Sarcopenia and its relationship with bone mineral density in middle-aged and elderly European men

Summary The aim of this study was to determine the relationship between reduced muscle mass (sarcopenia) and areal bone mineral density (BMD a ) in middle-aged and elderly community-dwelling European men. Men with sarcopenia had significantly lower BMD a and were more likely to have osteoporosis com...

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Veröffentlicht in:Osteoporosis international 2013, Vol.24 (1), p.87-98
Hauptverfasser: Verschueren, S., Gielen, E., O’Neill, T. W., Pye, S. R., Adams, J. E., Ward, K. A., Wu, F. C., Szulc, P., Laurent, M., Claessens, F., Vanderschueren, D., Boonen, S.
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container_issue 1
container_start_page 87
container_title Osteoporosis international
container_volume 24
creator Verschueren, S.
Gielen, E.
O’Neill, T. W.
Pye, S. R.
Adams, J. E.
Ward, K. A.
Wu, F. C.
Szulc, P.
Laurent, M.
Claessens, F.
Vanderschueren, D.
Boonen, S.
description Summary The aim of this study was to determine the relationship between reduced muscle mass (sarcopenia) and areal bone mineral density (BMD a ) in middle-aged and elderly community-dwelling European men. Men with sarcopenia had significantly lower BMD a and were more likely to have osteoporosis compared with men without sarcopenia. Introduction In men, the relationship between reduced muscle mass (sarcopenia) and BMD a is unclear. This study aimed to determine this relationship in middle-aged and elderly community-dwelling men. Methods Men aged 40–79 years from the Manchester (UK) and Leuven (Belgium) cohorts of the European Male Ageing Study were invited to attend for assessment including dual-energy X-ray absorptiometry, from which appendicular lean mass (aLM), fat mass (FM) and whole-body, spine and hip BMD a were determined. Relative appendicular skeletal muscle mass (RASM) was calculated as aLM/height². Muscle strength was assessed in subjects from Leuven. Sarcopenia was defined by RASM at
doi_str_mv 10.1007/s00198-012-2057-z
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W. ; Pye, S. R. ; Adams, J. E. ; Ward, K. A. ; Wu, F. C. ; Szulc, P. ; Laurent, M. ; Claessens, F. ; Vanderschueren, D. ; Boonen, S.</creator><creatorcontrib>Verschueren, S. ; Gielen, E. ; O’Neill, T. W. ; Pye, S. R. ; Adams, J. E. ; Ward, K. A. ; Wu, F. C. ; Szulc, P. ; Laurent, M. ; Claessens, F. ; Vanderschueren, D. ; Boonen, S.</creatorcontrib><description>Summary The aim of this study was to determine the relationship between reduced muscle mass (sarcopenia) and areal bone mineral density (BMD a ) in middle-aged and elderly community-dwelling European men. Men with sarcopenia had significantly lower BMD a and were more likely to have osteoporosis compared with men without sarcopenia. Introduction In men, the relationship between reduced muscle mass (sarcopenia) and BMD a is unclear. This study aimed to determine this relationship in middle-aged and elderly community-dwelling men. Methods Men aged 40–79 years from the Manchester (UK) and Leuven (Belgium) cohorts of the European Male Ageing Study were invited to attend for assessment including dual-energy X-ray absorptiometry, from which appendicular lean mass (aLM), fat mass (FM) and whole-body, spine and hip BMD a were determined. Relative appendicular skeletal muscle mass (RASM) was calculated as aLM/height². Muscle strength was assessed in subjects from Leuven. Sarcopenia was defined by RASM at &lt;7.26 kg/m² and by the recent definition of the European Working Group on Sarcopenia in Older People (RASM at &lt;7.26 kg/m 2 plus low muscle function). Linear regression was used to determine the associations between aLM, FM, muscle strength and BMD a and logistic regression to determine the association between sarcopenia and osteoporosis. Results Six hundred seventy-nine men with a mean age of 59.6 (SD = 10.7), contributed data to the analysis; 11.9 % were sarcopenic by the conventional definition. After adjustment for age and centre, aLM, RASM and FM were positively associated with BMD a . Men with RASM at &lt;7.26 kg/m² had significantly lower BMD a compared with those with RASM at ≥7.26 kg/m 2 . In a multivariable model, aLM was most consistently associated with BMD a . Men with sarcopenia were more likely to have osteoporosis compared with those with normal RASM (odds ratio = 3.0; 95 % CI = 1.6–5.8). Conclusions Sarcopenia is associated with low BMD a and osteoporosis in middle-aged and elderly men. Further studies are necessary to assess whether maintaining muscle mass contributes to prevent osteoporosis.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-012-2057-z</identifier><identifier>PMID: 22776861</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Absorptiometry, Photon ; Adult ; Aged ; Aging ; Aging - physiology ; Anthropometry - methods ; Belgium - epidemiology ; Bone density ; Bone Density - physiology ; Cross-Sectional Studies ; Endocrinology ; England - epidemiology ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Mens health ; Middle Aged ; Motor Activity - physiology ; Muscle Strength - physiology ; Muscular system ; Original Article ; Orthopedics ; Osteoporosis ; Osteoporosis - epidemiology ; Osteoporosis - etiology ; Osteoporosis - physiopathology ; Rheumatology ; Sarcopenia - complications ; Sarcopenia - epidemiology ; Sarcopenia - physiopathology</subject><ispartof>Osteoporosis international, 2013, Vol.24 (1), p.87-98</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2012</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-75081150fe0816e19610500fd297e41a3c991f5ddfc56585f83b92531e28886d3</citedby><cites>FETCH-LOGICAL-c372t-75081150fe0816e19610500fd297e41a3c991f5ddfc56585f83b92531e28886d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00198-012-2057-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-012-2057-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22776861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verschueren, S.</creatorcontrib><creatorcontrib>Gielen, E.</creatorcontrib><creatorcontrib>O’Neill, T. W.</creatorcontrib><creatorcontrib>Pye, S. R.</creatorcontrib><creatorcontrib>Adams, J. E.</creatorcontrib><creatorcontrib>Ward, K. A.</creatorcontrib><creatorcontrib>Wu, F. C.</creatorcontrib><creatorcontrib>Szulc, P.</creatorcontrib><creatorcontrib>Laurent, M.</creatorcontrib><creatorcontrib>Claessens, F.</creatorcontrib><creatorcontrib>Vanderschueren, D.</creatorcontrib><creatorcontrib>Boonen, S.</creatorcontrib><title>Sarcopenia and its relationship with bone mineral density in middle-aged and elderly European men</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary The aim of this study was to determine the relationship between reduced muscle mass (sarcopenia) and areal bone mineral density (BMD a ) in middle-aged and elderly community-dwelling European men. Men with sarcopenia had significantly lower BMD a and were more likely to have osteoporosis compared with men without sarcopenia. Introduction In men, the relationship between reduced muscle mass (sarcopenia) and BMD a is unclear. This study aimed to determine this relationship in middle-aged and elderly community-dwelling men. Methods Men aged 40–79 years from the Manchester (UK) and Leuven (Belgium) cohorts of the European Male Ageing Study were invited to attend for assessment including dual-energy X-ray absorptiometry, from which appendicular lean mass (aLM), fat mass (FM) and whole-body, spine and hip BMD a were determined. Relative appendicular skeletal muscle mass (RASM) was calculated as aLM/height². Muscle strength was assessed in subjects from Leuven. Sarcopenia was defined by RASM at &lt;7.26 kg/m² and by the recent definition of the European Working Group on Sarcopenia in Older People (RASM at &lt;7.26 kg/m 2 plus low muscle function). Linear regression was used to determine the associations between aLM, FM, muscle strength and BMD a and logistic regression to determine the association between sarcopenia and osteoporosis. Results Six hundred seventy-nine men with a mean age of 59.6 (SD = 10.7), contributed data to the analysis; 11.9 % were sarcopenic by the conventional definition. After adjustment for age and centre, aLM, RASM and FM were positively associated with BMD a . Men with RASM at &lt;7.26 kg/m² had significantly lower BMD a compared with those with RASM at ≥7.26 kg/m 2 . In a multivariable model, aLM was most consistently associated with BMD a . Men with sarcopenia were more likely to have osteoporosis compared with those with normal RASM (odds ratio = 3.0; 95 % CI = 1.6–5.8). Conclusions Sarcopenia is associated with low BMD a and osteoporosis in middle-aged and elderly men. 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C.</creatorcontrib><creatorcontrib>Szulc, P.</creatorcontrib><creatorcontrib>Laurent, M.</creatorcontrib><creatorcontrib>Claessens, F.</creatorcontrib><creatorcontrib>Vanderschueren, D.</creatorcontrib><creatorcontrib>Boonen, S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verschueren, S.</au><au>Gielen, E.</au><au>O’Neill, T. W.</au><au>Pye, S. R.</au><au>Adams, J. E.</au><au>Ward, K. A.</au><au>Wu, F. C.</au><au>Szulc, P.</au><au>Laurent, M.</au><au>Claessens, F.</au><au>Vanderschueren, D.</au><au>Boonen, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sarcopenia and its relationship with bone mineral density in middle-aged and elderly European men</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2013</date><risdate>2013</risdate><volume>24</volume><issue>1</issue><spage>87</spage><epage>98</epage><pages>87-98</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary The aim of this study was to determine the relationship between reduced muscle mass (sarcopenia) and areal bone mineral density (BMD a ) in middle-aged and elderly community-dwelling European men. Men with sarcopenia had significantly lower BMD a and were more likely to have osteoporosis compared with men without sarcopenia. Introduction In men, the relationship between reduced muscle mass (sarcopenia) and BMD a is unclear. This study aimed to determine this relationship in middle-aged and elderly community-dwelling men. Methods Men aged 40–79 years from the Manchester (UK) and Leuven (Belgium) cohorts of the European Male Ageing Study were invited to attend for assessment including dual-energy X-ray absorptiometry, from which appendicular lean mass (aLM), fat mass (FM) and whole-body, spine and hip BMD a were determined. Relative appendicular skeletal muscle mass (RASM) was calculated as aLM/height². Muscle strength was assessed in subjects from Leuven. Sarcopenia was defined by RASM at &lt;7.26 kg/m² and by the recent definition of the European Working Group on Sarcopenia in Older People (RASM at &lt;7.26 kg/m 2 plus low muscle function). Linear regression was used to determine the associations between aLM, FM, muscle strength and BMD a and logistic regression to determine the association between sarcopenia and osteoporosis. Results Six hundred seventy-nine men with a mean age of 59.6 (SD = 10.7), contributed data to the analysis; 11.9 % were sarcopenic by the conventional definition. After adjustment for age and centre, aLM, RASM and FM were positively associated with BMD a . Men with RASM at &lt;7.26 kg/m² had significantly lower BMD a compared with those with RASM at ≥7.26 kg/m 2 . In a multivariable model, aLM was most consistently associated with BMD a . Men with sarcopenia were more likely to have osteoporosis compared with those with normal RASM (odds ratio = 3.0; 95 % CI = 1.6–5.8). Conclusions Sarcopenia is associated with low BMD a and osteoporosis in middle-aged and elderly men. Further studies are necessary to assess whether maintaining muscle mass contributes to prevent osteoporosis.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>22776861</pmid><doi>10.1007/s00198-012-2057-z</doi><tpages>12</tpages></addata></record>
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subjects Absorptiometry, Photon
Adult
Aged
Aging
Aging - physiology
Anthropometry - methods
Belgium - epidemiology
Bone density
Bone Density - physiology
Cross-Sectional Studies
Endocrinology
England - epidemiology
Humans
Male
Medicine
Medicine & Public Health
Mens health
Middle Aged
Motor Activity - physiology
Muscle Strength - physiology
Muscular system
Original Article
Orthopedics
Osteoporosis
Osteoporosis - epidemiology
Osteoporosis - etiology
Osteoporosis - physiopathology
Rheumatology
Sarcopenia - complications
Sarcopenia - epidemiology
Sarcopenia - physiopathology
title Sarcopenia and its relationship with bone mineral density in middle-aged and elderly European men
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