Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women
BACKGROUND: Higher fat mass may be an independent risk factor for osteoporosis and osteoporotic fractures. OBJECTIVE: We aimed to determine the independent contribution of fat mass to osteoporosis and to estimate the risk of osteoporotic fractures in relation to body weight, lean mass, and other con...
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| creator | Hsu, Yi-Hsiang Venners, Scott A Terwedow, Henry A Feng, Yan Niu, Tianhua Li, Zhiping Laird, Nan Brain, Joseph D Cummings, Steve R Bouxsein, Mary L Rosen, Cliff J Xu, Xiping |
| description | BACKGROUND: Higher fat mass may be an independent risk factor for osteoporosis and osteoporotic fractures. OBJECTIVE: We aimed to determine the independent contribution of fat mass to osteoporosis and to estimate the risk of osteoporotic fractures in relation to body weight, lean mass, and other confounders. DESIGN: This was a community-based, cross-sectional study of 7137 men, 4585 premenopausal women, and 2248 postmenopausal women aged 25-64 y. Total-body and hip bone mineral content (BMC) and bone mineral density (BMD) and body composition were measured by dual-energy X-ray absorptiometry. Serum lipids were measured. Sex- and menopause-specific multiple generalized linear models were applied. RESULTS: Across 5-kg strata of body weight, fat mass was significantly inversely associated with BMC in the whole body and total hip. When we compared the highest quartile with the lowest quartile of percentage fat mass in men, premenopausal women, and postmenopausal women, the adjusted odds ratios (95% CIs) of osteoporosis defined by hip BMD were 5.2 (2.1, 13.2), 5.0 (1.7, 15.1), and 6.9 (4.3, 11.2), respectively. Significant linear trends existed for higher risks of osteoporosis, osteopenia, and nonspine fractures with higher percentage fat mass. Significant negative relations were found between whole-body BMC and cholesterol, triacylglycerol, LDL, and the ratio of HDL to LDL in all groups. CONCLUSIONS: Risks of osteoporosis, osteopenia, and nonspine fractures were significantly higher for subjects with higher percentage body fat independent of body weight, physical activity, and age. Thus, fat mass has a negative effect on bone mass in contrast with the positive effect of weight-bearing itself. |
| doi_str_mv | 10.1093/ajcn/83.1.146 |
| format | Article |
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OBJECTIVE: We aimed to determine the independent contribution of fat mass to osteoporosis and to estimate the risk of osteoporotic fractures in relation to body weight, lean mass, and other confounders. DESIGN: This was a community-based, cross-sectional study of 7137 men, 4585 premenopausal women, and 2248 postmenopausal women aged 25-64 y. Total-body and hip bone mineral content (BMC) and bone mineral density (BMD) and body composition were measured by dual-energy X-ray absorptiometry. Serum lipids were measured. Sex- and menopause-specific multiple generalized linear models were applied. RESULTS: Across 5-kg strata of body weight, fat mass was significantly inversely associated with BMC in the whole body and total hip. When we compared the highest quartile with the lowest quartile of percentage fat mass in men, premenopausal women, and postmenopausal women, the adjusted odds ratios (95% CIs) of osteoporosis defined by hip BMD were 5.2 (2.1, 13.2), 5.0 (1.7, 15.1), and 6.9 (4.3, 11.2), respectively. Significant linear trends existed for higher risks of osteoporosis, osteopenia, and nonspine fractures with higher percentage fat mass. Significant negative relations were found between whole-body BMC and cholesterol, triacylglycerol, LDL, and the ratio of HDL to LDL in all groups. CONCLUSIONS: Risks of osteoporosis, osteopenia, and nonspine fractures were significantly higher for subjects with higher percentage body fat independent of body weight, physical activity, and age. Thus, fat mass has a negative effect on bone mass in contrast with the positive effect of weight-bearing itself.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn/83.1.146</identifier><identifier>PMID: 16400063</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Absorptiometry, Photon ; Adipose Tissue - metabolism ; Adult ; Aging - physiology ; Anthropometry ; Asian people ; Biological and medical sciences ; blood lipids ; Body Composition - physiology ; Body fat ; body mass index ; body weight ; Body Weight - physiology ; bone density ; Bone Density - physiology ; bone fractures ; bone resorption ; Bones ; China ; cholesterol ; cohort studies ; dual-energy X-ray absorptiometry ; Feeding. Feeding behavior ; Female ; Fractures ; Fractures, Bone - epidemiology ; Fundamental and applied biological sciences. Psychology ; high density lipoprotein ; Humans ; Linear Models ; Lipids ; Lipids - blood ; low density lipoprotein ; Male ; men ; Menopause ; Middle Aged ; middle-aged adults ; Multivariate Analysis ; nonspine fractures ; osteopenia ; Osteoporosis ; Osteoporosis - epidemiology ; Risk Factors ; Surveys and Questionnaires ; triacylglycerols ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; very low density lipoprotein ; women ; young adults</subject><ispartof>The American journal of clinical nutrition, 2006, Vol.83 (1), p.146-154</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Jan 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-24b7097d34376f51badc8b68f9e2ff4c318f673226ee230148be0114f76a13383</citedby><cites>FETCH-LOGICAL-c477t-24b7097d34376f51badc8b68f9e2ff4c318f673226ee230148be0114f76a13383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17448445$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16400063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hsu, Yi-Hsiang</creatorcontrib><creatorcontrib>Venners, Scott A</creatorcontrib><creatorcontrib>Terwedow, Henry A</creatorcontrib><creatorcontrib>Feng, Yan</creatorcontrib><creatorcontrib>Niu, Tianhua</creatorcontrib><creatorcontrib>Li, Zhiping</creatorcontrib><creatorcontrib>Laird, Nan</creatorcontrib><creatorcontrib>Brain, Joseph D</creatorcontrib><creatorcontrib>Cummings, Steve R</creatorcontrib><creatorcontrib>Bouxsein, Mary L</creatorcontrib><creatorcontrib>Rosen, Cliff J</creatorcontrib><creatorcontrib>Xu, Xiping</creatorcontrib><title>Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>BACKGROUND: Higher fat mass may be an independent risk factor for osteoporosis and osteoporotic fractures. OBJECTIVE: We aimed to determine the independent contribution of fat mass to osteoporosis and to estimate the risk of osteoporotic fractures in relation to body weight, lean mass, and other confounders. DESIGN: This was a community-based, cross-sectional study of 7137 men, 4585 premenopausal women, and 2248 postmenopausal women aged 25-64 y. Total-body and hip bone mineral content (BMC) and bone mineral density (BMD) and body composition were measured by dual-energy X-ray absorptiometry. Serum lipids were measured. Sex- and menopause-specific multiple generalized linear models were applied. RESULTS: Across 5-kg strata of body weight, fat mass was significantly inversely associated with BMC in the whole body and total hip. When we compared the highest quartile with the lowest quartile of percentage fat mass in men, premenopausal women, and postmenopausal women, the adjusted odds ratios (95% CIs) of osteoporosis defined by hip BMD were 5.2 (2.1, 13.2), 5.0 (1.7, 15.1), and 6.9 (4.3, 11.2), respectively. Significant linear trends existed for higher risks of osteoporosis, osteopenia, and nonspine fractures with higher percentage fat mass. Significant negative relations were found between whole-body BMC and cholesterol, triacylglycerol, LDL, and the ratio of HDL to LDL in all groups. CONCLUSIONS: Risks of osteoporosis, osteopenia, and nonspine fractures were significantly higher for subjects with higher percentage body fat independent of body weight, physical activity, and age. Thus, fat mass has a negative effect on bone mass in contrast with the positive effect of weight-bearing itself.</description><subject>Absorptiometry, Photon</subject><subject>Adipose Tissue - metabolism</subject><subject>Adult</subject><subject>Aging - physiology</subject><subject>Anthropometry</subject><subject>Asian people</subject><subject>Biological and medical sciences</subject><subject>blood lipids</subject><subject>Body Composition - physiology</subject><subject>Body fat</subject><subject>body mass index</subject><subject>body weight</subject><subject>Body Weight - physiology</subject><subject>bone density</subject><subject>Bone Density - physiology</subject><subject>bone fractures</subject><subject>bone resorption</subject><subject>Bones</subject><subject>China</subject><subject>cholesterol</subject><subject>cohort studies</subject><subject>dual-energy X-ray absorptiometry</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fractures</subject><subject>Fractures, Bone - epidemiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>high density lipoprotein</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Lipids</subject><subject>Lipids - blood</subject><subject>low density lipoprotein</subject><subject>Male</subject><subject>men</subject><subject>Menopause</subject><subject>Middle Aged</subject><subject>middle-aged adults</subject><subject>Multivariate Analysis</subject><subject>nonspine fractures</subject><subject>osteopenia</subject><subject>Osteoporosis</subject><subject>Osteoporosis - epidemiology</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>triacylglycerols</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>very low density lipoprotein</subject><subject>women</subject><subject>young adults</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0c1rFDEYBvAgit1Wj141CPXU2eZrk8xRFrVCoaD2HDKZN5plJhmTGWTv_uHNdhcKPSXk_fGQ5EHoHSVrSlp-bXcuXmu-pmsq5Au0oi3XDWdEvUQrQghrWio3Z-i8lB0hlAktX6MzKkWdSb5C_3_AYOeQIk4ed6nfY5fGKZVwOLvC3s54tKVcYRt7XCAvIx7CFPqC54RTmSFNKac5OOyzdfOSoTzSLkXAY4iQ7YB7iDVwj0PE2z_1rNQRxEf3L9XdG_TK26HA29N6ge6_fvm1vWlu7759336-bZxQam6Y6BRpVc8FV9JvaGd7pzupfQvMe-E41V4qzpgEYJxQoTsglAqvpKWca36BPh1zp5z-LlBmM4biYBhshLQUI5Ukqm15hR-fwV1acqx3M4zTVnDNDmnNEbmcSsngzZTDaPPeUGIO3ZhDN0ZzQ03tpvr3p9ClG6F_0qcyKrg8AVucHeqHRhfKk1NCaCE21X04Om-Tsb9zNfc_GaH1yUSolin-AKoLoPM</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Hsu, Yi-Hsiang</creator><creator>Venners, Scott A</creator><creator>Terwedow, Henry A</creator><creator>Feng, Yan</creator><creator>Niu, Tianhua</creator><creator>Li, Zhiping</creator><creator>Laird, Nan</creator><creator>Brain, Joseph D</creator><creator>Cummings, Steve R</creator><creator>Bouxsein, Mary L</creator><creator>Rosen, Cliff J</creator><creator>Xu, Xiping</creator><general>American Society for Clinical Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women</title><author>Hsu, Yi-Hsiang ; Venners, Scott A ; Terwedow, Henry A ; Feng, Yan ; Niu, Tianhua ; Li, Zhiping ; Laird, Nan ; Brain, Joseph D ; Cummings, Steve R ; Bouxsein, Mary L ; Rosen, Cliff J ; Xu, Xiping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-24b7097d34376f51badc8b68f9e2ff4c318f673226ee230148be0114f76a13383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Absorptiometry, Photon</topic><topic>Adipose Tissue - metabolism</topic><topic>Adult</topic><topic>Aging - physiology</topic><topic>Anthropometry</topic><topic>Asian people</topic><topic>Biological and medical sciences</topic><topic>blood lipids</topic><topic>Body Composition - physiology</topic><topic>Body fat</topic><topic>body mass index</topic><topic>body weight</topic><topic>Body Weight - physiology</topic><topic>bone density</topic><topic>Bone Density - physiology</topic><topic>bone fractures</topic><topic>bone resorption</topic><topic>Bones</topic><topic>China</topic><topic>cholesterol</topic><topic>cohort studies</topic><topic>dual-energy X-ray absorptiometry</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fractures</topic><topic>Fractures, Bone - epidemiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>high density lipoprotein</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Lipids</topic><topic>Lipids - blood</topic><topic>low density lipoprotein</topic><topic>Male</topic><topic>men</topic><topic>Menopause</topic><topic>Middle Aged</topic><topic>middle-aged adults</topic><topic>Multivariate Analysis</topic><topic>nonspine fractures</topic><topic>osteopenia</topic><topic>Osteoporosis</topic><topic>Osteoporosis - epidemiology</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>triacylglycerols</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>very low density lipoprotein</topic><topic>women</topic><topic>young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hsu, Yi-Hsiang</creatorcontrib><creatorcontrib>Venners, Scott A</creatorcontrib><creatorcontrib>Terwedow, Henry A</creatorcontrib><creatorcontrib>Feng, Yan</creatorcontrib><creatorcontrib>Niu, Tianhua</creatorcontrib><creatorcontrib>Li, Zhiping</creatorcontrib><creatorcontrib>Laird, Nan</creatorcontrib><creatorcontrib>Brain, Joseph D</creatorcontrib><creatorcontrib>Cummings, Steve R</creatorcontrib><creatorcontrib>Bouxsein, Mary L</creatorcontrib><creatorcontrib>Rosen, Cliff J</creatorcontrib><creatorcontrib>Xu, Xiping</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hsu, Yi-Hsiang</au><au>Venners, Scott A</au><au>Terwedow, Henry A</au><au>Feng, Yan</au><au>Niu, Tianhua</au><au>Li, Zhiping</au><au>Laird, Nan</au><au>Brain, Joseph D</au><au>Cummings, Steve R</au><au>Bouxsein, Mary L</au><au>Rosen, Cliff J</au><au>Xu, Xiping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2006</date><risdate>2006</risdate><volume>83</volume><issue>1</issue><spage>146</spage><epage>154</epage><pages>146-154</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>BACKGROUND: Higher fat mass may be an independent risk factor for osteoporosis and osteoporotic fractures. OBJECTIVE: We aimed to determine the independent contribution of fat mass to osteoporosis and to estimate the risk of osteoporotic fractures in relation to body weight, lean mass, and other confounders. DESIGN: This was a community-based, cross-sectional study of 7137 men, 4585 premenopausal women, and 2248 postmenopausal women aged 25-64 y. Total-body and hip bone mineral content (BMC) and bone mineral density (BMD) and body composition were measured by dual-energy X-ray absorptiometry. Serum lipids were measured. Sex- and menopause-specific multiple generalized linear models were applied. RESULTS: Across 5-kg strata of body weight, fat mass was significantly inversely associated with BMC in the whole body and total hip. When we compared the highest quartile with the lowest quartile of percentage fat mass in men, premenopausal women, and postmenopausal women, the adjusted odds ratios (95% CIs) of osteoporosis defined by hip BMD were 5.2 (2.1, 13.2), 5.0 (1.7, 15.1), and 6.9 (4.3, 11.2), respectively. Significant linear trends existed for higher risks of osteoporosis, osteopenia, and nonspine fractures with higher percentage fat mass. Significant negative relations were found between whole-body BMC and cholesterol, triacylglycerol, LDL, and the ratio of HDL to LDL in all groups. CONCLUSIONS: Risks of osteoporosis, osteopenia, and nonspine fractures were significantly higher for subjects with higher percentage body fat independent of body weight, physical activity, and age. Thus, fat mass has a negative effect on bone mass in contrast with the positive effect of weight-bearing itself.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>16400063</pmid><doi>10.1093/ajcn/83.1.146</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Absorptiometry, Photon Adipose Tissue - metabolism Adult Aging - physiology Anthropometry Asian people Biological and medical sciences blood lipids Body Composition - physiology Body fat body mass index body weight Body Weight - physiology bone density Bone Density - physiology bone fractures bone resorption Bones China cholesterol cohort studies dual-energy X-ray absorptiometry Feeding. Feeding behavior Female Fractures Fractures, Bone - epidemiology Fundamental and applied biological sciences. Psychology high density lipoprotein Humans Linear Models Lipids Lipids - blood low density lipoprotein Male men Menopause Middle Aged middle-aged adults Multivariate Analysis nonspine fractures osteopenia Osteoporosis Osteoporosis - epidemiology Risk Factors Surveys and Questionnaires triacylglycerols Vertebrates: anatomy and physiology, studies on body, several organs or systems very low density lipoprotein women young adults |
| title | Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women |
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