J Bone Metab.  2015 Nov;22(4):197-204. 10.11005/jbm.2015.22.4.197.

Relationship between Bone Mineral Density and Spinal Muscle Area in Magnetic Resonance Imaging

• Lee DY
• Yang JH
• Ki CH
• Ko MS
• Suk KS
• Kim HS
• Lee HM
• Moon SH

• KMID: 2170128
• DOI: http://doi.org/10.11005/jbm.2015.22.4.197

Abstract

BACKGROUND
Bone mineral density (BMD) is known to have a positive correlation with lean body mass. Several studies have also reported the positive correlation between muscle power and BMD. From this point of view, we hypothesized BMD of lumbar spine to have a positive correlation with muscle mass.
METHODS
Seventy-nine female patients aged between 60 and 75 years old and who underwent magnetic resonance imaging (MRI) and BMD studies were included. Muscle mass in spine MRI was defined by the sum of the average muscle area of three axial images for each disc level. Lumbosacral muscle is the sum of paraspinal muscle and psoas muscle.
RESULTS
In correlation analysis, paraspinal muscle mass showed positive correlation with BMD of lumbar spine. Lumbosacral muscle mass showed positive correlation with BMD of trochanteric area of the femur. However, BMD of other area showed no significant correlation with muscle mass.
CONCLUSIONS
Therefore, postmenopausal women older than 60 years with a well developed spine muscle mass, have a high BMD.

Keyword

Bone mineral density; Muscle; Osteoporosis; Postmenopause; Skeletal

MeSH Terms

Bone Density*
Female
Femur
Humans
Magnetic Resonance Imaging*
Osteoporosis
Paraspinal Muscles
Postmenopause
Psoas Muscles
Spine

Figure

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  Fig. 1 Lumbar magnetic resonance imaging sagittal image.

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  Fig. 2 Lumbar magnetic resonance imaging axial image.

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  Fig. 3 Distribution of lumbar muscle area in magnetic resonance imaging.

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  Fig. 4 Scatterplot between paraspinal muscle area and lumbar BMD. BMD, bone mineral density.

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  Fig. 5 Scatterplot between lumbosacral muscle area and lumbar BMD. BMD, bone mineral density.

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  Fig. 6 Scatterplot between Lumbosacral muscle area and trochanteric BMD. BMD, bone mineral density.

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  Fig. 7 Scatterplot between paraspinal muscel area and Psoas muscle area.

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