Heart failure & cardiomyopathiesCross-sectional study

Iron deficiency and bone metabolism in heart failure

Eur J Heart FailPublished

  • Cross-sectional study

Authors' conclusion

In HF, a TSAT <20% is associated with disturbed bone metabolism

Study context

Population
Patients with chronic heart failure (HF) from SICA-HF
Participants
198 patients
Exposure
Iron deficiency vs no iron deficiency
Outcome
Bone mineral density (BMD)

Main finding

BMD

Adjusted odds ratio

3.45

P = 0.01

By group

As reported in the abstract

Graded dose-response across transferrin saturation (TSAT) quartiles
P for trend = 0.0009
Prevalence of TSAT <20%
29.8%

Observational data: associations, not effects.

Further findings

Plasma dihydroxy vitamin D · lower with ID

P = 0.03

OutcomeEstimateP value
Serum FGF-23 (pg/mL) · higher with IDadjusted β 0.20P = 0.0009
BMD above sex-specific medians (multivariable)aOR 3.45P = 0.01

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Iron deficiency and bone metabolism in heart failure. Eur J Heart Fail. Published 19 August 2026. doi:10.1093/ejhf/xuag259

Summarised from the published abstract; every number is checked against it