Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.

The association between obesity and vertebral fracture remains controversial. This study aimed to investigate the association between obesity/abdominal obesity and vertebral fracture according to menopausal status. This nationwide population-based epidemiologic study collected data from the Korean N...

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Main Authors: HyunJin Kim, Chung-Woo Lee, Myung Ji Nam, Yeon Joo Choi, Kyungdo Han, Jin-Hyung Jung, Do-Hoon Kim, Joo-Hyun Park
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0254755
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author HyunJin Kim
Chung-Woo Lee
Myung Ji Nam
Yeon Joo Choi
Kyungdo Han
Jin-Hyung Jung
Do-Hoon Kim
Joo-Hyun Park
author_facet HyunJin Kim
Chung-Woo Lee
Myung Ji Nam
Yeon Joo Choi
Kyungdo Han
Jin-Hyung Jung
Do-Hoon Kim
Joo-Hyun Park
author_sort HyunJin Kim
collection DOAJ
description The association between obesity and vertebral fracture remains controversial. This study aimed to investigate the association between obesity/abdominal obesity and vertebral fracture according to menopausal status. This nationwide population-based epidemiologic study collected data from the Korean National Health Insurance Services to investigate the association between obesity/abdominal obesity and vertebral fracture in pre and postmenopausal women who underwent national cancer screening in 2009. We used three body composite indices of obesity, body mass index, waist circumference and waist-to-height ratio, to classify participants into obesity and abdominal obesity groups. In both pre and postmenopausal groups, participants with obesity showed a higher risk of vertebral fracture and the association was stronger in those with abdominal obesity (p < 0.001). Participants with obesity showed a high risk of vertebral fracture, and the association was stronger in participants with abdominal obesity (p < 0.001). In both pre and postmenopausal groups, participants with obesity showed a higher risk of vertebral fracture (adjusted HR, 1.24; 95% CI, 1.19-1.30), (adjusted HR, 1.04; 95% CI, 1.03-1.05, and those with abdominal obesity showed even higher risk of vertebral fractures (adjusted HR, 1.35; 95% CI, 1.27-1.43), (adjusted HR, 1.13; 95% CI, 1.11-1.14). Vertebral fracture risk is higher in pre and postmenopausal women with obesity and even higher in those with abdominal obesity. Therefore, weight management can prevent vertebral fractures.
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spelling doaj.art-29ff770540824a2eb82e708df8a3318f2022-12-21T21:33:15ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168e025475510.1371/journal.pone.0254755Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.HyunJin KimChung-Woo LeeMyung Ji NamYeon Joo ChoiKyungdo HanJin-Hyung JungDo-Hoon KimJoo-Hyun ParkThe association between obesity and vertebral fracture remains controversial. This study aimed to investigate the association between obesity/abdominal obesity and vertebral fracture according to menopausal status. This nationwide population-based epidemiologic study collected data from the Korean National Health Insurance Services to investigate the association between obesity/abdominal obesity and vertebral fracture in pre and postmenopausal women who underwent national cancer screening in 2009. We used three body composite indices of obesity, body mass index, waist circumference and waist-to-height ratio, to classify participants into obesity and abdominal obesity groups. In both pre and postmenopausal groups, participants with obesity showed a higher risk of vertebral fracture and the association was stronger in those with abdominal obesity (p < 0.001). Participants with obesity showed a high risk of vertebral fracture, and the association was stronger in participants with abdominal obesity (p < 0.001). In both pre and postmenopausal groups, participants with obesity showed a higher risk of vertebral fracture (adjusted HR, 1.24; 95% CI, 1.19-1.30), (adjusted HR, 1.04; 95% CI, 1.03-1.05, and those with abdominal obesity showed even higher risk of vertebral fractures (adjusted HR, 1.35; 95% CI, 1.27-1.43), (adjusted HR, 1.13; 95% CI, 1.11-1.14). Vertebral fracture risk is higher in pre and postmenopausal women with obesity and even higher in those with abdominal obesity. Therefore, weight management can prevent vertebral fractures.https://doi.org/10.1371/journal.pone.0254755
spellingShingle HyunJin Kim
Chung-Woo Lee
Myung Ji Nam
Yeon Joo Choi
Kyungdo Han
Jin-Hyung Jung
Do-Hoon Kim
Joo-Hyun Park
Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.
PLoS ONE
title Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.
title_full Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.
title_fullStr Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.
title_full_unstemmed Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.
title_short Association between body composite indices and vertebral fractures in pre and postmenopausal women in Korea.
title_sort association between body composite indices and vertebral fractures in pre and postmenopausal women in korea
url https://doi.org/10.1371/journal.pone.0254755
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