ECTS2016 Poster Presentations Osteoporosis: evaluation and imaging (39 abstracts)
1D. F. Chebotarev Institute of Gerontology NAMS Ukraine, Kyiv, Ukraine; 2I. Hobachevsky Ternopil State Medical University, Ternopil, Ukraine.
The aim of this study was to evaluate the bone mineral density (BMD), trabecular bone score (TBS) in the Ukrainian women with obesity.
Materials and methods: 1025 women aged 4089 years (mean age 62.7±9.7 yrs; mean height 161.4±6.2 cm; mean weight 73.9±13.8 kg, body mass index 28.4±5.1 kg/m2) were examined. The women were divided into the following groups depending on their body mass index: A 360 women with obesity, BMI≧30 kg/m2 (mean age 64.0±8.9 yrs; mean body mass index 33.9±3.5 kg/m2), B 665 women without obesity, BMI<30 kg/m2 (mean age 62.0±10.0 yrs; body mass index 25.4±2.8 kg/m2). BMD was measured by the DXA method (Prodigy, GEHC Lunar, Madison, WI, USA). TBS (L1-L4) was assessed by means of TBS iNsight® software installed on our DXA machine (Med-Imaps, Pessac, France).
Results: We have found that obese women have a significantly higher BMD of lumbar spine (A 1.114±0.197 g/cm2, B 0.994±0.194 g/cm2), femoral neck (A 0.873±0.137 g/cm2, B 0.822±0.136 g/cm2), total body (A 1.123±0.108 g/cm2, B 1.037±0.111 g/cm2) and ultradistal forearm (A 0.429±0.087 g/cm2, B 0.371±0.082 g/cm2) in comparison with women without obesity. When analyzing their BMD depending on age, we determined that the BMDs of lumbar spine, femoral neck and total body significantly differ in the women of age groups 4049, 5059, 6069 and 7079 yrs (P<0.05). At the same time, in the women aged 8089 yrs the BMD of lumbar spine (P=0.09), femoral neck (P=0.22) and total body (P=0.06) did not differ significantly. The BMD of ultradistal forearm was significantly higher in the women of all age groups (P<0.05). TBS (L1-L4) was not significantly different in obese women compared with women without obesity in all age groups.
Conclusion: Obese women have a significantly higher BMD at all measured sites compared with women without obesity. TBS (L1-L4) did not significantly differ in the examined women.