Density and Fat Fraction of the Psoas, Paraspinal, and Oblique Muscle Groups Are Associated With Lumbar Vertebral Bone Mineral Density in a Multi-Ethnic Community-Living Population: The Multi-Ethnic Study of Atherosclerosis.

Autor: Gurusamy P; Department of Orthopaedic Surgery, School of Medicine, University of California, San Diego, La Jolla, CA, USA., Larsen BA; Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, USA., Allen RT; Department of Orthopaedic Surgery, School of Medicine, University of California, San Diego, La Jolla, CA, USA., Ward SR; Department of Orthopaedic Surgery, School of Medicine, University of California, San Diego, La Jolla, CA, USA.; Department of Radiology, School of Medicine, University of California, San Diego, La Jolla, CA, USA., Allison MA; Division of Preventive Medicine, Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, USA., Hughes-Austin JM; Department of Orthopaedic Surgery, School of Medicine, University of California, San Diego, La Jolla, CA, USA.
Jazyk: angličtina
Zdroj: Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research [J Bone Miner Res] 2022 Aug; Vol. 37 (8), pp. 1537-1544. Date of Electronic Publication: 2022 Jul 11.
DOI: 10.1002/jbmr.4634
Abstrakt: Low vertebral bone mass is a major risk factor for vertebral compression fractures. Although sarcopenia has been shown to be associated with low bone mineral density (BMD), it is not known whether trunk musculature is directly associated with lumbar BMD, and whether exercise modifies this association. Using data from the Multi-Ethnic Study of Atherosclerosis (MESA), we sought to determine the association of muscle density and fat fraction of the psoas, paraspinal, and oblique muscle groups with L 3 lumbar volumetric BMD, and whether these associations were modified by exercise. We obtained L 3 vBMD measurements, and fat and muscle measurements (in Hounsfield units [HU]) from abdominal computed tomography (CT) scans spanning the L 2 -L 4 intervertebral disc spaces. Muscle density was defined as the mean HU value for a muscle group area. Fat fraction was calculated as the mean HU value for the muscle group fat area/total muscle group area (cm 2 ). Exercise data were self-reported (MET-minute/week). We utilized multivariable linear regression to evaluate these associations, stratified by gender, and adjusting for demographics, body mass index (BMI), smoking status, impaired fasting glucose, and corticosteroid and anti-resorptive medication use. Among 1923 MESA participants, mean ± standard deviation (SD) age was 62 ± 10 years, 49% were female, 40% white, 21% black, 26% Hispanic/Latino, and 13% Chinese. In fully adjusted analysis, for every 1-SD higher psoas fat fraction, there was a 3.19-SD lower L 3 vBMD in men and 4.3-SD lower L 3 vBMD in women (p < 0.001). For every 1-SD higher psoas density, there was a 0.2-SD higher L 3 vBMD (p < 0.001) in men and 0.19-SD higher L 3 vBMD (p < 0.001) in women. Findings were similar for paraspinal and oblique muscles. Intentional exercise did not modify these associations. In men and women, trunk muscle density was positively associated with higher lumbar BMD, suggesting a local association. Future studies are warranted to determine the temporality of this association. © 2022 American Society for Bone and Mineral Research (ASBMR).
(© 2022 American Society for Bone and Mineral Research (ASBMR).)
Databáze: MEDLINE
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