The Relationship between Bone Mineral Densitometry and Visceral Adiposity Index in Postmenopausal Women A relação entre a densitometria mineral óssea e o índice de adiposidade visceral em mulheres na pós-menopausa

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Elmas H., DURAN C., Can M., Tolu I., Guney I.

Revista Brasileira de Ginecologia e Obstetricia, vol.45, no.2, pp.82-88, 2022 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 45 Issue: 2
  • Publication Date: 2022
  • Doi Number: 10.1055/s-0043-1764497
  • Journal Name: Revista Brasileira de Ginecologia e Obstetricia
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database, Directory of Open Access Journals
  • Page Numbers: pp.82-88
  • Keywords: absortometria de raio X de dupla energia, densidade mineral óssea, obesidade, osteoporose pós-menopausa, índice de adiposidade visceral
  • Uşak University Affiliated: Yes

Abstract

Objective It was aimed to compare visceral adiposity index (VAI) levels in patients with normal bone mineral density (BMD), osteopenia, and osteoporosis. Methods One hundred twenty postmenopausal women (40 with normal BMD, 40 with osteopenia, and 40 with osteoporosis) between the ages of 50 to 70 years were included in the study. For females, the VAI was calculated using the formula (waist circumference [WC]/[36.58 + (1.89 x body mass index (BMI))]) x (1.52/High-density lipoprotein [HDL]-cholesterol [mmol/L]) x (triglyceride [TG]/0.81 [mmol/L]). Results The time of menopause from the beginning was similar in all groups. Waist circumference was found to be higher in those with normal BMD than in the osteopenic and osteoporotic groups (p = 0.018 and p < 0.001, respectively), and it was also higher in the osteopenic group than in the osteoporotic group (p = 0.003). Height and body weight, BMI, blood pressure, insulin, glucose, HDL-cholesterol, and homeostasis model assessment-insulin resistance (HOMA-IR) levels were similar in all groups. Triglyceride levels were found to be higher in the normal BMD group, compared with the osteoporotic group (p = 0.005). The level of VAI was detected as higher in those with normal BMD, compared with the women with osteoporosis (p = 0.002). Additionally, the correlation analysis showed a positive correlation between dual-energy X-ray absorptiometry (DXA) spine T -scores, WC, VAI, and a negative correlation between DXA spine T -scores and age. Conclusion In our study, we found higher VAI levels in those with normal BMD, compared with women with osteoporosis. We consider that further studies with a larger sample size will be beneficial in elucidating the entity.