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Relationship between visceral adiposity and bone mineral density in Korean adults

 Han Seok Choi  ;  Kwang Joon Kim  ;  Kyoung Min Kim  ;  Nam Wook Hur  ;  Yumie Rhee  ;  Dae Suk Han  ;  Eun Jig Lee  ;  Sung-Kil Lim 
 CALCIFIED TISSUE INTERNATIONAL, Vol.87(3) : 218-225, 2010 
Journal Title
Issue Date
Adiposity* ; Adult ; Aged ; Aged, 80 and over ; Body Composition ; Bone Density* ; Cholesterol, HDL/blood ; Cholesterol, LDL/blood ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Radiography ; Republic of Korea ; Subcutaneous Fat/anatomy & histology* ; Subcutaneous Fat/diagnostic imaging ; Viscera/anatomy & histology* ; Viscera/diagnostic imaging
Obesity ; Bone mineral density ; Visceral adiposity ; Subcutaneous adiposity ; Metabolic factor
The objective of the study was to investigate the relationship between visceral and subcutaneous adiposity measured by computed tomography and bone mineral density (BMD) and to identify the metabolic factors associated with BMD. We studied 461 subjects recruited from the health-care center at Severance Hospital, Yonsei University College of Medicine. Multivariate regression analyses were conducted to examine the cross-sectional associations between body composition-related or metabolic parameters and BMD. After adjusting for body weight and other confounders, visceral fat area had an inverse association with BMD in men (beta = -0.133, P = 0.049 for lumbar spine; beta = -0.135, P = 0.037 for femoral neck; beta = -0.179, P = 0.005 for total hip) and women (beta = -0.424, P < 0.001 for lumbar spine; beta = -0.302, P = 0.005 for femoral neck; beta = -0.274, P = 0.014 for total hip). However, the subcutaneous fat area showed no statistically significant relationship with BMD at most sites. Among the metabolic parameters, HDL cholesterol was positively associated with BMD, while LDL cholesterol was negatively associated with BMD in men. In women, total and LDL cholesterol were negatively associated with BMD at the lumbar spine. We conclude that visceral adiposity is inversely associated with BMD after adjusting for confounders and that metabolic factors may partly contribute to this inverse relation.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Min(김경민)
Kim, Kwang Joon(김광준) ORCID logo https://orcid.org/0000-0002-5554-8255
Rhee, Yumie(이유미) ORCID logo https://orcid.org/0000-0003-4227-5638
Lee, Eun Jig(이은직) ORCID logo https://orcid.org/0000-0002-9876-8370
Lim, Sung Kil(임승길)
Han, Dae Suk(한대석)
Hur, Nam Wook(허남욱)
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