Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency

Aim. Adult growth hormone deficiency (AGHD) is associated with an increased risk of fractures. The interactions between various body composition and bone are known to be complex in nature. However, very few studies have examined this crosstalk in AGHD. In this study, we sought to investigate the rel...

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Main Authors: Linman Li, Li Zhong, Xiaoya Zheng, Wenyi You, Yunting Wang, Jihui Yu, Xun Wu, Wei Ren, Gangyi Yang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Biochemistry Research International
Online Access:http://dx.doi.org/10.1155/2020/5079625
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author Linman Li
Li Zhong
Xiaoya Zheng
Wenyi You
Yunting Wang
Jihui Yu
Xun Wu
Wei Ren
Gangyi Yang
author_facet Linman Li
Li Zhong
Xiaoya Zheng
Wenyi You
Yunting Wang
Jihui Yu
Xun Wu
Wei Ren
Gangyi Yang
author_sort Linman Li
collection DOAJ
description Aim. Adult growth hormone deficiency (AGHD) is associated with an increased risk of fractures. The interactions between various body composition and bone are known to be complex in nature. However, very few studies have examined this crosstalk in AGHD. In this study, we sought to investigate the relationship between various parameters of body composition and bone mineral density (BMD) as well as determine the role of visceral fat in determining the bone mass in patients with AGHD. Methods. We conducted a cross-sectional study on 57 patients with AGHD. Anthropometry, biochemistry, and analysis of body composition and BMD were performed according to standard protocols. Male and female patients were classified into those with osteoporosis and those without osteoporosis (normal subjects and patients with osteopenia). Further, we analyzed the correlation between the BMD and measurements obtained for various body composition parameters in male and female AGHD patients. Results. Our findings indicated that among female AGHD patients, those with osteoporosis had a significantly higher levels of fat mass (FM) and visceral adipose tissue mass (VATM) (both, P<0.05) than those without osteoporosis. Further, Pearson correlation analysis showed that the values of age, body mass index (BMI), FM, and VATM correlated negatively with BMD in women with AGHD (all P<0.05); however, this association was not noted in men. After adjusting for the other covariates, VATM was found to be independently correlated with the BMD in female patients with AGHD. Conclusions. A close correlation was noted between VATM and BMD in female patients with AGHD.
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spelling doaj-art-aa6077d4493f42978561f45e670c57df2025-02-03T06:46:35ZengWileyBiochemistry Research International2090-22472090-22552020-01-01202010.1155/2020/50796255079625Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone DeficiencyLinman Li0Li Zhong1Xiaoya Zheng2Wenyi You3Yunting Wang4Jihui Yu5Xun Wu6Wei Ren7Gangyi Yang8Department of Health Management Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaDepartment of Health Management Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaInfectious Diseases Department, The People’s Hospital of Yubei District of Chongqing City, Chongqing 401120, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaDepartment of Health Management Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, ChinaDepartment of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, ChinaAim. Adult growth hormone deficiency (AGHD) is associated with an increased risk of fractures. The interactions between various body composition and bone are known to be complex in nature. However, very few studies have examined this crosstalk in AGHD. In this study, we sought to investigate the relationship between various parameters of body composition and bone mineral density (BMD) as well as determine the role of visceral fat in determining the bone mass in patients with AGHD. Methods. We conducted a cross-sectional study on 57 patients with AGHD. Anthropometry, biochemistry, and analysis of body composition and BMD were performed according to standard protocols. Male and female patients were classified into those with osteoporosis and those without osteoporosis (normal subjects and patients with osteopenia). Further, we analyzed the correlation between the BMD and measurements obtained for various body composition parameters in male and female AGHD patients. Results. Our findings indicated that among female AGHD patients, those with osteoporosis had a significantly higher levels of fat mass (FM) and visceral adipose tissue mass (VATM) (both, P<0.05) than those without osteoporosis. Further, Pearson correlation analysis showed that the values of age, body mass index (BMI), FM, and VATM correlated negatively with BMD in women with AGHD (all P<0.05); however, this association was not noted in men. After adjusting for the other covariates, VATM was found to be independently correlated with the BMD in female patients with AGHD. Conclusions. A close correlation was noted between VATM and BMD in female patients with AGHD.http://dx.doi.org/10.1155/2020/5079625
spellingShingle Linman Li
Li Zhong
Xiaoya Zheng
Wenyi You
Yunting Wang
Jihui Yu
Xun Wu
Wei Ren
Gangyi Yang
Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency
Biochemistry Research International
title Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency
title_full Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency
title_fullStr Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency
title_full_unstemmed Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency
title_short Association between Visceral Fat and Bone Mineral Density in Both Male and Female Patients with Adult Growth Hormone Deficiency
title_sort association between visceral fat and bone mineral density in both male and female patients with adult growth hormone deficiency
url http://dx.doi.org/10.1155/2020/5079625
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