Body Composition and Bone Mineral Density in Patients With Heart Failure. (April 2017)

• Record Type: Journal Article
• Authors: Abshire, Demetrius A.; Moser, Debra K.; Clasey, Jody L.; Chung, Misook L.; Pressler, Susan J.; Dunbar, Sandra B.; Heo, Seongkum; Lennie, Terry A.
• Other Names: Moser Debra K. guest-editor.
• Is Part Of: Western journal of nursing research. Volume 39:Number 4(2017)
• Page Start: 582
• Page End: 599
• Publication Date: 2017-04
• Subjects: obesity -- sarcopenia -- bone mineral density -- heart failure; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/0193945916658885
• Languages: English
• ISSNs: 0193-9459

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.