Rheumatology International

, Volume 25, Issue 7, pp 513–517 | Cite as

Relationships between muscle strength and bone mineral density of three body regions in sedentary postmenopausal women

  • Meral BayramoğluEmail author
  • Seyhan Sözay
  • Metin Karataş
  • Şehri Kılınç
Original Article


This cross-sectional study was designed to investigate correlations between muscle strength and regional bone mineral density (BMD) in sedentary postmenopausal women. Sixty-two women who ranged in age from 41 to 76 years were investigated. Hip and trunk muscle strength was measured by isokinetic dynamometry. Grip strength of the nondominant hand was measured using a hand-held dynamometer. Bone mineral density of the lumbar spine, femur, and distal radius was measured by dual-energy X-ray absorptiometry. Only the correlation between hip abductor strength and femoral BMD was significant (P=0.009, r=0.327). There was no correlation between trunk muscle strength and lumbar vertebral BMD or between grip strength and distal radius BMD. Subjects with osteoporosis (T score <−2.5) or osteopenia T (−2.5 to −1) and normal subjects (T>−1) exhibited similar isokinetic hip and trunk muscle strength. Women with osteoporotic distal radii had significantly lower grip strength than subjects who were osteopenic or normal at this site, but the osteoporotic group was also significantly older. In conclusion, our results indicate that the isokinetic strength of hip abductors weakly correlates with femoral BMD in postmenopausal women with and without osteoporosis. Trunk muscle strength did not correlate with lumbar vertebral BMD in either of these groups. The weaker handgrip we observed in the women with osteoporotic radii may be attributed to older age.


Bone mineral density Isokinetic muscle strength Osteoporosis 


  1. 1.
    Dalsky GP, Stocke KS, Ehsani AA, Slotopolsky F, Lee WC, Birge SJ (1988) Weight-bearing exercise training and lumbar BMC in postmenopausal women. Ann Int Med 108:824–828Google Scholar
  2. 2.
    Kerr D, Morton A, Dick I, Prince R (1996) Exercise effects on bone mass in postmenopausal women are site-specific and load-dependent. J Bone Miner Res 11:218–225PubMedGoogle Scholar
  3. 3.
    McCartney N, Hicks AL, Martin J, Webber CE (1995) Long-term resistance training in the elderly: effect on dynamic strength, exercise capacity, muscle and bone. J Gerontol Biochem Sci Med Ser 50:97–104Google Scholar
  4. 4.
    Powers SK, Dodd SL (1996) Effects of aging and exercise on skeletal muscle. Res Q Exerc Sport 67:26–36Google Scholar
  5. 5.
    Riggs BL, Wahner HW, Melton LJ, Richelson LS, Judd HL, Offord KP (1986) Rates of bone loss in the appendicular and axial skeletons of women: evidence of substantial vertebral bone loss before menopause. J Clin Invest 77:1487–1491PubMedGoogle Scholar
  6. 6.
    Hakkinen KW, Kraemer WJ, Kallinen M, Linnamo V, Pastinen U, Newton RU (1996) Bilateral and unilateral neuromuscular function and muscle cross-sectional area in middle-aged and elderly men and women. J Geront A Biol Sci Med Sci 51:B21–B29Google Scholar
  7. 7.
    Phillips SK, Rook KM, Siddle NC, Bruce SA, Woledge RC (1993) Muscle weakness in women occurs at an earlier age than in men, but strength is preserved by hormone replacement therapy. Clin Sci 84:95–98PubMedGoogle Scholar
  8. 8.
    Bevier WC, Wiswell RA, Pyka G, Kozak KC, Newhall KM, Marcus R (1989) Relationship of body composition, muscle strength and aerobic capacity to bone mineral density in older men and women. J Bone Miner Res 4:421–432PubMedGoogle Scholar
  9. 9.
    Kritz-Silverstein D, Barret-Connor E (1994) Grip strength and bone mineral density in older men and women. J Bone Miner Res 9:45–51PubMedGoogle Scholar
  10. 10.
    Nguyen T, Sambrook P, Kelly P, Jones G, Lord S, Freund J, Eisman J (1993) Prediction of osteoporotic fractures by postural instability and bone density. Br Med J 307:1111–1115Google Scholar
  11. 11.
    Pocock N, Eisman J, Gwinn T, Sambrook P, Kelly P, Freund J, Yeates M (1989) Muscle strength, physical fitness, and weight but not age predict femoral neck bone mass. J Bone Miner Res 4:441–448PubMedGoogle Scholar
  12. 12.
    Vico L, Pouget JF, Calmels P, Chatard JC, Rehaila M, Minaire P, Geyssant A, Alexandre C (1995) The relationship between physical ability and bone mass in women aged over 65 years. J Bone Miner Res 10:374–382PubMedGoogle Scholar
  13. 13.
    Vuori I, Heinonen H, Sievanen H, Kannus P, Pasanen M, Oja P (1994) Effects of unilateral strength training and detraining on bone mineral density and content in young women: a study of mechanical loading and deloading on human bones. Calcif Tissue Int 55:59–67PubMedGoogle Scholar
  14. 14.
    Beverly M, Rider T, Evans M, Smith R (1989) Local bone mineral response to brief exercise that stresses the skeleton. Br Med J 299:233–235Google Scholar
  15. 15.
    Tan J, Çubukçu S, Sepici V (1998) Relationship between bone mineral density of the proximal femur and strength of hip muscles in postmenopausal women. Am J Phys Med Rehab 77:477–482CrossRefGoogle Scholar
  16. 16.
    Sinaki M, Fitzpatrick L, Ritchie C, Montesano A, Wahner H (1998) Site-specificity of bone mineral density and muscle strength in women: job-related physical activity. Am J Phys Med Rehab 77:470–476CrossRefPubMedGoogle Scholar
  17. 17.
    Madsen K, Adams W, Van Loan M (1998) Effects of physical activity, body weight and composition and muscular strength on bone density in young women. Med Sci Sports Exerc 30:114–120PubMedGoogle Scholar
  18. 18.
    Duppe H, Gardsell P, Johnell O, Nilsson B, Ringsberg K (1997) Bone mineral density, muscle strength and physical activity. A population-based study of 332 subjects aged 15–42 years. Acta Orthop Scand 68:97–103PubMedGoogle Scholar
  19. 19.
    Bauer D, Browner W, Cauley J (1993) Factors associated with appendicular bone mass in older women. Ann Intern Med 118:657–665PubMedGoogle Scholar
  20. 20.
    Chesnut CH (1993) Bone mass and exercise. Am J Med 95:34–36CrossRefGoogle Scholar
  21. 21.
    Hannson T, Roos B (1984) Age-related changes in the bone mineral density of the lumbar spine in normal women. Calcif Tis Int 38:328–332Google Scholar
  22. 22.
    Madsen KL, Adams WC, Van Loan MD (1998) Effects of physical activity, body weight and composition, and muscular strength on bone density in young women. Med Sci Sports Exerc 30:114–120PubMedGoogle Scholar
  23. 23.
    Uusi Rasi K, Sievanen H, Pasanen M, Oja P, Vuori I (2001) Maintenance of body weight, physical activity and calcium intake helps preserve bone mass in elderly women. Osteoporos Int 12:373–379CrossRefPubMedGoogle Scholar
  24. 24.
    Madsen OR, Schaadt O, Bliddal H, Egsmose C, Sylvest J (1993) Relationship between quadriceps strength and bone mineral density of the proximal tibia and distal forearm in women. J Bone Miner Res 8:1439–1444PubMedGoogle Scholar
  25. 25.
    Madsen OR, Lauridsen UB, Sorensen OH (2000) Quadriceps strength in women with a previous hip fracture: relationships to physical ability and bone mass. Scand J Rehab Med 32:37–40CrossRefGoogle Scholar
  26. 26.
    Ravn P, Hetland ML, Overgaard K, Christiansen C (1994) Premenopausal and postmenopausal changes in bone mineral density of the proximal femur measured by dual-energy X-ray absorptiometry. J Bone Miner Res 9:1975–1980PubMedGoogle Scholar
  27. 27.
    Zimmermann CL, Smidt GL, Brooks JS, Kinsey WJ, Eekhoff TL (1990) Relationship of extremity muscle torque and bone mineral density in postmenopausal women. Phys Ther 70:302–309PubMedGoogle Scholar
  28. 28.
    Nordin M, Frankel VH (1989) Biomechanics of the hip. In: Nordin M, Frankel VH, Forssen K (eds) (1989) Basic biomechanics of the musculoskeletal system. Lea and Febiger, Philadelphia, pp 135–152Google Scholar
  29. 29.
    Di Monaco M, Di Monaco R, Manca M, Cavanna A (2000) Handgrip strength is an independent predictor of distal radius bone mineral density in postmenopausal women. Clin Rheumatol 19:473–476CrossRefPubMedGoogle Scholar
  30. 30.
    Rutherford OM (1999) Is there a role for exercise in the prevention of osteoporotic fractures? Br J Sports Med 33:378–386PubMedGoogle Scholar
  31. 31.
    Allen S (1994) Exercise considerations for postmenopausal women with osteoporosis. Arthritis Care Res 7:205–214PubMedGoogle Scholar
  32. 32.
    Nelson ME, Fiatarone MA, Morganti CM, Trice I, Greenberg RA, Evans WJ (1994) Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA 272:1909–1914CrossRefPubMedGoogle Scholar
  33. 33.
    Swezey RL (1996) Exercise for osteoporosis: is walking enough? The case for site specificity and resistive exercise. Spine Update 21:2809–2814CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Meral Bayramoğlu
    • 1
    • 2
    Email author
  • Seyhan Sözay
    • 1
  • Metin Karataş
    • 1
  • Şehri Kılınç
    • 1
  1. 1.Department of Physical Medicine and Rehabilitation, Faculty of MedicineBaşkent UniversityAnkaraTurkey
  2. 2.Arı Blokları No: 2/5ÇayyoluTurkey

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