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New insight into fat, muscle and bone relationship in women

Title: New insight into fat, muscle and bone relationship in women: determining the threshold at which body fat assumes negative relationship with bone mineral density.
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Name(s): Liu, Pei-Yang, author
Ilich, Jasminka Z, author
Brummel-Smith, Ken, author
Ghosh, Sunita, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2014-11-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: The aim was to investigate the relationships among lean mass (LM), fat mass (FM), and bone mineral density (BMD) in women stratified by body mass index (BMI) (BMI - normal-weight, overweight, obese) and to determine threshold at which body fat assumes negative relationship with BMD. This was a cross-sectional study in 471 healthy Caucasian women, aged 18-67 years. BMD, LM, and FM were measured using dual-energy X-ray absorptiometry. Analysis of variance with Bonferroni corrections was used to test the BMI group differences. Linear regression was used to examine independent contributions of LM and FM on BMD of various skeletal sites (controlling for age and height). In overweight/obese women PROC LOESS plots were used to determine the inflection points at which either LM or FM relationship with BMD changes direction. Separate analyses in pre- and post-menopausal women were conducted as well. Spine and femoral neck BMD were not different among three BMI groups while total body, femur and radius BMD were statistically different (the highest in the obese group). Linear regression revealed that LM had significant positive association with BMD of various skeletal sites in all groups. FM showed a negative association with BMD of femoral neck and femur in normal-weight and spine in overweight women, but a positive association with radius in obese women. Inflection points showed that body fat between 33% and 38% assumed negative relationship with BMD for most skeletal sites in overweight and obese women. Although LM has strong positive relationship with BMD, FM above 33% in overweight/obese women is negatively related to BMD of most skeletal sites. Therefore, overweight/obesity after certain amount of FM, may not be a protective factor against osteoporosis in females. For clinical practice in women, it is important to maintain LM and keep FM accrual below ~30% body fat to maintain good skeletal health.
Identifier: FSU_pmch_25538842 (IID), PMC4274553 (PMCID), 25538842 (RID), 25538842 (EID)
Keywords: Body mass index, Bone mineral density, Fat mass, Lean mass, Menopause
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274553.
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_25538842
Owner Institution: FSU
Is Part Of: International journal of preventive medicine.
2008-7802
Issue: iss. 11, vol. 5

Choose the citation style.
Liu, P. -Y., Ilich, J. Z., Brummel-Smith, K., & Ghosh, S. (2014). New insight into fat, muscle and bone relationship in women: determining the threshold at which body fat assumes negative relationship with bone mineral density. International Journal Of Preventive Medicine. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_25538842