Rico H, Revilla M, Hernandez E R, Villa L, Alvarez del Buergo M
Department of Medicine, Príncipe de Asturias Hospital, Madrid, Spain.
Clin Rheumatol. 1993 Dec;12(4):475-8. doi: 10.1007/BF02231774.
Dual energy X-ray absorptiometry measurements of total body bone mineral content (TBBMC), fat body mass (FBM) and fat mass percentage (%FM), lean body mass (LBM) and body weight (BW) were performed on 168 normal postmenopausal females. They were matched regarding life style and habits and had body mass index under 30. Their TBBMCs were correlated with these measurements, with chronological age (CA) and with the number of years since menopause (YSM). There was no correlation between TBBMC and %FM and LBM, but there was with BW (p < 0.001). There was a significant and negative correlation (r = -0.453, p < 0.001) between TBBMC and CA and to a higher range (r = -0.697, p < 0.001) with YSM. Menopausal females over 60 (n = 87) presented less bone mass than younger females (n = 81) (p < 0.01). These data suggest that regarding TBBMC, menopausal onset is a more important factor in bone mass loss, which persists rather markedly even during periods of time far from menopause and that TBBMC depends more on BW than on LBM and FM in women.
对168名正常绝经后女性进行了双能X线吸收法测量全身骨矿物质含量(TBBMC)、脂肪体重(FBM)、脂肪质量百分比(%FM)、去脂体重(LBM)和体重(BW)。她们在生活方式和习惯方面相匹配,体重指数低于30。她们的TBBMC与这些测量值、实际年龄(CA)以及绝经后的年数(YSM)相关。TBBMC与%FM和LBM之间无相关性,但与BW相关(p<0.001)。TBBMC与CA之间存在显著负相关(r=-0.453,p<0.001),与YSM的相关性更强(r=-0.697,p<0.001)。60岁以上的绝经后女性(n=87)的骨量低于年轻女性(n=81)(p<0.01)。这些数据表明,就TBBMC而言,绝经起始是骨量丢失的一个更重要因素,即使在远离绝经的时间段内,这种丢失仍相当明显地持续存在,并且在女性中,TBBMC更多地取决于BW而非LBM和FM。