ArticleJournal of pediatric endocrinology & metabolism : JPEM2011
DXA surrogates for visceral fat are inversely associated with bone density measures in adolescent athletes with menstrual dysfunction.
Article in Journal of pediatric endocrinology & metabolism : JPEM, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
17 citing papers in PubMed.
- Novel perspectives on trunk-to-peripheral fat ratio in hospitalized patients with chronic obstructive pulmonary disease.Internal and emergency medicine · 2025Article
- Associations between abdominal fat, psoas muscle fat, and lumbar spine bone density: insights from quantitative CT imaging.BMC musculoskeletal disorders · 2025Article
- Association between trunk-to-peripheral fat ratio and renal function in elderly Japanese men: baseline data from the Fujiwara-kyo Osteoporosis Risk in Men (FORMEN) study.Environmental health and preventive medicine · 2023Article
- Bone parameters of elite athletes with oligomenorrhea and prevalence seeking medical attention: a cross-sectional study.Journal of bone and mineral metabolism · 2021Article
- Biomechanical Basis of Predicting and Preventing Lower Limb Stress Fractures During Arduous Training.Current osteoporosis reports · 2021Review
- Associations between trunk-to-peripheral fat ratio and cardiometabolic risk factors in elderly Japanese men: baseline data from the Fujiwara-kyo Osteoporosis Risk in Men (FORMEN) study.Environmental health and preventive medicine · 2021Article
- Trunk-to-peripheral fat ratio predicts a subsequent blood pressure in normal-weight pubertal boys: a 3-year follow-up of the Kitakata Kids Health Study.Environmental health and preventive medicine · 2020Article
- Muscle Deficits in Rheumatoid Arthritis Contribute to Inferior Cortical Bone Structure and Trabecular Bone Mineral Density.The Journal of rheumatology · 2017Article
- Racial Differences in Bone Microarchitecture and Estimated Strength at the Distal Radius and Distal Tibia in Older Adolescent Girls: a Cross-Sectional Study.Journal of racial and ethnic health disparities · 2017Article
- Article
- Visceral fat measured by DXA is associated with increased risk of non-spine fractures in nonobese elderly women: a population-based prospective cohort analysis from the São Paulo Ageing & Health (SPAH) Study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Article
- Leptin secretory dynamics and associated disordered eating psychopathology across the weight spectrum.European journal of endocrinology · 2016Article
- Article
- Gender differences in the relationships between lean body mass, fat mass and peak bone mass in young adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014Article
- Body composition, hemodynamic, and biochemical parameters of young female normal-weight oligo-amenorrheic and eumenorrheic athletes and nonathletes.Annals of nutrition & metabolism · 2014Article
- Abdominal fat is associated with lower bone formation and inferior bone quality in healthy premenopausal women: a transiliac bone biopsy study.The Journal of clinical endocrinology and metabolism · 2013Article
- Participation in varsity sports, dance, and Greek life associated with menstrual disturbance in a national sample of female college students.Journal of American college health : J of ACHArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveLean mass is associated with bone mineral density (BMD) in athletes, attributable to the anabolic pull of muscle on bone. Fat mass is also important, and subcutaneous fat positively and visceral fat negatively correlates with BMD in obese adolescents. The contribution of regional body composition to low BMD in amenorrheic athletes (AA) has not been elucidated. We hypothesized that in adolescent athletes (runners), BMD is associated positively with total fat (surrogate for subcutaneous fat) and lean mass, and inversely with percent trunk fat and trunk-to-extremity fat ratio (surrogates for visceral fat).
designCross-sectional study. SUBJECTS AND
methodsWe examined BMD and body composition using dual energy X-ray absorptiometry (DXA) in 21 AA and 19 eumenorrheic athletes (EA) (12-18 years) (runners). We report total hip and height-adjusted BMD [lumbar bone mineral apparent density (LBMAD) and whole body bone mineral content/height (WBBMC/Ht)].
resultsAA had lower BMD than EA. Lean mass was less strongly associated with hip BMD in AA than EA; fat mass was positively associated with LBMAD in EA. Percent trunk fat and trunk-to-extremity fat ratio were inversely associated with lumbar and WB measures in AA. In a regression model, lean and fat mass were positively, and percent trunk fat and trunk-to-extremity fat ratio negatively associated with LBMAD and WBBMC/Ht for all athletes, even after controlling for serum estradiol.
conclusionsDXA surrogates for visceral fat are inversely associated with bone density in athletes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.