Bone Health and its Relation to Energy Intake, Fat Mass and its Distribution

Hassan, Nayera E.; El-Masry, Sahar A.; El-Banna, Rokia; Al-Tohamy, Muhammad; El-Lebedy, Dalia; Abdelhalim, Dalia Adel; Amin, Darin; Megahed, S.M.; Khalil, Aya

doi:10.3923/pjbs.2020.1075.1085

Cited by 4 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The WC and WHR have been suggested by the World Health Organization as useful indicators of illness risk [ 47 ]. In addition, a cross-sectional study from Egypt reported a positive correlation between bone health and BMI, fat mass, and its distribution and basal metabolic rate, especially at the femoral neck, in women pre- and post-menopause, suggesting that overweight/obesity plays a protective role in bone health [ 48 ]. In a Chinese study, 5.75% of 9135 male participants had osteoporosis, among whom large body mass, including BMI, BRI, WHtR, WHR, a body shape index, and WC, was negatively associated with osteoporosis in older and middle-aged groups, and BMI was the strongest predictor of osteoporosis [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Low Obesity-Related Indices Are Associated with a Low Baseline Calcaneus Ultrasound T-Score, and a Rapid Decline in T-Score in a Large Taiwanese Population Follow-Up Study

et al. 2023

View full text Add to dashboard Cite

Osteoporosis results in reduced bone strength and an elevated risk of fractures. Both overweight and underweight have been associated with osteoporosis; however, few studies have examined associations between osteoporosis and indices related to obesity. Therefore, the aim of this study was to investigate the associations of obesity-related indices, including body mass index (BMI), waist–hip ratio (WHR), waist-to-height ratio (WHtR), body roundness index (BRI), body adiposity index (BAI), abdominal volume index (AVI), lipid accumulation product (LAP), and visceral adiposity index (VAI), with baseline and change in calcaneus ultrasound T-score between baseline and follow-up (ΔT-score). T-score was measured using ultrasound. A total of 26,983 subjects were enrolled (mean age 51.2 ± 10.4 years). Multivariable analysis showed significant associations between low BMI (per 1 kg/m2; β, 0.065), WHR (per 1%; β, 0.012), WHtR (per 1%; β, 0.024), BRI (per 1; β, 0.079), BAI (per 1; β, 0.032), AVI (per 1; β, 0.049), and LAP (per 1; β, 0.005) with low baseline T-scores (all p < 0.001). Furthermore, there were significant associations between low BMI (per 1 kg/m2; β, 0.005; p = 0.036), BAI (per 1; β, 0.010; p < 0.001), and VAI (per 1; β, 0.017; p = 0.002) with low ΔT-scores. A low baseline T-score was significantly associated with low values of LAP, AVI, BAI, BMI, BRI, WHR, and WHtR but not VAI. In addition, low BMI, BAI, and VAI were significantly associated with low ΔT-scores, representing a rapidly decreasing T-score. Consequently, avoiding being underweight may help prevent osteoporosis in the Taiwanese population.

show abstract

Section: Discussionmentioning

confidence: 99%

Low Obesity-Related Indices Are Associated with a Low Baseline Calcaneus Ultrasound T-Score, and a Rapid Decline in T-Score in a Large Taiwanese Population Follow-Up Study

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Obesity is also a protective factor for bone density, which partially explain why PUFAs are good for BMD ( 34 , 35 ). In addition, BMD has been shown to be higher in those with adequate fat intake than in those with insufficient fat intake ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

Association between fatty acids intake and bone mineral density in adults aged 20–59: NHANES 2011–2018

et al. 2023

View full text Add to dashboard Cite

BackgroundPrevious studies have investigated the link between fatty acid intake and bone mineral density (BMD), but the results are controversial. This study aims to examine the relationship between fatty acid intake and BMD in adults aged 20–59.MethodsThe association between fatty acid consumption and BMD was analyzed using a weighted multiple linear regression model with National Health and Nutrition Examination Survey data from 2011 to 2018. The linearity relationship and saturation value of the connection between fatty acid consumption and BMD were assessed by fitting a smooth curve and a saturation effect analysis model.ResultsThe study included 8,942 subjects. We found a significant positive correlation between the consumption of saturated fatty acids, monounsaturated fatty acids (MUFAs), and polyunsaturated fatty acids and BMD. In subgroup analyses that were stratified by gender and race, this association was still shown to be significant. Based on the smooth curve and saturation effect analysis, we found no saturation effect for the three fatty acids and total BMD. However, there was a turning point (20.52 g/d) between MUFAs intake and BMD, and only MUFAs intake >20.52 g/d showed a positive correlation between MUFAs and BMD.ConclusionWe found that fatty acid intake is beneficial for bone density in adults. Therefore, according to our findings, it is recommended that adults consume moderate amounts of fatty acids to ensure adequate bone mass but not metabolic diseases.

show abstract

“…The women were divided into two groups: pre-menopausal women (51 subjects) and postmenopausal women (65 subjects), and BMD was measured by DXA, then compared between the various groups according to BMI. Once again, a positive correlation was established between not solely BMI and BMD, but also the amount of fat mass and its distribution also had a positive correlation with BMD; for example, the supra-iliac fold was positively correlated with the measured BMD at the level of the femoral neck [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Nutrition, Physical Activity, and Dietary Supplementation to Prevent Bone Mineral Density Loss: A Food Pyramid

et al. 2021

View full text Add to dashboard Cite

Bone is a nutritionally modulated tissue. Given this background, aim of this review is to evaluate the latest data regarding ideal dietary approach in order to reduce bone mineral density loss and to construct a food pyramid that allows osteopenia/osteoporosis patients to easily figure out what to eat. The pyramid shows that carbohydrates should be consumed every day (3 portions of whole grains), together with fruits and vegetables (5 portions; orange-colored fruits and vegetables and green leafy vegetables are to be preferred), light yogurt (125 mL), skim milk (200 mL,) extra virgin olive oil (almost 20 mg/day), and calcium water (almost 1 l/day); weekly portions should include fish (4 portions), white meat (3 portions), legumes (2 portions), eggs (2 portions), cheeses (2 portions), and red or processed meats (once/week). At the top of the pyramid, there are two pennants: one green means that osteopenia/osteoporosis subjects need some personalized supplementation (if daily requirements cannot be satisfied through diet, calcium, vitamin D, boron, omega 3, and isoflavones supplementation could be an effective strategy with a great benefit/cost ratio), and one red means that there are some foods that are banned (salt, sugar, inorganic phosphate additives). Finally, three to four times per week of 30–40 min of aerobic and resistance exercises must be performed.

show abstract

Bone Health and its Relation to Energy Intake, Fat Mass and its Distribution

Cited by 4 publications

References 40 publications

Low Obesity-Related Indices Are Associated with a Low Baseline Calcaneus Ultrasound T-Score, and a Rapid Decline in T-Score in a Large Taiwanese Population Follow-Up Study

Low Obesity-Related Indices Are Associated with a Low Baseline Calcaneus Ultrasound T-Score, and a Rapid Decline in T-Score in a Large Taiwanese Population Follow-Up Study

Association between fatty acids intake and bone mineral density in adults aged 20–59: NHANES 2011–2018

Nutrition, Physical Activity, and Dietary Supplementation to Prevent Bone Mineral Density Loss: A Food Pyramid

Contact Info

Product

Resources

About