Influence of the appendicular skeletal muscle mass index on the bone mineral density of postmenopausal women
| Autor: | Tatielle Rocha de Jesus, Camila Vilarinho Vidigal, Geise Ferreira da Cruz, Mariana Braga Costa, Jose Luiz Marques-Rocha, Valdete Regina Guandalini, Tatiana Mion Lunz, Ben-Hur Albergaria |
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| Rok vydání: | 2021 |
| Předmět: |
Sarcopenia
medicine.medical_specialty Waist Osteoporosis Osteoporosis. Menopause. Body composition. Densitometry Diseases of the musculoskeletal system Absorptiometry Photon Rheumatology Bone Density Internal medicine medicine Humans Orthopedics and Sports Medicine Muscle Skeletal Bone mineral business.industry Research medicine.disease Postmenopause Menopause Osteopenia Cross-Sectional Studies RC925-935 Child Preschool Female Underweight medicine.symptom business Body mass index |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-9 (2021) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-021-04748-x |
| Popis: | Background The appendicular skeletal muscle mass index (ASMI) is an important risk indicator for osteoporosis because of the anatomical proximity and metabolic connection between muscle and bone mass. The present study investigated the relationship between ASMI and the bone mineral density (BMD) categories of postmenopausal women. Methods In this cross-sectional study with a probabilistic sample, sociodemographic, lifestyle, menopause time, anthropometric, and physical activity variables were collected. ASMI and BMD were assessed by dual-energy X-ray absorptiometry (DXA). Participants were grouped according to BMD values into normal density, osteopenia, and osteoporosis. Multivariate logistic regression models were applied to verify the influence of ASMI on BMD. Data were analyzed using the SPSS statistical software, version 22. The significance level for all tests was set at 5%. Results Of the 114 women analyzed, most were between 60 and 69.9 years of age (62.3%), on menopause for ≤19.0 (51.8%), self-declared brown race/color (49.1%), had p = 0.035), on menopause for a longer time (p = 0.011), underweight (p = 0.004), had adequate waist circumference (p = 0.017), and low ASMI values (p = 0.002). There was an association between the 1st tertile of ASMI and osteoporosis. However, after adjustments for age, race/color, and body mass index, the strength of association between BMD and ASMI was not maintained. Conclusions ASMI was not associated with the BMD of the postmenopausal women evaluated. Total body and muscle mass, in addition to bone mass, should be monitored during menopause treatment. Longitudinal studies must be conducted to elucidate the mechanisms and gaps in this relationship. |
| Databáze: | OpenAIRE |
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