儿童时期人体测量指标与成年后骨矿物质密度之间的关系

IF 1.4 Q3 PEDIATRICS Revista Paulista De Pediatria Pub Date : 2023-10-23 DOI:10.1590/1984-0462/2024/42/2023026
M. C. M. D. Freitas, Julio Cesar da Costa, Cynthia Correa Lopes Barbosa, Lidyane Ferreira Zambrin, C. Romanzini, M. Romanzini, E. R. Ronque
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引用次数: 0

摘要

摘要 目的本研究旨在验证儿童期人体测量指标与成年期平均骨矿物质密度(aBMD)之间的关联。方法:对 137 名受试者(68 名女性)进行重复测量:采用双能 X 射线吸收测量法评估成年后全身、腰椎、上下肢和股骨颈的骨密度(g/cm 2)。体重(BW)、身高、肱三头肌和肩胛下皮褶等人体测量指标是在儿童时期获得的。使用的人体测量指标包括体重、体重指数(BMI)和皮褶总和(ΣSF)。采用简单线性回归评估童年期人体测量指标与成年期 aBMD 之间的关系,按年代年龄进行控制,并按性别进行分层,统计显著性为 5%。结果显示在女性中,人体测量指标与 aBMD 之间存在多重关联,BMI 的系数较高(β=0.020;R 2 =0.20;p<0.01,从右股骨颈到β=0.008;R 2 =0.16;p<0.01),其次是体重(β=0.003;R 2 =0.21;上肢与β=0.008的P<0.01;R 2 =0.20;右股骨颈与β=0.008的P<0.01)和ΣSF(β=0.001;R 2 =0.06;上肢与β=0.005的P<0.01;R 2 =0.12;右股骨颈与β=0.005的P<0.01)。在男性中,仅腰椎区域观察到相关性(β=0.016;BMI 的 R 2 =0.09,β=0.004;R 2 =0.06;ΣSF 的 p<0.01)。结论童年时期的人体测量指标被证明是成年后骨胳密度的敏感预测指标,尤其是对女性而言。体重指数(BMI)在男女两性中都显示出与 aBMD 的更大关联。
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Association between childhood anthropometric indicators and bone mineral density in adulthood
ABSTRACT Objective: This study aimed to verify the association between childhood anthropometric indicators and areal bone mineral density (aBMD) in adulthood. Methods: Repeated measures of 137 subjects (68 females) were obtained in childhood (9.2±1.5 years of age) and adulthood (22.3±1.7 years of age). aBMD (g/cm 2 ) was assessed for whole body, lumbar spine, upper and lower limbs, and femoral neck in adulthood using dual-energy X-ray absorptiometry. Anthropometric measurements of body weight (BW), height, triceps and subscapular skinfolds were obtained in childhood. The anthropometric indicators used were BW, body mass index (BMI), and sum of skinfolds (ΣSF). Simple linear regression was used to assess the association between childhood anthropometric indicators and aBMD in adulthood, controlled by chronological age and stratified by sex, with 5% statistical significance. Results: In females, multiple associations were observed between anthropometric indicators and aBMD, with higher coefficients for BMI (β=0.020; R 2 =0.20; p<0.01 for right femoral neck to β=0.008; R 2 =0.16; p<0.01 for upper limbs), followed by BW (β=0.003; R 2 =0.21; p<0.01 for upper limbs to β=0.008; R 2 =0.20; p<0.01 for right femoral neck) and ΣSF (β=0.001; R 2 =0.06; p<0.01 for upper limbs to β=0.005; R 2 =0.12; p<0.01 for right femoral neck). In males, associations were observed only for the lumbar spine region (β=0.016; R 2 =0.09 for BMI to β=0.004; R 2 =0.06; p<0.01 for ΣSF). Conclusions: Anthropometric indicators of childhood proved to be sensitive predictors of aBMD in adulthood, especially in females. BMI indicated a greater association with aBMD in both sexes.
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来源期刊
Revista Paulista De Pediatria
Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.30
自引率
0.00%
发文量
100
审稿时长
11 weeks
期刊介绍: The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.
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