Whole-body and segmental analysis of body composition in adult males with achondroplasia using dual X-ray absorptiometry

Achondroplasia is a condition characterized by a genetic mutation affecting long bone endplate development. Current data suggests that the bone mineral content (BMC) and bone mineral density (BMD) of achondroplasic populations are below age matched individuals of average stature (controls). Due to t...

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Veröffentlicht in:PloS one 2019-03, Vol.14 (3), p.e0213806
Hauptverfasser: Sims, David, Onambélé-Pearson, Gladys, Burden, Adrian, Payton, Carl, Morse, Christopher
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Onambélé-Pearson, Gladys
Burden, Adrian
Payton, Carl
Morse, Christopher
description Achondroplasia is a condition characterized by a genetic mutation affecting long bone endplate development. Current data suggests that the bone mineral content (BMC) and bone mineral density (BMD) of achondroplasic populations are below age matched individuals of average stature (controls). Due to the disproportionate limb-to-torso length compared to controls however, the lower BMC and BMD may be nullified when appropriately presented. The aim of this study was to measure whole-body and segmental body composition in adult males with achondroplasia (N = 10, 22 ±3 yrs), present data relative to whole-body and whole-limb values and compare all values to age matched controls (N = 17, 22 ±2 yrs). Dual X-ray absorptiometry (DEXA) was used to measure the in vivo mass of the whole-body and 15 segments, from which BMD, BMC, fat free mass (FFM) and body fat mass were measured. BMC of lumbar vertebrae (L1-4) was also measured and presented as a volumetric BMD (BMDVOL). The achondroplasic group had less BMC, BMD and FFM, and more body fat mass than controls as a whole-body measure. The lower achondroplasic BMC and BMD was somewhat nullified when presented relative to whole-body and whole-limb values respectively. There was no difference in lumbar BMDVOL between groups. Whole-body BMD measures presented the achondroplasic group as 'osteopenic'. When relative to whole-limb measures however, achondroplasic BMD descriptions were normal. Further work is needed to create a body composition database for achondroplasic population's, or for clinicians to present achondroplasic body composition values relative to the whole-limb.
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The lower achondroplasic BMC and BMD was somewhat nullified when presented relative to whole-body and whole-limb values respectively. There was no difference in lumbar BMDVOL between groups. Whole-body BMD measures presented the achondroplasic group as 'osteopenic'. When relative to whole-limb measures however, achondroplasic BMD descriptions were normal. Further work is needed to create a body composition database for achondroplasic population's, or for clinicians to present achondroplasic body composition values relative to the whole-limb.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30889196</pmid><doi>10.1371/journal.pone.0213806</doi><tpages>e0213806</tpages><orcidid>https://orcid.org/0000-0003-0152-866X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Absorptiometry
Absorptiometry, Photon - methods
Achondroplasia
Achondroplasia - diagnostic imaging
Achondroplasia - epidemiology
Achondroplasia - pathology
Adult
Adults
Biocompatibility
Biology and Life Sciences
Biomedical materials
Body Composition
Body fat
Bone Density
Bone mineral content
Bone mineral density
Bones
Cardiovascular disease
Care and treatment
Case-Control Studies
Dual energy X-ray absorptiometry
Dwarfism
England - epidemiology
Exercise
Gene mutation
Genetic aspects
Humans
Image Processing, Computer-Assisted - methods
Long bone
Male
Males
Medicine and Health Sciences
Metabolic syndrome
Minerals - analysis
Mortality
Mutation
Obesity
Older people
Osteoporosis
Physiology
Predictive Value of Tests
Radiography
Studies
Systematic review
Torso
Vertebrae
Weight control
Whole Body Imaging - methods
Young Adult
title Whole-body and segmental analysis of body composition in adult males with achondroplasia using dual X-ray absorptiometry
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T12%3A34%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Whole-body%20and%20segmental%20analysis%20of%20body%20composition%20in%20adult%20males%20with%20achondroplasia%20using%20dual%20X-ray%20absorptiometry&rft.jtitle=PloS%20one&rft.au=Sims,%20David&rft.date=2019-03-19&rft.volume=14&rft.issue=3&rft.spage=e0213806&rft.pages=e0213806-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0213806&rft_dat=%3Cgale_plos_%3EA579246905%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2194690502&rft_id=info:pmid/30889196&rft_galeid=A579246905&rft_doaj_id=oai_doaj_org_article_5d817adf7afa490fb2fc0fbe71df7edc&rfr_iscdi=true