A novel non-invasive method for predicting bone mineral density and fracture risk using demographic and anthropometric measures

Autor: Justin Aflatooni, Steven Martin, Adib Edilbi, Pranav Gadangi, William Singer, Robert Loving, Shreya Domakonda, Nandini Solanki, Patrick C. McCulloch, Bradley Lambert
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Sports Medicine and Health Science, Vol 5, Iss 4, Pp 308-313 (2023)
Druh dokumentu: article
ISSN: 2666-3376
DOI: 10.1016/j.smhs.2023.09.003
Popis: Fractures are costly to treat and can significantly increase morbidity. Although dual-energy x-ray absorptiometry (DEXA) is used to screen at risk people with low bone mineral density (BMD), not all areas have access to one. We sought to create a readily accessible, inexpensive, high-throughput prediction tool for BMD that may identify people at risk of fracture for further evaluation. Anthropometric and demographic data were collected from 492 volunteers (♂275, ♀217; [44 ​± ​20] years; Body Mass Index (BMI) = [27.6 ​± ​6.0] kg/m2) in addition to total body bone mineral content (BMC, kg) and BMD measurements of the spine, pelvis, arms, legs and total body. Multiple-linear-regression with step-wise removal was used to develop a two-step prediction model for BMC followed by BMC. Model selection was determined by the highest adjusted R2, lowest error of estimate, and lowest level of variance inflation (α ​= ​0.05). Height (HTcm), age (years), sexm=1, f=0, %body fat (%fat), fat free mass (FFMkg), fat mass (FMkg), leg length (LLcm), shoulder width (SHWDTHcm), trunk length (TRNKLcm), and pelvis width (PWDTHcm) were observed to be significant predictors in the following two-step model (p ​
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