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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1797685172823392256 |
---|---|
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. |
first_indexed | 2024-03-12T00:40:18Z |
format | Article |
id | doaj.art-6deea081fd23471d9a82d770a89ef9cc |
institution | Directory Open Access Journal |
issn | 0301-4460 1464-5033 |
language | English |
last_indexed | 2024-03-12T00:40:18Z |
publishDate | 2021-11-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Annals of Human Biology |
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 |
work_keys_str_mv | AT thelmacantocetina bonemineraldensityandfracturesinpostmenopausalwomenofmayamestizoethnicoriginwithdifferentbodymassindexes AT davidrojanomejia bonemineraldensityandfracturesinpostmenopausalwomenofmayamestizoethnicoriginwithdifferentbodymassindexes AT ramonmauriciocoralvazquez bonemineraldensityandfracturesinpostmenopausalwomenofmayamestizoethnicoriginwithdifferentbodymassindexes AT joseantoniocetinamanzanilla bonemineraldensityandfracturesinpostmenopausalwomenofmayamestizoethnicoriginwithdifferentbodymassindexes AT lucilapolancoreyes bonemineraldensityandfracturesinpostmenopausalwomenofmayamestizoethnicoriginwithdifferentbodymassindexes AT patriciacanto bonemineraldensityandfracturesinpostmenopausalwomenofmayamestizoethnicoriginwithdifferentbodymassindexes |