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Associations between body mass index across adult life and hip shapes at age 60 to 64: evidence from the 1946 British birth cohort

Muthuri, SG; Saunders, FR; Hardy, RJ; Pavlova, AV; Martin, KR; Gregory, JS; Barr, RJ; ... Cooper, R; + view all (2017) Associations between body mass index across adult life and hip shapes at age 60 to 64: evidence from the 1946 British birth cohort. Bone , 105 pp. 115-121. 10.1016/j.bone.2017.08.017. Green open access

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Abstract

OBJECTIVE: To examine the associations of body mass index (BMI) across adulthood with hip shapes at age 60–64 years. METHODS: Up to 1633 men and women from the MRC National Survey of Health and Development with repeat measures of BMI across adulthood and posterior-anterior dual-energy X-ray absorptiometry bone mineral density images of the proximal femur recorded at age 60–64 were included in analyses. Statistical shape modelling was applied to quantify independent variations in hip mode (HM), of which the first 6 were examined in relation to: i) BMI at each age of assessment; ii) BMI gain during different phases of adulthood; iii) age first overweight. RESULTS: Higher BMI at all ages (i.e. 15 to 60–64) and greater gains in BMI were associated with higher HM2 scores in both sexes (with positive HM2 values representing a shorter femoral neck and a wider and flatter femoral head). Similarly, younger age first overweight was associated with higher HM2 scores but only in men once current BMI was accounted for. In men, higher BMI at all ages was also associated with lower HM4 scores (with negative HM4 values representing a flatter femoral head, a wider neck and smaller neck shaft angle) but no associations with BMI gain or prolonged exposure to high BMI were found. Less consistent evidence of associations was found between BMI and the other four HMs. CONCLUSION: These results suggest that BMI across adulthood may be associated with specific variations in hip shapes in early old age.

Type: Article
Title: Associations between body mass index across adult life and hip shapes at age 60 to 64: evidence from the 1946 British birth cohort
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.bone.2017.08.017
Publisher version: http://doi.org/10.1016/j.bone.2017.08.017
Language: English
Additional information: © 2017 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Life course epidemiology; Body mass index; Hip shape; Statistical shape modelling
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1571110
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