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

doi:10.1177/0193945916658885

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 journal › Article › peer-review

11 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 language	English
Pages (from-to)	582-599
Number of pages	18
Journal	Western Journal of Nursing Research
Volume	39
Issue number	4
DOIs	https://doi.org/10.1177/0193945916658885
State	Published - Apr 2017

Bibliographical note

Publisher Copyright:
© The Author(s) 2016.

Funding

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).

Funders	Funder number
University of Kentucky General Clinical Research Center	M01 RR002602
National Institute of Nursing Research	R01 NR009280, P20NR010679
American Heart Association	0830104N
American Nurses Foundation

Keywords

Bone mineral density
Heart failure
Obesity
Sarcopenia

ASJC Scopus subject areas

General Nursing

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/0193945916658885

Cite this

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title = "Body composition and bone mineral density in patients with heart failure",

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.",

keywords = "Bone mineral density, Heart failure, Obesity, Sarcopenia",

author = "Abshire, {Demetrius A.} and Moser, {Debra K.} and Clasey, {Jody L.} and Chung, {Misook L.} and Pressler, {Susan J.} and Dunbar, {Sandra B.} and Seongkum Heo and Lennie, {Terry A.}",

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AU - Moser, Debra K.

AU - Clasey, Jody L.

AU - Chung, Misook L.

AU - Pressler, Susan J.

AU - Dunbar, Sandra B.

AU - Heo, Seongkum

AU - Lennie, Terry A.

N1 - Publisher Copyright: © The Author(s) 2016.

PY - 2017/4

Y1 - 2017/4

N2 - 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.

AB - 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.

KW - Bone mineral density

KW - Heart failure

KW - Obesity

KW - Sarcopenia

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Body composition and bone mineral density in patients with heart failure

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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