The relationship between pulmonary function and bone mineral density in healthy nonsmoking women: the Korean National Health and Nutrition Examination Survey (KNHANES) 2010

Abstract

The aim of this study was to examine the association between pulmonary function and bone mineral density (BMD) in subjects who had never smoked. Pulmonary function was associated with BMD in premenopausal, but not postmenopausal, women. It has been reported that low bone mass is common in patients with pulmonary disorders such as chronic obstructive pulmonary disease. However, in healthy nonsmoking women, the relationship between bone mass and pulmonary function has yet to be clarified. The object of this study was to determine whether pulmonary function is related to BMD in healthy nonsmoking women based on menopausal status. This study was a cross-sectional study based on data obtained from the Korean National Health and Nutrition Examination Survey (KNHANES), a nationwide representative survey conducted by the Korean Ministry of Health and Welfare in 2010. This study included 456 subjects who had never smoked and analyzed data concerning pulmonary function and BMD. Functional vital capacity (FVC) and forced expiratory volume in 1s (FEV1) were correlated with BMD at lumbar spine, femur neck (FN), and total hip in premenopausal women (p=0.030, p=0.003, p=0.019, respectively, for FVC; p=0.015, p=0.006, p=0.059, respectively, for FEV1). However, FVC and FEV1 were only correlated with BMD at FN in postmenopausal women (p=0.003 for FVC; p=0.006 for FEV1). Body mass index (BMI), FVC, and FEV1 were significantly related with BMD at FN, even after adjusting for age and other confounding factors (β=0.334, p<0.001; β=0.145, p=0.017; and β=0.129, p=0.037, respectively) in premenopausal women. However, only age and BMI were correlated with BMD at FN (β=-0.268, p=0.001 and β=0.384, p>0.001) in postmenopausal women after adjusting for confounding factors. Pulmonary function, including FVC and FEV1 are associated with BMD at FN in healthy nonsmoking premenopausal women but not in postmenopausal women.