Percent Fat Mass Is Inversely Associated With Bone Mass and Hip Geometry in Rural Chinese Adolescents
2010

Fat Mass and Bone Health in Chinese Adolescents

Sample size: 1404 publication 10 minutes Evidence: high

Author Information

Author(s): Hong Xiumei, Arguelles Lester M, Liu Xin, Tsai Hui-Ju, Hsu Yi-Hsiang, Wang Binyan, Zhang Shanchun, Li Zhiping, Tang Gengfu, Liu Xue, Yang Jianhua, Xu Xiping, Langman Craig, Wang Xiaobin

Primary Institution: Northwestern University Feinberg School of Medicine

Hypothesis

Is there an association between percent fat mass and bone parameters in rural Chinese adolescents?

Conclusion

In lean Chinese adolescents, higher percent fat mass is associated with lower bone mass and hip geometry.

Supporting Evidence

  • Inverse associations were observed between percent fat mass and bone parameters after controlling for body weight.
  • Heritability estimates for bone parameters ranged from 64% to 86%.
  • Both shared genetics and environmental factors contributed to the inverse relationships.

Takeaway

This study found that having more fat can be bad for bones in teenagers, especially in how strong their hips are.

Methodology

The study used dual-energy X-ray absorptiometry to measure bone parameters and multiple linear regression models to assess relationships.

Potential Biases

Potential bias due to reliance on self-reported physical activity and dietary information.

Limitations

The cross-sectional design limits causal inference, and the study may not represent non-twin populations.

Participant Demographics

Participants were 786 males and 618 females aged 13 to 21 years from a rural Chinese twin cohort.

Statistical Information

P-Value

p<0.005

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/jbmr.40

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