Association of Weight-Adjusted Body Fat and Fat Distribution with Bone Mineral Density in Middle-Aged Chinese Adults: A Cross-Sectional Study

Autor: Ying Xu, Yu-ming Chen, Yan-hua Liu, Li-ping He, Ke Guan, Yi-xiang Su, Ya-bin Wen, Wenhua Ling
Rok vydání: 2013
Předmět:
Zdroj: PLoS ONE, Vol 8, Iss 5, p e63339 (2013)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0063339
Popis: BACKGROUND: Although it is well established that a higher body weight is protective against osteoporosis, the effects of body fat and fat distribution on bone mineral density (BMD) after adjustment for body weight remains uncertain. OBJECTIVE: To examine the relationship between body fat and fat distribution and BMD beyond its weight-bearing effect in middle-aged Chinese adults. METHOD: The study had a community-based cross-sectional design and involved 1,767 women and 698 men aged 50-75 years. The BMD of the lumbar spine, total hip, and whole body, and the fat mass (FM) and percentage fat mass (%FM) of the total body and segments of the body were measured by dual-energy X-ray absorptiometry. General information on the participants was collected using structured questionnaire interviews. RESULT: After adjusting for potential confounders, an analysis of covariance showed the weight-adjusted (WA-) total FM (or %FM) to be negatively associated with BMD in all of the studied sites (P
Databáze: OpenAIRE