Turkish Journal of Physical Medicine and Rehabilitation 2006 , Vol 52 , Num 1
Elli-Altmıs Bes Yas Arasındaki Postmenopozal Türk Kadınlarda, Vücut Kompozisyonu ve El Kavrama Gücünün, Aksiyal Kemik Mineral Yogunluguna Etkisi: Yagsız Vücut Kitlesi Belirleyici midir?
Günşah Şahin 1 ,Hayal Güler 2 ,Melek Sezgin 1 ,İsmet As 3
1 Mersin Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Mersin, Türkiye
2 Mustafa Kemal Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Hatay, Türkiye
3 Mersin Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Mersi

Objective: Body mass index, lean mass, fat mass and peripheral muscle strength are often found the determinants of bone mineral density (BMD) in postmenopausal women. The aim of the present study is to investigate the effect of body mass index, body composition and hand grip strength on femoral neck and lumbar spine in postmenopausal women aged 50-65 years.
 

Materials and Methods: We studied 161 women aged 50-65 (55.6±3.9) years. Bone mineral density and body composition were measured by DEXA (Norland X-R 46). Hand grip strength was measured by JAMAR hand held dynamometer. Spearman's correlation's coefficients were calculated. Multiple linear regressions were performed using all variables possibly associated with BMD.
 

Results: Lean mass was correlated negatively with age. Lean mass was correlated with lumbar spine and femoral neck BMD. It was also correlated with hand grip strength and body mass index. Hand grip strength was correlated negatively with age and years since menopause. 
 

Conclusion: These results suggest that, age related decline of lean mass and grip strength are associated with the decline of BMD in postmenopausal women aged 50-65 years. Therefore, we encourage these patients to increase lean mass by exercise. 

Keywords : El kavrama gücü, vücut kompozisyonu, kemik mineral yoğunluğu