Correlation between fat distribution and the composite indices of femoral neck strength in obese postmenopausal women
10.3760/cma.j.cn311282-20230811-00030
- VernacularTitle:肥胖绝经后女性脂肪分布与股骨颈强度综合指数相关性
- Author:
Wanli ZHANG
1
;
Jindi WANG
;
Didi LU
;
Pan LIU
;
Wenbin ZHOU
;
Jingjing XU
;
Wei HE
Author Information
1. 南京医科大学第一附属医院内分泌科，南京 210029
- Keywords:
Obesity;
Postmenopausal women;
Bone strength;
Composite indices of femoral neck strength;
Fat distribution;
Subcutaneous fat;
Visceral fat
- From:
Chinese Journal of Endocrinology and Metabolism
2024;40(2):93-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between fat distribution and the composite indices of femoral neck strength in obese postmenopausal women.Methods:A total of 293 postmenopausal women with non-low body weight were selected, laboratory tests, body composition analyzer test and double-energy X-ray absorptiometry scan were performed. Based on the body mass index(BMI), they were divided into three groups, the normal BMI group(18.5 kg/m 2≤BMI<24.0 kg/m 2, n=91), the overweight group(24.0 kg/m 2≤BMI<28.0 kg/m 2, n=115), and the obese group(BMI≥28.0 kg/m 2, n=87). The measurement results were analyzed. Results:In the obese group, bone mineral density(BMD) of all sites was higher than that in the normal BMI group and overweight group( P<0.005), compression strength index(CSI), bending strength index(BSI), and impact strength index(ISI) were significantly lower than those in the normal BMI group( P<0.001, P=0.008, P=0.001). In the obese group, waist circumference, waist-hip ratio, total fat mass, appendicular fat mass, and trunk fat mass were risk factors for CSI, BSI and ISI independent of age, fasting blood glucose, and BMI( P<0.05). Visceral fat grade and Chinese visceral adiposity fat index were the risk factors for CSI, BSI, and ISI( P<0.05). Conclusion:The composite indices of femoral neck strength decreased in obese postmenopausal women, and both subcutaneous fat and visceral fat were negatively associated with the composite indices of femoral neck strength.
