Journal of Nutrition & Food Sciences
Open Access

Association between abdominal obesity and osteoporotic fractures among elderly Israeli women

Joint Event on 17^th World Congress on Nutrition and Food Chemistry & 14^th Euro Obesity and Endocrinology Congress

September 13-15, 2018 | London, UK

Assaf Buch, Orit Ofir, Vanessa Rouach, Naftali Stern, Rebecca Goldsmith and Efrat Monsonego-Ornan

The Hebrew University of Jerusalem, Israel

Posters & Accepted Abstracts: J Nutr Food Sci

Abstract :

Obesity has been traditionally viewed as a protective factor for fractures. Recent studies have challenged this, particularly regarding abdominal obesity. We studied the associations between abdominal obesity and body mass index (BMI) with osteoporotic fractures prevalent in community dwelling elderly Israeli women. The data in this cross-sectional study was based on â??Mabat Zahavâ??, with a nationally representative sample of elderly Israelis. The study population included 669 women. Information on osteoporotic fractures site and circumstances was self-reported, and height, weight, waist and calf circumferences were measured. Waist circumference variable was divided into tertiles: <88 cm, 88â??99 cm and >99 cm. Sixty five women reported osteoporotic fractures. The fracture group was less educated than the non-fracture group. While BMI was not associated with osteoporotic fractures in any of the models, abdominal obesity (waist circumference >88 cm) was positively associated with the prevalence of osteoporotic fractures, independently of age, smoking, physical activity and BMI (middle and high waist circumference tertiles [3.147 (95% CI, 1.411â??7.020), 2.776 (95% CI, 1.054â??7.307), respectively]. The middle tertile remained positively associated with osteoporotic fractures in all the models, while in the high tertile, the association was no longer significant after controlling for low calf circumference, functional status, cardiovascular or metabolic disease (presence of hypertension, coronary heart disease, or diabetes), education years and income. BMI was not associated with osteoporotic fractures. We conclude that among this sample of elderly women, abdominal obesity was positively associated with osteoporotic fractures. Waist circumference may be a useful indicator for assessing osteoporotic fractures risk.

Biography :

E-mail: buchasaf@gmail.com