Relative contribution of lean and fat mass component to bone mineral density in males

Relative contribution of lean and fat mass component to bone mineral density in males
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DOI:
10.1007/s007740300003
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发表时间:
2003-01-01
影响因子:
3.3
通讯作者:
Nagata, Y
Nagata, Y
中科院分区:
医学3区
文献类型:
--
作者:
Douchi, T;Kuwahata, R;Nagata, Y

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我们研究了93名健康日本男性志愿者(平均年龄,33.1 +/- 6.9岁;范围,18-54岁)的瘦体重(LBM)和体脂量对骨密度(BMD)的相对贡献。记录年龄、身高(Ht)、体重(Wt)和体重指数(BMI,Wt/Ht(2))。采用双能X线骨密度仪测量体脂质量、体脂百分比、体脂质量/Ht(2)、LBM、LBM/Wt、LBM/Ht(2)、腰椎(L2-L4)和全身骨密度(TBBMD)。在Pearson相关性检验中,LBM与L2-L4 BMD呈正相关。LBM、LBM/Wt、LBM/Ht(2)与TBBMD呈正相关。然而,体脂量和体脂量/Ht(2)与腰椎和全身BMD无关。在偏相关检验中,LBM与腰椎(r = 0.307,P < 0.05)和全身BMD(r = 0.545,P < 0.0001)仍相关,而体脂量与这些部位的BMD无关(r分别为-0.069和-0.169)。我们的结论是,在男性中,LBM是BMD的重要决定因素之一,而体脂量是一个可以忽略的BMD决定因素。
We investigated the relative contribution of lean body mass (LBM) and body fat mass to bone mineral density (BMD) in 93 healthy Japanese male volunteers (mean age, 33.1 +/- 6.9 years; range, 18-54 years). Age, height (Ht), weight (Wt), and body mass index (BMI, Wt/Ht(2)) were recorded. Body fat mass, percentage of body fat, body fat mass/Ht(2), LBM, LBM/Wt, LBM/Ht(2), and lumbar spine (L2-L4) and total body BMD (TBBMD) were measured by dual-energy X-ray absorptiometry. On the Pearson correlation test, LBM was positively correlated with L2-L4 BMD. LBM, LBM/Wt, and LBM/Ht(2) were positively correlated with TBBMD. However, body fat mass and body fat mass/Ht(2) were not correlated with lumbar spine and total body BMD. On the partial correlation test, LBM was still correlated with lumbar spine (r = 0.307, P < 0.05) and total body BMD (r = 0.545, P < 0.0001), irrespective of age and height, whereas body fat mass was not correlated with BMD of these sites (r = -0.069 and -0.169, respectively). We concluded that, in males, LBM is one of the significant determinants of BMD whereas body fat mass is a negligible BMD determinant.