Aged-Related Changes in Body Composition and Association between Body Composition with Bone Mass Density by Body Mass Index in Chinese Han Men over 50-year-old
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{"title"=>"Aged-related changes in body composition and association between body composition with bone mass density by body mass index in Chinese Han men over 50-year-old", "type"=>"journal", "authors"=>[{"first_name"=>"Ying", "last_name"=>"Jiang", "scopus_author_id"=>"57199496009"}, {"first_name"=>"Ying", "last_name"=>"Zhang", "scopus_author_id"=>"56011638000"}, {"first_name"=>"Mengmeng", "last_name"=>"Jin", "scopus_author_id"=>"25224844700"}, {"first_name"=>"Zhaoyan", "last_name"=>"Gu", "scopus_author_id"=>"56665013900"}, {"first_name"=>"Yu", "last_name"=>"Pei", "scopus_author_id"=>"8448000400"}, {"first_name"=>"Ping", "last_name"=>"Meng", "scopus_author_id"=>"55244911500"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"26090818", "doi"=>"10.1371/journal.pone.0130400", "sgr"=>"84937956023", "isbn"=>"1932-6203", "scopus"=>"2-s2.0-84937956023", "issn"=>"19326203", "pui"=>"605585829"}, "id"=>"3343ef6b-56f7-33cc-b9a2-37bd774c1b50", "abstract"=>"OBJECTIVES Aging, body composition, and body mass index (BMI) are important factors in bone mineral density (BMD). Although several studies have investigated the various parameters and factors that differentially influence BMD, the results have been inconsistent. Thus, the primary goal of the present study was to further characterize the relationships of aging, body composition parameters, and BMI with BMD in Chinese Han males older than 50 years. METHODS The present study was a retrospective analysis of the body composition, BMI, and BMD of 358 Chinese male outpatients between 50 and 89 years of age that were recruited from our hospital between 2009 and 2011. Qualified subjects were stratified according to age and BMI as follows: 50-59 (n = 35), 60-69 (n = 123), 70-79 (n = 93), and 80-89 (n = 107) years of age and low weight (BMI: < 20 kg/m2; n = 21), medium weight (20 ≤ BMI < 24 kg/m2; n = 118), overweight (24 ≤ BMI < 28 kg/m2; n = 178), and obese (BMI ≥ 28 kg/m2; n = 41). Dual-energy X-ray absorptiometry (DEXA) was used to assess bone mineral content (BMC), lean mass (LM), fat mass (FM), fat-free mass (FFM), lumbar spine (L1-L4) BMD, femoral neck BMD, and total hip BMD. Additionally, the FM index (FMI; FM/height2), LM index (LMI; LM/height2), FFM index (FFMI; [BMC+LM]/height2), percentage of BMC (%BMC; BMC/[BMC+FM+LM] × 100%), percentage of FM (%FM; FM/[BMC+FM+LM] × 100%), and percentage of LM (%LM; LM/(BMC+FM+LM) × 100%) were calculated. Osteopenia or osteoporosis was identified using the criteria and T-score of the World Health Organization. RESULTS Although there were no significant differences in BMI among the age groups, there was a significant decline in height and weight according to age (p < 0.0001 and p = 0.0002, respectively). The LMI and FFMI also declined with age (both p < 0.0001) whereas the FMI exhibited a significant increase that peaked in the 80-89-years group (p = 0.0145). Although the absolute values of BMC and LM declined with age (p = 0.0031 and p < 0.0001, respectively), there was no significant difference in FM. In terms of body composition, there were no significant differences in %BMC but there was an increase in %FM (p < 0.0001) and a decrease in %LM (p < 0.0001) with age. The femoral neck and total hip BMD significantly declined with age (p < 0.0001 and p = 0.0027, respectively) but there were no differences in L1-L4. BMD increased at all sites (all p < 0.01) as BMI increased but there were declines in the detection rates of osteoporosis and osteopenia (both p < 0.001). A logistic regression revealed that when the medium weight group was given a BMI value of 1, a decline in BMI was an independent risk factor of osteoporosis or osteopenia, while an increase in BMI was a protective factor for BMD. At the same time, BMD in L1-L4 exhibited a significant positive association with FMI (p = 0.0003) and the femoral neck and total hip BMDs had significant positive associations with FFMI and LMI, respectively (both p < 0.0001). CONCLUSIONS These data indicate that LMI and FFMI exhibited significant negative associations with aging in Chinese Han males older than 50 years, whereas FMI had a positive association. BMD in the femoral neck and total hip declined with age but an increased BMI was protective for BMD. LMI and FFMI were protective for BMD in the femoral neck and total hip.", "link"=>"http://www.mendeley.com/research/agedrelated-changes-body-composition-association-between-body-composition-bone-mass-density-body-mas-1", "reader_count"=>22, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>4, "Researcher"=>1, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>1, "Student > Bachelor"=>3, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>4, "Researcher"=>1, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>1, "Student > Bachelor"=>3, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Environmental Science"=>1, "Nursing and Health Professions"=>2, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>7, "Agricultural and Biological Sciences"=>5, "Sports and Recreations"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/2128083"], "description"=>"<p>Abbreviations: BMI = body mass index, OR = odd ratio, Adj.OR = adjusted odd ratio, CI = confidence interval, Adjusted-OR</p><p>*: adjusted for age.</p><p>Comparison of the detection rate of osteopenia or osteoporosis in different BMI group.</p>", "links"=>[], "tags"=>["FMI", "dexa", "bone mineral content", "medium weight group", "body mass index", "World Health Organization.ResultsAlthough", "body composition", "hip BMD", "ffm", "bone mass density", "differentially influence BMD", "bmi", "femoral neck BMD", "fm", "Chinese Han males", "ffmi", "2011. Qualified subjects", "lmi", "bone mineral density", "lm", "femoral neck", "Chinese Han Men", "body composition parameters", "bmc"], "article_id"=>1455876, "categories"=>["Biological Sciences"], "users"=>["Ying Jiang", "Ying Zhang", "Mengmeng Jin", "Zhaoyan Gu", "Yu Pei", "Ping Meng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130400.t004", "stats"=>{"downloads"=>4, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_the_detection_rate_of_osteopenia_or_osteoporosis_in_different_BMI_group_/1455876", "title"=>"Comparison of the detection rate of osteopenia or osteoporosis in different BMI group.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-19 04:41:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/2128081"], "description"=>"<p>Trend of BMD at different site with aging.</p>", "links"=>[], "tags"=>["FMI", "dexa", "bone mineral content", "medium weight group", "body mass index", "World Health Organization.ResultsAlthough", "body composition", "hip BMD", "ffm", "bone mass density", "differentially influence BMD", "bmi", "femoral neck BMD", "fm", "Chinese Han males", "ffmi", "2011. Qualified subjects", "lmi", "bone mineral density", "lm", "femoral neck", "Chinese Han Men", "body composition parameters", "bmc"], "article_id"=>1455874, "categories"=>["Biological Sciences"], "users"=>["Ying Jiang", "Ying Zhang", "Mengmeng Jin", "Zhaoyan Gu", "Yu Pei", "Ping Meng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130400.g003", "stats"=>{"downloads"=>1, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trend_of_BMD_at_different_site_with_aging_/1455874", "title"=>"Trend of BMD at different site with aging.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 04:41:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/2128075"], "description"=>"<p>Trend of BMI, LMI, FMI, FFMI with aging.</p>", "links"=>[], "tags"=>["FMI", "dexa", "bone mineral content", "medium weight group", "body mass index", "World Health Organization.ResultsAlthough", "body composition", "hip BMD", "ffm", "bone mass density", "differentially influence BMD", "bmi", "femoral neck BMD", "fm", "Chinese Han males", "ffmi", "2011. Qualified subjects", "lmi", "bone mineral density", "lm", "femoral neck", "Chinese Han Men", "body composition parameters", "bmc"], "article_id"=>1455868, "categories"=>["Biological Sciences"], "users"=>["Ying Jiang", "Ying Zhang", "Mengmeng Jin", "Zhaoyan Gu", "Yu Pei", "Ping Meng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130400.g001", "stats"=>{"downloads"=>1, "page_views"=>35, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trend_of_BMI_LMI_FMI_FFMI_with_aging_/1455868", "title"=>"Trend of BMI, LMI, FMI, FFMI with aging.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 04:41:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/2128085", "https://ndownloader.figshare.com/files/2128086", "https://ndownloader.figshare.com/files/2128087"], "description"=>"<div><p>Objectives</p><p>Aging, body composition, and body mass index (BMI) are important factors in bone mineral density (BMD). Although several studies have investigated the various parameters and factors that differentially influence BMD, the results have been inconsistent. Thus, the primary goal of the present study was to further characterize the relationships of aging, body composition parameters, and BMI with BMD in Chinese Han males older than 50 years.</p><p>Methods</p><p>The present study was a retrospective analysis of the body composition, BMI, and BMD of 358 Chinese male outpatients between 50 and 89 years of age that were recruited from our hospital between 2009 and 2011. Qualified subjects were stratified according to age and BMI as follows: 50–59 (n = 35), 60–69 (n = 123), 70–79 (n = 93), and 80–89 (n = 107) years of age and low weight (BMI: < 20 kg/m<sup>2</sup>; n = 21), medium weight (20 ≤ BMI < 24 kg/m<sup>2</sup>; n = 118), overweight (24 ≤ BMI < 28 kg/m<sup>2</sup>; n = 178), and obese (BMI ≥ 28 kg/m<sup>2</sup>; n = 41). Dual-energy X-ray absorptiometry (DEXA) was used to assess bone mineral content (BMC), lean mass (LM), fat mass (FM), fat-free mass (FFM), lumbar spine (L1-L4) BMD, femoral neck BMD, and total hip BMD. Additionally, the FM index (FMI; FM/height<sup>2</sup>), LM index (LMI; LM/height<sup>2</sup>), FFM index (FFMI; [BMC+LM]/height<sup>2</sup>), percentage of BMC (%BMC; BMC/[BMC+FM+LM] × 100%), percentage of FM (%FM; FM/[BMC+FM+LM] × 100%), and percentage of LM (%LM; LM/(BMC+FM+LM) × 100%) were calculated. Osteopenia or osteoporosis was identified using the criteria and T-score of the World Health Organization.</p><p>Results</p><p>Although there were no significant differences in BMI among the age groups, there was a significant decline in height and weight according to age (<i>p</i> < 0.0001 and <i>p</i> = 0.0002, respectively). The LMI and FFMI also declined with age (both <i>p</i> < 0.0001) whereas the FMI exhibited a significant increase that peaked in the 80-89-years group (<i>p</i> = 0.0145). Although the absolute values of BMC and LM declined with age (<i>p</i> = 0.0031 and <i>p</i> < 0.0001, respectively), there was no significant difference in FM. In terms of body composition, there were no significant differences in %BMC but there was an increase in %FM (<i>p</i> < 0.0001) and a decrease in %LM (<i>p</i> < 0.0001) with age. The femoral neck and total hip BMD significantly declined with age (<i>p</i> < 0.0001 and <i>p</i> = 0.0027, respectively) but there were no differences in L1-L4. BMD increased at all sites (all <i>p</i> < 0.01) as BMI increased but there were declines in the detection rates of osteoporosis and osteopenia (both <i>p</i> < 0.001). A logistic regression revealed that when the medium weight group was given a BMI value of 1, a decline in BMI was an independent risk factor of osteoporosis or osteopenia, while an increase in BMI was a protective factor for BMD. At the same time, BMD in L1-L4 exhibited a significant positive association with FMI (<i>p</i> = 0.0003) and the femoral neck and total hip BMDs had significant positive associations with FFMI and LMI, respectively (both <i>p</i> < 0.0001).</p><p>Conclusions</p><p>These data indicate that LMI and FFMI exhibited significant negative associations with aging in Chinese Han males older than 50 years, whereas FMI had a positive association. BMD in the femoral neck and total hip declined with age but an increased BMI was protective for BMD. LMI and FFMI were protective for BMD in the femoral neck and total hip.</p></div>", "links"=>[], "tags"=>["FMI", "dexa", "bone mineral content", "medium weight group", "body mass index", "World Health Organization.ResultsAlthough", "body composition", "hip BMD", "ffm", "bone mass density", "differentially influence BMD", "bmi", "femoral neck BMD", "fm", "Chinese Han males", "ffmi", "2011. Qualified subjects", "lmi", "bone mineral density", "lm", "femoral neck", "Chinese Han Men", "body composition parameters", "bmc"], "article_id"=>1455878, "categories"=>["Biological Sciences"], "users"=>["Ying Jiang", "Ying Zhang", "Mengmeng Jin", "Zhaoyan Gu", "Yu Pei", "Ping Meng"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0130400.s001", "https://dx.doi.org/10.1371/journal.pone.0130400.s002", "https://dx.doi.org/10.1371/journal.pone.0130400.s003"], "stats"=>{"downloads"=>15, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Aged_Related_Changes_in_Body_Composition_and_Association_between_Body_Composition_with_Bone_Mass_Density_by_Body_Mass_Index_in_Chinese_Han_Men_over_50_year_old_/1455878", "title"=>"Aged-Related Changes in Body Composition and Association between Body Composition with Bone Mass Density by Body Mass Index in Chinese Han Men over 50-year-old", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-06-19 04:41:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/2128077"], "description"=>"<p>The proportion of body composition change in different age group.</p>", "links"=>[], "tags"=>["FMI", "dexa", "bone mineral content", "medium weight group", "body mass index", "World Health Organization.ResultsAlthough", "body composition", "hip BMD", "ffm", "bone mass density", "differentially influence BMD", "bmi", "femoral neck BMD", "fm", "Chinese Han males", "ffmi", "2011. Qualified subjects", "lmi", "bone mineral density", "lm", "femoral neck", "Chinese Han Men", "body composition parameters", "bmc"], "article_id"=>1455870, "categories"=>["Biological Sciences"], "users"=>["Ying Jiang", "Ying Zhang", "Mengmeng Jin", "Zhaoyan Gu", "Yu Pei", "Ping Meng"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130400.g002", "stats"=>{"downloads"=>3, "page_views"=>126, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_proportion_of_body_composition_change_in_different_age_group_/1455870", "title"=>"The proportion of body composition change in different age group.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 04:41:31"}

PMC Usage Stats | Further Information

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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