Dokument: The role of body composition and visceral fat in osteoporosis subtype differentiation: Insights from bioelectrical impedance analysis

Titel:The role of body composition and visceral fat in osteoporosis subtype differentiation: Insights from bioelectrical impedance analysis
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=70041
URN (NBN):urn:nbn:de:hbz:061-20250630-123353-8
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Wergen, Niklas Markus [Autor]
Maus, Uwe [Autor]
Schultz, Katharina [Autor]
Frohnhofen, Helmut [Autor]
Latz, David [Autor]
Somsen, C. [Autor]
Müller, Lisa [Autor]
Beyersdorf, Carl Christoph Paul [Autor]
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Dateien vom 30.06.2025 / geändert 30.06.2025
Stichwörter:Osteoporosis, Visceral fat, BIA, Inflammation
Beschreibung:Background
Recent studies have demonstrated a close link between body composition and the development and progression of osteoporosis. Visceral fat, in particular, appears to influence bone loss through its pro-inflammatory properties. However, it remains unclear whether this mechanism is equally relevant across different forms of osteoporosis.
Objective
To investigate whether body composition—especially visceral fat— differs between postmenopausal and senile osteoporosis.
Participants and setting
A total of 47 patients were prospectively enrolled. The senile osteoporosis group included patients aged ≥80 years (n = 20, mean age 87.4), the postmenopausal osteoporosis group included patients aged ≤75 years (n = 14, mean age 68.8), and the control group consisted of patients aged ≤75 years (n = 13, mean age 68.8) without osteoporotic fractures or other osteoporosis-specific risk factors.
Methods
Participants underwent bioelectrical impedance analysis (BIA) to assess body composition. Additional assessments included basic osteological laboratory testing, geriatric evaluation, sarcopenia screening (SARC-F), and frailty screening using the Clinical Frailty Scale (CFS).
Results
Muscle mass, total body water, fat-free mass, and BMI were significantly reduced in the senile osteoporosis group compared to controls. Similar trends were observed in the postmenopausal group, though without statistical significance. Notably, the senile osteoporosis group had a significantly higher proportion of visceral fat relative to total fat mass than both the control and postmenopausal groups.
Conclusion
Patients with senile and postmenopausal osteoporosis exhibit distinct differences in body composition compared to individuals without osteoporosis. In particular, the strong association between visceral fat and senile osteoporosis highlights a potential role for BIA in early risk detection and the development of tailored therapeutic strategies.
Rechtliche Vermerke:Originalveröffentlichung:
Wergen, N. M., Maus, U., Schultz, K., Frohnhofen, H., Latz, D., Somsen, C., Müller, L., & Beyersdorf, C. C. P. (2025). The role of body composition and visceral fat in osteoporosis subtype differentiation: Insights from bioelectrical impedance analysis. Journal of Orthopaedics [ISSN: 0972-978X], 65, 276282. https://doi.org/10.1016/j.jor.2025.06.014
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Medizinische Fakultät
Dokument erstellt am:30.06.2025
Dateien geändert am:30.06.2025
english
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