Factors Influencing Bone Mineral Density Among Adults of Delhi: A Gender Differential

2019 ◽  
Vol 21 (2) ◽  
pp. 199-209 ◽  
Author(s):  
Peteneinuo Rulu ◽  
Meenal Dhall ◽  
Renu Tyagi ◽  
Kshetrimayum Surmala Devi ◽  
Nilupher Feroz ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Older Adults ◽  
Bone Mineral ◽  
Fat Body ◽  
Mineral Density ◽  
Cross Sectional ◽  
Body Adiposity Index ◽  
Adiposity Index ◽  
Body Adiposity ◽  
Males And Females

Objective: The aim of the study was to find out the risk factor of bone mineral density (BMD). Methodology: Cross-sectional data were collected on 233 participants (males and females) with age ranging from 20 to 70 years. The subjects were divided into two groups consisting of young adults of 20–45 years and older adults of >45 years. The BMD was calculated by a heel ultrasonic test. Each subject was measured for various adiposity markers like body fat, body mass index, body shape index (BSI), body adiposity index and lifestyle parameters. Results: BSI was found to be higher among older adults in both males and females. The risk of osteoporosis and osteopenia was also seen to be significantly higher among older adults of >45 years ( p < 0.001). Various factors like age ( p < 0.001), milk intake status ( p < 0.05), education ( p < 0.01), occupation ( p < 0.05) and body adiposity index ( p < 0.05) were found to be risks for osteoporosis and osteopenia. Conclusion: In our study, BMD was found to be highly correlated with age, and the risk of osteopenia and osteoporosis increased as age increased. Illiteracy, milk consumption status, homemakers and higher body adiposity were also identified as risk factors for developing osteopenia and osteoporosis.

scholarly journals The sex-specific association of serum osteoprotegerin and receptor activator of nuclear factor κB legend with bone mineral density in older adults: the Rancho Bernardo Study

2007 ◽  
Vol 156 (5) ◽  
pp. 555-562 ◽  
Author(s):  
Anna Stern ◽  
Gail A Laughlin ◽  
Jaclyn Bergstrom ◽  
Elizabeth Barrett-Connor
Keyword(s):  
Bone Mineral Density ◽  
Older Adults ◽  
Lumbar Spine ◽  
Bone Mineral ◽  
Nuclear Factor Κb ◽  
Nuclear Factor ◽  
Mineral Density ◽  
Cross Sectional ◽  
Total Hip ◽  
Receptor Activator

Objective: The role of osteoprotegerin (OPG) and its receptor activator of nuclear factor κB legend (RANKL) in the regulation of bone in humans remain unclear. We examined the sex-specific associations of serum OPG, RANKL, and their ratio with bone mineral density (BMD) in older adults. Design: Participants were 681 community-dwelling adults, ages 45–90 years, who had serum OPG and RANKL measured and bone density scans in 1988–1991, with follow-up scans 5 and/or 10 years later. Methods: Analyses were sex-specific; women using and not using estrogen were evaluated separately. Cross-sectional analyses used multivariable regression models; longitudinal analyses used repeated measures mixed effects models. Results: In cross-sectional analyses, age- and weight-adjusted serum OPG levels were significantly positively associated with BMD at the lumbar spine in men, and at the femoral neck, total hip, and lumbar spine in women using estrogen, but not in non-users of estrogen. RANKL concentrations were significantly and inversely associated with BMD in men only, and at the total hip. Neither OPG nor RANKL was significantly associated with bone loss. Results for the RANKL/OPG ratio were the same as those for RANKL alone. Conclusions: These results suggest a modulatory effect of both endogenous and exogenous sex hormones on the biologic interaction of OPG, RANKL, and bone.

scholarly journals Bone mineral density in adults with osteoarthritis or rheumatoid arthritis: a cross-sectional study of a nationwide population.

2020 ◽  
Author(s):  
Zhongxin Zhu ◽  
Gangfeng Hu ◽  
Hongting Jin ◽  
Peijian Tong
Keyword(s):  
Rheumatoid Arthritis ◽  
Bone Mineral Density ◽  
Bone Mineral ◽  
Disease Duration ◽  
The Other ◽  
Mineral Density ◽  
Cross Sectional ◽  
Other Hand ◽  
Subgroup Analyses ◽  
Males And Females

Abstract Background It is reported that osteoporosis commonly occurs in rheumatoid arthritis (RA), whereas there is a controversial relationship with osteoarthritis (OA). In this study, we aimed to investigate the relations between OA, RA and bone mineral density (BMD) in adults aged 20–59 years. Methods We merged and analyzed the database from the National Health and Nutrition Examination Survey (NHANES) 2011–2018. Arthritis status and types of arthritis were obtained from questionnaires. Lumbar BMD was measured by dual-energy X-ray absorptiometry. The associations between OA, RA and lumbar BMD were evaluated using logistic regression models. Subgroup analyses stratified by gender and race were performed. The association between disease duration of arthritis and lumbar BMD was also investigated. Results A total of 11094 adults aged 20–59 years were analyzed in this study. Compared with the non-arthritis group, participants with OA had a higher lumbar BMD (β = 0.023; 95% CI: 0.011–0.035), while no significant association was observed in rheumatoid arthritis (β = 0.014; 95% CI: -0.003–0.031). In the subgroup analyses stratified by gender, males with OA had a higher lumbar BMD compared with those without (β = 0.014; 95% CI: -0.003–0.031). However, this association changed in females (β = 0.007; 95% CI: -0.008–0.021). On the other hand, no significant association was observed in RA in both males and females (males: β = 0.023; 95% CI: -0.003–0.048, females: β = 0.008; 95% CI: -0.015–0.031). Moreover, the disease duration of arthritis was not associated with lumbar BMD in both OA (β=-0.0001; 95% CI: -0.0017–0.0015) and RA (β = 0.0006; 95% CI: -0.0012–0.0025). Conclusions The correlation between OA and lumbar BMD differed by sex. Patients with OA were more likely to have higher lumbar BMD in males, but not in females. On the other hand, no significant association was found in RA both in males and females.

scholarly journals Intensity Matters for Musculoskeletal Health: A Cross-Sectional Study on Movement Behaviors of Older Adults from High-Income Scottish and Low-Income South African Communities

2021 ◽  
Vol 18 (8) ◽  
pp. 4310
Author(s):  
Ilaria Pina ◽  
Amy E. Mendham ◽  
Simone A. Tomaz ◽  
Julia H. Goedecke ◽  
Lisa K. Micklesfield ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Older Adults ◽  
South African ◽  
Bone Mineral ◽  
Low Income ◽  
Cross Sectional Study ◽  
High Income ◽  
Musculoskeletal Health ◽  
Mineral Density ◽  
Cross Sectional

This study aimed to investigate differences in physical activity (PA) patterns and the associations between objectively measured 24-h movement behaviors and musculoskeletal measures (muscle strength, muscle mass, physical performance, and bone mineral density) in a high-income and a low-income community. This cross-sectional study recruited independent living older adults aged 60–85 years from high-income Scottish (n = 150) and low-income South African (n = 138) settings. Participants completed demographic and health questionnaires, and testing included body composition and bone mineral density (dual energy X-ray absorptiometry), physical performance (grip strength, gait speed), and PA (accelerometry). Participants accumulated similar amounts of weekly total PA, however, the Scottish cohort engaged in more moderate-to-vigorous intensity PA (MVPA) and sedentary behavior (SB), while the South African cohort spent more time sleeping and in light intensity PA (LPA). From compositional data analysis, more time spent in MVPA relative to the other movement behaviors was positively associated with higher muscle mass (p < 0.001) and strength (p = 0.001) in the Scottish cohort. Conversely, more time spent in MVPA was associated with faster gait speed (p < 0.001) and greater hip bone mineral density (p = 0.011) in the South African cohort. Our findings confirm the beneficial role of MVPA in both high- and low-income cohorts, however, the relationship MVPA had with components of musculoskeletal health in older adults differed between settings.

Association between reproductive factors and postmenopausal osteoporosis

2011 ◽  
Vol 20 (03) ◽  
pp. 248-251
Author(s):  
H. R. Meybodi ◽  
N. Khalili ◽  
P. Khashayar ◽  
R. Heshmat ◽  
A. Hossein-nezhad ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Reproductive Factors ◽  
Population Based ◽  
Age At Menarche ◽  
Mineral Density ◽  
Cross Sectional ◽  
Number Of Children ◽  
Menstrual History ◽  
Duration Of Breastfeeding

SummaryThe present cross-sectional research was designed to study possible correlations between clinical reproductive factors and bone mineral density (BMD) values.Using the data gathered by the population-based Iranian Multicenter Osteoporosis Study (IMOS), we investigated the correlation found between reproductive factors and osteoporosis. Subjects were recruited from five major cities of Iran. Bone mineral density was measured using Dual-Energy X-ray Absorptiometry and the results were analyzed against the age at menarche and at menopause, number of pregnancies, children and abortions, and the history (and duration) of breastfeeding.Data was available for 2528 women. Gravidity and number of children were reversely correlated with BMD. Younger age at menarche was associated with higher BMD values, whereas there was no significant correlation between age at menopause and menstrual history and BMD.Our study suggests that clinical reproductive factors, particularly number of children and breastfeeding, could be incorporated as predictors of BMD levels in women. Given the controversial results obtained in different studies, longitudinal studies should be carried out to enlighten the importance of these factors and the rationale of their use to predict BMD values in different settings.

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