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Relation between bone mineral density, biological markers and anthropometric measures in 4-year-old children: a pilot study within the IDEFICS study

Objective: To investigate the relationship between bone mineral density (BMD), anthropometric characteristics, levels of biological markers for growth, bone turnover, insulin resistance and fat mass in 4-year-old Swedish children. Methods: Descriptive study with 41 children (28 boys) who had anthrop...

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Published in:INTERNATIONAL JOURNAL OF OBESITY 2011-04, Vol.35 (1), p.S119-S124
Main Authors: Tubic, B, Magnusson, P, Swolin-Eide, D, Marild, S
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description Objective: To investigate the relationship between bone mineral density (BMD), anthropometric characteristics, levels of biological markers for growth, bone turnover, insulin resistance and fat mass in 4-year-old Swedish children. Methods: Descriptive study with 41 children (28 boys) who had anthropometric measurements and blood samples taken and heel dual-energy X-ray absorptiometry and laser (DXL) performed. The study participants were divided into groups of normal-weight (n=28) and overweight or obese (n=13) children. Results: There was a significant difference in bone mineral content (BMC), BMD and bone mineral apparent density (BMAD) between overweight and normal-weight children. There was a significant positive correlation between BMC, BMD, BMAD and body mass index standard deviation scores (r=0.36, 0.34 and 0.29, P
doi_str_mv 10.1038/ijo.2011.42
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Methods: Descriptive study with 41 children (28 boys) who had anthropometric measurements and blood samples taken and heel dual-energy X-ray absorptiometry and laser (DXL) performed. The study participants were divided into groups of normal-weight (n=28) and overweight or obese (n=13) children. Results: There was a significant difference in bone mineral content (BMC), BMD and bone mineral apparent density (BMAD) between overweight and normal-weight children. There was a significant positive correlation between BMC, BMD, BMAD and body mass index standard deviation scores (r=0.36, 0.34 and 0.29, P<0.01, respectively), waist circumference (r=0.32, 0.30, P<0.01 and r=0.26, P<0.05, respectively) and subscapular skinfold (r=0.26, 0.25 and 0.23, P<0.05, respectively). BMC and BMD correlated significantly with the sum of skinfold measures (r=0.25 and 0.23, P<0.05, respectively). Adiponectin was significantly inversely correlated with BMC, BMD and BMAD (r=−0.41, −0.40 and −0.41, P<0.01, respectively). Adiponectin was not correlated with skinfold measures. Multiple regression analysis revealed that adiponectin was an independent determinant of BMD, BMC and BMAD. Conclusion: To our knowledge, this is the first study investigating BMD assessed by heel-DXL in relation to anthropometry and metabolic markers in 4-year-old children. Adiponectin was significantly inversely correlated with bone mass parameters. 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Methods: Descriptive study with 41 children (28 boys) who had anthropometric measurements and blood samples taken and heel dual-energy X-ray absorptiometry and laser (DXL) performed. The study participants were divided into groups of normal-weight (n=28) and overweight or obese (n=13) children. Results: There was a significant difference in bone mineral content (BMC), BMD and bone mineral apparent density (BMAD) between overweight and normal-weight children. There was a significant positive correlation between BMC, BMD, BMAD and body mass index standard deviation scores (r=0.36, 0.34 and 0.29, P<0.01, respectively), waist circumference (r=0.32, 0.30, P<0.01 and r=0.26, P<0.05, respectively) and subscapular skinfold (r=0.26, 0.25 and 0.23, P<0.05, respectively). BMC and BMD correlated significantly with the sum of skinfold measures (r=0.25 and 0.23, P<0.05, respectively). Adiponectin was significantly inversely correlated with BMC, BMD and BMAD (r=−0.41, −0.40 and −0.41, P<0.01, respectively). Adiponectin was not correlated with skinfold measures. Multiple regression analysis revealed that adiponectin was an independent determinant of BMD, BMC and BMAD. Conclusion: To our knowledge, this is the first study investigating BMD assessed by heel-DXL in relation to anthropometry and metabolic markers in 4-year-old children. Adiponectin was significantly inversely correlated with bone mass parameters. 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Methods: Descriptive study with 41 children (28 boys) who had anthropometric measurements and blood samples taken and heel dual-energy X-ray absorptiometry and laser (DXL) performed. The study participants were divided into groups of normal-weight (n=28) and overweight or obese (n=13) children. Results: There was a significant difference in bone mineral content (BMC), BMD and bone mineral apparent density (BMAD) between overweight and normal-weight children. There was a significant positive correlation between BMC, BMD, BMAD and body mass index standard deviation scores (r=0.36, 0.34 and 0.29, P<0.01, respectively), waist circumference (r=0.32, 0.30, P<0.01 and r=0.26, P<0.05, respectively) and subscapular skinfold (r=0.26, 0.25 and 0.23, P<0.05, respectively). BMC and BMD correlated significantly with the sum of skinfold measures (r=0.25 and 0.23, P<0.05, respectively). Adiponectin was significantly inversely correlated with BMC, BMD and BMAD (r=−0.41, −0.40 and −0.41, P<0.01, respectively). Adiponectin was not correlated with skinfold measures. Multiple regression analysis revealed that adiponectin was an independent determinant of BMD, BMC and BMAD. Conclusion: To our knowledge, this is the first study investigating BMD assessed by heel-DXL in relation to anthropometry and metabolic markers in 4-year-old children. Adiponectin was significantly inversely correlated with bone mass parameters. Adiponectin may have an independent role in bone development and metabolism in young children.]]></abstract><cop>London</cop><pub>Nature Publishing Group</pub><pmid>21483411</pmid><doi>10.1038/ijo.2011.42</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0307-0565
ispartof INTERNATIONAL JOURNAL OF OBESITY, 2011-04, Vol.35 (1), p.S119-S124
issn 0307-0565
1476-5497
1476-5497
language eng
recordid cdi_swepub_primary_oai_gup_ub_gu_se_147316
source Nature
subjects 631/443/63
692/53
692/700/1720
692/700/478/174
Absorptiometry
Absorptiometry, Photon - methods
Adiponectin
Adiponectin - blood
Analysis
Anthropometry
Biological Markers
biomarkers
Biomarkers - blood
Blood
Body Mass Index
bone
Bone Density
Bone Density - physiology
bone metabolism
Bone mineral density
Bones
boys
Child
Child, Preschool
Children
Density
descriptive studies
Diet
dual-energy X-ray absorptiometry
DXL
Epidemiology
Female
Health Promotion and Disease Prevention
Humans
Insulin Resistance
Insulin Resistance - physiology
Internal Medicine
leptin
Life Style
Male
MEDICIN
MEDICINE
Medicine & Public Health
Metabolic Diseases
metabolism
methods
mineral content
Obesity
Obesity - blood
Obesity - physiopathology
Obesity in children
original-article
osteocalcin
overweight
paediatric
Pediatrics
Pediatrik
Photon
Physical fitness
Physiological aspects
physiology
physiopathology
Pilot Projects
Preschool
Public Health
regression analysis
skeletal development
Standard deviation
waist circumference
title Relation between bone mineral density, biological markers and anthropometric measures in 4-year-old children: a pilot study within the IDEFICS study
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