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Relative contribution of body composition to bone mineral density at different sites in men and women of South Korea

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Abstract

We examined the relative contribution of body composition to bone mineral density (BMD) at various sites in 1406 Korean rural men and women, aged 19–80 years, from July to August 2004. The BMD was measured at peripheral (distal forearm and calcaneus) and central (lumbar spine at L1–L4, femoral neck, trochanter, and Ward's triangle) using dual-energy X-ray absorptiometry. In multivariate analyses, the linear regression models were adjusted for relevant covariates. In premenopausal women, only lean mass had a significant positive correlation with BMD at all sites. In postmenopausal women, fat mass was significantly positively correlated with BMD at all sites, except the Ward's triangle; fat mass was the only determinant of BMD at the lumbar, distal forearm, and calcaneus sites, whereas both lean and fat mass contributed to BMD at the hip, with the effect of lean mass being slightly greater than that of fat mass. In younger men, lean mass had a significant positive contribution to BMD at all sites, whereas fat mass appeared to contribute negatively to BMD at all sites, except the calcaneus. In older men, lean mass made a significant positive contribution to the BMD at all sites; fat mass also made a significant positive contribution to the BMD at the forearm and calcaneus. These data indicate that in the Korean rural population, lean mass may be an important determinant of the BMD, whereas fat mass may contribute positively to BMD only in postmenopausal women and older men.

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Authors and Affiliations

  1. Department of Preventive Medicine, Chonnam National University Medical School, 5, Hak 1-dong, Dong-gu, Gwangju, 501-746, South Korea

    Lian-Hua Cui, Min-Ho Shin, Young-Hoon Lee & Jin-Su Choi

  2. Department of Preventive Medicine, College of Medicine, Seonam University, Namwon, South Korea

    Sun-Seog Kweon & Kyeong-Soo Park

  3. Department of Preventive Medicine, Qingdao University Medical College, Qingdao, China

    Lian-Hua Cui

  4. Department of Medical Education, Chonnam National University Medical School, Gwangju, South Korea

    Eun-Kyung Chung

  5. Department of Preventive Medicine, College of Medicine, Chungnam National University, Daejeon, South Korea

    Hae-Sung Nam

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  1. Lian-Hua Cui
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  2. Min-Ho Shin
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  8. Jin-Su Choi
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Correspondence to Jin-Su Choi.

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Cui, LH., Shin, MH., Kweon, SS. et al. Relative contribution of body composition to bone mineral density at different sites in men and women of South Korea. J Bone Miner Metab 25, 165–171 (2007). https://doi.org/10.1007/s00774-006-0747-3

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  • DOI: https://doi.org/10.1007/s00774-006-0747-3

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