Department of Kinesiology, Silla University, Busan 46958, Korea.
Department of Global Sports Coaching, In-je University, Gimhae 50834, Korea.
Int J Environ Res Public Health. 2022 Apr 18;19(8):4926. doi: 10.3390/ijerph19084926.
A body shape index (ABSI) is a recently introduced index of abdominal adiposity, relative to body mass index and height, and represents an alternative to body mass index and waist circumference. We aimed to determine whether ABSI is associated with osteoporosis and the ability of ABSI to predict osteoporosis, to investigate the relationship between obesity and osteoporosis In total, 6717 Korean participants (3151 men and 3566 women; 63.6 ± 8.5 years) were recruited and placed into the Normal, Osteopenia, or Osteoporosis groups on the basis of the minimum T-scores of the lumbar spine, proximal femur, and femoral neck. The T-scores of each region and ABSI were compared among the groups and odds ratios and cut-off values of ABSI for osteoporosis were calculated. In participants of both sexes, ABSI tended to increase as bone health deteriorated. The men and women in the highest quartile of ABSI were 1.887 and 2.808 times more likely to have osteoporosis, respectively, and the potential ABSI cut-off values for osteoporosis were 0.0813 and 0.0874 for male and female participants, respectively. These findings suggest that augmentation of ABSI and obesity is associated with a higher risk of osteoporosis and that ABSI may predict the risk of osteoporosis.
体脂肪指数（ABSI）是一种新的腹部肥胖指数，与体重指数和身高有关，是体重指数和腰围的替代指标。我们旨在确定 ABSI 是否与骨质疏松症有关，以及 ABSI 预测骨质疏松症的能力，以探讨肥胖与骨质疏松症的关系。共招募了 6717 名韩国参与者（3151 名男性和 3566 名女性；63.6±8.5 岁），根据腰椎、近端股骨和股骨颈的最小 T 评分，将参与者分为正常、骨量减少或骨质疏松症组。比较了各组的 T 评分和 ABSI，计算了 ABSI 对骨质疏松症的比值比和临界值。在男女参与者中，ABSI 随着骨骼健康状况的恶化而趋于增加。ABSI 最高四分位数的男性和女性发生骨质疏松症的风险分别增加 1.887 倍和 2.808 倍，男性和女性参与者骨质疏松症的潜在 ABSI 临界值分别为 0.0813 和 0.0874。这些发现表明，ABSI 增加和肥胖与骨质疏松症风险增加相关，ABSI 可能预测骨质疏松症的风险。
