Association between Anthropometric Indices, Body Composition and Bone Parameters in Thai Female Adolescents

Original Article

Abstract

Objective

To investigate correlations between anthropometrics and body composition with bone parameters of the whole-body and lumbar spine in non-obese and obese Thai female adolescents.

Methods

This study was performed in 135 female adolescents aged 15 to 18 y enrolled in secondary schools in southern Thailand. Subjects were grouped into non-obesity (underweight and normal-to-overweight) (BMI < 25) and obesity (BMI ≥ 25) groups. Anthropometric indices for obesity [body weight (BW), waist circumference (WC), and body mass index (BMI)] were recorded. Bone parameters (BMC, BMD, and Z-scores) of the whole-body and lumbar spine (L1-L4) and body composition (LBM, BFM, %fat, %lean, and %bone) were assessed by dual-energy X-ray absorptiometry (DXA). Correlations between anthropometrics, body composition, and bone parameters were evaluated and compared between subject groups.

Results

The obesity group had significantly higher means of whole-body BMD, BMC and Z-score than non-obese group (p < 0.05). BMI and BW were positively associated with BFM and %fat (p < 0.05) for non-obese subjects. Obese subjects had greater lumbar spine BMC compared to non-obese subjects. BFM was correlated with whole-body BMC in obese group. BW was a positive determinant of BMC at both sites in all subject groups, particularly for obese subjects; BW had positive associations with all bone parameters at the lumbar spine.

Conclusions

BW can be used as a determinant of all bone parameters at lumbar spine, and BFM had a positive effect on whole-body BMC in Thai obese female adolescent subjects.

Keywords

Body weight Body mass index Bone mineral content Lumbar spine Adolescent girls 

Abbreviations

BFM

Body fat mass

BMC

Bone mineral content

BMD

Bone mineral density

BMI

Body mass index

BW

Body weight

DXA

Dual-energy X-ray absorptiometry

FFM

Fat-free mass

LBM

Lean body mass

WC

Waist circumference

%Bone

Bone percentage

%Fat

Body fat percentage

%Lean

Lean percentage

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Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  1. 1.School of MedicineWalailak UniversityNakhon Si ThammaratThailand

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