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Bone mass in Saudi women aged 20–40 years : the association with obesity and vitamin D deficiency

Albaik, Mai ; Khan, Jalaluddin A. ; Sindi, Ikhlas ; Akesson, Kristina E. LU and McGuigan, Fiona E.A. LU orcid (2022) In Archives of Osteoporosis 17(1).
Abstract

Summary: This study describes that low bone density is prevalent in premenopausal Saudi women, especially women of normal weight and vitamin D deficiency. Although BMD is higher in obese young women, this may not be beneficial later in life in conjunction with persistent vitamin D deficiency. Introduction: Not attaining peak bone mass is one crucial factor contributing to the risk of developing osteoporosis and suffering fractures in later life. The objectives of this study were to describe the normal range of bone mineral density (BMD) and bone mineral content (BMC) in premenopausal Saudi women in relation to obesity and vitamin D insufficiency. Methods: A cross-sectional study involving 312 healthy Saudi women aged 20–40. All women... (More)

Summary: This study describes that low bone density is prevalent in premenopausal Saudi women, especially women of normal weight and vitamin D deficiency. Although BMD is higher in obese young women, this may not be beneficial later in life in conjunction with persistent vitamin D deficiency. Introduction: Not attaining peak bone mass is one crucial factor contributing to the risk of developing osteoporosis and suffering fractures in later life. The objectives of this study were to describe the normal range of bone mineral density (BMD) and bone mineral content (BMC) in premenopausal Saudi women in relation to obesity and vitamin D insufficiency. Methods: A cross-sectional study involving 312 healthy Saudi women aged 20–40. All women were clinically examined. BMD (g/cm2) and BMC (g) assessed at total body (TB), femoral neck (FN) and lumbar spine (LS) were performed using dual-energy X-ray absorptiometry (DXA). Obesity was defined as BMI ≥ 30 kg/m2 and vitamin D deficiency defined as 25(OH)D < 50 nmol/L. Results: Almost half of the studied women were obese, and the majority (86.2%) were deficient in vitamin D. Mean BMD in TB 1.060 ± 0.091, FN 0.918 ± 0.153 and LS 1.118 ± 0.123 g/cm2, while TB-BMC 2077 ± 272 g. When classified by BMI, the proportion with low bone density was 2–3 times higher among the normal weight compared to the obese women, p < 0.001. In the cohort overall, ~ 19% of these young premenopausal women had osteopenia or osteoporosis at the femoral neck, but 26% in normal weight, vitamin D deficient women. Conclusion: This study shows low bone density in premenopausal Saudi women, particularly those with normal weight. While obesity appears to confer some protection against vitamin D deficiency at this age, this is assumed to change in later life.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bone mass, Bone mineral content, Bone mineral density, Obesity, Premenopausal women, Saudi women
in
Archives of Osteoporosis
volume
17
issue
1
article number
123
publisher
Springer
external identifiers
  • pmid:36107272
  • scopus:85137883954
ISSN
1862-3522
DOI
10.1007/s11657-022-01164-z
language
English
LU publication?
yes
id
0225173a-b708-4383-ba66-c9409b790000
date added to LUP
2022-12-02 14:21:45
date last changed
2024-05-02 10:14:29
@article{0225173a-b708-4383-ba66-c9409b790000,
  abstract     = {{<p>Summary: This study describes that low bone density is prevalent in premenopausal Saudi women, especially women of normal weight and vitamin D deficiency. Although BMD is higher in obese young women, this may not be beneficial later in life in conjunction with persistent vitamin D deficiency. Introduction: Not attaining peak bone mass is one crucial factor contributing to the risk of developing osteoporosis and suffering fractures in later life. The objectives of this study were to describe the normal range of bone mineral density (BMD) and bone mineral content (BMC) in premenopausal Saudi women in relation to obesity and vitamin D insufficiency. Methods: A cross-sectional study involving 312 healthy Saudi women aged 20–40. All women were clinically examined. BMD (g/cm<sup>2</sup>) and BMC (g) assessed at total body (TB), femoral neck (FN) and lumbar spine (LS) were performed using dual-energy X-ray absorptiometry (DXA). Obesity was defined as BMI ≥ 30 kg/m<sup>2</sup> and vitamin D deficiency defined as 25(OH)D &lt; 50 nmol/L. Results: Almost half of the studied women were obese, and the majority (86.2%) were deficient in vitamin D. Mean BMD in TB 1.060 ± 0.091, FN 0.918 ± 0.153 and LS 1.118 ± 0.123 g/cm<sup>2</sup>, while TB-BMC 2077 ± 272 g. When classified by BMI, the proportion with low bone density was 2–3 times higher among the normal weight compared to the obese women, p &lt; 0.001. In the cohort overall, ~ 19% of these young premenopausal women had osteopenia or osteoporosis at the femoral neck, but 26% in normal weight, vitamin D deficient women. Conclusion: This study shows low bone density in premenopausal Saudi women, particularly those with normal weight. While obesity appears to confer some protection against vitamin D deficiency at this age, this is assumed to change in later life.</p>}},
  author       = {{Albaik, Mai and Khan, Jalaluddin A. and Sindi, Ikhlas and Akesson, Kristina E. and McGuigan, Fiona E.A.}},
  issn         = {{1862-3522}},
  keywords     = {{Bone mass; Bone mineral content; Bone mineral density; Obesity; Premenopausal women; Saudi women}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Springer}},
  series       = {{Archives of Osteoporosis}},
  title        = {{Bone mass in Saudi women aged 20–40 years : the association with obesity and vitamin D deficiency}},
  url          = {{http://dx.doi.org/10.1007/s11657-022-01164-z}},
  doi          = {{10.1007/s11657-022-01164-z}},
  volume       = {{17}},
  year         = {{2022}},
}