机构:[1]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Dept Orthoped, Beijing, Peoples R China首都医科大学宣武医院[2]Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China
Background Older subjects have a higher risk for vertebral compression fracture. Maintaining a higher bone mineral density (BMD) at this age can protect individuals from osteoporosis-related events. Body mass index (BMI) has been found to have a robust association with BMD. However, excessive BMI is detrimental to bone health and may cause systemic disorders. Therefore, the present study aimed to determine the association between BMI and BMD, and identify a reasonable BMI range. Methods A total of 961 participants were recruited from community-dwelling residents between August 2021 and May 2022. A weighted multivariate linear regression model was applied to identify the relationship between BMI and BMD. Meanwhile, subgroup stratified analysis by BMI quartile and gender was also performed. A non-linear relationship and threshold value were determined based on the smooth curve fittings and threshold effects analysis model. Results A robust relationship was found between BMI and BMD, which remained significant in subgroups stratified by gender and BMI quartile. The BMI inflection point values in lumbar BMD and femoral neck BMD were 25.2 kg/m(2) and 27.3 kg/m(2), respectively. For individuals with BMI < 25.2 kg/m(2), an increase in BMI was related to an increase in lumbar BMD. For BMI > 25.2 kg/m(2), an increase in BMI was associated with a decrease in lumbar BMD. For subjects with BMI < 27.3 kg/m(2), the femoral neck BMD rose by 0.008 kg/m(2) for each unit rise in BMI. However, when BMI exceeded 27.3 kg/m(2), the femoral neck BMD increased only by 0.005 kg/m(2). Fracture risk assessment based on the spinal deformity index (SDI) failed to determine the optimal BMI range. Conclusions This study found an inflection point between BMI and lumbar/ femoral neck BMD in older community-dwelling subjects. An appropriate BMI but not an excessive BMI may allow older adults to have a better BMD.
基金:
Capital's Funds for Health Improvement and Research [2024-1-2012]; Beijing Hospitals Authority's Ascent Plan [DFL20190802]; National Key Research and Development Program of China [2020YFC2004900]; Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support [XMLX202116]
第一作者机构:[1]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Dept Orthoped, Beijing, Peoples R China[2]Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Dept Orthoped, Beijing, Peoples R China[2]Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Cui Peng,Wang Wei,Wang Zheng,et al.The association between body mass index and bone mineral density in older adults: a cross-sectional study of community population in Beijing[J].BMC MUSCULOSKELETAL DISORDERS.2024,25(1):doi:10.1186/s12891-024-07782-7.
APA:
Cui, Peng,Wang, Wei,Wang, Zheng,Hu, Xinli,Liu, Xu...&Lu, Shibao.(2024).The association between body mass index and bone mineral density in older adults: a cross-sectional study of community population in Beijing.BMC MUSCULOSKELETAL DISORDERS,25,(1)
MLA:
Cui, Peng,et al."The association between body mass index and bone mineral density in older adults: a cross-sectional study of community population in Beijing".BMC MUSCULOSKELETAL DISORDERS 25..1(2024)