Clin Osteol 2012; 17(2): 59-64

Body composition as a factor influencing bone density in postmenopausal womenOriginal contributions

A. Gába, O. Kapuš

Aim: To analyze bone mineral density composition in postmenopausal women.

Methods: Ninety-seven women, aged 50-77 years, participated in this study. BMD and body composition were assessed by dual-ener­ gy x-ray absorptiometry (DXA). In addition to whole-body parameters, BMD of the lumbar spine, proximal femur and rib area was measur trunk.

Results: Significant association was observed between whole-body BMD and BFM (r = 0.41; p < 0.05) and LBM (r = 0.39; p < 0.05). BFM (r = 0.24; p < 0.05) of the trunk was a stronger predictor of lumbar BMD than LBM (r = 0.18; p > 0.05). Although the results of the statistical analysis showed a significant relationship between total and regional BMD of the proximal femur and LBM (r = 0.28-0.34; p < 0.05) of the lower limb, except for the Ward triangle (r = 0.16; p > 0.05), the correlation coefficient only ranged from 0.10 to 0.19 units for BFM (p > 0.05). However, the strongest associations were found between body composition and rib BMD, significantly cor­ relating with BFM and LBM. Moreover, it was also shown that osteopenic women showed significantly lower LBM than women with normal BMD. The only exception was represented by LBM of the trunk which did not in BFM were also statistically insignificant, except for BFM in the upper limbs.

Conclusions: The results of this study showed the positive influence of body composition on bone h ry to evaluate this association not only at the whole-body level, but also in selected body areas.

Keywords: bodyfat mass, lean body mass, bone mineral density, osteopenia, osteoporosis

Published: December 11, 2012  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Gába A, Kapuš O. Body composition as a factor influencing bone density in postmenopausal women. Osteologický bulletin. 2012;17(2):59-64.
Download citation

References

  1. Broulík P. Osteoporóza a její léčba. Praha: Maxdorf, 2007.
  2. Teegarden D, Proulx WR, Martin BR, Zhao J, McCabe GP, Lyle bone mass in young women. J Bone Miner Res 1995;10(5):711-715. Go to original source...
  3. Spirduso W, Francis K, MacRae P. Physical dimensions of aging. Champaign, Human Kinetics, 2005.
  4. Shephard RJ. Aging, physical activity, and health. Champaign, IL: Human Kinetics, 1997.
  5. Center JR, Nguyen TV, Schneider D, Sambrook PN, Eisman JA Mortality after all major types of osteoporotic fra dy. Lancet 1999; 353(9156):878-882. Go to original source...
  6. Kalvach Z, Zadák Z, Jirák R, Zavázalová H, Sucharda P. Geriatrie a gerontolo Praha: Grada. 2004.
  7. Štěpán J, Havelka S, Kamberská Z. Epidemiologie der Osteoporose in der Tschechischen Republik. J Miner Stoffwechs 2002;9(3):7-13.
  8. Kanis JA, Johnell O. Requirements for DXA for the management of osteoporosis in Europe. Osteoporos Int 2005;16(3):229-238. Go to original source...
  9. Heaney RP, Abrams S, Dawson-Hughes B, Looker A, Marcus R, Matkovic V et al. Ifeak bone mass. Osteoporos Int 2000;11(12):985-1009. Go to original source...
  10. Boyer K, Kiratli B, Andriacchi T, Beaupre G. Maintaining femoral b in adults: how many steps per day are enough? Osteoporos Int 2011:1-8. Go to original source...
  11. Martyn-St James M, Carroll S. Meta-analysis of walking for pr mineral density in postmenopausal women. Bone 2008;43(3):521-531. Go to original source...
  12. Pfelclová J, Gába A, Kapuš O. Bone mineral density and accelerometer-det habitual physical activity and inactivity in postmenopausal women. Acta Univ Palacki Olomouc Gymn 2011;41(3):47-53. Go to original source...
  13. Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR. American College of Sports Medicine Position Stand: physical activity and bone health. Sci Sports Exerc 2004;36(11):1985-1996. Go to original source...
  14. Winters KM, Snow CM. Body Composition Predicts Bone Mineral Density and Balance in Premenopausal Women. J Womens Health Gend Based Med 2000;9(8):865-872. Go to original source...
  15. Dytfeld J, Ignaszak-Szczepaniak M, Gowin E, Michalak M, Horst-Sikorska W. Influence of lean and fat mass on bone mineral density (BMD) in postmenopau­ sal women with osteoporosis. Arch Gerontol Geriatr 2011;53(2):e237-242. Go to original source...
  16. Ijuin M, Douchi T, Matsuo T, Yamamoto S, Uto H, Nagata Y. Difference in the effects of body composition on bone mineral pausal women. Maturitas 2002;43(4):239-244. Go to original source...
  17. Gába A, Kapuš O, Pelclová J, Riegerová J. The relationship between accelero ter-determined physical activity (PA) and body composition and bone mineral density (BMD) in postmenopausal women. Arch Gerontol Geriatr 2012;54(3): e315-e321. Go to original source...
  18. Gába A, Riegerová J, Přidalová M. Evaluation of body composition in females aged 60-84 years using multi-frequency bioimpedance method (InBody 720). New Medicine 2008;12(4):82-88.
  19. Greco EA, Fornari R, Rossi F, Santiemma V, Prossomariti G, Annoscia C et al. Is obesity protective for osteoporosis? Evaluation of bone mineral densi duals with high body mass index. Int J Clin Pract 2010;64(6):817-820. Go to original source...
  20. World Health Organization. Prevention and Management of Osteoporosis: of a WHO Scientific Group. Geneva: World Health Organization, 2003.
  21. Heymsfield S, Lohman T, Wang Z, Going S. Human body composition. Cham­ paign, IL: Human Kinetics, 2005. Go to original source...
  22. Živný J. Stárnutí ženy a hormonální substituční terapie. Psychiatrie pro p 2004;6:297-302.
  23. Reginster J-Y, Burlet N. Osteoporosis: A still increasing prevalence. Bone 2006;38(2, Supplement 1):4-9. Go to original source...
  24. Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H et Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012;23(3):1-7. Go to original source...
  25. Kanis JA, Burlet N, Cooper C, Delmas PD, Reginster JY, Borgstrom F et al. European guidance for the diagnosis and management of osteoporosis in postme­ nopausal women. Osteoporos Int 2008;19(4):399-428. Go to original source...
  26. Wang Y, Tao Y, Hyman M, Li J, Chen Y. Osteoporosis in China. Osteoporo 2009;20(10):1651-1662. Go to original source...
  27. Reid IR. Relationships among body mass, its components, and bone. Bone 2002;31(5):547-555. Go to original source...
  28. Pirro M, Fabbriciani G, Leli C, Callarelli L, Manfredelli M, Fioroni C et al. weight or body mass index increase the risk of vertebral fractures in postmeno­ pausal osteoporotic women. J Bone Miner Metab 2010;28(1):88-93. Go to original source...
  29. Gentil P, Lima RM, de Oliveira RJ, Pereira RW, Reis VM. Association between femoral neck bone mineral density and lower limb fat-free mass in postmenopau­ sal women. J Clin Densitom 2007;10(2):174-178. Go to original source...
  30. Douchi T, Oki T, Nakamura S, Ijuin H, Yamamoto S, Nagata Y. The effect of bo­ dy composition on bone density in pre- and postmenopausal women. Maturitas 1997;27(1):55-60. Go to original source...
  31. Beck TJ, Kohlmeier LA, Petit MA, Wu GL, Leboff MS, Cauley JA et al. Confounders in the Association between Exercise and Femur Bone in Postmenopausal Women. Med Sci Sports Exerc 2011;43(1):80-89. Go to original source...
  32. Kim CJ, Oh KW, Rhee EJ, Kim KH, Jo SK, Jung CH et al. Relationship between body composition and bone mineral density (BMD) in perimenopausal Korean women. Clin Endocrinol (Oxf) 2009;71(1):18-26. Go to original source...
  33. Miller LE, Nickols-Richardson SM, Wootten DF, Ramp WK, Herbert WG. Relationships among bone mineral density, body composition, and isokinetic strength in young women. Calcif Tissue Int 2004;74(3):229-235. Go to original source...
  34. Lekamwasam S, Lenora RS. Effect of leg rotation on hip bone mineral density measurements. J Clin Densitom 2003;6(4):331-336. Go to original source...




Clinical Osteology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.