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Association Between Allometric Body Shape Indices and Osteoporosis in Postmenopausal Women: A Cross-Sectional Study from NHANES

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Title: Association Between Allometric Body Shape Indices and Osteoporosis in Postmenopausal Women: A Cross-Sectional Study from NHANES
Authors: Songfeng Zhao, Xin Pan
Source: Int J Womens Health
International Journal of Women's Health, Vol Volume 17, Pp 109-118 (2025)
Publisher Information: Informa UK Limited, 2025.
Publication Year: 2025
Subject Terms: a body shape index, postmenopausal, hip index, RG1-991, Gynecology and obstetrics, osteoporosis, waist-hip index, Original Research
Description: BACKGROUND: Osteoporosis is a common health concern in postmenopausal women. Obesity, commonly assessed using body mass index (BMI), may have a protective effect on osteoporosis in postmenopausal women. As BMI is limited to the distinguishing fat accumulation, the study aimed to explore the association between allometric body shape indices [including a body shape index (ABSI), hip index, (HI), and waist–hip index (WHI)] and osteoporosis in postmenopausal women. METHODS: Postmenopausal women aged >50 years in the National Health and Nutrition Examination Survey from 2017 through 2020 (revised to 01/2017 through 12/2020) were included. Potential covariates were selected using the univariate logistic regression models. The association between allometric body shape indices and osteoporosis was explored using weighted univariate and multivariate logistic regression models, with results presented as odds ratios (ORs) and 95% confidence intervals (CIs). The association was further explored in different age and BMI populations. Area under the curve (AUC) analysis was conducted to evaluate the predictive performance of WHI. RESULTS: In total, 810 postmenopausal women aged >50 years were included. Among them, 597 (73.70%) women have osteoporosis. WHI ≥0.094 (OR = 2.07, 95% CI: 1.14–3.78) was associated with higher odds of osteoporosis in postmenopausal women. BMI ≥30 kg/m(2) (OR = 0.23, 95% CI: 0.11–0.50) was also related to decreased odds of osteoporosis. ABSI ≥85.74 was related to a higher incidence of osteoporosis in women aged ≥70 years (OR = 4.18, 95% CI: 1.22–14.35) and BMI ≥30 kg/m(2) (OR = 4.25, 95% CI: 1.82–9.95). The WHI has a better predictive performance with an AUC of 0.656 (95% CI: 0.613–0.699) than the waist–hip ratio. CONCLUSION: Higher WHI was associated with an increased incidence of osteoporosis in postmenopausal women. Higher ABSI was related to a higher incidence of osteoporosis in women aged ≥70 years and those with a BMI ≥30 kg/m(2). WHI could predict the incidence of osteoporosis in postmenopausal women.
Document Type: Article
Other literature type
Language: English
ISSN: 1179-1411
DOI: 10.2147/ijwh.s490741
Access URL: https://doaj.org/article/6392406e9c8b48569231a0ee9fab8cc9
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at http://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (http://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (http://www.dovepress.com/terms.php).
Accession Number: edsair.doi.dedup.....2d7490d566537986ea7f30650488557c
Database: OpenAIRE
Description
Abstract:BACKGROUND: Osteoporosis is a common health concern in postmenopausal women. Obesity, commonly assessed using body mass index (BMI), may have a protective effect on osteoporosis in postmenopausal women. As BMI is limited to the distinguishing fat accumulation, the study aimed to explore the association between allometric body shape indices [including a body shape index (ABSI), hip index, (HI), and waist–hip index (WHI)] and osteoporosis in postmenopausal women. METHODS: Postmenopausal women aged >50 years in the National Health and Nutrition Examination Survey from 2017 through 2020 (revised to 01/2017 through 12/2020) were included. Potential covariates were selected using the univariate logistic regression models. The association between allometric body shape indices and osteoporosis was explored using weighted univariate and multivariate logistic regression models, with results presented as odds ratios (ORs) and 95% confidence intervals (CIs). The association was further explored in different age and BMI populations. Area under the curve (AUC) analysis was conducted to evaluate the predictive performance of WHI. RESULTS: In total, 810 postmenopausal women aged >50 years were included. Among them, 597 (73.70%) women have osteoporosis. WHI ≥0.094 (OR = 2.07, 95% CI: 1.14–3.78) was associated with higher odds of osteoporosis in postmenopausal women. BMI ≥30 kg/m(2) (OR = 0.23, 95% CI: 0.11–0.50) was also related to decreased odds of osteoporosis. ABSI ≥85.74 was related to a higher incidence of osteoporosis in women aged ≥70 years (OR = 4.18, 95% CI: 1.22–14.35) and BMI ≥30 kg/m(2) (OR = 4.25, 95% CI: 1.82–9.95). The WHI has a better predictive performance with an AUC of 0.656 (95% CI: 0.613–0.699) than the waist–hip ratio. CONCLUSION: Higher WHI was associated with an increased incidence of osteoporosis in postmenopausal women. Higher ABSI was related to a higher incidence of osteoporosis in women aged ≥70 years and those with a BMI ≥30 kg/m(2). WHI could predict the incidence of osteoporosis in postmenopausal women.
ISSN:11791411
DOI:10.2147/ijwh.s490741