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Vol. 46, No. 4, 2000
Issue release date: July–August 2000
Section title: Clinical Section
Gerontology 2000;46:189–193
(DOI:10.1159/000022158)

Body Composition and Osteoporosis in Elderly Women

Gillette-Guyonnet S. · Nourhashemi F. · Lauque S. · Grandjean H. · Vellas B.
aDepartment of Internal Medicine and Clinical Gerontology, Centre Hospitalier Universitaire Purpan-Casselardit and bInserm unit 518, Toulouse, France

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Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Published online: 6/16/2000

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER

Abstract

Objectives: To study body composition in elderly osteoporotic women to determine the relationship of body weight, body fat mass and lean mass to bone mineral density (BMD), and to investigate the association between one-leg balance, osteoporosis and sarcopenia. Design and Setting: A cross-sectional study of a community-based population in Toulouse, France. Methods: For each participant, whole body composition and BMD were estimated using a dual-energy x-ray absorptiometry scanner. We investigated balance using a one-leg balance test. Participants: 129 healthy women aged 75–89 years, volunteers, ambulatory and living at home. Results: Total fat mass and appendicular skeletal muscle mass (ASM) were significantly lower in osteoporotic women than in the age- and sex-matched non-osteoporotic controls [18.7 ± 4.6 vs. 22.2 ± 6.6 for total fat mass (p < 0.01); 13.1 ± 1.6 vs. 13.8 ± 2.2 for ASM (p < 0.05)]. We did not find a positive association between osteoporosis and sarcopenia (OR = 0.75, CI 0.3–1.84), osteoporosis and one-leg balance (OR = 1.27, CI 0.51–3.17), or sarcopenia and one-leg balance (OR = 1.31, CI 0.52–3.36). There were significant positive correlations between BMD in all areas and body measurements (weight, fat mass, lean tissue mass), but fat mass accounted for more of the variance in total body and femoral BMD than lean tissue mass. Total fat mass alone, in a multivariate model, was correlated with whole body BMD, whereas femoral BMD was associated with both fat mass and lean tissue mass. Conclusion: Higher values of fat mass and lean tissue mass may have a protective effect on femoral bone density. Sarcopenia and osteoporosis are not necessarily linked with balance.


  

Author Contacts

S. Gillette-Guyonnet
Service de Médecine Interne et de Gérontologie Clinique
Pavillon J.P. Junod, Centre Hospitalier Universitaire Purpan-Casselardit
170 avenue de Casselardit, F–31300 Toulouse (France)
Tel. +33 5 61 77 99 37, Fax +33 5 61 77 25 93, E-Mail 101333.1462@compuserve.com

  

Article Information

Received: Received: August 2, 1999
Accepted: December 10, 1999
Number of Print Pages : 5
Number of Figures : 0, Number of Tables : 2, Number of References : 30

  

Publication Details

Gerontology (International Journal of Experimental and Clinical Gerontoloy)
Founded 1957 by F. Verzàr as ‘Gerontologia’, merged 1975 with ‘Gerontologia Clinica’, founded 1959 by E. Woodford-Williams and A.N. Exton-Smith
Organ of the International Association of Gerontology (IAG)

Vol. 46, No. 4, Year 2000 (Cover Date: July-August 2000)

Journal Editor: W. Meier-Ruge, Basel
ISSN: 0304–324X (print), 1423–0003 (Online)

For additional information: http://www.karger.com/journals/ger


Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Published online: 6/16/2000

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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