The purpose of this study was to examine associations among bone mineral density, osteopenia/osteoporosis, body mass index (BMI), and body composition in patients with heart failure (HF). A total of 119 patients (age = 61 ± 12 years, 65% male) underwent dual-energy X-ray absorptiometry scans to determine bone mineral density and body composition. In multivariable linear regressions, BMI, relative skeletal muscle index (RSMI), and mineral-free lean mass were positively associated with total body bone mineral density. Mineral-free lean mass was most strongly associated with bone mineral density (β =.398). In multivariable logistic regressions, higher BMI, RSMI, and mineral-free lean mass were associated with lower odds for osteopenia/osteoporosis. Fat mass was not associated with total body bone mineral density or osteopenia/osteoporosis. These results suggest that muscle mass may be the important component of body mass associated with bone mineral density in patients with HF.
|Number of pages||18|
|Journal||Western Journal of Nursing Research|
|State||Published - Apr 2017|
Bibliographical noteFunding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the American Nurses Foundation, American Heart Association (0830104N), the University of Kentucky General Clinical Research Center (M01 RR002602), and the National Institute of Nursing Research (R01 NR009280 and P20 NR010679).
© The Author(s) 2016.
- Bone mineral density
- Heart failure
ASJC Scopus subject areas
- Nursing (all)