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Bone mass and body composition in normal women.
R Lindsay1, F Cosman, B S Herrington
1Regional Bone Center, Helen Hayes Hospital, West Haverstraw, New York.
Summary
Bone mass and body composition are linked in women. Total-body bone mineral correlates with height, weight, and fat mass, but this relationship changes after menopause.
Area of Science:
- Bone Densitometry
- Body Composition Analysis
- Osteoporosis Research
Background:
- Bone mass and body composition are crucial for skeletal health.
- Understanding their interrelationships is vital for assessing bone loss and fracture risk.
- Menopause significantly impacts bone density and body composition.
Purpose of the Study:
- To examine the relationship between bone mass measurements and total-body bone mineral (TBBM).
- To evaluate the association between body composition measures and bone mass in women.
- To investigate how menopausal status affects these relationships.
Main Methods:
- Cross-sectional study of healthy women aged 17-82 years.
- Bone mass measured at various skeletal sites.
- Body composition estimated using four independent techniques.
- Statistical analysis to determine correlations between bone mass, TBBM, and body composition parameters.
Main Results:
- Bone mass at all sites correlated with TBBM, with cancellous and cortical sites showing equal predictive value.
- Postmenopausal women had significantly lower bone mass than premenopausal women.
- TBBM correlated with height, weight, and fat mass in both groups, but more strongly with percentage body fat in premenopausal women.
- The relationship between TBBM and fat mass differed between premenopausal and postmenopausal women, particularly after correcting for lean mass.
Conclusions:
- Bone mass and TBBM are interrelated and influenced by body composition in women.
- Menopause leads to significant bone loss and alters the relationship between bone mineral and body fat.
- Height, weight, and body fat are important factors related to bone mineral content across the lifespan, with distinct patterns observed pre- and post-menopause.