A Study to find the association between Obesity and Osteoporosis according to distinct fat depots - A survey study

Abstract

Medodhara Kala is the zone of transition between Meda Dhatu (Adipose Tissue) and Asthi Dhatu (Bone Tissue). So, any pathology in Medodhara kala is responsible for deprived Asthi Dhatu (Osteoporosis). Obesity is the condition where there is abnormal built-up of Meda Dhatu (Adipose tissue) altering the osteogenic potential of Adipose tissue. Among the various types of Obesity based on the fat accumulation at different fat depots, abdominal obesity is identified as the risk factor for the lower bone mineral density and resulting fracture. The present study aims to find the prevalence of osteoporosis among various types of obesity like generalised obesity, abdominal obesity, isolated Abdominal Obesity etc. Cross sectional survey was designed in which 100 subjects fulfilling inclusion criteria, willing to participate were enrolled in the study after obtaining informed consent. Participants were divided into two groups i.e. 50 Medoroga (obesity) patients and 50 non-obese volunteers between age group of 20 and 50 irrespective of genders. The collected data comprising Waist Circumference, Waist Hip ratio, BMI classification and other anthropological measurements and T-score was analysed using GraphPad InStat Version 3.6 software. Chi-Square test showed significant association (p<0.05) of osteoporosis or osteopenia in patients of generalised with abdominal obesity and isolated abdominal obesity, indicating that the prevalence of osteoporosis rises with increasing waist circumference. Significant association between visceral fat depot (Abdominal Obesity) with the bone mineral density, suggesting the osteogenic potential of Medodhara Kala which gets minimised with increase BMI (Body mass index).