BMI and BMD: the potential interplay between obesity and bone fragility
Open accessAbstract
Recent evidence demonstrating an increased fracture risk among obese individuals suggests that adipose tissue may negatively impact bone health, challenging the traditional paradigm of fat mass playing a protective role towards bone health. White adipose tissue, far from being a mere energy depot, is a dynamic tissue actively implicated in metabolic reactions, and in fact secretes several hormones called adipokines and inflammatory factors that may in turn promote bone resorption. More specifically, Visceral Adipose Tissue (VAT) may potentially prove detrimental. It is widely acknowledged that obesity is positively associated to many chronic disorders such as metabolic syndrome, dyslipidemia and type 2 diabetes, conditions that could themselves affect bone health. Although aging is largely known to decrease bone strength, little is yet known on the mechanisms via which obesity and its comorbidities may contribute to such damage. Given the exponentially growing obesity rate in recent years and the increased life expectancy of western countries it appears of utmost importance to timely focus on this topic.
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Obesity has also been associated with an increase in fracture risk.
“Paradoxically, obesity has also been associated with an increase in fracture risk (27).”
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Self-citationThe Cell Surface Markers Expression in Postmenopausal Women and Relation to Obesity and Bone Status
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Effect of cardiometabolic risk factors on the relationship between adiposity and bone mass in girls
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- Authors
- Palermo, A., Tuccinardi, D., Defeudis, G., Watanabe, M., D’Onofrio, L., Lauria Pantano, A., Napoli, N., Pozzilli, P., & Manfrini, S.
- Affiliations
- Università Campus Bio-Medico (IT)
- Sapienza University of Rome (IT)
- Department of Endocrinology and Diabetes, University Campus Bio-Medico, Via Alvaro del Portillo, 21, Rome 00128, Italy
- Corresponding author
- Palermo, Andrea
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2016-05-28
- Volume
- 13
- Issue
- 6
- Pages
- 544
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC4924001
- OpenAlex
- W2400849275
- Cited by
- 197
- References
- 239
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 23 · 2023: 17 · 2022: 27 · 2021: 17 · 2020: 30 · 2019: 20 · 2018: 20 · 2017: 8 · 2016: 3
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- IRIS eCampus Telematic University (Università degli Studi eCampus) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Keywords
- obesity, bone fragility, body mass index, bone mineral density, fracture risk, visceral adipose tissue, adipokines, bone resorption, metabolic syndrome, type 2 diabetes, dyslipidemia, aging, bone health
- MeSH terms
- Adipose Tissue, Bone Resorption, Humans, Obesity, Bone Density, Body Mass Index, Inflammation Mediators, Metabolic Syndrome, Adipokines
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