Divergent effects of obesity on bone health.
Historically, obesity was thought to be advantageous for maintaining healthy bones due to the greater bone mineral density observed in overweight individuals. However, recent observations of increased fracture in some obese individuals have led to concern that common metabolic complications of obesity, such as type 2 diabetes, metabolic syndrome, impaired glucose tolerance, insulin resistance, hyperglycemia, and inflammation may be associated with poor bone health. In support of this hypothesis, greater visceral fat, a hallmark of insulin resistance and metabolic syndrome, is associated with lower bone mineral density. Research is needed to determine if and how visceral fat and/or poor metabolic health are causally associated with bone health. Clinicians should consider adding a marker metabolic health, such as waist circumference or fasting plasma glucose concentration, to other known risk factors for osteoporosis and fracture.
['Gower|Barbara A|BA|', 'Casazza|Krista|K|']
D015992:Body Mass Index D014943:Global Health D006801:Humans D024821:Metabolic Syndrome D009765:Obesity D010024:Osteoporosis D015995:Prevalence D012307:Risk Factors
obesity Bone mineral density fracture visceral fat