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Relationship between total and regional bone mineral density and menopausal state, body composition and life style factors in overweight Japanese women.
Int J Obes Relat Metab Disord 2001; 25(6):880-6IJ

Abstract

OBJECTIVE

To investigate whether menopausal state, body composition and lifestyle factors influence total and regional bone mineral density in overweight Japanese women.

DESIGN

Cross-sectional study of women who were recruited to the weight reduction program held at community-based health promotion center in Tokyo area.

SUBJECTS

A total of 178 women with a mean age of 48 y old (20-69 y) with a clear menstrual history and BMI over 24.

MEASUREMENTS

Total, regional and lumbar spine bone mineral density (BMD) and body composition were measured using DXA (Lunar). Menstrual history was taken by a questionnaire and walking steps per day and energy intake were measured. Physical fitness was assessed by cardio-respiratory fitness and leg extension power. Subjects were divided into pre-menopausal and post-menopausal groups.

RESULTS

Pre-menopausal group had significantly higher total body BMD as well as regional BMD than post-menopausal group. However, no differences in BMI, percentage fat and fat mass (FM) were seen between the two groups. The multiple regression analysis stepwise method revealed that total and regional BMD correlated with menopausal state and total FM independently. Total and regional BMD did not correlate with total non-fat soft tissue mass (NFSM), energy intake, walking steps or physical fitness levels. Trunk and lower extremities BMD correlated with corresponding regional FM and NFSM, and upper extremities BMD correlated with only corresponding body part NFSM after adjusting menopausal state.

CONCLUSION

Total and regional BMD had strong negative correlation with menopausal state rather than total FM in overweight Japanese women. Weight-bearing site BMD correlated with corresponding body part FM and NFSM and non-weight bearing site BMD only correlated with corresponding body part NFSM after adjusting for menopausal state.

Authors+Show Affiliations

Department of Health Economics and Health Promotion Sciences, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. jslee-tky@umin.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11439303

Citation

Lee, J S., et al. "Relationship Between Total and Regional Bone Mineral Density and Menopausal State, Body Composition and Life Style Factors in Overweight Japanese Women." International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, vol. 25, no. 6, 2001, pp. 880-6.
Lee JS, Kawakubo K, Sato H, et al. Relationship between total and regional bone mineral density and menopausal state, body composition and life style factors in overweight Japanese women. Int J Obes Relat Metab Disord. 2001;25(6):880-6.
Lee, J. S., Kawakubo, K., Sato, H., Kobayashi, Y., & Haruna, Y. (2001). Relationship between total and regional bone mineral density and menopausal state, body composition and life style factors in overweight Japanese women. International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, 25(6), pp. 880-6.
Lee JS, et al. Relationship Between Total and Regional Bone Mineral Density and Menopausal State, Body Composition and Life Style Factors in Overweight Japanese Women. Int J Obes Relat Metab Disord. 2001;25(6):880-6. PubMed PMID: 11439303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between total and regional bone mineral density and menopausal state, body composition and life style factors in overweight Japanese women. AU - Lee,J S, AU - Kawakubo,K, AU - Sato,H, AU - Kobayashi,Y, AU - Haruna,Y, PY - 2000/06/30/received PY - 2000/12/05/revised PY - 2001/01/15/accepted PY - 2001/7/6/pubmed PY - 2002/1/5/medline PY - 2001/7/6/entrez SP - 880 EP - 6 JF - International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity JO - Int. J. Obes. Relat. Metab. Disord. VL - 25 IS - 6 N2 - OBJECTIVE: To investigate whether menopausal state, body composition and lifestyle factors influence total and regional bone mineral density in overweight Japanese women. DESIGN: Cross-sectional study of women who were recruited to the weight reduction program held at community-based health promotion center in Tokyo area. SUBJECTS: A total of 178 women with a mean age of 48 y old (20-69 y) with a clear menstrual history and BMI over 24. MEASUREMENTS: Total, regional and lumbar spine bone mineral density (BMD) and body composition were measured using DXA (Lunar). Menstrual history was taken by a questionnaire and walking steps per day and energy intake were measured. Physical fitness was assessed by cardio-respiratory fitness and leg extension power. Subjects were divided into pre-menopausal and post-menopausal groups. RESULTS: Pre-menopausal group had significantly higher total body BMD as well as regional BMD than post-menopausal group. However, no differences in BMI, percentage fat and fat mass (FM) were seen between the two groups. The multiple regression analysis stepwise method revealed that total and regional BMD correlated with menopausal state and total FM independently. Total and regional BMD did not correlate with total non-fat soft tissue mass (NFSM), energy intake, walking steps or physical fitness levels. Trunk and lower extremities BMD correlated with corresponding regional FM and NFSM, and upper extremities BMD correlated with only corresponding body part NFSM after adjusting menopausal state. CONCLUSION: Total and regional BMD had strong negative correlation with menopausal state rather than total FM in overweight Japanese women. Weight-bearing site BMD correlated with corresponding body part FM and NFSM and non-weight bearing site BMD only correlated with corresponding body part NFSM after adjusting for menopausal state. UR - https://www.unboundmedicine.com/medline/citation/11439303/Relationship_between_total_and_regional_bone_mineral_density_and_menopausal_state_body_composition_and_life_style_factors_in_overweight_Japanese_women_ L2 - https://medlineplus.gov/bonedensity.html DB - PRIME DP - Unbound Medicine ER -