Relationship of Body Mass Index, Bone Turnover Marker and Bone Mineral Density in Postmenopausal Women
Keywords:
Bone mass, Body mass index, Obesity, Postmenopausal women, Bone turnover markerAbstract
Objective:To observe the correlation of body mass index (BMI) with bone mineral density(BMD) and bone turnover marker
(NTX) in postmenopausal women
Materials and Methods: This observational cross sectional study was carried outfrom January 2014 to December 2014. In
this study 85 postmenopausal women were included from Orthopedics and Gynecology outpatient departments of a tertiary
care hospital of Karachi.Their BMI in Kg/m2 and BMD by DEXA scan (femur and lumbar spine) were measured.Seruml evels
of bone turn over marker, N-telopeptide of type I collagen (NTX) was assayed by ELISA.To evaluate the relationship between
BMI, bone mass and NTX, Pearson Correlation co-efficient was computed (P-value significancewas <0.05).
Results:The correlation between BMI and BMD at both femur(r = 0.060, P = 0.586) and lumbar spine(r =0.093, P=.0.398)was
weak and found to be non-significant. The correlation between serum NTX & BMI was negative but also found to be nonsignificant(
r = -0.14, P=0.203).
Conclusion:Both bone mass and bone turnover marker (NTX) are not correlated to an index of obesity, BMI in postmenopausal
women in our clinical set up.
References
Freeman E.W, Sammel MD, Lin H,Gracia C R.Obesity
and Reproductive Hormone Levels in the Transition to
Menopause. Menopause.2010;17(4):718–26 doi:10.1097/
gme.0b013e3181cec85d
Bone mineral density, body mass index, postmenopausal
period and outcomes of low back pain treatment in Korean
postmenopausal women. Eur Spine J 2010; 19:194
–7 DOI 10.1007/s00586-010-1559-7
Iqbal MM. Osteoporosis: Epidemiology, Diagnosis, and
Treatment.South Med J.2000;93(1):2-18
Obesity and overweight Fact sheet No.311, Updated
January 2015, http://www.who.int/mediacentre/factsheets/
fs311/en/
Qureshi HJ, Hamid N, Bashir MU, Saleem T, Awan
AR ,Ul-Ain R. Bone Mineral Density in Premenopausal
and Postmenopausal Women.Pak J Med Health Sci 201
;5(1):203-5
Khokhar S, Hasan JA, Qazi S. Osteoporosis and its risk
factors among menopausal women Pak J Med Res.2014;
(2):42-5
Fatima N, UzZaman M , Zaman U, ZamanA,Tahseen
R. Impact of Body Mass Index (BMI) and parity upon
Bone Mineral Density (BMD) using DEXA in Pakistani
women .Pakistan Journal Of Radiology PJR 2013; 23(1)
-6
Misra A,Shrivastava U. Obesity and Dyslipidemia in
South Asians.Nutrients2013, 5, 2708-33.doi:10.3390/nu
World Health Organization Assessment of osteoporosis
at the primary health care level. Summary Report of a
WHO Scientific Group. WHO, Geneva 2007
Guney E, Kisakol G, Ozgen G, Yilmaz C, Yilmaz R, Kabalak
T. Effect of weight loss on bonemetabolism: comparison
of vertical banded gastroplasty and medical intervention.
ObesSurg2003; 13:383–8
Radak TL. Caloric restriction and calcium’s effect on
bone metabolism and body composition in overweight
and obese premenopausal women.Nutr Rev 2004; 62:46
–81
Shapses SA, SukumarD.Bone Metabolism in Obesity
and Weight Loss .Annu Rev Nutr. 2012 August 21; 32:
–309. doi:10.1146/annurev.nutr.012809.104655
Lucas R, Severo R E, BarrosM H. Potential for a direct
weight-independent association between adiposity and
forearm bone mineral density during adolescence. Am.
J. Epidemiol. 2011, 174, 691–700
Zhao LJ, Liu YJ, Liu P Y, Hamilton J, ReckerRR,Deng
HW.Relationship of obesity with osteoporosis,
JClinEndocrinolMetab. 2007 May; 92(5): 1640–6
Schneider DL, Barrett-Connor. Urinary N-telopeptide
levels discriminate normal, osteopenic, and osteoporotic
bone mineral density. Arch Intern Med 1997; 157:1241–5
Rosen HN. Use of biochemical markers of bone turnover
in osteoporosis2014.http://www.uptodate.com/contents/
use-of-biochemical-markers-of-bone-turnover-in-osteoporosis
Jablonka F, Schindler F, Philbert P, Hélio L, Fernando
PLA, Barbieri FA, et al.Serum cross-linked n-telopeptides
of type 1 collagen (NTx) in patients with solid tumors
/ Dosagemsérica do N-telopeptídeo do colágenotipo I
(NTX) empacientes com tumoressólidosSao Paulo Med.
J.2009 ; 127(1); 19-22; 2009-01http://dx.doi.org/10.159
/S1516 31802009000100005
Naylor K, Paggiosi M, Gossiel F, McCloskey E, Peel
N, Walsh J et al. Determinants of bone turnover marker
response to three oral bisphosphonate therapies in postmenopausal
osteoporosis: the TRIO study Bone Abstracts
(2014) 3 PP330 DOI:10.1530/boneabs.3.PP330
Khokhar KK, Kaur G, Sidhu S. Prevalence of obesity
in working premenopausal and postmenopausal women
of Jalandhar District, Punjab, J Hum Ecol. 2010, 29(1):
-62
Begum P, Richardson CE, Carmichael AR .Obesity in
post-menopausal women with a family history of breast
cancer: prevalence and risk awareness .International
Seminars in Surgical Oncology 2009;6:1doi: 10.1186/14
-7800-6-1
NAMS(North American Menopause Society). Management
of Osteoporosis in Postmenopausal Women: 2010
Position Statement of the; Menopause. 2010; 17(1):25-
Rosen CJ.Postmenopausal Osteoporosis.NEngl J Med
; 353:595-603
Iwamoto J, Sato Y, Uzawa M, TakedaT, Matsumoto H.
Lumbar bone mineral density, bone turnover, and lipid
metabolism in elderly women with osteoporosisYonsei
Med J 2008; 49(1):119-28
Sambrook PN, Geusens P, Ribot C, Solimano JA, Ferrer-
Barriendos J, Gaines K et al. Alendronate produces greater
effects than raloxifene on bone density and bone
turnover in postmenopausal women with low bone density.
Journal of Internal Medicine 2004; 255: 503–11
De Laet C, Kanis JA, Oden A, Johanson H, Johnell O,
Delmas P et al. Body mass index as a predictor of fracture
risk: A meta-analysis.Osteoporo Int.2005; 16:1330–8
Hsu YH, Venners SA, Terwedow HA, Feng Y, Niu T,
Li Z et al.Relation of body composition, fat mass, and
serum lipids to osteoporotic fractures and bone mineral
density in Chinese men and women. Am J ClinNutr.
; 83:146–54
Nguyen TV, Center JR, Eisman JA.Osteoporosis in elderly
men and women: effects of dietary calcium, physical
activity, and body mass index. J Bone Miner Res2000;15:
-31
Baheiraei A, Pocock N A, Eisman JA, Nguyen N D,
Nguyen TV.Bone mineral density, body mass index and
cigarette smoking among Iranian women: implications
for prevention BMC Musculoskeletal Disorders 2005;
:34-8, http://www.biomedcentral.com/1471-2474/6/34
Blum M, Harris SS, Must A, Naumova EN, Phillips
SM, Rand WM et al.Leptin, body composition and bone
mineral density in premenopausal women. CalcifTissueInt
,73:27-32
Shaarawy M, Abassi AF, Hassan H, Salem ME. Relationship
between serum leptin concentrations and bone mineral
density as well as biochemical markers of bone
turnover in women with postmenopausal osteoporosis:
Fertility and Sterility2003;79( 4):919-24, sterility 2003.
Reid IR. Relationships among body mass, its components,
and bone. Bone 2002; 31:547–55
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