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Volume 8

Journal of Nutrition & Food Sciences

ISSN: 2155-9600

Nutri-Food Chemistry

&

Euro Obesity 2018

September 13-15, 2018

JOINT EVENT

September 13-15, 2018 | London, UK

14

th

Euro

Obesity and Endocrinology Congress

&

17

th

World Congress on

Nutrition and Food Chemistry

J Nutr Food Sci 2018, Volume 8

DOI: 10.4172/2155-9600-C7-072

Association between abdominal obesity and osteoporotic fractures among elderly Israeli women

Assaf Buch

1, 2, 3

, Orit Ofir

1

, Vanessa Rouach

2

, Naftali Stern

2, 3

, Rebecca Goldsmith

4

and

Efrat Monsonego-Ornan

1

1

The Hebrew University of Jerusalem, Israel

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 ‘

Mabat Zahav’

, 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, 88–99 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, 1.411–7.020), 2.776 (95% CI, 1.054–7.307), 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.

buchasaf@gmail.com