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Birth weight is more important for peak bone mineral content than for bone density: the PEAK-25 study of 1,061 young adult women.

Callréus, Mattias LU ; McGuigan, Fiona LU orcid and Åkesson, Kristina LU (2013) In Osteoporosis International 24(4). p.1347-1355
Abstract
Lower birth weight has a negative association with adult BMC and body composition in young adult Swedish women.



INTRODUCTION: The aim of this study was to evaluate the influence of birth weight on peak bone mass and body composition in a cohort of 25-year-old women.



METHODS: One thousand sixty-one women participated in this cross-sectional population-based study using dual energy X-ray absorptiometry (DXA) to assess bone mineral content (BMC), bone mineral density (BMD), and body composition (total body (TB), femoral neck (FN), total hip (TH), lumbar spine L1-L4 (LS), and lean and fat mass). Birth weight data was available for 1,047 women and was categorized into tertiles of low (≤3,180 g),... (More)
Lower birth weight has a negative association with adult BMC and body composition in young adult Swedish women.



INTRODUCTION: The aim of this study was to evaluate the influence of birth weight on peak bone mass and body composition in a cohort of 25-year-old women.



METHODS: One thousand sixty-one women participated in this cross-sectional population-based study using dual energy X-ray absorptiometry (DXA) to assess bone mineral content (BMC), bone mineral density (BMD), and body composition (total body (TB), femoral neck (FN), total hip (TH), lumbar spine L1-L4 (LS), and lean and fat mass). Birth weight data was available for 1,047 women and was categorized into tertiles of low (≤3,180 g), intermediate (3,181-3,620 g), and high (≥3,621 g) birth weight.



RESULTS: Significant correlations were observed between birth weight and TB-BMC (r = 0.159, p < 0.001), FN-BMC (r = 0.096, p < 0.001), TH-BMC (r = 0.102, p = 0.001), LS-BMC (r = 0.095, p = 0.002), and lean mass (r = 0.215, p < 0.001). No correlation was observed between birth weight and BMD. The estimated magnitude of effect was equivalent to a 0.3-0.5 SD difference in BMC for every 1 kg difference in birth weight (151 g (TB); 0.22 g (FN); 1.5 g (TH), 2.5 kg TB lean mass). The strongest correlations between birth weight and BMC occurred in women with lowest birth weights, although excluding women who weighed <2,500 g at birth, and the correlation remained significant although slightly weaker.



CONCLUSIONS: Women with lower birth weight have lower BMC and less lean and fat mass at the age of 25, independent of current body weight. Lower birth weight has a greater negative influence on bone mass than the positive influence of higher birth weight. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Osteoporosis International
volume
24
issue
4
pages
1347 - 1355
publisher
Springer
external identifiers
  • wos:000316639600022
  • pmid:22806558
  • scopus:84876484957
ISSN
1433-2965
DOI
10.1007/s00198-012-2077-8
language
English
LU publication?
yes
id
d0f671ca-3568-4699-8f2c-d30cbaa37131 (old id 2967009)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22806558?dopt=Abstract
date added to LUP
2016-04-01 10:08:31
date last changed
2024-04-21 04:37:47
@article{d0f671ca-3568-4699-8f2c-d30cbaa37131,
  abstract     = {{Lower birth weight has a negative association with adult BMC and body composition in young adult Swedish women. <br/><br>
<br/><br>
INTRODUCTION: The aim of this study was to evaluate the influence of birth weight on peak bone mass and body composition in a cohort of 25-year-old women. <br/><br>
<br/><br>
METHODS: One thousand sixty-one women participated in this cross-sectional population-based study using dual energy X-ray absorptiometry (DXA) to assess bone mineral content (BMC), bone mineral density (BMD), and body composition (total body (TB), femoral neck (FN), total hip (TH), lumbar spine L1-L4 (LS), and lean and fat mass). Birth weight data was available for 1,047 women and was categorized into tertiles of low (≤3,180 g), intermediate (3,181-3,620 g), and high (≥3,621 g) birth weight. <br/><br>
<br/><br>
RESULTS: Significant correlations were observed between birth weight and TB-BMC (r = 0.159, p &lt; 0.001), FN-BMC (r = 0.096, p &lt; 0.001), TH-BMC (r = 0.102, p = 0.001), LS-BMC (r = 0.095, p = 0.002), and lean mass (r = 0.215, p &lt; 0.001). No correlation was observed between birth weight and BMD. The estimated magnitude of effect was equivalent to a 0.3-0.5 SD difference in BMC for every 1 kg difference in birth weight (151 g (TB); 0.22 g (FN); 1.5 g (TH), 2.5 kg TB lean mass). The strongest correlations between birth weight and BMC occurred in women with lowest birth weights, although excluding women who weighed &lt;2,500 g at birth, and the correlation remained significant although slightly weaker. <br/><br>
<br/><br>
CONCLUSIONS: Women with lower birth weight have lower BMC and less lean and fat mass at the age of 25, independent of current body weight. Lower birth weight has a greater negative influence on bone mass than the positive influence of higher birth weight.}},
  author       = {{Callréus, Mattias and McGuigan, Fiona and Åkesson, Kristina}},
  issn         = {{1433-2965}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1347--1355}},
  publisher    = {{Springer}},
  series       = {{Osteoporosis International}},
  title        = {{Birth weight is more important for peak bone mineral content than for bone density: the PEAK-25 study of 1,061 young adult women.}},
  url          = {{https://lup.lub.lu.se/search/files/1598357/3460860.pdf}},
  doi          = {{10.1007/s00198-012-2077-8}},
  volume       = {{24}},
  year         = {{2013}},
}