Influence of body composition on the bone mass of postmenopausal women

Marone, Marília Martins Silveira; Gouveia, Cecília Helena de Azevedo; Lewin, Shlomo; Wehba, Salim; Malvestiti, Luiz F.; Bianco, Antonio C.

doi:10.1590/s1516-31801997000600005

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Specifically focusing on our findings, it may be that the lower weight (8.1 kg lower) and BMI (3.3 kg/m 2 lower) relative to the controls, which is characteristic of individuals with osteoporosis, 25 , 26 may have had an influence. Weight may have negatively influenced the ability to displace the COP.…”

Section: Discussionmentioning

confidence: 77%

Postural control among elderly women with and without osteoporosis: is there a difference?

Burke

França²,

Meneses

et al. 2010

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: Little is known about postural control among elderly individuals with osteoporosis and its relationship with falls. It has been suggested that elderly women with kyphosis and osteoporosis are at greater risk of falling. The aim of this study was to evaluate posture and postural control among elderly women with and without osteoporosis. DESIGN AND SETTING:Cross-sectional study conducted at the Physical Therapy and Electromyography Laboratory, School of Medicine, Universidade de São Paulo (USP). METHODS:Sixty-six elderly women were selected from the bone metabolism disorders clinic, Division of Rheumatology, USP, and were divided into two groups: osteoporosis and controls, according to their bone mineral density (BMD). Postural control was assessed using the Limits of Stability (LOS) test and the Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) and posture, using photometry. RESULTS:The elderly women with osteoporosis swayed at higher velocity on a stable surface with opened eyes (0.30 versus 0.20 degrees/second; P = 0.038). In both groups, the center of pressure (COP) was at 30% in the LOS, but with different placements: 156° in the osteoporosis group and 178° in the controls (P = 0.045). Osteoporosis patients fell more than controls did (1.0 versus 0.0; P = 0.036). CONCLUSIONS:The postural control in elderly women with osteoporosis differed from that of the controls, with higher sway velocity and maximum displacement of COP. Despite postural abnormalities such as hyperkyphosis and forward head, the COP position was posteriorized.RESUMO CONTEXTO E OBJETIVO: Pouco se sabe sobre o controle postural de idosos com osteoporose e sua relação com as quedas. Foi sugerido que idosas cifóticas com osteoporose têm maior risco de quedas. Esta pesquisa teve como objetivo avaliar o controle postural e a postura em idosas com e sem osteoporose. TIPO DE ESTUDO E LOCAL: Estudo transversal realizado no Laboratório de Avaliação Fisioterapêutica e Eletromiografia da Faculdade de Medicina daUniversidade de São Paulo (USP). MÉTODOS: Sessenta e seis mulheres idosas foram selecionadas da Clínica de Doenças Osteometabólicas da Divisão de Reumatologia daUniversidade de São Paulo e divididas em dois grupos: osteoporose e controle, de acordo com a densidade mineral óssea (DMO). Foi avaliado o controle postural pelos testes Limite de Estabilidade (LOS) e Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) e a postura pela fotometria. RESULTADOS:As idosas com osteoporose oscilaram com maior velocidade em superfície firme com olhos abertos (0,30 x 0,20 graus/segundo, P = 0,038). O COP (centro de pressão) de ambos os grupos encontrava-se a 30% do LOS, porém com posicionamentos distintos: 156° no grupo osteoporose e 178° no grupo controle (P = 0,045). As osteoporóticas caíram com maior frequência em comparação aos controles (1,0 x 0,0, P = 0,036).CONCLUSÃO: O controle postural de idosas com osteoporose diferiu dos controles, com maior velocidade de oscilação e máximo deslocamento do...

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Section: Discussionmentioning

confidence: 77%

Postural control among elderly women with and without osteoporosis: is there a difference?

Burke

França²,

Meneses

et al. 2010

Sao Paulo Med. J.

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“…Aloia et al [22] showed that body fat was not related to total or regional bone mineral measurements in white women (aged 51.1 B 10.8 years), but they found that muscle mass, which was increased with obesity, was related to bone mineral concentrations. Malone et al [23] showed that BMD was positively correlated with body weight, fat mass, lean mass and negatively correlated with age in postmenopausal women (50.1 B 4.8 years). They demonstrated that lean tissue mass was the main factor that influenced BMD in almost all areas (total body, femoral neck).…”

Section: Discussionmentioning

confidence: 99%

“…Their authors [19,20] stressed the importance of total fat mass in bone mineral protection. To date, the association between bone mass and lean tissue mass has only been shown in younger women [21][22][23]. Aloia et al [22] showed that body fat was not related to total or regional bone mineral measurements in white women (aged 51.1 B 10.8 years), but they found that muscle mass, which was increased with obesity, was related to bone mineral concentrations.…”

Section: Discussionmentioning

confidence: 99%

Body Composition and Osteoporosis in Elderly Women

Gillette-Guyonnet¹,

Nourhashémi²,

Lauque³

et al. 2000

Gerontology

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Objectives: To study body composition in elderly osteoporotic women to determine the relationship of body weight, body fat mass and lean mass to bone mineral density (BMD), and to investigate the association between one-leg balance, osteoporosis and sarcopenia. Design and Setting: A cross-sectional study of a community-based population in Toulouse, France. Methods: For each participant, whole body composition and BMD were estimated using a dual-energy x-ray absorptiometry scanner. We investigated balance using a one-leg balance test. Participants: 129 healthy women aged 75–89 years, volunteers, ambulatory and living at home. Results: Total fat mass and appendicular skeletal muscle mass (ASM) were significantly lower in osteoporotic women than in the age- and sex-matched non-osteoporotic controls [18.7 ± 4.6 vs. 22.2 ± 6.6 for total fat mass (p < 0.01); 13.1 ± 1.6 vs. 13.8 ± 2.2 for ASM (p < 0.05)]. We did not find a positive association between osteoporosis and sarcopenia (OR = 0.75, CI 0.3–1.84), osteoporosis and one-leg balance (OR = 1.27, CI 0.51–3.17), or sarcopenia and one-leg balance (OR = 1.31, CI 0.52–3.36). There were significant positive correlations between BMD in all areas and body measurements (weight, fat mass, lean tissue mass), but fat mass accounted for more of the variance in total body and femoral BMD than lean tissue mass. Total fat mass alone, in a multivariate model, was correlated with whole body BMD, whereas femoral BMD was associated with both fat mass and lean tissue mass. Conclusion: Higher values of fat mass and lean tissue mass may have a protective effect on femoral bone density. Sarcopenia and osteoporosis are not necessarily linked with balance.

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“…Increased fat mass is associated with a decrease in muscles and bone masses (10). Therefore, body composition appears to be another factor affecting the reduction of bone density (11).…”

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confidence: 99%

Assessment of Primary Osteoporosis Status in the Postmenopausal Women of Tabriz and the Effect of Curcumin Nanomicelles, Nigella sativa Oil, and Curcumin Nanomicelles and Nigella sativa Oil Soft Capsules on Cellular-Molecular and Clinical Outcomes: A Study Protocol

Abdolalipour¹,

Mirghafourvand²,

Mobasseri³

et al. 2020

International Journal of Women’s Health and Reproduction Scienc

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Introduction Osteoporosis is one of the most common metabolic bone diseases (1). Primary osteoporosis may result from menopause or aging whereas secondary osteoporosis is developed from local infection or inflammation, renal disease, medications (e.g., corticosteroids), systemic inflammation, and the like. Secondary osteoporosis is idiopathic in 30%-40% of cases (2). In postmenopausal women, bone mass decreases by about 3%-9% per year in the first six postmenopausal years (3). According to the International Osteoporosis Foundation, more than 50% of all bone fractures are projected to be of an osteoporotic nature by 2050 in East and Southeast Asia (4). Oxidative stress has been reported to create major changes in the function of bone cells such as osteocytes. Oxidative stress and inflammatory factors reduce bone mass through excessive osteocyte apoptosis (5). Bone is also highly responsive to sex hormones, especially estrogen, and its turnover can be regulated by estrogen-like compounds. Estrogen has an important role in skeletal development and bone homeostasis in both men and women (6).

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Influence of body composition on the bone mass of postmenopausal women

Cited by 5 publications

References 22 publications

Postural control among elderly women with and without osteoporosis: is there a difference?

Postural control among elderly women with and without osteoporosis: is there a difference?

Body Composition and Osteoporosis in Elderly Women

Assessment of Primary Osteoporosis Status in the Postmenopausal Women of Tabriz and the Effect of Curcumin Nanomicelles, Nigella sativa Oil, and Curcumin Nanomicelles and Nigella sativa Oil Soft Capsules on Cellular-Molecular and Clinical Outcomes: A Study Protocol

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