Osteoporos Sarcopenia.  2017 Jun;3(2):98-103. 10.1016/j.afos.2017.02.001.

The correlation between bone mineral density/trabecular bone score and body mass index, height, and weight

Affiliations
  • 1Department of Mechanical Engineering, Dongguk University, Seoul, South Korea.
  • 2Department of Medical Biotechnology, Dongguk University, Seoul, South Korea.
  • 3Division of Mechanical and Biomedical Engineering, College of Engineering, Ewha Womans University, Seoul, South Korea. tlee@ewha.ac.kr
  • 4Division of Endocrinology and Metabolism, Department of Internal Medicine, Dongguk University Ilsan Hospital, Koyang, South Korea.
  • 5Department of Orthopaedics, Inje University Ilsan Paik Hospital, Goyang, South Korea.

Abstract


OBJECTIVES
This study investigated the correlation between bone mineral density (BMD)/trabecular bone score (TBS) and body mass index (BMI), height and weight in Korean adults.
METHODS
We enrolled 2555 female participants in their 20s-80s and 1631 male participants in their 20s-70s. Participants with history of previous vertebral surgeries or current vertebral diseases were excluded. Female and male participants were divided into osteoporosis group (n = 136 and n = 31, respectively), osteopenia group (n = 822 and n = 460, respectively), and normal group (n = 1596 and n = 1140, respectively) based on their BMD T-score. Dual-energy X-ray absorptiometry image analysis and linear regression analysis were conducted on each participant in each group to determine the P-value and the correlation between BMD T-score/TBS T-score and BMI, weight, and height.
RESULTS
We found a significant correlation between BMI and TBS in both male and female participants. In the male participants, the correlation coefficient increased progressively from the normal group to the osteoporosis group. In the female group, we observed a significant positive correlation between height and TBS, and in the male group a significant negative correlation between weight and TBS was observed.
CONCLUSIONS
BMI and weight are closely correlated to body fat content. BMD was positively correlated to BMI and weight, while TBS was negatively correlated to BMI and weight. Therefore, although BMI causes an increase in BMD, it appears to be negatively affecting bone quality.

Keyword

Bone mineral density; Trabecular bone score; Body mass index; Body fat contents; Osteoporosis; Korea

MeSH Terms

Absorptiometry, Photon
Adipose Tissue
Adult
Body Mass Index*
Bone Density
Bone Diseases, Metabolic
Female
Humans
Korea
Linear Models
Male
Miners*
Osteoporosis
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