkups of Japan","volume":"23","author":"Nakajima","year":"2020","journal-title":"Int J Rheum Dis"},{"key":"10.1016\/j.afos.2026.05.002_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4158\/GL-2020-0524SUPPL","article-title":"American association of clinical endocrinologists\/American college of endocrinology clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis-2020 update","volume":"26","author":"Camacho","year":"2020","journal-title":"Endocr Pract"},{"key":"10.1016\/j.afos.2026.05.002_bib3","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1007\/s00774-020-01149-3","article-title":"Executive summary of clinical practice guide on fracture risk in lifestyle diseases","volume":"38","author":"Kanazawa","year":"2020","journal-title":"J Bone Miner Metabol"},{"key":"10.1016\/j.afos.2026.05.002_bib4","doi-asserted-by":"crossref","DOI":"10.1210\/clinem\/dgaa048","article-title":"Pharmacological management of osteoporosis in postmenopausal women: an endocrine society guideline update","volume":"105","author":"Shoback","year":"2020","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.afos.2026.05.002_bib5","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1007\/s002239900258","article-title":"Impact of spinal degenerative changes on the evaluation of bone mineral density with dual energy X-ray absorptiometry (DXA)","volume":"60","author":"Rand","year":"1997","journal-title":"Calcif Tissue Int"},{"key":"10.1016\/j.afos.2026.05.002_bib6","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1007\/s00198-012-2048-0","article-title":"Degenerative changes at the lumbar spine--implications for bone mineral density measurement in elderly women","volume":"24","author":"Tenne","year":"2013","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2026.05.002_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.bone.2025.117564","article-title":"Relation of lateral lumbar spine DXA to age-related bone loss, aortic calcification, scoliosis and vertebral degeneration: analysis of over 10,000 patients","volume":"199","author":"H\u00e4nninen","year":"2025","journal-title":"Bone"},{"key":"10.1016\/j.afos.2026.05.002_bib8","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/1471-2474-14-68","article-title":"A comparison of bone density and bone morphology between patients presenting with hip fractures, spinal fractures or a combination of the two","volume":"14","author":"Crilly","year":"2013","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.afos.2026.05.002_bib9","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1038\/s41584-022-00764-w","article-title":"Effects of targeted therapies on bone in rheumatic and musculoskeletal diseases","volume":"18","author":"So\u00f3s","year":"2022","journal-title":"Nat Rev Rheumatol"},{"key":"10.1016\/j.afos.2026.05.002_bib10","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s00198-016-3769-2","article-title":"Biologic therapies and bone loss in rheumatoid arthritis","volume":"28","author":"Zerbini","year":"2017","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2026.05.002_bib11","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s10067-019-04787-9","article-title":"Prevalence and risk factors associated with vertebral osteoporotic fractures in patients with rheumatoid arthritis","volume":"39","author":"Tong","year":"2020","journal-title":"Clin Rheumatol"},{"key":"10.1016\/j.afos.2026.05.002_bib12","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1002\/jbmr.5650090802","article-title":"The diagnosis of osteoporosis","volume":"9","author":"Kanis","year":"1994","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.afos.2026.05.002_bib13","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1093\/jbmr\/zjae119","article-title":"Goal-directed osteoporosis treatment: ASBMR\/BHOF task force position statement 2024","volume":"39","author":"Cosman","year":"2024","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.afos.2026.05.002_bib14","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1210\/jcem-70-1-83","article-title":"The relative contributions of age and years since menopause to postmenopausal bone loss","volume":"70","author":"Nordin","year":"1990","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.afos.2026.05.002_bib15","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1002\/jbmr.5650110716","article-title":"Comparison of semiquantitative visual and quantitative morphometric assessment of prevalent and incident vertebral fractures in osteoporosis the study of osteoporotic fractures research group","volume":"11","author":"Genant","year":"1996","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.afos.2026.05.002_bib16","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jocd.2006.12.003","article-title":"Discordance in diagnosis of osteoporosis using spine and hip bone densitometry","volume":"10","author":"El Maghraoui","year":"2007","journal-title":"J Clin Densitom"},{"key":"10.1016\/j.afos.2026.05.002_bib17","first-page":"76","article-title":"Major and minor discordance in the diagnosis of postmenopausal osteoporosis among Indian women using hip and spine dual-energy X-ray absorptiometry","volume":"3","author":"Singh","year":"2012","journal-title":"J Midlife Health"},{"key":"10.1016\/j.afos.2026.05.002_bib18","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1007\/s00774-018-0980-6","article-title":"Metabolic characteristics of subjects with spine-femur bone mineral density discordances: the Korean national health and nutrition examination survey (KNHANES 2008-2011)","volume":"37","author":"Hong","year":"2019","journal-title":"J Bone Miner Metabol"},{"key":"10.1016\/j.afos.2026.05.002_bib19","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1097\/01.brs.0000222030.32171.5f","article-title":"Discordantly high spinal bone mineral density values in patients with adult lumbar scoliosis","volume":"31","author":"Pappou","year":"2006","journal-title":"Spine"},{"key":"10.1016\/j.afos.2026.05.002_bib20","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1097\/BRS.0b013e31820110b4","article-title":"Characterization of osteopenia\/osteoporosis in adult scoliosis: does bone density affect surgical outcome?","volume":"36","author":"Yagi","year":"2011","journal-title":"Spine"},{"key":"10.1016\/j.afos.2026.05.002_bib21","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.semarthrit.2008.04.001","article-title":"Discordance between hip and spine bone mineral density measurement using DXA: prevalence and risk factors","volume":"38","author":"Mounach","year":"2009","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.afos.2026.05.002_bib22","doi-asserted-by":"crossref","first-page":"348","DOI":"10.62438\/tunismed.v102i6.4884","article-title":"Physical activity assessment in rheumatoid arthritis: a 120-patient cross-sectional study","volume":"102","author":"Ben Tekaya","year":"2024","journal-title":"Tunis Med"},{"key":"10.1016\/j.afos.2026.05.002_bib23","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s13030-015-0046-0","article-title":"Physical activity of elderly patients with rheumatoid arthritis and healthy individuals: an actigraphy study","volume":"9","author":"Hashimoto","year":"2015","journal-title":"Biopsychosoc Med"},{"key":"10.1016\/j.afos.2026.05.002_bib24","article-title":"Effects of locomotion training on bone mineral density in patients with rheumatoid arthritis","volume":"9","author":"Mochizuki","year":"2024","journal-title":"Prog Rehabil Med"},{"key":"10.1016\/j.afos.2026.05.002_bib25","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1080\/14397595.2020.1812793","article-title":"Three-year results of denosumab treatment for osteoporosis in women with rheumatoid arthritis and primary osteoporosis: a clinical observational study","volume":"31","author":"Mochizuki","year":"2021","journal-title":"Mod Rheumatol"},{"key":"10.1016\/j.afos.2026.05.002_bib26","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s00198-024-07019-2","article-title":"An investigation of the differential therapeutic effects of romosozumab on postmenopausal osteoporosis patients with or without rheumatoid arthritis complications: a case-control study","volume":"35","author":"Ebina","year":"2024","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2026.05.002_bib27","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.afos.2021.08.001","article-title":"Effects of romosozumab or denosumab treatment on the bone mineral density and disease activity for 6 months in patients with rheumatoid arthritis with severe osteoporosis: an open-label, randomized, pilot study","volume":"7","author":"Mochizuki","year":"2021","journal-title":"Osteoporos Sarcopenia"},{"key":"10.1016\/j.afos.2026.05.002_bib28","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1007\/s11657-020-00821-5","article-title":"Prevalence and factors of T-score discordance between hip and spine among middle-aged and elderly Malaysians","volume":"15","author":"Chan","year":"2020","journal-title":"Arch Osteoporos"},{"key":"10.1016\/j.afos.2026.05.002_bib29","doi-asserted-by":"crossref","first-page":"43","DOI":"10.11005\/jbm.2022.29.1.43","article-title":"Prevalence and risk factors of T-Score spine-hip discordance in patients with osteoporotic vertebral compression fracture","volume":"29","author":"Yoon","year":"2022","journal-title":"J Bone Metab"},{"key":"10.1016\/j.afos.2026.05.002_bib30","doi-asserted-by":"crossref","first-page":"51","DOI":"10.11005\/jbm.2022.29.1.51","article-title":"Prevalence, clinical implication, and cause of spine hip discordance in elderly patients with fragility hip fracture","volume":"29","author":"Lee","year":"2022","journal-title":"J Bone Metab"},{"key":"10.1016\/j.afos.2026.05.002_bib31","first-page":"155","article-title":"Patterns of Age- and sex-related variations in bone mineral density of lumbar spine and total femur: a retrospective diagnostic laboratory-based study","volume":"9","author":"Singh","year":"2018","journal-title":"J Midlife Health"},{"key":"10.1016\/j.afos.2026.05.002_bib32","doi-asserted-by":"crossref","DOI":"10.1136\/rmdopen-2019-001142","article-title":"Changes in bone mineral density over 10 years in patients with early rheumatoid arthritis","volume":"6","author":"Theander","year":"2020","journal-title":"RMD Open"},{"key":"10.1016\/j.afos.2026.05.002_bib33","doi-asserted-by":"crossref","first-page":"1720","DOI":"10.1002\/art.10408","article-title":"Bone loss in patients with rheumatoid arthritis: results from a population-based cohort of 366 patients followed up for two years","volume":"46","author":"Haugeberg","year":"2002","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.afos.2026.05.002_bib34","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1136\/ard.52.1.21","article-title":"Bone mineral density in patients with recent onset rheumatoid arthritis: influence of disease activity and functional capacity","volume":"52","author":"Laan","year":"1993","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.afos.2026.05.002_bib35","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1007\/s00774-015-0716-9","article-title":"Bone mineral density of postmenopausal women with rheumatoid arthritis depends on disease duration regardless of treatment","volume":"35","author":"Mori","year":"2017","journal-title":"J Bone Miner Metabol"},{"key":"10.1016\/j.afos.2026.05.002_bib36","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s00198-006-0253-4","article-title":"Discrepancies in bone mineral density and fracture risk in patients with type 1 and type 2 diabetes--a meta-analysis","volume":"18","author":"Vestergaard","year":"2007","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.afos.2026.05.002_bib37","article-title":"Strong association of type 2 diabetwith degenerative lumbar spine disorders","volume":"11","author":"Park","year":"2021","journal-title":"Sci Rep"},{"key":"10.1016\/j.afos.2026.05.002_bib38","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1080\/14397595.2019.1682776","article-title":"Epidemiological characteristics of rheumatoid arthritis in Japan: prevalence estimates using a nationwide population-based questionnaire survey","volume":"30","author":"Kojima","year":"2020","journal-title":"Mod Rheumatol"}],"container-title":["Osteoporosis and Sarcopenia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405525526000269?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405525526000269?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:20:31Z","timestamp":1781760031000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405525526000269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S2405525526000269"],"URL":"https:\/\/doi.org\/10.1016\/j.afos.2026.05.002","relation":{},"ISSN":["2405-5255"],"issn-type":[{"value":"2405-5255","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Discordance in bone mineral density between lumbar spine and hip in patients with rheumatoid arthritis: A cross-sectional study","name":"articletitle","label":"Article Title"},{"value":"Osteoporosis and Sarcopenia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.afos.2026.05.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Korean Society of Osteoporosis. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}