Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes

Background Obesity protects against bone loss, but it increases the risk of fragility fractures. Aim To determine if bone mineral density (BMD) and the prevalence of fractures are different in postmenopausal Maya-Mestizo women grouped according to their body mass index (BMI). Subjects and methods We...

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Main Authors: Thelma Canto-Cetina, David Rojano-Mejía, Ramón Mauricio Coral-Vázquez, José Antonio Cetina-Manzanilla, Lucila Polanco-Reyes, Patricia Canto
Format: Article
Language:English
Published: Taylor & Francis Group 2021-11-01
Series:Annals of Human Biology
Subjects:
Online Access:http://dx.doi.org/10.1080/03014460.2022.2041093
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author Thelma Canto-Cetina
David Rojano-Mejía
Ramón Mauricio Coral-Vázquez
José Antonio Cetina-Manzanilla
Lucila Polanco-Reyes
Patricia Canto
author_facet Thelma Canto-Cetina
David Rojano-Mejía
Ramón Mauricio Coral-Vázquez
José Antonio Cetina-Manzanilla
Lucila Polanco-Reyes
Patricia Canto
author_sort Thelma Canto-Cetina
collection DOAJ
description Background Obesity protects against bone loss, but it increases the risk of fragility fractures. Aim To determine if bone mineral density (BMD) and the prevalence of fractures are different in postmenopausal Maya-Mestizo women grouped according to their body mass index (BMI). Subjects and methods We studied 600 postmenopausal Maya-Mestizo women. A structured questionnaire for risk factors was applied. Body mass index was determined. BMD was assessed at the lumbar spine and total hip by dual-energy X-ray absorptiometry. History of low trauma fracture was determined from medical records. ANOVA was used to compare mean BMD between women with different BMI. To compare the frequency of fractures according to BMI group, we used χ2 test. Results According to WHO classification of BMI, 16.3% of women had normal BMI, 35.3% were overweight, and 48.4% had obesity. We found that women with obesity had a higher BMD versus women with normal BMI or overweight in all the anatomical sites analysed. The prevalence of history of fractures was 18.2%. We did not find differences between the women of different BMI; the wrist was the most frequent skeletal site of the fracture. Conclusion Obesity in postmenopausal Maya-Mestizo women is not a risk factor for developing fragility fractures.
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spelling doaj.art-6deea081fd23471d9a82d770a89ef9cc2023-09-15T08:45:19ZengTaylor & Francis GroupAnnals of Human Biology0301-44601464-50332021-11-01487-856757110.1080/03014460.2022.20410932041093Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexesThelma Canto-Cetina0David Rojano-Mejía1Ramón Mauricio Coral-Vázquez2José Antonio Cetina-Manzanilla3Lucila Polanco-Reyes4Patricia Canto5Laboratorio de Biología de la Reproducción, Centro de Investigaciones Regionales “Dr. Hideyo Noguchi”UMAE Hospital de Traumatología, Ortopedia y Rehabilitación “Dr. Victorio de la Fuente Narváez”, Instituto Mexicano del Seguro SocialSección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina, Instituto Politécnico NacionalServicio de Reumatología, Hospital Star MédicaLaboratorio de Biología de la Reproducción, Centro de Investigaciones Regionales “Dr. Hideyo Noguchi”Unidad de Investigación en Obesidad, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoBackground Obesity protects against bone loss, but it increases the risk of fragility fractures. Aim To determine if bone mineral density (BMD) and the prevalence of fractures are different in postmenopausal Maya-Mestizo women grouped according to their body mass index (BMI). Subjects and methods We studied 600 postmenopausal Maya-Mestizo women. A structured questionnaire for risk factors was applied. Body mass index was determined. BMD was assessed at the lumbar spine and total hip by dual-energy X-ray absorptiometry. History of low trauma fracture was determined from medical records. ANOVA was used to compare mean BMD between women with different BMI. To compare the frequency of fractures according to BMI group, we used χ2 test. Results According to WHO classification of BMI, 16.3% of women had normal BMI, 35.3% were overweight, and 48.4% had obesity. We found that women with obesity had a higher BMD versus women with normal BMI or overweight in all the anatomical sites analysed. The prevalence of history of fractures was 18.2%. We did not find differences between the women of different BMI; the wrist was the most frequent skeletal site of the fracture. Conclusion Obesity in postmenopausal Maya-Mestizo women is not a risk factor for developing fragility fractures.http://dx.doi.org/10.1080/03014460.2022.2041093body mass indexbone mineral densityfracturespostmenopausal maya-mestizo women
spellingShingle Thelma Canto-Cetina
David Rojano-Mejía
Ramón Mauricio Coral-Vázquez
José Antonio Cetina-Manzanilla
Lucila Polanco-Reyes
Patricia Canto
Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes
Annals of Human Biology
body mass index
bone mineral density
fractures
postmenopausal maya-mestizo women
title Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes
title_full Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes
title_fullStr Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes
title_full_unstemmed Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes
title_short Bone mineral density and fractures in postmenopausal women of Maya-Mestizo ethnic origin with different body mass indexes
title_sort bone mineral density and fractures in postmenopausal women of maya mestizo ethnic origin with different body mass indexes
topic body mass index
bone mineral density
fractures
postmenopausal maya-mestizo women
url http://dx.doi.org/10.1080/03014460.2022.2041093
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