根据性别,脂肪和瘦肉指数对骨强度的不同贡献
Yen-Huai Lin1,2, Michael Mu Huo Teng1,2
1Department of Medical Imaging, Cheng Hsin General Hospital, Taipei, Taiwan.
PloS one
|November 14, 2024
概括
身体成分显著影响骨强度. 脂肪质量与骨矿物质密度 (BMD) 在两性之间都有正相关,但在女性中更为如此. 瘦身量对骨健康至关重要,特别是在男性中.
科学领域:
- 整形外科和体育医学
- 内分泌学 在内分泌学.
- 老年学是一门学科.
背景情况:
- 骨强度是由骨矿物质密度 (BMD) 和骨质量决定的.
- 了解身体组成如何影响男性和女性的骨强度,对于有针对性的干预至关重要.
研究的目的:
- 调查各种脂肪和瘦身指数和骨强度之间的性别特定关联.
- 阐明人体构成对骨矿物质密度和骨质的不同影响.
主要方法:
- 对1419名参与者的横截面研究.
- 双能X射线吸收计 (DXA) 测定骨和身体组成 (总脂肪量,体脂百分比,腰围,尾瘦肉量).
- 脊椎骨评分 (TBS) 用于骨质评估;测量了手握的强度.
主要成果:
- 所有脂肪指数在两性中都与骨硬化积极相关,与TBS负相关.
- 脂肪指数与女性的BMD有更强的关联;瘦的指数对男性的BMD有更大的贡献.
- 在女性中,ALM对BMD的影响比手握力更大;在男性中,手握力比ALM的影响更大.
- 手握强度与男性的TBS积极相关.
结论:
- 脂肪质量对女性的BMD的影响更大,而肌肉质量和力量对男性的骨强度更为关键.
- 保持肌肉质量和力量对于保持两性骨质量至关重要.
- 优化身体组成的性别特定方法可能是提高骨健康的必要条件.
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