Evidence map›Paper›PMID 42530584›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2026

Intramuscular fat infiltration is associated with higher vertebral void space burden and lower volumetric bone mineral density in older adults.

Min Yi, Shengji Zhu, Xiayan Wang, Zehao Yu, Hongda Zhang, Hao Xu, Mian Huang, William W Lv, Xianyue Shen, Fausto Giunchiglia and 3 more

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Min YiOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China.
Shengji ZhuOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China.
Xiayan WangOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China.
Zehao YuOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China.
Hongda ZhangCollege of Computer Scienceand , Technology of Jilin University, Changchun, Jilin Province, 130041, China.
Hao XuCollege of Computer Scienceand , Technology of Jilin University, Changchun, Jilin Province, 130041, China.
Mian HuangOrthopaedic and Traumatology, The University of Hong Kong, Hong Kong, China.
William W LvOrthopaedic and Traumatology, The University of Hong Kong, Hong Kong, China.
Xianyue ShenDepartment of Orthopedics, Centre for Leading Medicine and Advanced Technologies of IHM, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, 230001, Anhui, China.
Fausto GiunchigliaCollege of Computer Scienceand , Technology of Jilin University, Changchun, Jilin Province, 130041, China.
Deming GuoOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China. guodm91@jlu.edu.cn.ORCID http://orcid.org/0009-0009-7919-076X
Xiaoning LiuOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China. liuxy99@jlu.edu.cn.
Yanguo QinOrthopaedic Medical Center, The Second Hospital of Jilin University, Nanguan District, 218 Ziqiang Street, Changchun, Jilin Province, 130041, China. qinyg@jlu.edu.cn.

Funding

Key Laboratory of Anhui Province for Testing Technology and Energy-saving Devices AHWJ2024Aa20528the Research Funds of Centre for Leading Medicine and Advanced Technologies of IHM 2023IHM02009the Science and Technology Project of Jilin Provincial Department of Education JJKH20250174KJthe Special Foundation for Science and Technology Innovation of Jilin YDZJ202501ZYTS090
6 · The paper itself

Abstract

purposeEctopic fat infiltration is increasingly recognized as an important determinant of musculoskeletal health, but its relationship with localized vertebral trabecular deterioration remains unclear. This study aimed to investigate the associations of regional adipose tissue distribution, particularly intramuscular fat infiltration, with vertebral void space burden and volumetric bone mineral density (vBMD) using quantitative computed tomography (QCT).

methodsThis cross-sectional study included 327 postmenopausal women and men aged ≥ 50 years who underwent QCT. Visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), intermuscular adipose tissue (IMAT), and intramuscular fat fraction (IMFF) were quantified. Vertebral void space burden was assessed by void space volume (VS) and void space volume ratio (VS/TV), alongside vBMD. Multivariable linear regression, restricted cubic spline, subgroup, and sensitivity analyses were performed.

resultsHigher IMFF and IMAT were significantly associated with greater vertebral void space burden. Each 10-percentage-point increase in IMFF was associated with 257.2% higher VS and 251.8% higher VS/TV; these associations remained significant after additional adjustment for vBMD, indicating partial independence from average trabecular density (VS: 90.5%; VS/TV: 88.2%; all P < 0.001). Each 1-SD increase in IMAT was also associated with higher VS and VS/TV, independent of vBMD. Both IMFF and IMAT were inversely associated with vBMD.

conclusionsIntramuscular fat infiltration was independently associated with greater vertebral void space burden and lower vBMD, suggesting that ectopic muscle fat may provide complementary imaging information on localized vertebral structural deterioration beyond conventional density-based measures. Intramuscular fat infiltration was associated with greater vertebral void space burden and lower volumetric bone mineral density on QCT. Ectopic muscle fat may provide complementary imaging information on localized vertebral trabecular deterioration beyond average bone density alone.

Indexed as

Intermuscular adipose tissueIntramuscular fat fractionOsteoporosisQuantitative computed tomographyVertebral void spaceVolumetric bone mineral density

Identifiers

PMID42530584

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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.