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The relationship between body composition and bone mineral density in postmenopausal Turkish women.
Rheumatol Int. 2013 Mar; 33(3):607-12.RI

Abstract

In a retrospective cross-sectional study among 202 postmenopausal women aged 46-75 years, we aimed to investigate the relationship between body composition and bone mineral density (BMD) to determine whether fat mass or lean mass is a better determinant of BMD in Turkish postmenopausal women. Lumbar spine (L1-L4) and proximal femur BMD were measured by dual energy X-ray absorbsiometry. Body composition analysis was performed by bioelectric impedance method and fat mass, lean mass, and percent fat were measured. Both fat mass and lean mass were positively correlated with BMD at the lumbar spine and proximal femur, weight and body mass index. Lean mass was also positively correlated with height and negatively correlated with age and years since menopause (P < 0.01). The correlations of fat mass and lean mass with BMD at the lumbar spine and proximal femur remained significant after adjustment for age, years since menopause and height. When the lean mass was adjusted together with age, years since menopause and height, the significant relationship between the fat mass and BMD continued, however the significant correlation between the lean mass and BMD disappeared at all sites after adjustment for fat mass. In multiple regression analyses, fat mass was the significant determinant of all BMD sites. Our data suggest that fat mass is the significant determinant of BMD at the lumbar spine and proximal femur, and lean mass does not have an impact on BMD when fat mass was taken into account in Turkish postmenopausal women.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Antalya Education and Research Hospital, Antalya, Turkey. ahakannur@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22481215

Citation

Nur, Hakan, et al. "The Relationship Between Body Composition and Bone Mineral Density in Postmenopausal Turkish Women." Rheumatology International, vol. 33, no. 3, 2013, pp. 607-12.
Nur H, Toraman NF, Arica Z, et al. The relationship between body composition and bone mineral density in postmenopausal Turkish women. Rheumatol Int. 2013;33(3):607-12.
Nur, H., Toraman, N. F., Arica, Z., Sarier, N., & Samur, A. (2013). The relationship between body composition and bone mineral density in postmenopausal Turkish women. Rheumatology International, 33(3), 607-12. https://doi.org/10.1007/s00296-012-2391-7
Nur H, et al. The Relationship Between Body Composition and Bone Mineral Density in Postmenopausal Turkish Women. Rheumatol Int. 2013;33(3):607-12. PubMed PMID: 22481215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The relationship between body composition and bone mineral density in postmenopausal Turkish women. AU - Nur,Hakan, AU - Toraman,N Fusun, AU - Arica,Zuhal, AU - Sarier,Nur, AU - Samur,Anil, Y1 - 2012/04/06/ PY - 2011/10/20/received PY - 2012/03/11/accepted PY - 2012/4/7/entrez PY - 2012/4/7/pubmed PY - 2013/8/15/medline SP - 607 EP - 12 JF - Rheumatology international JO - Rheumatol. Int. VL - 33 IS - 3 N2 - In a retrospective cross-sectional study among 202 postmenopausal women aged 46-75 years, we aimed to investigate the relationship between body composition and bone mineral density (BMD) to determine whether fat mass or lean mass is a better determinant of BMD in Turkish postmenopausal women. Lumbar spine (L1-L4) and proximal femur BMD were measured by dual energy X-ray absorbsiometry. Body composition analysis was performed by bioelectric impedance method and fat mass, lean mass, and percent fat were measured. Both fat mass and lean mass were positively correlated with BMD at the lumbar spine and proximal femur, weight and body mass index. Lean mass was also positively correlated with height and negatively correlated with age and years since menopause (P < 0.01). The correlations of fat mass and lean mass with BMD at the lumbar spine and proximal femur remained significant after adjustment for age, years since menopause and height. When the lean mass was adjusted together with age, years since menopause and height, the significant relationship between the fat mass and BMD continued, however the significant correlation between the lean mass and BMD disappeared at all sites after adjustment for fat mass. In multiple regression analyses, fat mass was the significant determinant of all BMD sites. Our data suggest that fat mass is the significant determinant of BMD at the lumbar spine and proximal femur, and lean mass does not have an impact on BMD when fat mass was taken into account in Turkish postmenopausal women. SN - 1437-160X UR - https://www.unboundmedicine.com/medline/citation/22481215/The_relationship_between_body_composition_and_bone_mineral_density_in_postmenopausal_Turkish_women_ L2 - https://dx.doi.org/10.1007/s00296-012-2391-7 DB - PRIME DP - Unbound Medicine ER -