A REMS Scan-Based Report on Relation Between Body Mass Index and Osteoporosis in Urban Population of Medan at Royal Prima Hospital

Adrian Khu,1 Michael Sumardi 2

MKB 2020; 52(1):22–7

Highlight:

Bone mineral density (BMD) has many predisposition factors. Of those, body mass index (BMI) is deemed as a clinical risk factor for osteoporosis. This cross-sectional study aimed to determine the relationship between Body Mass Index (BMI) and osteoporosis assessed using REMS.

Three hundred Indonesian individuals, both male and female, aged 21 years old and above, underwent a REMS scan both at lumbar spine and femoral neck. Subjects were divided into normal, osteopenia, and osteoporosis based on the densitometry parameters and were classified into underweight (<18.5 kg/m2), normal-weight (18.5–22.9 kg/m2), overweight (23–24.9 kg/m2), pre-obese (25–29.9 kg/m2), obese type 1 (30–40 kg/m2), and obese type 2 (40.1–50 kg/m2) according to BMI.

A high agreement was observed in the diagnosis of osteoporosis performed between the two anatomical sites. Most subjects who suffered from osteoporosis detected at spine were pre-obese (26%) with few underweight subjects (5.3%), while most subjects who suffered from osteoporosis detected at femur were overweight (21%) with few underweight subjects (6.7%).

A significant correlation between the BMD and BMI was identified, with a decrease in BMI leading to an increase in potential osteoporosis, for both anatomical sites. This study showed that REMS can be reliably applied in patients with a wide range of body size, from underweight to severe obesity, confirming the clinically known relationship between BMI and osteoporosis occurrence.

 

1 Department of Orthopaedic and Traumatology, Prima Indonesia University, Medan, Indonesia,

2 General Practitioner, Prima Indonesia University, Medan, Indonesia

Predizione del rischio di frattura

Predizione del rischio di frattura

"Fragility Score: a REMS‑based indicator for the prediction of incident fragility fractures at 5 years" Paola Pisani1 Francesco Conversano1 Maurizio Muratore2 Giovanni Adami3 Maria Luisa Brandi4 Carla Cafarelli5 Ernesto Casciaro1 Marco Di Paola1 Roberto Franchini1...

leggi tutto
REMS in Nefrologia

REMS in Nefrologia

PAPER OF THE MONTH DA ESCEO “Radiofrequency echographic multi‑spectrometry and DXA for the evaluation of bone mineral density in a peritoneal dialysis setting” è stato eletto Paper of The Month da ESCEO per Gennaio 23 REMS atterra in campo nefrologico: la rivista...

leggi tutto
REMS in Springer book

REMS in Springer book

Misurazioni Echo-pulse del tessuto osseo. Tecniche e Risultati clinici per Colonna e Femore   La serie “Advances in Experimental Medicine and Biology (AEMB, volume 1364)” dedica un capitolo alla rassegna degli approcci attualmente disponibili per la misurazione...

leggi tutto

    Contattaci

    Maggiori info o prenota una demo.



    Posizione*

    *Campi obbligatori



    Questo sito è protetto da reCAPTCHA, il suo utilizzo è soggetto alla Privacy Policy e ai termini di utilizzo di Google.