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The Relation between Calcaneus Stiffness Index as a Measure of Bone Density and Body Mass Index in an Egyption Cohort.pdf (457.79 kB)

The relation between calcaneus stiffness index as a measure of bone density and body mass index in an Egyptian cohort

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posted on 2023-06-09, 20:32 authored by Khalid Mustafa AliKhalid Mustafa Ali, Salma MS El said, Nermien N Adly, Samia A Abdul-Rahman
Background: Obesity and osteoporosis are two conditions that are associated with morbidity and mortality; there is contradictory evidence regarding this association. Purpose: The aim of the current study was to explore further the association between obesity and calcaneus stiffness index (CSI), as a measure of bone density, in a community-based cross-sectional study in an Egyptian population. Methods: A cross-sectional study was conducted among active subjects, aged =20 years old, over one year. CSI was measured by Quantitative ultrasound (QUS), in addition; QUS T-score and Z-score of the non-dominant heel scan were recorded. Results: Two hundred and eighty participants were recruited; 7 subjects were excluded because of Z score more than -2, mean age was 61 (± 11.9) years, and mean BMI was 29.7 (±5.6). Female participants were 77.7%, with mean of age 60.3 (± 11.6); and age range 20–82 years. Male participants were 22.3%, with mean of age 63.6 (± 12.7); and age range 30–80 years. Older subjects (>55 years) had significantly lower CSI and worse T-score than the younger subjects (P < 0.001 for both). In the younger age group, BMI was not significantly associated with CSI, even after adjustment for gender (P= 0.52). However, in the older age group, BMI was significantly associated with stiffness index (P= 0.049, O.R.= 1.73), even after adjustment for gender (P= 0.041, O.R.= 1.7). Conclusion: Compared to young subjects, older subjects (=55 years) had significantly lower bone strength as measured by CSI, and their BMI was significantly positively associated with bone density. In younger people (<55 years), BMI was not associated with bone strength.

History

Publication status

  • Published

File Version

  • Published version

Journal

Journal of Multidisciplinary Healthcare

ISSN

1178-2390

Publisher

Dove Medical Press

Volume

12

Page range

1085-1090

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2020-02-06

First Open Access (FOA) Date

2020-02-06

First Compliant Deposit (FCD) Date

2020-02-05

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