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Lower Jump Power Rather Than Muscle Mass Itself is Associated with Vertebral Fracture in Community-Dwelling Elderly Korean Women

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Abstract

Sarcopenia is considered to be a risk factor for osteoporotic fracture, which is a major health problem in elderly women. In this study, we aimed to investigate the association of sarcopenia, with regard to muscle mass and function, with prevalent vertebral fracture in community-dwelling elderly women. We recruited 1281 women aged 64 to 87 years from the Korean Urban Rural Elderly cohort study. Muscle mass and function were measured using bioimpedance analysis and jumping mechanography. Skeletal muscle index (SMI) and jump power were used as an indicator of muscle mass and function, respectively. Among the participants, we observed 282 (18.9%) vertebral fractures and 564 (44.0%) osteoporosis. Although age, body mass index, and prevalence of osteoporosis increased as both SMI and jump power decreased, prevalence of vertebral fracture increased only when jump power decreased. In univariate analysis, compared with the highest quartile of jump power, the lowest quartile had a significant odds ratio of 2.80 (95% CI 1.79–4.36) for vertebral fracture. This association between jump power and vertebral fracture remained significant, with an odds ratio of 3.04 (95% CI 1.77–5.23), even after adjusting for other risk factors including age, bone mineral density, previous fracture, and cognitive function. In contrast, there was no association between SMI and vertebral fracture. Based on our results, low jump power, but not SMI, is associated with vertebral fracture in community-dwelling elderly Korean women. This finding suggests that jump power may have a more important role than muscle mass itself for osteoporotic fracture.

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Acknowledgements

The present study was supported by funding from the Korea Centers for Disease Control and Prevention (code 2011-E63005-00, 2012-E63001-001, 2013-E63007-00-02, and 2014-ER6306-00).

Authors’ Contributions

EYL designed the study, analyzed the data, and wrote the manuscript. SJL analyzed the data and wrote the manuscript. KMK, DS, SWL, and HSC collected the data and revised the manuscript. HCK, COK, and YY interpreted the data and revised the manuscript. YR designed the study, interpreted the data, and revised the manuscript.

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    Authors and Affiliations

    1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

      Eun Young Lee

    2. Division of Endocrinology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea

      Su Jin Lee

    3. Department of Medicine, Yonsei University Graduate School of Medicine, Seoul, Republic of Korea

      Su Jin Lee & Da Hea Seo

    4. Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea

      Kyoung Min Kim

    5. Division of Endocrinology and Metabolism, Department of Internal Medicine, Inha University School of Medicine, Incheon, Republic of Korea

      Da Hea Seo

    6. Department of Sociology, Yonsei University, Seoul, Republic of Korea

      Seung Won Lee & Yoosik Youm

    7. Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea

      Han Sol Choi & Hyeon Chang Kim

    8. Division of Geriatrics, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea

      Chang Oh Kim

    9. Department of Internal Medicine, Severance Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea

      Yumie Rhee

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    Correspondence to Yumie Rhee.

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    Eun Young Lee, Su Jin Lee, Kyoung Min Kim, Da Hae Seo, Seung Won Lee, Han Sol Choi, Hyeon Chang Kim, Yoosik Youm, Chang Oh Kim, and Yumie Rhee declare that they have no conflict of interest.

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    The study protocol was approved by the ethics committee of Severance Hospital.

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    Eun Young Lee and Su Jin Lee have contributed equally to this manuscript.

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    Lee, E.Y., Lee, S.J., Kim, K.M. et al. Lower Jump Power Rather Than Muscle Mass Itself is Associated with Vertebral Fracture in Community-Dwelling Elderly Korean Women. Calcif Tissue Int 100, 585–594 (2017). https://doi.org/10.1007/s00223-017-0239-6

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