The Relationship Between Body Mass Index and Bone Mineral Density in Premenopausal and Postmenopausal North Indian Women

被引：20
作者：
Kumar A. [1 ]
Sharma A.K. [3 ,4 ]
Mittal S. [1 ]
Kumar G. [2 ]
机构：
[1] Department of Obstetrics & Gynaecology, Maulana Azad Medical College, Associated Lok Nayak Hospital, New Delhi
[2] Department of Biostatistics, All India Institute of Medical Sciences, New Delhi
[3] Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi
[4] D-11/1, DLF Exclusive Floors, DLF Phase V, Gurgaon, 122009, Haryana
来源：
The Journal of Obstetrics and Gynecology of India | 2016年 / 66卷 / 1期
关键词：
Bone Mineral Density; Menopause;
D O I：
10.1007/s13224-014-0629-x
中图分类号：
学科分类号：
摘要：
Purpose: Present study aims to examine the relationship of the bone mineral density (BMD) with body mass index (BMI) in an apparently healthy premenopausal and postmenopausal north Indian female population. Methods: Two hundred and fifty-five apparently healthy women were evaluated by a detailed questionnaire including all possible factors that could affect the BMD. The height and weight of all the subjects were recorded and BMI was calculated. Bone mineral density was measured by DXA (Dual Electron X-ray Absorptiometry) at L1-L4 Lumbar spine (LS) and femur neck (FN) by using the Prodigy DXA system (software version:8.50) manufactured by GE medical systems LUNAR. Results: The population was divided into pre and postmenopausal groups. The BMD at all sites increased with BMI in both groups. In a multiple regression model, the attributability of BMI and age to variation in LSBMD and FNBMD was 10.3 and 13.9 %, respectively. In postmenopausal women, age, BMI, and a previous history of fracture together attributed to a variance in BMI of 40.1 and 27.6 % at lumbar spine and femur neck, respectively. BMI was found to be significantly associated with low BMD at both sites in premenopausal women, while the association was lost in postmenopausal females. Conclusion: BMI is an important determinant of BMD in Indian females. However, the association is not present in postmenopausal women with osteopenia. In addition, the effect of increase in BMI on BMD has a ceiling effect, and moderate to morbid obesity might not actually be a preventive factor for osteopenia. © 2014, Federation of Obstetric & Gynecological Societies of India.
引用
收藏
页码：52 / 56
页数：4
相关论文
共 17 条
  • [11] Ribot C., Tremollieres F., Pouilles J.M., The effect of obesity on postmenopausal bone loss and the risk of osteoporosis, Adv Nutr Res, 9, pp. 257-271, (1994)
  • [12] Anderson J.J., Pollitzer W.S., Ethnic and genetic differences in susceptibility to osteoporotic fractures, Adv Nutr Res, 9, pp. 129-149, (1994)
  • [13] Silverman S.L., Madison R.E., Decreased incidence of hip fracture in Hispanics, Asians, and blacks: California Hospital Discharge data, Am J Public Health, 78, pp. 1482-1483, (1988)
  • [14] Castro P.J., Joseph L.A., Shin J.J., Et al., Differential effect of obesity on bone mineral density in White, Hispanic and African American women: a cross sectional study, Nutr Metab, 2, (2005)
  • [15] Lim S.K., Won J.Y., Lee J.H., Et al., Altered hydroxylation of estrogen in patients with postmenopausal osteopenia, J Clin Endocrinol Metab, 82, pp. 1001-1006, (1997)
  • [16] Greco E.A., Fornari R., Rossi F., Et al., Is obesity protective for osteoporosis? Evaluation of bone mineral density in individuals with high body mass index, Int J Clin Pract, 64, 6, pp. 817-820, (2010)
  • [17] National Family Health Survey (NFHS-3) 2005-06, India: volumeII, (2007)
12