Mid-arm muscle circumference as an indicator of osteoporosis in community-dwelling older men |
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| Institution: | 1. Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, and School of Medicine, National Defense Medical Center, Taipei, Taiwan, ROC;2. Division of Geriatric Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, and School of Medicine, National Defense Medical Center, Taipei, Taiwan, ROC;3. Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC;1. Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, China;2. Department of Rehabilitation Medicine, Tianjin Medical University, Tianjin, China;3. College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China;1. Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, 4-11 Gin-yamachi, Nagasaki City, Nagasaki, 850-0854, Japan;2. Department of Clinical Nutrition and Food Management, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15 Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan;3. Department of Rehabilitation Medicine, Yokohama City University Medical Center, 4-57 Urafune-chou, Minami-ku, Yokohama City, Kanagawa, 232-0024, Japan;4. Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan;5. Takano Hospital, 214 Higashimachi, Shimokitaba, Hironomachi, Futaba-gun, Fukushima, 979-0402, Japan;6. Department of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, 1-1-71 Ujinahigashi, Minami-ku, Hiroshima City, Hiroshima, 734-8558, Japan;7. Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi, 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki City, Kanagawa, 213-8507, Japan;1. Instituto Português do Ritmo Cardíaco, Porto Salvo, Portugal;2. Serviço de Cardiologia, Hospital da Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Portugal;3. Unidade de Insuficiência Cardíaca, Serviço de Medicina III, Hospital S. Francisco Xavier, Centro Hospitalar de Lisboa Ocidental e Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Portugal;4. Unidade de Imagiologia Cardíaca, Laboratório de Ecocardiografia, Hospital da Luz, Lisboa, Portugal;5. Serviço de Cardiologia. Hospital de São João, Porto, Portugal;1. Multi-Professional Healthcare Program, University Hospital, Federal University of Parana, General Carneiro Street, 181, Alto da Glória, Zip Code: 80060-900, Curitiba, Parana, Brazil;2. Department of Physical Education, Federal University of Parana, Coração de Maria Street, 92, Jardim Botânico, Zip Code: 80210-132, Curitiba, Parana, Brazil;3. Nutrition Department, Federal University of Parana, Professor Lothário Meissner Street, 632, Jardim Botânico, Zip Code: 80210-170, Curitiba, Parana, Brazil;4. Prevention and Rehabilitation in Physiotherapy Department, Federal University of Parana, Coração de Maria Street, 92, Jardim Botânico, Zip Code: 80210-132, Curitiba, Parana, Brazil;1. Department of Psychology, Whitelands College, University of Roehampton, Holybourne Avenue, London, SW15 4JD, UK;2. Department of Behavioural Science and Health, University College London, London, WC1E 6BT, UK |
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| Abstract: | BackgroundOsteoporosis is an underdiagnosed disease and is lack of convenient and cost-efficient screening tool. We undertook a study to determine whether mid-arm muscle circumference (MAMC) was associated with osteoporosis.DesignData were retrieved from the National Health and Nutrition Examination Survey (NHANES) III participants (aged 40–90 years). We divided the MAMC into tertile groups (T1, T2, and T3). Femoral neck bone density was analyzed because it was the reference skeletal site for defining osteoporosis in epidemiological studies. Participants with T- scores ≤ –2.5 were categorized as having osteoporosis. Multivariate logistic regression models were used to evaluate the associations between the MAMC tertiles and osteoporosis.ResultsAfter adjustment for multiple covariates, osteoporosis was significantly inversely associated with the MAMC tertiles in the male group (T2/T1: OR 0.47, 95 % CI 0.30–0.75 and T3/T1: OR 0.34, 95 % CI 0.18–0.64), whereas nonsignificant association was found in the female group (T2/T1: OR 0.92, 95 % CI 0.70–1.20 and T3/T1: OR 0.84, 95 % CI 0.47–1.53). Subgroup analyses (40–64 and ≥65 years old; BMI <25 and ≥25 kg/m2) revealed consistent results.ConclusionThe MAMC is an economical and practical tool that may assist in screening and early diagnosis of osteoporosis for the older men. |
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| Keywords: | Anthropometry Osteoporosis Mid-arm muscle circ Umference |
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