Participants underwent CT on a multidetector CT (MDCT) scanner (Somatom Sensation 4, Siemens Medical Systems, Erlangen, Germany) [18 (link),19 (link)]. Thoracic CT imaging was obtained to assess coronary calcification (140 kVp, a reference exposure of 50 mAs, in-plane pixel size 0. 68 × 0.68 mm and slice thickness 2.5 mm, field of view (FOV): 35 cm) and included approximately vertebral levels T6–T10. The lumbar spine CT included vertebral levels L1–L2 (120 kVp, a reference exposure of 150 mAs, in-plane pixel size of 0.98 by 0.98 and slice thickness of 1.0 mm, FOV: 50 cm). In addition, lateral scout images were acquired, covering levels T6–L5. The scans were performed at the same visit and each subject was scanned with two hydroxyapatite phantoms (Image Analysis, Inc., Lexington, KY, USA), one placed in the lumbar region and the second one in the thorax region, to enable the scan data to be calibrated into equivalent mineral density (mg/cm3 of hydroxyapatite).