IJPR.2017.102

Type of Article:  Original Research

Volume 5; Issue 2 (April 2017)

Page No.: 1920-1925

DOI: https://dx.doi.org/10.16965/ijpr.2017.102

ASSOCIATION OF BONE MINERAL DENSITY AND BODY MASS INDEX WITH BALANCE AND MOBILITY IN YOUNG FEMALE ADULTS: A HYPOTHESIS

Sarala Khangare *1, Bhavana Mhatre 2, Amita Mehta 3.

*1 PhD Scholar, Physiotherapy School and Centre, Seth G.S Medical College and KEM Hospital, Mumbai, India.

2Associate Professor, Physiotherapy School and Centre, Seth G.S Medical College and KEM Hospital, Mumbai, India.

3 Professor and Head of Department, Physiotherapy School and Centre, Seth G.S Medical College and KEM Hospital, Mumbai, India.

Address of Correspondence: Dr. Sarala Khangare (PT), Physiotherapy School and Centre, Seth G.S Medical College and KEM Hospital, Parel, Mumbai, India. E-Mail: saral.machhirke@gmail.com

ABSTRACT

Background: Obesity and osteoporosis poses major health problems in India. Both have multifactorial etiologies including genetic and environmental factors. Osteopenia seems to start at an early age of 20 years in Indian female Population and after 35 years there is a sharp decline in bone mineral density with peak at old age. Recent studies show that low bone mineral density (BMD) and high body mass index (BMI) impairs physical function and may cause morbidity and mortality in older adults. However, there is a need to evaluate association of BMI and BMD with balance and mobility in young adults, so that risk factors can be modified and effective treatment strategies to improve BMD and BMI can be incorporated in young age.

Materials and Methods: Analytical correlational study includes 450 female participants in the age group of 20-40 years. BMI is calculated using height and weight measurements. BMD is measured by Ultrasound bone densitometer. For tests of balance and mobility, narrow walk test, obstacle walk test, figure-of-8 walk test, and gait speed is used.

Hypothesis: Risk factors such as dietary habits, sedentary lifestyle, decreased sun exposure, hormonal imbalance due to stress etc can result in decrease in BMD and increase in BMI in young female adults. Also, biomechanical and neurophysiological changes that occurs in osteoporosis and obesity can affect balance and mobility. We hypothesized that, decrease in BMD and increase in BMI can affect or impair balance in young female adults.

Clinical Importance: This study will help to create awareness socially in younger females about risk factors of osteopenia, osteoporosis and obesity and its detrimental effects on functional mobility in females. Therapeutic exercises and changes in diet and lifestyle can be incorporated in young age accordingly that will help them to achieve optimum healthy bone mass and body weight improving their health and quality of life in future.

Key words:  Bone Mineral Density, Osteoporosis, Obesity, Body Mass Index, Balance, Mobility.

REFERENCES

  1. Zhao L, Jiang H et al. Relationship of obesity with osteoporosis. J Clin Endocrinol Metabolism, May 2007;92(5):1640-46.
  2. Khazzani H, Allali F et al. The relationship between physical performance measures, bone mineral density, falls, and the risk of peripheral fracture: a cross-sectional analysis. BMC Public Health.,Aug 2009;9:297.
  3. Aggarwal N, Raveendran A et al. Prevalence and related risk factors of osteoporosis in peri- and postmenopausal Indian women. Journal of Midlife Health, Jul-Dec 2011;2(2):81-85.
  4. Kopelman P . Obesity as a medical problem. Nature,April 2000;404:635.
  5. Borges J. , Brandao C. et al. Low bone mass in children and adolescents. Arq Bras Endocrinol Metab, 2006;50(4):775-782.
  6. Silvanus V., Ghosal K. et al. Screening of osteopenia and osteoporosis in an urban community in India. Nepal Med Coll J, 2012;14(3):247-250.
  7. Jyothi Unni et al. Bone Mineral Density in women above 40 yrs. J Mildlife Health, 2010;(1):19-22
  8. Shatrugna eta al. Bone status of Indian women from a low-income group and its relationship to the nutritional status. Osteoporosis Int, 2005;16:1827-1835.
  9. Daly R, Petit M et al. Optimizing Bone mass and strength. The Role of Physical activity and Nutrition during Growth, Med Sport Sci. Basel, Karger, 2007;51:102-120.
  10. Saggese G. et al. Osteoporosis in children and adolescents: Diagnosis, Risk factors, and Prevention. Journal of Pediatric Endocrinilogy and metabolism, Jul 2001;14(7):833-839.
  11. Kalra et al. Obesity in India: The weight of the nation. 2012;1(1):37-41.
  12. Parekh A et al Prevalence of overweight and obesity in adolescents of urban and rural area of Surat, Gujrat. National Journal of Medical Research. July-Sep 2012;2(3):325-329.
  13. Blew R, Sardinha L et al. Assessing the validity of body mass index standards in early postmenopausal women., Aug 2002;10(8):799-808.
  14. oif.org/ Osteogenesis Imperfecta OI foundation Inc.[Internet]
  15. washington.edu/bonephys/, Osteoporosis and bone physiology: Bone density. [Internet].
  16. Forhan M, Gill V. Obesity, functional mobility and quality of life. Best Practice & Research Clinical Endocrinology and Metabolism, 2013;27:129-137.
  17. Apovian C et al. BMI and Physical function in older women Obesity Research, Aug 2002;10(8):740-747.
  18. Holmberg et al. Knee osteoarthritis and body mass index: a population-based case-control study. Scand J Rheumatology 2005;34(1):59-64.
  19. Russo C. The effects of exercise on bone. Basic concepts and implications for the prevention of fractures. Clinical Cases in Mineral and Bone Metabolism 2009;6(3):223-228.
  20. Hergenroeder A, Wert D, et al. Association of Body Mass Index with Self-Report and Performance-Based Measures of Balance and Mobility. Journal of the American Physical Therapy Association, Aug 2011;91(8):1223-34.
  21. King et al. Obesity and Osteoarthritis. Indian J Medical Research, Aug 2013;138(2):185-193.
  22. Polambaro K, Hack L, Kline K et a. Gait variability detects women in early postmenopause with low bone mineral density. Physical Therapy. 2009;89(12):1315-1326.
  23. Hsu Yi-Hsiang, Venners S, et al.  Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women. American J Clin Nutrition, 2006;83:146-154.
  24. Mignardot JB, Olivier I et al. Obesity Impact on the Attentional cost for Controlling posture. Plos One December 2010;5(12):e14387.
  25. Mignardot JB, Olivier I et al. Origins of balance Disorders during a Daily Living Movement in Obese : Can Biomechanical factors explain everything. Plos One April 2013;8(4):e60491.

Cite this article: Sarala Khangare, Bhavana Mhatre, Amita Mehta. ASSOCIATION OF BONE MINERAL DENSITY AND BODY MASS INDEX WITH BALANCE AND MOBILITY IN YOUNG FEMALE ADULTS: A HYPOTHESIS. Int J Physiother Res 2017;5(2):1920-1925. DOI: 10.16965/ijpr.2017.102