2009
DOI: 10.1210/jc.2008-2501
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Fat Mass Is Negatively Associated with Cortical Bone Size in Young Healthy Male Siblings

Abstract: Increased fat mass is associated with smaller bone size, challenging the view of a high bone mass index as a protective factor for osteoporosis, whereas lean mass was a consistent positive determinant of bone size.

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Cited by 88 publications
(82 citation statements)
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References 36 publications
(45 reference statements)
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“…(1,2,7,8,(12)(13)(14)18,19) These associations were stronger for anatomically related sites of measurement (grip strength and distal radius, hip aBMD, and knee extension) and remained significant after adjustment for age, height, physical activity, and hormones. Our results confirm previous data (1,9) showing a positive relation between RASM and bone size. CSA was 0.72 SD lower in the lowest RASM quartile compared with the highest quartile, whereas the difference in total vBMD between the extreme quartiles was nonsignificant.…”
Section: Discussionsupporting
confidence: 92%
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“…(1,2,7,8,(12)(13)(14)18,19) These associations were stronger for anatomically related sites of measurement (grip strength and distal radius, hip aBMD, and knee extension) and remained significant after adjustment for age, height, physical activity, and hormones. Our results confirm previous data (1,9) showing a positive relation between RASM and bone size. CSA was 0.72 SD lower in the lowest RASM quartile compared with the highest quartile, whereas the difference in total vBMD between the extreme quartiles was nonsignificant.…”
Section: Discussionsupporting
confidence: 92%
“…In young men, lean body mass correlated positively with Ct.Ar and negatively with Ct.vBMD at the distal radius and tibia (both measured by pQCT). (9) By contrast, in older men, grip strength correlated positively with Ct.vBMD at the distal radius and tibia measured by pQCT. Results are presented as adjusted means AE SD.…”
Section: Discussionmentioning
confidence: 82%
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“…Moreover, and as opposed to our hypothesis, it was the only muscle parameter independently associated with periosteal circumference and thus overall bone size. Although strong correlations of (appendicular) lean mass with bone geometry have been previously described, the mechanisms underlying these associations are incompletely understood [13,32,33,40]. In general, DXA-derived estimates of leg lean mass reflect a combination of both potential local muscle activity and the overall individual's health status, body composition and physical activity level.…”
Section: Discussionmentioning
confidence: 99%