Body composition and bone mineral density in patients with heart failure

Demetrius A. Abshire, Debra K. Moser, Jody L. Clasey, Misook L. Chung, Susan J. Pressler, Sandra B. Dunbar, Seongkum Heo, Terry A. Lennie

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)582-599
Number of pages18
JournalWestern Journal of Nursing Research
Volume39
Issue number4
DOIs
StatePublished - Apr 2017

Bibliographical note

Funding 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).

Publisher Copyright:
© The Author(s) 2016.

Keywords

  • Bone mineral density
  • Heart failure
  • Obesity
  • Sarcopenia

ASJC Scopus subject areas

  • Nursing (all)

Fingerprint

Dive into the research topics of 'Body composition and bone mineral density in patients with heart failure'. Together they form a unique fingerprint.

Cite this