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Influence of body weight on rates of change in bone density of the spine, hip, and radius in postmenopausal women

  • Clinical Investigations
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Summary

Interrelationships between percent of ideal body weight (%IBW), serum estrogen levels, and change in bone mineral density (ΔBMD) and bone mineral content (ΔBMC) were studied in 288 postmenopausal women aged 41–71 years who participated in a 2-year calcium supplement trial. The spine (L2–L4) and femoral neck were measured by dualphoton absorptiometry, and the radius was measured by single-photon absorptiometry. Years since menopause, calcium intake, and initial BMD or BMC were included as independent variables in two-phase regressions of ΔBMD and ΔBMC on %IBW. Increased %IBW protected against loss of spine BMD [regression slope estimate=0.05, 95% C.I.: (0.03, 0.26)] and BMC in women up through about 106 %IBW but not in heavier women. Increased %IBW was not significantly related to ΔBMD or ΔBMC at the femoral neck or radius. Women above 106%IBW had significant gains in spine and femoral neck area (P< 0.05). Serum estrone and estradiol were positively correlated with ΔBMD and ΔBMC at the femoral neck only.

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References

  1. Dawson-Hughes B, Shipp C, Sadowski L, Dallal G (1987) Bone density of the radius, spine and hip in relation to percent of ideal body weight in postmenopausal women. Calcif Tissue Int 40:310–314

    Google Scholar 

  2. 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 4:441–448

    Google Scholar 

  3. Stevenson JC, Lees B, Devenport M, Cust MP, Ganger KF (1989) Determinants of bone density in normal women: risk factors for future osteoporosis? Br Med J 298:924–928

    Google Scholar 

  4. Bevier WC, Wiswell RA, Pyka GP, Kosak 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 4:421–432

    Google Scholar 

  5. Slemenda CW, Hui SL, Williams CJ, Christian JC, Meaney FJ, Johnston CC Jr (1990) Bone mass and anthropometric measurements in adult females. Bone Miner 11:101–109

    Google Scholar 

  6. Christensen MS, Christiansen C, Naestoft J, McNair P, Transbol I (1981) Normalization of bone mineral content to height, weight and lean body mass: implications for clinical use. Calcif Tissue Int 33:5–8

    Google Scholar 

  7. Nordin BEC, Chatterton BE, Steurer TA, Walker CJ (1986) Forearm bone mineral content does not decline with age in premenopausal women. Clin Orthop 211:252–256

    Google Scholar 

  8. Pocock NA, Eisman JA, Yeates MG, Sambrook PN, Eberl S (1986) Physical fitness is a major determinant of femoral neck and lumbar spine bone mineral density. J Clin Invest 78:618–621

    Google Scholar 

  9. Nordin BE, Polley KJ (1987) Metabolic consequences of the menopause. Calcif Tissue Int 41(Suppl 1)

  10. Christiansen C, Riis BJ, Rodbro P (1987) Prediction of rapid bone loss in postmenopausal women. Lancet 1:1105–1108

    Google Scholar 

  11. Ettinger B, Thomsen K, Cann CE (1986) Postmenopausal bone loss is prevented by low dosage estrogen with calcium. Ann Intern Med 106:40–45

    Google Scholar 

  12. Riggs BL, Wahner HW, Melton LJ III, Richelson LS, Judd HL, Offord KP (1986) Rates of bone loss in the appendicular and axial skeletons of women. J Clin Invest 77:1487–1491

    Google Scholar 

  13. Dawson-Hughes B, Dallal GE, Krall EA, Sadowski L, Sayhoun N, Tannenbaum S (1990) A controlled trial of the effect of calcium supplementation on bone density in postmenopausal women. N Engl J Med 323:878–838

    Google Scholar 

  14. Dawson-Hughes B, Dallal GE (1990) Effect of radiographic abnormalities on rates of bone loss from the spine. Calcif Tissue Int 46:280–281

    Google Scholar 

  15. Dawson-Hughes B, Deehr MS, Berger PS, Dallal GE, Sadowski LJ (1989) Correction of the effects of source, source strength, and soft-tissue thickness on spine dual-photon absorptiometry. Calcif Tissue Int 44:251–257

    Google Scholar 

  16. Shipp CC, Berger P, Dawson-Hughes B (1988) Precision of dual-photon absorptiometry measurements. Calcif Tissue Int 42:287–292

    Google Scholar 

  17. Russell RM, McGandy RB, Jelliffe D (1984) Reference weights: practical considerations. Am J Med 76:767–769

    Google Scholar 

  18. Longcope C, Watson DJ, Williams KI (1974) The effects of synthetic estrogens on the metabolic clearance and production rates of estrone and estradiol. Steroids 24:15–31

    Google Scholar 

  19. Krall EA, Sahyoun N, Tannenbaum S, Dallal GE, Dawson-Hughes B (1989) Effect of vitamin D intake on seasonal variations in parathyroid hormone secretion in postmenopausal women. N Engl J Med 321:1777–1783

    Google Scholar 

  20. SPSS Inc. (1988) SPSS-X user's guide, 3rd ed. Chicago

  21. SAS Institute Inc. (1985) SAS user's guide: statistics, 5th ed. Cary, NC

  22. Diaconis P, Efron B (1983) Computer intensive methods in statistics. Scientific American 248:116–130

    Google Scholar 

  23. Luckey MM, Meier DE, Mandeli JP, Dacosta ML, Hubbard ML, Goldsmith SJ (1989) Radial and vertebral bone density in white and black women: evidence for racial differences in premenopausal bone homeostasis. J Clin Endocrinol Metab 69:762–770

    Google Scholar 

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

    Google Scholar 

  25. Frost HM (1973) Bone remodeling and its relationship to metabolic bone diseases. Charles C. Thomas, Springfield, IL

    Google Scholar 

  26. Rubin CT, Lanyon LE (1985) Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int 37:411–417

    Google Scholar 

  27. Schlindler AE, Friedrich E (1972) Conversion of androstenedione to estrone by human fat tissue. J Clin Endocrinol Metab 35:627–630

    Google Scholar 

  28. Frumar AM, Meldrum DR, Geola F, Shamoki IM, Tataryn IV, Deftos LJ, Judd HL (1980) Relationship of fasting urinary calcium to circulating estrogen and body weight in postmenopausal women. J Clin Endocrinol Metab 50:70–75

    Google Scholar 

  29. Longcope C, Baker R, Johnston CC Jr (1986) Androgen and estrogen metabolism: relationship to obesity. Metabolism 35:235–237

    Google Scholar 

  30. Slemenda C, Hui SL, Longcope C, Johnston CC (1987) Sex steroids and bone mass: a study of changes about the time of menopause. J Clin Invest 80:1261–1269

    Google Scholar 

  31. Moskilde L, Moskilde L (1986) Normal vertebral body size and compressive strength: relations to age and to vertebral and iliac trabecular bone compressive strength. Bone 7:207–212

    Google Scholar 

  32. Smith RW Jr, Walker RR (1964) Femoral expansion in aging women: implications for osteoporosis and fractures. Science 145:156–157

    Google Scholar 

  33. Parfitt AM (1984) Age-related structural changes in trabecular and cortical bone: cellular mechanisms and biochemical consequences. Calcif Tissue Int 36:s123-s128

    Google Scholar 

  34. Mazess RB, Barden HS, Drinka PJ, Bauwens SF, Orwoll ES, Bell NH (1990) Influence of age and body weight on spine and femur bone mineral density in U.S. white men. J Bone Miner Res 5:645–652

    Google Scholar 

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Harris, S., Dallal, G.E. & Dawson-Hughes, B. Influence of body weight on rates of change in bone density of the spine, hip, and radius in postmenopausal women. Calcif Tissue Int 50, 19–23 (1992). https://doi.org/10.1007/BF00297292

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  • DOI: https://doi.org/10.1007/BF00297292

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