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The mechanism governing insulin's role in bone metabolism is unclear. One of the major contributions of this study is showing clearly a positive association of high bodyweight BMI but the negative association of high body fat with BMD. These observations reconfirmed earlier studies that indicate that bodyweight is a powerful predictor of BMD Barrera et al.
While the mechanisms for the association of high bodyweight with higher BMD remain unclear, the present studies and others support the notion that weight-related load and increased mechanical stress on bone improves bone density Robling et al. Therefore, the results give credence to the strategy that avoiding a significant weight loss as one ages is a positive means of preserving bone health Hannan et al.
Furthermore, the results suggest that a strategy to increase lean and bone mass while concurrently losing fat mass will be beneficial to bone health. The strength of the study is the large number of normal healthy community dwelling men who did not have any major illnesses. Furthermore, we made used of BMI as an index of bodyweight and the use of DXA scan-derived percent body fat to clarify the independent association of bodyweight and body fat with BMD.
However, a limitation of this computed exercise intensity is that it reflects mainly the aerobic component and has lesser indication of the resistance or loading exercises which are more relevant to bone health.
In summary, the study shows that the prevalence of osteoporosis and some of the determinants of bone mineral density BMD in Singaporean men was site-specific. Therefore, any strategy for improving bone health should include modalities that increase lean and bone mass and decrease fat mass. The bone health of Singaporean men is comparable to non-Hispanic whites and better than some other Asian men.
Declaration of interest The authors report no declaration of interest. Acknowledgments We will like to acknowledge the technical assistance from staff of the Endocrine Research and Service Laboratory of the Department of Obstetrics and Gynaecology, National University of Singapore, Singapore. This study was designed, conducted and data collected while Prof.
Hart was intimately involved in the interpretation of findings, drafting and critical revision of the article for submission. Population-based study of age and sex differences in bone volumetric density, size, geometry, and structure at different skeletal sites. Osteoporosis and related bone diseases from the Centers for Disease Control and Prevention.
Prevalence of disabilities and associated health conditions among adults — United States Long-term risk of osteoporotic fracture in Malmo. Osteoporosis in elderly men and women: Pathogenesis of age-related bone loss in humans.
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The pathogenesis, treatment and prevention of osteoporosis in men. Japanese guidelines for prevention and treatment of osteoporosis — executive summary.
An Asian perspective to the problem of osteoporosis. Interactions among age, adiposity, bodyweight, lifestyle factors and sex steroid hormones in healthy Singaporean Chinese men. Translating scientific evidence about total amount and intensity of physical activity into guidelines.
In contrast, higher bone mass has been reported in black individuals in comparison with white individuals. White race is considered to be a risk factor for low BMD, and little is known about racial differences that affect calcium intake.
We found that the white individuals consumed more calcium than the blacks. Other studies conducted among adult men found a relationship between current calcium intake and bone mass. In contrast, calcium intake was not associated with whole body, hip and lumbar spine BMD in a study carried out among adult men in Canada. It is known that increased energy intake promotes increased weight and, in turn, this weight acts mechanically on the skeleton, thereby increasing BMD.
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The analysis of associations between dietary variables and FNBMD may have been negatively affected in the present study by limitations on its cross-sectional design. Nevertheless, the results relating to the black race raise the hypothesis that there may be a mechanism for calcium action on bone structure that is different in black and white men.
However, other studies are needed in order to clarify the protective effect of calcium intake on the BMD of black men, so that dietary intervention measures directed specifically towards the black population can be established. The socioeconomic burden of fractures: Who are candidates for prevention and treatment for osteoporosis?
Bone mineral density in Brazilian men 50 years and older. Braz J Med Biol Res. Risk factors for increased bone loss in an elderly population: Diet, nutrition and the prevention of chronic diseases.
World Health Organization; Accessed in Aug 8. World-wide projections for hip fracture.
Aging, lifestyle factors, hormones and bone health in Singaporean men
Association of race and other potential risk factors with nonvertebral fractures in community-dwelling elderly women. Henry YM, Eastell R. Ethnic and gender differences in bone mineral density and bone turnover in young adults: Bone mass and hip axis length in healthy Asian, black, Hispanic, and white American youths.
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