Relationship Between Trunk Muscle Torque and Bone Mineral Content of the Lumbar Spine and Hip in Healthy Postmenopausal Women

Abstract

The purpose of the study was to determine the relationship between trunk muscle strength and bone mineral density (BMD). Fifty-six postmenopausal women, aged 38 to 73 years, were examined. The BMD of lumbar vertebrae L2-4, the femoral neck, the Ward's triangle, and the greater trochanter was measured with dual-photon absorptiometry. Isometric and isokinetic torque and work measurements obtained on a trunk testing unit were used to assess trunk flexor and extensor strength. Correlation analysis demonstrated a statistically significant relationship between most trunk torque and work measurements and BMD. The trunk extensors generally provided higher correlations with BMD than did the trunk flexors, and the isokinetic extension torque values demonstrated higher correlations than the isometric extension values in every case. Linear backward-regression models, based on the subjects' weight and trunk flexor and extensor torque and work measurements, demonstrated multiple-correlation coefficients of .67, .58, .43, and .65 in predicting the BMD of the L2-4 region, femoral neck, Ward's triangle, and greater trochanter region, respectively. Estrogen therapy status did not affect the linear regression models. These data suggest a positive relationship in postmenopausal women between flexor and extensor torque values and BMD at the lower lumbar spine and proximal femur.