Factors associated with bone mineral density in adults: a cross-sectional population-based study

Segheto, Kátia Josiany; Juvanhol, Leidjaira Lopes; Carvalho, Cristiane Junqueira de; Silva, Danielle Cristina Guimarães da; Kakehasi, Adriana Maria; Longo, Giana Zarbato

doi:10.1590/s1980-220x2018039903572

Cited by 7 publications

(5 citation statements)

References 23 publications

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“…We observed a positive correlation between BMI and BMD at all sites ( P = 0.004, P = 0.003, P = 0.003, respectively). The same result was obtained with the study of Irene Zolfaroli et al This result can be explained by the fact that an increased BMI leads to an increased mechanical load on the body, stimulating bone formation [ 26 ]. In addition, certain metabolic substances are involved in the process of bone metabolism.…”

Section: Discussionsupporting

confidence: 77%

Analysis of the predictive value of the Geriatric Nutritional Risk Index for osteoporosis in elderly patients with T2DM: a single-center retrospective study

Sun,

Tao,

et al. 2023

J Orthop Surg Res

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Background Malnutrition is recognized as a risk factor for osteoporosis and T2DM. Previous studies have demonstrated the relationship between nutritional assessment tools and BMD. However, few studies have compared the effects of three nutritional risk assessment tools (GNRI, CONUT, and PNI). This study aimed to investigate the correlation between three nutritional assessment tools and BMD and to compare their validity in predicting osteoporosis in type 2 diabetes mellitus in the elderly. Methods This retrospective study collected clinical data from 525 elderly patients with type 2 diabetes mellitus and categorized the patients into osteoporotic and non-osteoporotic groups. The correlation between the three nutritional assessment tools and BMD was analyzed using Spearman partial correlation. Binary logistics regression was used to analyze the relationship between GNRI and osteoporosis. ROC curves were used to compare the validity of GNRI, PNI, and CONUT in predicting osteoporosis. Results Spearman’s partial correlation showed a positive correlation between femoral neck BMD and lumbar spine BMD, but no correlation was observed between total hip BMD and GNRI. Logistic regression analyses showed no association between PNI, CONUT scores, and the development of osteoporosis. After adjusting for age, sex, smoking, alcohol consumption, BMI, ALB, Cr, UA, FBG, TG, and HDL, the correlation between GNRI and osteoporosis remained. ROC curve analysis showed that GNRI in combination with age and albumin had better predictive ability for osteoporosis than PNI and CONUT. Conclusion GNRI was an independent protective factor against osteoporosis in elderly patients with T2DM, and the predictive ability of GNRI for osteoporosis in elderly patients with T2DM was better than that of PNI and CONUT scores.

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Section: Discussionsupporting

confidence: 77%

Analysis of the predictive value of the Geriatric Nutritional Risk Index for osteoporosis in elderly patients with T2DM: a single-center retrospective study

Sun,

Tao,

et al. 2023

J Orthop Surg Res

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“…Excess body weight can cause metabolic changes in the form of insulin resistance and excessive production of androgen and estrogen hormones thereby reducing osteoblast action. Besides that, overproduction of adipokines or leptin levels due to high fat consumption may contribute to gained calcium absorption [35]. However, excessive subcutaneous fat and visceral fat can increase systemic inflammation which can trigger bone loss, besides that it is associated with increased levels of proinflammatory cytokines such as TNF and IL-6 which can promote bone resorption and increase the risk of osteoporosis [26].…”

Section: Discussionmentioning

confidence: 99%

Effect of Nutrient Intake, Nutritional Status, Physical Activity and Sunlight Exposure on Bone Mineral Density in Women: A Systematic Review

Firdawati¹,

Angraini²,

Indriani³

2023

ijcsrr

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Osteoporosis is a condition or disease that can cause bones to become brittle and break easily. The risk of osteoporosis in women is greater than in men, which is four times greater. Bone mineral density (BMD) or bone density is the total mineral present in bone. Measurement of BMD is important to show the degree of bone mineralization associated with osteoporosis. There are factors associated with reduced bone density. Thus, this systematic review aimed to analyze several factors related to BMD in women including nutrient intake, nutritional status, physical activity, and sunlight exposure. Studies in this systematic review were gathered by the (PRISMA) guidelines and identified through PubMed, Google Scholar, and ScienceDirect databases from 2017 until 2022. A total of 17 articles passed the eligibility and were analyzed in this systematic review. Studies found the effect of nutrient intake, BMI, physical activity, and sunlight exposure on BMD in women from different age groups. So it is necessary to make eating habits with good nutritional intake and have a lifestyle that routinely carries out sufficient physical activity and gets sufficient sunlight to improve and maintain bone health until old age.

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“…The prevalence of wrist fractures was higher in men than in women when the first wrist fracture occurred before the age of 60, which was supported by previous epidemiological studies of wrist fractures in which young men were more likely to have wrist fractures than young women ( 34 , 35 ). However, as women age, especially after menopause, they tend to lose more bone mass than men, which makes them more likely to suffer from wrist fractures ( 36 , 37 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Characteristics, and Associated Risk Factors of Wrist Fractures in Americans Above 50: The Cross-Sectional NHANES Study

Nie³

2022

Front. Endocrinol.

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SummaryBy analyzing data from NHANES, we aimed to evaluate the prevalence, characteristics, and associated factors of wrist fractures in Americans aged 50 and above.IntroductionWrist fractures, whose prevalence increases with age, are one of the most common fractures in the United States. However, epidemiological studies on the prevalence of wrist fractures of certain ages were limited.MethodsThe data of Americans aged 50 or above from 2013–2014 and 2017–2018 in NHANES were extracted and analyzed.ResultsThe prevalence of wrist fractures among Americans whose age was 50 or above was 12%, which was similar between men and women (men 12.8% vs. women 11.4%, p = 0.267). Among those who had experienced their first wrist fracture, 17.8% of the population experienced a second wrist fracture. The top two causes of the first wrist fracture were a fall from a standing height (56%) or a hard fall (34.8%). The prevalence of wrist fractures was higher in men than in women (13.7% versus 8.7%, p = 0.023) aged < 60, but higher in women than in men aged ≥ 60 (11.8% versus 14.3%, p = 0.007). Multivariate analysis showed that obesity, frequent drinking, current smoking, high serum phosphate level, non-Hispanic white women, and osteoporosis were independently associated with wrist fractures. Stratified by race, osteoporosis, frequent drinking, and high serum phosphate level were risk factors for wrist fractures in all races. As for Mexican Americans, non-Hispanic whites, and other races including multi-racial, current smoking was a risk factor of wrist factures. Furthermore, obesity was positively associated with wrist fractures in Mexican Americans, other Hispanics, and non-Hispanic whites.ConclusionThe prevalence of wrist fractures in Americans aged 50 and above was 12%. Falling from a standing height was the main cause of the first wrist fracture. Frequent drinking, current smoker, high serum phosphate level, osteoporosis, obesity, and non-Hispanic women were more likely to experience wrist fractures.

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Factors associated with bone mineral density in adults: a cross-sectional population-based study

Cited by 7 publications

References 23 publications

Analysis of the predictive value of the Geriatric Nutritional Risk Index for osteoporosis in elderly patients with T2DM: a single-center retrospective study

Analysis of the predictive value of the Geriatric Nutritional Risk Index for osteoporosis in elderly patients with T2DM: a single-center retrospective study

Effect of Nutrient Intake, Nutritional Status, Physical Activity and Sunlight Exposure on Bone Mineral Density in Women: A Systematic Review

Prevalence, Characteristics, and Associated Risk Factors of Wrist Fractures in Americans Above 50: The Cross-Sectional NHANES Study

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