绝经后女性骨矿物质密度与身体成分参数之间的关联。
The associations between bone mineral density with body composition parameters in postmenopausal women.
作者信息
Farshbaf-Khalili A, Malekian S, Efteharsadat B, Ghahremaninasab P, Pourzeinali S
机构信息
Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Attar neishaboori Avenue, Golgasht str., 516615731, Tabriz, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Attar neishaboori Avenue, Golgasht str., 516615731, Tabriz, Iran.
出版信息
Adv Gerontol. 2022;35(6):884-893.
Body composition plays an essential role in bone health among postmenopausal women thus we decided to compare body composition in normal bone mass density, osteopenia and osteoporosis women. In this cross-sectional study, 142 normal, 109 osteoporotic, and 194 osteopenic postmenopausal women were selected. Socio-demographic and anthropometric characteristics were investigated. IPAQ-SF questionnaire was applied for evaluating physical activity. Body composition data were obtained using the bioimpedance analysis (BIA) method. A logistic regression model adjusted for confounders was used to estimate the risk of osteopenia and osteoporosis. The odds of osteopenia decreased by increasing Percent Body Fat, PBF (aOR: 0,922; 95% CI 0,867-0,980), Mass of Body Fat, MBF (aOR: 0,909; 95% CI: 0,872 to 0,947), Soft Lean Mass, SLM (aOR: 0,921; 95% CI 0,880-0,964), Lean Body Mass, LBM (aOR: 0,910; 95% CI 0,871-0,951), Visceral Total Body Water, TBW (aOR: 0,878; 95% CI 0,828-0,933), mineral mass (aOR: 0,356; 95% CI 0,231-0,548), body weight (aOR: 0,955; 95% CI 0,934-0,976), and Body Mass Index, BMI (aOR: 0,896; 95% CI 0,848-0,947). The odds of osteoporosis decreased by increasing PBF (aOR: 0,838; 95% CI 0,773-0,909), MBF (aOR: 0,840; 95% CI 0,792-0,891), SLM (aOR: 0,889; 95% CI 0,839-0,941), LBM (aOR: 0,910; 95% CI 0,871-0,951), Visceral Fat Mass, VFM (aOR: 0,465; 95% CI 0,351-0,615), mineral mass (aOR: 0,163; 95% CI 0,086-0,307), body weight (aOR: 0,907; 95% CI 0,876-0,938), and BMI (aOR: 0,797; 95% CI 0,733-0,867). Increased body composition parameters reduced the risk of low bone mass density.
身体成分在绝经后女性的骨骼健康中起着至关重要的作用，因此我们决定比较骨密度正常、骨质减少和骨质疏松女性的身体成分。在这项横断面研究中，选取了142名骨密度正常、109名骨质疏松和194名骨质减少的绝经后女性。调查了社会人口统计学和人体测量学特征。应用国际体力活动问卷简表（IPAQ-SF）评估身体活动。使用生物电阻抗分析（BIA）方法获取身体成分数据。采用经混杂因素调整的逻辑回归模型来估计骨质减少和骨质疏松的风险。随着体脂百分比（PBF）增加，骨质减少的几率降低（调整后比值比：0.922；95%置信区间0.867 - 0.980）、体脂质量（MBF）增加，骨质减少的几率降低（调整后比值比：0.909；95%置信区间：0.872至0.947）、瘦软组织质量（SLM）增加，骨质减少的几率降低（调整后比值比：0.921；95%置信区间0.880 - 0.964）、去脂体重（LBM）增加，骨质减少的几率降低（调整后比值比：0.910；95%置信区间0.871 - 0.951）、内脏总体水（TBW）增加，骨质减少的几率降低（调整后比值比：0.878；95%置信区间0.828 - 0.933）、矿物质质量增加，骨质减少的几率降低（调整后比值比：0.356；95%置信区间0.231 - 0.548）、体重增加，骨质减少的几率降低（调整后比值比：0.955；95%置信区间0.934 - 0.976）、体重指数（BMI）增加，骨质减少的几率降低（调整后比值比：0.896；95%置信区间0.848 - 0.947）。随着PBF增加，骨质疏松的几率降低（调整后比值比：0.838；95%置信区间0.773 - 0.909）、MBF增加，骨质疏松的几率降低（调整后比值比：0.840；95%置信区间0.792 - 0.891）、SLM增加，骨质疏松的几率降低（调整后比值比：0.889；95%置信区间0.839 - 0.941）、LBM增加，骨质疏松的几率降低（调整后比值比：0.910；95%置信区间0.871 - 0.951）、内脏脂肪质量（VFM）增加，骨质疏松的几率降低（调整后比值比：0.465；95%置信区间0.351 - 0.615）、矿物质质量增加，骨质疏松的几率降低（调整后比值比：0.163；95%置信区间0.086 - 0.307）、体重增加，骨质疏松的几率降低（调整后比值比：0.907；95%置信区间0.876 - 0.938）、BMI增加，骨质疏松的几率降低（调整后比值比：0.797；95%置信区间0.733 - 0.867）。身体成分参数增加可降低低骨密度的风险。
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