Assessing the relationship between Body Mass Index and Bone Mineral Density in a clinical-based sample of Vietnamese aged 20–50: A generalized linear regression analysis

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Human Nutrition and Metabolism Pub Date : 2024-01-08 DOI:10.1016/j.hnm.2024.200241
Trong Hung Nguyen , Thi Thuy Bui , Quang Duc Tran , Thi Hang Diem , Tuyet Mai Truong , Hong Truong Nguyen , Danh Tuyen Le
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Abstract

Background

While some evidence has shown that the BMI component differentially influences bone mineral density (BMD), no studies have examined the association between BMI and BMD in Vietnamese adults. The objective of the present study was to examine the associations between BMI and BMD in relatively healthy Vietnamese adults. Demographic data, anthropometric measurements, BMD results measured by DXA and risk factors associated with BMD were retrospectively obtained from the medical records of 333 customers at the National Institute of Nutrition, Vietnam. The customers (aged 20–50 years) underwent a nutrition evaluation and completed BMD examinations between January 1 and November 30, 2021. Osteopenia was defined as the BMD (Z-score) < -2. The correlation between BMI and BMD was analyzed using generalized linear regression. The study found that 7.7% of females and 4.6% of males had osteopenia at the lumbar spine, while 6.9% of females and 5.7% of males had osteopenia at the total hip. Our study discovered a significant relationship between BMI and normal BMD or osteopenia among both males and females, except for the lumbar spine in males. Notably, the results indicated that underweight individuals had a higher likelihood of developing osteopenia. Furthermore, the positive correlation between being overweight or obese and having a higher BMD was also confirmed.Our findings show that the BMI categories affect BMD differently and that being underweight increases the risk of osteopenia among 20-50-year-old Vietnamese. Therefore, we emphasize the need for a BMI-based pre-screening tool for osteopenia in this age group before the further examination.

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评估以临床为基础的 20-50 岁越南人样本中身体质量指数与骨矿物质密度之间的关系:广义线性回归分析
背景虽然有证据表明体重指数(BMI)对骨质密度(BMD)有不同程度的影响,但还没有研究对越南成年人的体重指数(BMI)和骨质密度(BMD)之间的关系进行调查。本研究旨在探讨相对健康的越南成年人的体重指数与骨密度之间的关系。研究人员从越南国家营养研究所 333 名顾客的病历中回顾性地获取了人口统计学数据、人体测量数据、DXA 测量的 BMD 结果以及与 BMD 相关的风险因素。这些顾客(20-50 岁)在 2021 年 1 月 1 日至 11 月 30 日期间接受了营养评估并完成了 BMD 检查。骨质疏松的定义是 BMD(Z-score)< -2。采用广义线性回归分析了 BMI 与 BMD 之间的相关性。研究发现,7.7% 的女性和 4.6% 的男性腰椎骨质增生,6.9% 的女性和 5.7% 的男性全髋骨质增生。我们的研究发现,除男性腰椎骨质增生外,男性和女性的体重指数与骨密度正常或骨质增生之间均存在显著关系。值得注意的是,研究结果表明,体重过轻的人患骨质疏松症的可能性更高。此外,超重或肥胖与较高的 BMD 之间的正相关关系也得到了证实。我们的研究结果表明,BMI 类别对 BMD 的影响不同,体重不足会增加 20-50 岁越南人患骨质疏松症的风险。因此,我们强调,在进一步检查之前,有必要对这一年龄组的人进行基于体重指数的骨质疏松症预检。
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来源期刊
Human Nutrition and Metabolism
Human Nutrition and Metabolism Agricultural and Biological Sciences-Food Science
CiteScore
1.50
自引率
0.00%
发文量
30
审稿时长
188 days
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