Osteoporosis, bone & mineral

Associations between body composition and bone loss in early postmenopausal women

J Bone Miner ResPublished Secondary analysis of the ELBOW II clinical trial

Study context

Population
Swedish women aged 50–60, within 1–4 yr postmenopause, followed for 2 yr
Participants
223 women
Primary endpoint
Associations between body composition (body weight, ALM, fat mass by DXA) and bone outcomes (areal BMD at TH, FN, LS by DXA; tibia microarchitecture and vBMD by HR-pQCT)
Follow-up
2 yr
Methodological detailscross-sectional and longitudinal analyses, linear mixed models for repeated measures
  • Cross-sectional and longitudinal analyses
  • Linear mixed models for repeated measures

Primary result

As reported in the abstract

Associations of body composition with bone outcomes
  • Higher baseline body weight, BMI, fat mass and appendicular lean mass (ALM) significantly associated with greater cortical area, cortical volumetric BMD (vBMD) and total vBMD
  • Baseline body weight, BMI and fat mass, but not ALM, positively associated with TH BMD
  • Longitudinally, increases in ALM significantly associated with favorable changes in TH BMD, LS BMD, total vBMD, trabecular bone volume fraction and cortical area
  • Changes in body weight and BMI associated with multiple bone outcomes; fat mass change linked only with cortical area

Further findings

Exploratory group comparison: low baseline fat mass (28.14%) and greater ALM loss (∆% ALM: −2.87 kg) vs high fat mass and maintained ALM

Greater reduction in TH BMD
2.4-fold
Greater reduction in tibia total vBMD
5.2-fold
  • Exploratory

Original publication

Associations between body composition and bone loss in early postmenopausal women. J Bone Miner Res. Published 11 September 2025. doi:10.1093/jbmr/zjaf125

Composed by AI from the published abstract and checked against it. How Briefs are made →

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