<tbody>Association between Osteoporosis and Skeletal Muscle Mass in Men</tbody>

被引:1
|
作者
Mizutani, Masaya [1 ]
Eguchi, Yawara [1 ,2 ]
Toyoguchi, Toru [3 ]
Orita, Sumihisa [1 ,4 ]
Inage, Kazuhide [1 ]
Shiga, Yasuhiro [1 ]
Maki, Satoshi [1 ]
Nakamura, Junichi [1 ]
Hagiwara, Shigeo [1 ]
Aoki, Yasuchika [5 ]
Inoue, Masahiro [5 ]
Koda, Masao [6 ]
Takahashi, Hiroshi [6 ]
Akazawa, Tsutomu [7 ]
Ohtori, Seiji [1 ]
机构
[1] Chiba Univ, Grad Sch Med, Dept Orthopaed Surg, 1-8-1 Inohana,Chuo Ku, Chiba 2608670, Japan
[2] Shimoshizu Natl Hosp, Dept Orthopaed Surg, Yotsukaido, Japan
[3] Chiba Qiball Clin, Dept Orthopaed Surg, Chiba, Japan
[4] Chiba Univ, Ctr Frontier Med Engn, Chiba, Japan
[5] Eastern Chiba Med Ctr, Dept Orthopaed Surg, Togane, Japan
[6] Univ Tsukuba, Dept Orthoped Surg, Tsukuba, Japan
[7] St Marianna Univ, Sch Med, Dept Orthopaed Surg, Kawasaki, Japan
关键词
Male; Osteoporosis; Skeletal muscle mass; GLYCATION END-PRODUCTS; FRACTURE INCIDENCE; CROSS-LINKING; WOMEN; SARCOPENIA; COLLAGEN; MEN; ASSOCIATION; PREVALENCE; MORTALITY;
D O I
10.31616/asj.2023.0165
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Study Design: Cross-sectional study. Purpose: This cross-sectional study aimed to investigate the risk factors for osteoporosis in men by assessing bone mineral density (BMD), skeletal muscle mass, body fat mass, grip strength, and advanced glycation end products (AGEs). Overview of Literature: Fewer studies have reported the correlation between BMD and skeletal muscle mass in women. Moreover, a few studies have examined the relationship between osteoporosis and skeletal muscle mass. Methods: This study included 99 men (mean age, 74.9 years; range, 28-93 years) who visited Qiball Clinic for BMD and body composition examinations. The osteoporosis group consisted of 24 patients (mean age, 72.5 years; range, 44-92 years), and the control group consisted of 75 individuals (mean age, 74.9 years; range, 28-93 years). Whole-body skeletal muscle mass was measured using a bioelectrical impedance analyzer. BMD was measured by dual X-ray absorptiometry. Skin autofluorescence (SAF), a marker of dermal AGE accumulation, was measured using a spectroscope. Osteoporosis was defined as a bone density T score of -2.5 or less. Physical findings, skeletal muscle mass, BMD, grip strength, and SAF were compared between the osteoporosis and control groups. Results: The osteoporosis group had significantly lower trunk muscle mass (23.1 kg vs. 24.9 kg), lower leg muscle mass (14.4 kg vs. 13.0 kg), and skeletal mass index (7.1 kg/m2 vs. 6.7 kg/m2 ) than the control group (all p<0.05). Lower limb muscle mass was identified as a risk factor for osteoporosis in men (odds ratio, 0.64; p=0.03). Conclusions: Conservative treatment of osteoporosis in men will require an effective approach that facilitates the maintenance or strengthening of skeletal muscle mass, including exercise therapy with a focus on lower extremities and nutritional supplementation.
引用
收藏
页码:73 / 78
页数:6
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