Skip to main content
Log in

Relative importance of lean and fat mass on bone mineral density in a group of adolescent girls and boys

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

The aim of this study was to determine the relative importance of lean mass (LM) and fat mass (FM) on bone mineral density (BMD) in a group of adolescent girls and boys. A total of 65 adolescent boys and 35 adolescent girls participated in this study. Whole body (WB) and lumbar spine (L1–L4) BMD were measured by dual-energy X-ray absorptiometry (DXA). Body composition was assessed using the same technique. In boys, LM was strongly related to WBBMD (r = 0.68; p < 0.001) and to L1–L4 BMD (r = 0.61; p < 0.001), whereas FM was not positively related to BMD and was negatively associated with WB bone mineral apparent density (WBBMAD). In girls, both LM and FM were positively related to WBBMD (r = 0.41; p < 0.05 and r = 0.49; p < 0.01, respectively), whereas only FM was correlated to L1–L4 BMD (r = 0.33; p < 0.05). Finally, in a multiple regression analysis, FM was found to be a better positive determinant of WBBMD than LM in girls, whereas in boys, FM was found to be a negative determinant of WBBMD and L1–L4 BMD. This study suggests that LM is a strong determinant of WBBMD and L1–L4 BMD in boys, and that FM is a stronger determinant of WBBMD than LM in girls.

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

  • Bass S, Delmas PD, Pearce G, Hendrich E, Tabensky A, Seeman E (1999) The differing tempo of growth in bone size, mass, and density in girls is region specific. J Clin Invest 104:795–804. doi:10.1172/JCI7060

    Article  PubMed  CAS  Google Scholar 

  • Bedogni G, Mussi C, Malavolti M, Borghi A, Poli M, Battistini N, Salvioli G (2002) Relationship between body composition and bone mineral content in young and elderly women. Ann Hum Biol 29:559–565. doi:10.1080/03014460210137819

    Article  PubMed  CAS  Google Scholar 

  • Bonjour JP, Theintz G, Buchs B, Slosman D, Rizzoli R (1991) Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab 73:555–563

    PubMed  CAS  Google Scholar 

  • Cadogan J, Eastell R, Jones N, Barker ME (1997) Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ 315:1255–1260

    PubMed  CAS  Google Scholar 

  • Cobayashi F, Lopez LA, Taddei JAAC (2005) Bone mineral density in overweight and obese adolescents. J Pediatr 81:337–342

    Google Scholar 

  • Courteix D, Lespessailles E, Loiseau-Peres S, Obert P, Ferry B, Benhamou CL (1998) Lean tissue mass is a better predictor of bone mineral content and density than body weight in prepubertal girls. Rev Rhum 65:328–336

    CAS  Google Scholar 

  • Courteix D, Rieth N, Thomas T, Van Praagh E, Benhamou CL, Collomp K, Lespessailles E, Jaffré C (2007) Preserved bone health in adolescent elite rhythmic gymnasts despite hypoleptinemia. Horm Res 68:20–27. doi:10.1159/000098546

    Article  PubMed  CAS  Google Scholar 

  • Cruz JA (2000) Dietary habits and nutritional status in adolescents over Europe-Southern Europe. Eur J Clin Nutr 54:29S–35S. doi:10.1038/sj.ejcn.1600888

    Article  CAS  Google Scholar 

  • Ellis KJ, Abrams SA, Wong WW (1997) Body composition of a young, multiethnic female population. Am J Clin Nutr 65:724–731

    PubMed  CAS  Google Scholar 

  • Fardellone P, Sebert JL, Bouraga M, Bonidan O, Leclercq G, Doutrellot C, Bellony R (1991) Evaluation of the calcium content of diet by frequential self-questionnaire. Rev Rhum Mal Osteoartic 58:99–103

    PubMed  CAS  Google Scholar 

  • Fleming KH, Heimbach JT (1994) Consumption of calcium in the US: food sources and intake levels. J Nutr 124:1426S–1430S

    PubMed  CAS  Google Scholar 

  • Heinonen A, Oja P, Kannus P, Sievänen H, Haapasalo H, Mänttäri A, Vuori I (1995) Bone mineral density in female athletes representing sports with different loading characteristics of the skeleton. Bone 17:197–203. doi:10.1016/8756-3282(95)00151-3

    Article  PubMed  CAS  Google Scholar 

  • Hui SL, Slemenda CW, Johnson CC Jr (1988) Age and bone mass as predictors of fractures in prospective study. J Clin Invest 81:1804–1809. doi:10.1172/JCI113523

    Article  PubMed  CAS  Google Scholar 

  • Katzman DK, Bachrach LK, Carter DR, Marcus R (1991) Clinical and anthropometric correlates of bone mineral acquisition in healthy adolescent girls. J Clin Endocrinol Metab 73:1332–1339

    Article  PubMed  CAS  Google Scholar 

  • Krall EA, Dawson-Hughes B (1993) Heritable and lifestyle determinants of bone mineral density. J Bone Miner Res 8:1–9

    Article  PubMed  CAS  Google Scholar 

  • Lazcano-Ponce E, Tamayo J, Cruz-Valdez A, Diaz R, Hernandez B, Del Cueto R, Hernandez-Avila M (2003) Peak bone mineral area density and determinants among females aged 9 to 24 years in Mexico. Osteoporos Int 14:539–547. doi:10.1007/s00198-002-1363-2

    Article  PubMed  Google Scholar 

  • Lloyd T, Beck TJ, Lin HM, Tulchinsky M, Eggli DF, Oreskovic TL, Cavanagh PR, Seeman E (2002) Modifiable determinants of bone status in young women. Bone 30:416–421. doi:10.1016/S8756-3282(01)00675-5

    Article  PubMed  CAS  Google Scholar 

  • Maynard LM, Guo SS, Chumlea WC, Roche AF, Wisemandle WA, Zeller CM, Towne B, Siervogel RM (1998) Total body and regional mineral content and areal bone mineral density aged 8–18 years: the Fels study. Am J Nutr 68:1111–1117

    CAS  Google Scholar 

  • McCormick RK (2007) Osteoporosis: integrating biomarkers and other diagnostic correlates into the management of bone fragility. Altern Med Rev 12:113–145

    PubMed  Google Scholar 

  • Nelson DA, Barondess DA (1997) Whole body bone, fat and lean mass in children: comparison of three ethnic groups. Am J Phys Anthropol 103:157–162. doi:10.1002/(SICI)1096-8644(199706)103:2<157::AID-AJPA2>3.0.CO;2-R

    Article  PubMed  CAS  Google Scholar 

  • Nguyen TV, Howard GM, Kelly PJ, Eisman JA (1998) Bone mass, lean mass and fat mass: same genes or same environment? Am J Epidemiol 147:3–16

    PubMed  CAS  Google Scholar 

  • Nichols DL, Sanborn CF, Bonnick SL, Gengh B, Dimarco N (1995) Relationship of regional body composition to bone mineral density in college females. Med Sci Sports Exerc 27:178–182. doi:10.1249/00005768-199502000-00005

    PubMed  CAS  Google Scholar 

  • Pead MJ, Suswillo RS, Skerry TM, Vedi S, Lanyon LE (1988) Increased 3H-uridine levels in osteocytes following a single short period of dynamic loading in vivo. Calcif Tissue Int 43:92–96. doi:10.1007/BF02555153

    Article  PubMed  CAS  Google Scholar 

  • Piekarski K, Munro M (1977) Transport mechanism operating between blood supply and osteocytes in long bones. Nature 269:80–82. doi:10.1038/269080a0

    Article  PubMed  CAS  Google Scholar 

  • Pietrobelli A, Faith MS, Wang J, Brambilla P, Chiumello G, Heymsfield SB (2002) Association of lean tissue and fat mass with bone mineral content in children and adolescents. Obes Res 10:56–60. doi:10.1038/oby.2002.8

    Article  PubMed  Google Scholar 

  • Pollitzer WS, Anderson JJB (1989) Ethnic and genetic differences in bone mass: a review with a heredity vs environmental perspective. Am J Clin Nutr 50:1244–1259

    PubMed  CAS  Google Scholar 

  • Reid IR (2002) Relationships among body mass, its components and bone. Bone 31:547–555. doi:10.1016/S8756-3282(02)00864-5

    Article  PubMed  CAS  Google Scholar 

  • Reid IR (2008) Relationships between fat and bone. Osteoporos Int 19:595–606. doi:10.1007/s00198-007-0492-z

    Article  PubMed  CAS  Google Scholar 

  • Reid IR, Lindsay DP, Margaret CE (1992) Fat mass is an important determinant of whole body bone density in premenopausal women but not in men. J Clin Endocrinol Metab 75:779–782. doi:10.1210/jc.75.3.779

    Article  PubMed  CAS  Google Scholar 

  • Rizzoli R (2006) Determinants of peak bone mass. Ann Endocrinol (Paris) 67:114–115

    CAS  Google Scholar 

  • Rizzoli R, Bonjour JP, Ferrari SL (2001) Osteoporosis, genetics and hormones. J Mol Endocrinol 26:79–94. doi:10.1677/jme.0.0260079

    Article  PubMed  CAS  Google Scholar 

  • Schoenau E, Neu CM, Rauch F, Manz F (2001) The development of bone strength at the proximal radius during childhood and adolescence. J Clin Endocrinol Metab 86:613–618. doi:10.1210/jc.86.2.613

    Article  PubMed  CAS  Google Scholar 

  • Thomas T, Burguera B (2002) Is Leptin the link between fat and bone mass? J Bone Miner Res 17:1563–1569. doi:10.1359/jbmr.2002.17.9.1563

    Article  PubMed  CAS  Google Scholar 

  • Vincente-Rodriguez G, Jimenez-Ramirez J, Ara I, Serrano-Sanchez JA, Dorado C, Calbet JAL (2003) Enhanced bone mass and physical fitness in prebuscent footballers. Bone 33:853–859. doi:10.1016/j.bone.2003.08.003

    Article  Google Scholar 

  • Vincente-Rodriguez G, Dorado C, Perez-Gomez Z, Gonzalez-Henriquez JJ, Calbet JAL (2004) Enhanced bone mass and physical fitness in young female handball players. Bone 35:1208–1215. doi:10.1016/j.bone.2004.06.012

    Article  Google Scholar 

  • Wang MC, Bachrach LK, Van Loan M, Hudes M, Flegal KM, Crawford PB (2005) The relative contributions of lean tissue mass and fat mass to bone density in young women. Bone 37:474–481. doi:10.1016/j.bone.2005.04.038

    Article  PubMed  CAS  Google Scholar 

  • Weiler HA, Janzen L, Green K, Grabowski J, Seshia MM, Yuen KC (2000) Percent body fat and bone mass in healthy Canadian females 10 to 19 years of age. Bone 27:203–207. doi:10.1016/S8756-3282(00)00314-8

    Article  PubMed  CAS  Google Scholar 

  • Witzke KA, Snow CM (1999) Lean body mass and leg power best predict bone mineral density in adolescent girls. Med Sci Sports Exerc 31:1558–1563. doi:10.1097/00005768-199911000-00010

    Article  PubMed  CAS  Google Scholar 

  • Zanchetta JR, Plotkin H, Filgueira MLA (1995) Bone mass in children: normative values for the 2–20-year-old population. Bone 16:393S–399S

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rawad Philippe El Hage.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hage, R.P.E., Courteix, D., Benhamou, CL. et al. Relative importance of lean and fat mass on bone mineral density in a group of adolescent girls and boys. Eur J Appl Physiol 105, 759–764 (2009). https://doi.org/10.1007/s00421-008-0959-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-008-0959-4

Keywords

Navigation