健康青年人体成分对局部和全身骨密度的影响

被引：10

作者：

房爱萍 ^{[1
]}

张莹 ^{[2
]}

李可基 ^{[1
]}

机构：

[1] 北京大学营养与食品卫生学系

[2] 中国疾病预防控制中心营养与健康所

来源：

中华骨质疏松和骨矿盐疾病杂志 | 2015年 / 8卷 / 03期

关键词：

骨密度; 脂肪组织质量; 肌肉组织质量; 体脂率;

D O I：

暂无

中图分类号：

R68 [骨科学（运动系疾病、矫形外科学）];

学科分类号：

100220 [骨科学];

摘要：

目的探讨北京地区健康青年人脂肪组织质量(fat mass,FM)和肌肉组织质量(lean mass,LM)对局部和全身骨密度(bone mineral density,BMD)的影响。方法使用双能X线吸收法测定上肢、大腿、躯干和全身的骨密度、体脂率(fat percentage,Fat%)、脂肪组织质量和肌肉组织质量。根据体质量指数分为正常体质量组、超质量组和肥胖组。Pearson相关分析和偏相关分析探索各部位BMD与全身和局部体脂率、脂肪组织质量和肌肉组织质量之间的关系。结果共纳入80名19.4～31.0岁的健康受试者。Pearson相关分析显示男性上肢、大腿和全身BMD与全身体脂率(上肢r=0.185,P=0.252;大腿r=0.069,P=0.674;全身r=0.181,P=0.263)和局部体脂率(上肢r=0.141,P=0.386;大腿r=0.025,P=0.876)及全身FM(上肢r=0.294,P=0.065;大腿r=0.163,P=0.316;全身r=0.302,P=0.059)和局部FM(上肢r=0.290,P=0.069;大腿r=0.155,P=0.340)均无显著相关关系,但女性各部位BMD与全身体脂率(上肢r=0.581,P=0.000;大腿r=0.449,P=0.004;躯干r=0.677,P=0.000;全身r=0.631,P=0.000)、局部体脂率(上肢r=0.477,P=0.002;大腿r=0.386,P=0.014;躯干r=0.689,P=0.000)、全身FM(上肢r=0.683,P=0.000;大腿r=0.615,P=0.000;躯干r=0.797,P=0.000;全身r=0.775,P=0.000)和局部FM(上肢r=0.669,P=0.000;大腿r=0.616,P=0.000;躯干r=0.778,P=0.000)均呈显著正相关。但控制年龄、性别和体质量指数后,上肢、大腿和全身BMD仅与全身LM(上肢r=0.266,P=0.020;大腿r=0.372,P=0.001;躯干r=0.312,P=0.006;全身r=0.371,P=0.001)和局部LM(上肢r=0.391,P=0.000;大腿r=0.443,P=0.000)呈显著正相关。结论肌肉组织质量是影响青年人各部位BMD的主要因素。

引用

页码：203 / 209

页数：7

共 16 条

[1]

The relationship between body fat and bone mineral density in Korean men and women [J].

Kim, Won ;

Chung, Sun G. ;

Kim, Keewon ;

Seo, Han Gil ;

Oh, Byung-Mo ;

Yi, Youbin ;

Kim, Min Joo .

JOURNAL OF BONE AND MINERAL METABOLISM, 2014, 32 (06) :709-717

[2]

Obesity: Friend or foe for osteoporosis.[J].Sudhaa Sharma;Vishal Tandon;Shagun Mahajan;Vivek Mahajan;Annil Mahajan.Journal of Mid-life Health.2014, 1

[3]

Gender differences in the relationships between lean body mass, fat mass and peak bone mass in young adults [J].

Zhu, K. ;

Briffa, K. ;

Smith, A. ;

Mountain, J. ;

Briggs, A. M. ;

Lye, S. ;

Pennell, C. ;

Straker, L. ;

Walsh, J. P. .

OSTEOPOROSIS INTERNATIONAL, 2014, 25 (05) :1563-1570

[4]

Relationship of body composition with bone mineral density in northern Chinese men by body mass index levels [J].

Kang, D. ;

Liu, Z. ;

Wang, Y. ;

Zhang, H. ;

Feng, X. ;

Cao, W. ;

Wang, P. .

JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION, 2014, 37 (04) :359-367

[5]

How Does Bone Quality Differ Between Healthy-weight and Overweight Adolescents and Young Adults? [J].

Hoy, Christa L. ;

Macdonald, Heather M. ;

McKay, Heather A. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2013, 471 (04) :1214-1225

[6]

Age and sex effects on the association between body composition and bone mineral density in healthy Chinese men and women [J].

Cheng, Qun ;

Zhu, Ying Xiao ;

Zhang, Mei Xue ;

Li, Lin Hui ;

Du, Ping Yan ;

Zhu, Min Han .

MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2012, 19 (04) :448-455

[7]

The differential relationship between fat mass and bone mineral density by gender and menopausal status [J].

Yoo, Hye Jin ;

Park, Man Sik ;

Yang, Sae Jeong ;

Kim, Tae Nyun ;

Lim, Kang Il ;

Kang, Hyun Joo ;

Song, Wook ;

Baik, Sei Hyun ;

Choi, Dong Seop ;

Choi, Kyung Mook .

JOURNAL OF BONE AND MINERAL METABOLISM, 2012, 30 (01) :47-53

[8]

An investigation into the relationship between soft tissue body composition and bone mineral density in a young adult twin sample.[J]..J Bone Miner Res.2010, 1

[9]

Bone mass of overweight affluent Indian youth and its sex-specific association with body composition.[J].G. Amarendra Reddy;Bharati Kulkarni;Veena Shatrugna;P. Thilak Ravindra Reddy;Balakrishna Nagalla;P. Ajeya Kumar;K. Usha Rani.Archives of Osteoporosis.2009, 1

[10]

Non-weight-bearing effect of trunk and peripheral fat mass on bone mineral density in pre- and post-menopausal women.[J].Akiko Kuwahata;Yukie Kawamura;Yukie Yonehara;Takashi Matsuo;Ichiro Iwamoto;Tsutomu Douchi.Maturitas.2008, 3

← 1 2 →