The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?

ŞAHİN, Günşah; AS, İsmet; GÜLER, Hayal; sezgin, melek

The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?

Günşah ŞAHİN, (Mersin Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Mersin, Türkiye)

Hayal GÜLER, (Mustafa Kemal Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Hatay, Türkiye)

Melek SEZGİN, (Mersin Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Mersin, Türkiye)

İsmet AS (Mersin Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Mersin, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

0 0

Yıl: 2006 Cilt: 52 Sayı: 1 Sayfa Aralığı: 28 - 30 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?

Öz:

Amaç: Postmenopozal kadınlarda, vücut kitle indeksi (VKİ), yağsız vücut kütlesi, yağ kütlesi, ve el kavrama gücü, kemik mineral yoğunluğunun (KMY) belirleyicileridir. Bu çalışmanın amacı, 50 yaş ve üstü kadınlarda, VKİ, vücut kompozisyonu, ve el kavrama gücünün, lomber ve femoral boyun bölgesi KMY üzerine etkisini araştırmaktır.Gereç ve Yöntem: Yaşları 50-65 (55,6±3,9) arasında olan 161 kadın hasta çalışmaya alındı. Kemik mineral yoğunluğu ve vücut kompozisyonuDEXA ile ölçüldü (Norland XR-46). El kavrama gücü JAMAR el dinamometresi ile değerlendirildi. Spearman korelasyon katsayıları hesaplandı. Çeşitli değişkenlerin KMY ile olası ilişkisi açısından multipl lineer regresyon analizi uygulandı. Bulgular: Yağsız vücut kitlesiyle yaş arasında negatif korelasyon saptandı. Yağsız vücut kitlesi lomber ve femur boyun bölgesi ile korele idi. Yağsız vücut kütlesi aynı zamanda el kavrama gücü ve VKİ ile korele idi. El kavrama gücü, yaş ve menopoz süresi ile negatif olarak korele idi.Sonuç: Yağsız vücut kitlesi ve el kavrama gücünün yaşa bağlı olarak azalması, 50-65 yaş arası kadınlarda KMY azalması ile ilişkilidir. Bu yüzden, bu hastalarda, egzersiz ile yağsız vücut kitlesi arttırılmalıdır.

Anahtar Kelime: El kuvveti Kemik yoğunluğu Postmenopoz Vücut bileşenleri Türkiye

Konular: Rehabilitasyon

Elli-altmış beş yaş arasındaki postmenopozal Türk kadınlarda, vücut kompozisyonu ve el kavrama gücünün, aksiyal kemik mineral yoğunluğuna etkisi: Yağsız vücut kitlesi belirleyici midir?

Öz:

Objective: Body mass index, lean mass, fat mass and peripheral muscle strength are often found the determinants of bone mineral density (BMD) in postmenopausal women. The aim of the present study is to investigate the effect of body mass index, body composition and hand grip strength on femoral neck and lumbar spine in postmenopausal women aged 50-65 years. Materials and Methods: We studied 161 women aged 50-65 (55.6±3.9) years. Bone mineral density and body composition were measured by DEXA (Norland X-R 46). Hand grip strength was measured by JAMAR hand held dynamometer. Spearman's correlation's coefficients were calculated. Multiple linear regressions were performed using all variables possibly associated with BMD. Results: Lean mass was correlated negatively with age. Lean mass was correlated with lumbar spine and femoral neck BMD. It was alsocorrelated with hand grip strength and body mass index. Hand grip strength was correlated negatively with age and years since menopause.Conclusion: These results suggest that, age related decline of lean mass and grip strength are associated with the decline of BMD in postmenopausal women aged 50-65 years. Therefore, we encourage these patients to increase lean mass by exercise.

Anahtar Kelime: Turkey Hand Strength Bone Density Postmenopause Body Composition

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Baumgarther RN, Heymsfield SB, Roche AF. Human body composition and the epidemiology of chronic disease. Obes Res 1995;3:73-95.
2. Nguyen TV, Howard GM, Kelly PJ, Eismann JA. Bone mass, lean mass and fat mass: same genes or same environments? Am J Epidemiol 1998;147(1):3-16.
3. Gilette-Guyonnet S, Nourhashemi F, Lauque S, Grandjean H, Vellas B. Body composition and osteoporosis in elderly women. Gerontology 2000;46:189-93.
4. Taaffe DR, Cauley AJ, Danielson M, Nevitt MC, Lang TF, Bauer DC, et al. Race and sex effects on the association between muscle strength, soft tissue and bone mineral density in healthy elders: The health, aging and body composition study. J Bone Mineral Res 2001;16(7):1343-52.
5. Lim S, Joung H, Shin CS, Kim KS, Shin EK, Kim HY, et al. Body composition changes with age have gender specific impacts on bone mineral density. Bone 2004;35(3):792-8.
6. Blain H, Vuillemin A, Teissier A, Hanesse B, Guillemin F, Jeandel J. Influence of muscle strength and body weight and composition on regional bone mineral density in healthy women aged 60 years and over. Gerontology 2001;47:207-12.
7. Snow Harter C, Whalen R, Myburgh K, Arnaud S, Marcus R. Bone mineral density, muscle strength, and recreational exercise in men. J Bone Miner Res 1992;7:1291-6.
8. Glynn NW, Meilahn EN, Charron M, Anderson SJ, Kuller LH, Cauley JA. Determinants of bone mineral density in older men. J Bone Miner Res 1995;10:1769-77.
9. Madsen OR, Schaadt O, Bliddal H, Egsmose C, Sylvest J. Relationship between quadriceps strength and bone mineral density of the proximal tibia and distal forearm in women. J Bone Miner Res 1993;8:1439-44.
10. Ward JA, Lord SR, Williams P, Anstey K, Zivanovic E. Physiologic, health, and lifestyle factors associated with femoral neck bone density in older women. Bone 1995;16(Suppl 4):373-8.
11. Baumgartner RN, Stauber PM, Koehler KM, Romero L, Garry PJ. Associations of fat and muscle masses with bone mineral in elderly men and women. Am J Clin Nutr 1996;63:365-72.
12. Nguyen TV, Sambrook PN, Eisman JA. Bone loss, physical activity and weight change in elderly women. J Bone Miner Res 1998;13:1458-67.
13. Frost HM. On our age related bone loss. Insights from a new paradigm. J Bone Miner Res 1997;12:1539-46.
14. Burr DB. Muscle strength, bone mass, and age related bone loss. J Bone Miner Res 1997;12:1547-51.
15. Doyle F, Brown J, Lachance C. Relation between bone mass and muscle weight. Lancet 1970;1:391-3.
16. Karlsson M, Nilsson JA, Sernbo I, Rehlund-Johnell I, Johnell O, Obrant KJ. Changes of bone mineral mass and soft tissue composition after hip fracture. Bone 1996;18:19-22.
17. Chen Z, Lohman TG, Stini WA, Ritenbaugh C, Aickin M. Fat or lean tissue mass: Which one is the major determinant of bone mineral mass in healthy postmenopausal women. J Bone Miner Res 1997;12:144-51.
18. Makovey J, Naganathan V, Sambrook P. Gender differences in relationships between body composition components, their distribution and bone mineral density: A cross sectional opposite sex twin study. Osteoporosis Int 2005;16:1495-505.
19. Van Langendonck L, Claessens AL, Lysens R, Koninckx PR, Beunen G. Association between bone, body composition and strength in premenarcheal girls and postmenopausal women. Ann Hum Biol 2004;3:228-44.
20. Mautalen C, Bagur A, Vega E, Gonzalez D. Body composition in normal and osteoporotic women. Medicina 1996;56(1):29-34.

APA	ŞAHİN G, GÜLER H, sezgin m, AS İ (2006). The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. , 28 - 30.
Chicago	ŞAHİN Günşah,GÜLER Hayal,sezgin melek,AS İsmet The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. (2006): 28 - 30.
MLA	ŞAHİN Günşah,GÜLER Hayal,sezgin melek,AS İsmet The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. , 2006, ss.28 - 30.
AMA	ŞAHİN G,GÜLER H,sezgin m,AS İ The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. . 2006; 28 - 30.
Vancouver	ŞAHİN G,GÜLER H,sezgin m,AS İ The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. . 2006; 28 - 30.
IEEE	ŞAHİN G,GÜLER H,sezgin m,AS İ "The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?." , ss.28 - 30, 2006.
ISNAD	ŞAHİN, Günşah vd. "The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?". (2006), 28-30.

APA	ŞAHİN G, GÜLER H, sezgin m, AS İ (2006). The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 52(1), 28 - 30.
Chicago	ŞAHİN Günşah,GÜLER Hayal,sezgin melek,AS İsmet The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 52, no.1 (2006): 28 - 30.
MLA	ŞAHİN Günşah,GÜLER Hayal,sezgin melek,AS İsmet The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.52, no.1, 2006, ss.28 - 30.
AMA	ŞAHİN G,GÜLER H,sezgin m,AS İ The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2006; 52(1): 28 - 30.
Vancouver	ŞAHİN G,GÜLER H,sezgin m,AS İ The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2006; 52(1): 28 - 30.
IEEE	ŞAHİN G,GÜLER H,sezgin m,AS İ "The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 52, ss.28 - 30, 2006.
ISNAD	ŞAHİN, Günşah vd. "The effect of body composition and hand grip strength on axial bone mineral density in Turkish postmenopausal women aged 50-65 years: Is lean mass a predictor?". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 52/1 (2006), 28-30.