Skip to main content

Advertisement

Log in

The effect of outfitting style on bone mineral density

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Aim

Vitamin D deficiency is one of the most important risk factors in the development of osteoporosis. Recently, vitamin D deficiency is more frequently encountered than expected in Mediterranean countries, which are sunny most of the time. Our country is one of these sunny countries and here, we investigated the effect of outfitting style on bone mineral density (BMD) and plasma vitamin D levels in women aged between 30–40 years.

Method

Eighty women, aged between 30 and 40 years, were included in the study. They were divided into two groups, depending on their dress selection. Group-1 consisted of 40 cases with an open clothing style, while the 40 women in group-2, preferred the covered clothing style. Women were questioned in terms of the risk factors for osteoporosis. Levels of plasma 25(OH)2 vitamin D3 and parathormone (PTH) were tested along with routine blood analyses. BMD of Lumbar 1–4, femur neck, trochanter, and Ward’s triangle were measured.

Results

In group-2, number of pregnancies and body mass index (BMI) was statistically significantly higher (p < 0.05). When the laboratory parameters were compared, in group-2, only levels of plasma 25 (OH)2 vitamin D3 was significantly lower than group-1 (p < 0.05). There was no significant difference among groups in terms of BMD. In group-2, there was a positive correlation between BMI and BMD at L1–4, hip, femur neck, and trochanter regions (p < 0.01, 0.01, 0.05, and 0.05, respectively).

Conclusion

Traditional clothing style leads to vitamin D deficiency in women. In order to meet vitamin D need, the face, arm and leg regions of the body should be exposed to one minimal erythemal dose (MED; i.e., slight redness of the skin) of sunlight, at least two or three times a week. We believe that these cases should be more closely monitored for bone loss, especially during postmenopausal period, which is considered as a risky term in terms of osteoporosis development.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. NIH Consensus development panel on osteoporosis prevention, diagnosis and therapy (2001) JAMA 285:785–795

    Google Scholar 

  2. Holick MF (2003) Vitamin D: a millenium perspective. J Cell Biochem 88:296–307

    Article  PubMed  CAS  Google Scholar 

  3. Holick MF (2003) Evolution and function of vitamin D. Recent Results Cancer Res 164:3–28

    PubMed  CAS  Google Scholar 

  4. Brot C, Vestergaard P, Kolthoff N et al (2001) Vitamin D status and its adequacy in healthy Danish perimenopausal women: relationships to dietary intake, sun exposure and serum parathyroid hormone. Br J Nutr 86:97–103

    Google Scholar 

  5. Mac Laughlin J, Holick MF (1985) Aging decreases the capacity of human skin to produce vitamin D3. J Clin Invest 76:1536–1538

    Article  CAS  Google Scholar 

  6. Pettifor JM, Moodley GP, Hogh FG et al (1996) The effect of season and latitude on invitro vitamin D formation by sunlight in South Africa. S Afr Med J 86:1270–1272

    PubMed  CAS  Google Scholar 

  7. Need AG, Morris HA, Horowitz M (1993) Effects of skin thickness, age, body fat, and sunlight on serum 25-hydroxyvitamin D. Am J Clin Nutr 58:882–885

    PubMed  CAS  Google Scholar 

  8. Reid IR, Gallagher DJA, Bosworth J (1985) Prophylaxis against vitamin D deficiency in the elderly by regular sunlight exposure. Age Ageing 15:35–40

    Article  Google Scholar 

  9. Sedrani SH, Elidrissy AW, El Arabi KM (1983) Sunlight and vitamin D status in Saudi subjects. Am J Clin Nutr 38:129–132

    PubMed  CAS  Google Scholar 

  10. Fonseca V, Tongia R, El-Hazmi M et al (1984) Exposure to sunlight and vitamin D deficiency in Saudi Arabian women. Postgrad Med J 60:589–591

    Article  PubMed  CAS  Google Scholar 

  11. El-Sonbaty MR, Naser UAMA Abdul-Ghaffar (1996) Vitamin D deficiency in veiled Kuwaiti women. Eur J Clin Nutr 50:315–318

    PubMed  CAS  Google Scholar 

  12. Alagöl F, Shihadeh Y, Boztepe H et al (2000) Sunlight exposure and vitamin D deficiency in Turkish women. J Endocrinol Invest 23:173–177

    PubMed  Google Scholar 

  13. Gannage-Yared MH, Chemali R, Yaacoub N (2000) Hypovitaminosis D in a sunny country: relation to lifestyle and bone markers. J Bone Miner Res 15:1856–1862

    Article  PubMed  CAS  Google Scholar 

  14. Grover SR, Morley R (2001) Vitamin D deficiency in veiled or dark skinned pregnant women. Med J Aust 175(5):251–252

    PubMed  CAS  Google Scholar 

  15. Amling M, Priemel M, Holzman T et al (1999) Rescue of the skeletal phenotype of vitamin D reseptor-ablated mice in the setting of normal mineral ion homeostasis: formal histomorphometric and biomechanical analyses. Endocrinology 140:4982–4987

    Article  PubMed  CAS  Google Scholar 

  16. Gallagher JC, Kinyamu HK, Fowler SE et al (1998) Calciotropic hormones and bone markers in the elderly. J Bone Miner Res 13:475–482

    Article  PubMed  CAS  Google Scholar 

  17. Ooms ME, Roos JC, Bezemer PD et al (1995) Prevention of bone loss by vitamin D supplementation in elderly women. J Clin Endocrinol Metab 80:1052–1058

    Article  PubMed  CAS  Google Scholar 

  18. Dawson-Hughes B, Dallal GE, Krall EA et al (1991) Effect of vitamin D supplementation on wintertime and overall bone loss in healthy postmenopausal women. Ann Intern Med 115:505–512

    PubMed  CAS  Google Scholar 

  19. Taha W, Chin D, Silverberg A et al (2001) Reduced spinal bone mineral density in adolescents of an Ultra-Orthodox Jewish Community in Brooklyn. Pediatrics 107:1–6

    Article  Google Scholar 

  20. Ghannam NN, Hammani MM, Backheet SM et al (1999) Bone mineral density of the spine and femur in healthy Saudi females: relation to vitamin D status, pregnancy, and lactation. Calcif Tissue Int 65:23–28

    Article  PubMed  CAS  Google Scholar 

  21. Wortsman J, Matsuoka LY, Chen TC et al (2000) Decreased bioavilability of vitamin D in obesity. Am J Clin Nutr 72:690–693

    PubMed  CAS  Google Scholar 

  22. Liel Y, Edwars J, Shary J et al (1988) The effects of race and body habitus on bone mineral density of the radius, hip and spine in premenopausal women. J Clin Endocrinol Metab 66:1247–1250

    Article  PubMed  CAS  Google Scholar 

  23. Van Bersteijin ECH, van’t Hof MA, de Waard H et al (1990) Relation of axial bone mass to habitual calcium intake and to cortical bone loss in healthy early postmenopausal women. Bone 11:7–13

    Article  Google Scholar 

  24. Ribot C, Tremollieres F, Pouilles JM et al (1988) Obesity and postmenopausal bone loss: the influence of obesity on vertebral density and bone turnover in postmenopausal women. Bone 8:327–331

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kürşat Özoran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Güler, T., Sivas, F., Başkan, B.M. et al. The effect of outfitting style on bone mineral density. Rheumatol Int 27, 723–727 (2007). https://doi.org/10.1007/s00296-006-0297-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-006-0297-y

Keywords

Navigation