남성 노인의 상하지 근육량에 따른 골감소증 유병률 비교분석
Incidence Rates of Osteopenia Based on the Appendicular Muscle Mass in the Elderly Korean Males
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PURPOSE: Bone mineral density (BMD) is known to diminish with aging. Despite numerous studies done on aging females, a limited number of studies have been published to elucidate cause of lowered BMD in elderly males. This study was conducted to analyze the relationship of the appendicular muscle mass to osteopenia in elderly Korean males. METHODS: Data for 873 men (60≥age≥79) from the Korea National Health and Nutrition Examination Survey 2010-2011 were included. Bone mineral density results (g/cm2) were used to divide the subjects in to the osteopenia and control groups for comparison of muscle masses of the whole body (WB), upper limb (UL), and lower limb (LL). The muscle masses were further classified into 4 quartiles (Q) to calculate the odd ratios (OR) of osteopenia in the lumbar spine (LS) and femoral neck (FN) areas. RESULTS: Muscle masses were significantly less in all areas of WB, UL, and LL. The sarcopenia incidence rates increased as the muscle mass decreased in WB, UL, and LL in both LS and FN areas. Fourth Quartiles of WB and LL showed greatest OR of 3.55 and 2.76. Although the muscle mass ratio showed less significance, WB, UL, and LL showed increasing tread of OR, especially in the FN area. CONCLUSIONS: The overall increase in muscle mass may reduce the incidence rate of the osteopenia. Moreover, the lower appendicular muscle mass may reduce osteopenia in the lumbar spine and femoral neck in the elderly males.
Abstract
PURPOSE: Bone mineral density (BMD) is known to diminish with aging. Despite numerous studies done on aging females, a limited number of studies have been published to elucidate cause of lowered BMD in elderly males. This study was conducted to analyze the relationship of the appendicular muscle mass to osteopenia in elderly Korean males. METHODS: Data for 873 men (60≥age≥79) from the Korea National Health and Nutrition Examination Survey 2010-2011 were included. Bone mineral density results (g/cm2) were used to divide the subjects in to the osteopenia and control groups for comparison of muscle masses of the whole body (WB), upper limb (UL), and lower limb (LL). The muscle masses were further classified into 4 quartiles (Q) to calculate the odd ratios (OR) of osteopenia in the lumbar spine (LS) and femoral neck (FN) areas. RESULTS: Muscle masses were significantly less in all areas of WB, UL, and LL. The sarcopenia incidence rates increased as the muscle mass decreased in WB, UL, and LL in both LS and FN areas. Fourth Quartiles of WB and LL showed greatest OR of 3.55 and 2.76. Although the muscle mass ratio showed less significance, WB, UL, and LL showed increasing tread of OR, especially in the FN area. CONCLUSIONS: The overall increase in muscle mass may reduce the incidence rate of the osteopenia. Moreover, the lower appendicular muscle mass may reduce osteopenia in the lumbar spine and femoral neck in the elderly males.
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