Articles

The Relationship between Anthropometric Parameters and Bone Mineral Density in an Iranian Referral Population

Abstract

Osteoporosis is a common health concern in both developed and developing countries. In this study the association between anthropometric measures and osteoporosis was investigated in 3630 males and females visiting BMD clinic of Shariati Hospital, Tehran, Iran, a teaching hospital and referral center for osteoporosis affiliated to the Tehran University of Medical Sciences. Anthropometric measurements obtained and also Bone Mineral Density (BMD) measurement was done using a Lunar DPXMD densitometer. Data were analyzed using SPSS with Chi-square and ANOVA with post-hoc tests. Results showed that the weight, BMI and age had the strongest correlation with the BMD values in the studied people. While age is negatively correlated with BMD in all the studied people, a positive association was noted between weight, height and BMI and BMD parameters (P<0.01). It was concluded that certain anthropometric parameters (BMI and weight) can considerably affect one's risk of developing osteoporosis. Further research on the effect of these variables on the association of weight and BMD is needed.

Delmas PD, Fraser M. Strong bones in later life: luxury or necessity? Bull World Health Organ 1999;77(5):416-22.

Morales-Torres J, Gutierrez-Urena S. The burden of osteoporosis in Latin America. Osteoporos Int 2004;15(8):625-32.

Roudsari AH, Tahbaz F, Hossein-Nezhad A, et al. Assessment of soy phytoestrogens' effects on bone turnover indicators in menopausal women with osteopenia in Iran: a before and after clinical trial. Nutr J 2005;4(1):30.

Vu TT, Nguyen CK, Nguyen TL, et al. Determining the prevalence of osteoporosis and related factors using quantitative ultrasound in Vietnamese adult women. Am JEpidemiol 2005;161(9):824-30.

Leichter I, Weinreb A, Hazan G, et al. The effect of age and sex on bone density, bone mineral content and cortical index. Clin Orthop Relat Res 1981;(156):232-9.

Tamaki J, Iki M, Sato Y, et al. Smoking among premenopausal women is associated with increased risk of low bone status: the JPOS Study. J Bone Miner Metab 2010;28(3):320-7.

Beck T, Petit MA, Wu G, et al. Does obesity really make the femur stronger? BMD, Geometry and fracture incidence in the women's Health Initiative-Observational Study. JBMR 2009;24(8):1369-79.

Zhao LJ, Liu YJ, Liu PY, et al. Relationship of obesity with osteoporosis. J Clin Endocrinol Metab 2007;92(5):1640-6.

Papaioannou A, Kennedy CC, Cranney A, et al. Risk factors for low BMD in healthy men age 50 years or older: a systematic review. Osteoporos Int 2009;20(4):507-18.

Johnell O, O'Neill T, Felsenberg D, et al. Anthropometric measurements and vertebral deformities. European Vertebral Osteoporosis Study (EVOS) Group. Am J Epidemiol 1997;146(4):287-93.

Lewicki EM Silverman SL. Redefining osteoporosis treatment: who to treat and how long to treat. Arg Bras Endocrinol Metabol 2006;50(4):694-704.

Kuczmarski RJ, Flegal KM, Campbell SM, et al. Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. JAMA 1994;272(3):205-11.

Seidell JC. Obesity: A growing problem. Acta Paediatr Suppl 1999;88(428):46-50.

National Heart, Lung, and Blood Institute, editor. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight: The Evidence Report. 1st ed. Bethesda, Maryland: NIH Pub; 1998: p. 6.

Fawzy T, Muttappallymyalil J, Sreedharan J, et al. Association between Body Mass Index and Bone Mineral Density in Patients Referred for Dual-Energy X-Ray Absorptiometry Scan in Ajman, UAE. J Osteoporos 2011; 2011: p. 876309.

Wyshak G. Percent body fat, fractures and risk of osteoporosis in women. J Nutr Health Aging 2010;14(6):428-32.

Luo Q, He H, Yang L, et al. Study on the relationship between body mass index and osteoporosis in males. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 2010;27(2):311-4.

Morin S, Tsang JF, Leslie WD. Weight and body mass index predict bone mineral density and fractures in women aged 40 to 59 years. Osteoporos Int 2009;20(3):363-70.

Akdeniz N, Akpolat V, Kale A, et al. Risk factors for postmenopausal osteoporosis: anthropometric measurements, age, age at menopause and the time elapsed after menopause onset. Gynecol Endocrinol 2009;25(2):125-9.

Liu H, Paige NM, Goldzweig CL, et al. Screening for osteoporosis in men: a systematic review for an American College of Physicians guideline. Ann Intern Med 2008;148(9):685-701.

Prothro JW, Rosenbloom CA. Physical measurements in an elderly black population: knee height as the dominant indicator of stature. J Gerontol 1993;48(1):M15-8.

Felson DT, Zhang Y, Hannan MT, et al. Effects of weight and body mass index on bone mineral density in men and women: the Framingham study. J Bone Miner Res 1993;8(5):567-73.

Nguyen TV, Center JR, Eisman JA. Osteoporosis in elderly men and women: effects of dietary calcium, physical activity, and body mass index. J Bone Miner Res 2000;15(2):322-31.

Sadatsafavi M, Moayyeri A, Wang L, et al. Heteroscedastic regression analysis of factors affecting BMD monitoring. J Bone Miner Res 2008;23(11):1842-9.

Knapp KM, Welsman JR, Hopkins SJ, et al. Obesity increases precision errors in dual energy x-ray absorptiometry measurements. J Clin Densitom 2012;15(3):315-9.

Saarelainen J, Kiviniemi V, Kröger H, et al. Body mass index and bone loss among postmenopausal women: the

-year follow-up of the OSTPRE cohort. J Bone Miner Metab 2012;30(2):208-16.

Zhao LJ, Jiang H, Papasian CJ, et al. Correlation of obesity and osteoporosis: effect of fat mass on the determination of osteoporosis. J Bone Miner Res 2008;23(1):17-29.

Ozeraitiene V, Būtenaite V. The evaluation of bone mineral density based on nutritional status, age, and anthropometric parameters in elderly women. Medicina (Kaunas) 2006;42(10):836-42.

Dargent-Molina P, Piault S, Bréart G. Identification of women at increased risk of osteoporosis: no need to use different screening tools at different ages. Maturitas 2006;54(1):55-64.

Bhupathiraju SN, Dawson-Hughes B, Hannan MT, et al. Centrally located body fat is associated with lower bone mineral density in older Puerto Rican adults. Am J Clin Nutr 2011;94(4):1063-70.

Lu H, Fu X, Ma X, et al. Relationships of percent body fat and percent trunk fat with bone mineral density among Chinese, black, and white subjects. Osteoporos Int 2011;22(12):3029-35.

Files
IssueVol 52, No 7 (2014) QRcode
SectionArticles
Keywords
Osteoporosis Anthropometric parameters BMD BMI Weight Age

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Soltani A, Larijani B, Khashayar P, Rezaei Hemami M, Fakhari S. The Relationship between Anthropometric Parameters and Bone Mineral Density in an Iranian Referral Population. Acta Med Iran. 1;52(7):505-510.