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Positive Association of Obesity and Insulin Resistance With Bone Mineral Density in Tunisian Postmenopausal Women
Authors:Rim Cherif  Feten Mahjoub  Hela Sahli  Elhem Cheour  Laurence Vico  Mohsen Sakly  Nebil Attia
Affiliation:1. UR11ES33, Research Unit ''Integrated Physiology, Laboratory of Biochemistry-Human Nutrition, Faculty of Sciences of Bizerte, Carthage University, Tunis, Tunisia;2. INSERM U1059, Integrative Biology of Bone Tissue Laboratory, Lyon University, St-Etienne, France;3. Department of Diabetology, National Institute of Nutrition, Tunis, Tunisia;4. Immuno-Rheumatology Laboratory, Rabta Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
Abstract:
The association of bone mineral density (BMD) with obesity and insulin resistance remains unclear. This study aimed to explore these associations in Tunisian menopausal women. Eighty-one postmenopausal women were recruited. Data were analyzed for obese (N?=?57) and non-obese women (N?=?24) and for insulin-resistant (N?=?43) and non insulin-resistant women (N?=?36). Anthropometric and biochemical parameters were recorded. BMD in different sites and body composition were measured using dual-energy X-ray absorptiometry. Higher BMD was observed in obese women than those non-obese in the left femur (p?=?0.0067), right femur (p?=?0.0108), total hip (p?=?0.0077), and the whole body (p?=?0.0276). Also BMD was significantly greater in insulin-resistant women than in non–insulin-resistant women when measured in the left femur and total hip. Positive correlations were recorded between BMD and anthropometric parameters, body composition parameters, and glycemia (r?=?0.249, p?p?p?
Keywords:Bone mineral density  fat  insulin resistance  lean mass  obesity
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