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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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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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0213806</identifier><identifier>PMID: 30889196</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2019-03, Vol.14 (3), p.e0213806</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Sims et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Sims et al 2019 Sims et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-be537b4422e0a978215c913e9ddb950c1c30a10ae92c249fe45ff715440651103</citedby><cites>FETCH-LOGICAL-c692t-be537b4422e0a978215c913e9ddb950c1c30a10ae92c249fe45ff715440651103</cites><orcidid>0000-0003-0152-866X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424418/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424418/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30889196$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Reddy, Sakamuri V.</contributor><creatorcontrib>Sims, David</creatorcontrib><creatorcontrib>Onambélé-Pearson, Gladys</creatorcontrib><creatorcontrib>Burden, Adrian</creatorcontrib><creatorcontrib>Payton, Carl</creatorcontrib><creatorcontrib>Morse, Christopher</creatorcontrib><title>Whole-body and segmental analysis of body composition in adult males with achondroplasia using dual X-ray absorptiometry</title><title>PloS one</title><addtitle>PLoS One</addtitle><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. 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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.</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 |