A. Spindler et al., MUSCULAR STRENGTH AND BONE-MINERAL DENSITY IN HEMODIALYSIS-PATIENTS, Nephrology, dialysis, transplantation, 12(1), 1997, pp. 128-132
Purpose. The objective of this study was to determine the relationship
between muscular strength and bone mineral density (BMD) in patients
undergoing regular haemodialysis. Methods, The BMD was measured in the
lumbar spine (L(2)-L(4)) and in the proximal femur (femoral neck and
trochanter) with dual-energy X-ray absorptiometry DEXA (Lunar DPX). Mu
scular strength of the extensors, flexors and abductors muscles of the
femur (proximal muscles) and the extensors muscles of the back was me
asured with an isometric dynamometer. Thirty patients, 15 women with a
mean age of 33.7 years (18-43) and 15 men with a mean age of 45.5 yea
rs (18-65) were included in the study. Results. There was a positive a
nd significant correlation between the BMD of the femoral neck and mus
cular strength of the flexors (r = 0.490, P < 0.005), the extensors (r
= 0.658, P < 0.01) and the abductors muscles of the femur (r = 0.671,
P < 0.0008), as well as between the muscular strength of the flexors
(r = 0.413, P < 0.02) and extensors muscles of the femur (r = 0.433, P
< 0.01) with BMD of the trochanter. There was no correlation between
the muscular strength of the back extensor muscles and the BMD of the
lumbar spine (r = -0.119, PNS). There was no correlation between the B
MD and the number of years of haemodialysis therapy (r = -0.032, P NS)
, the patient's age (r = - 159, P NS), or the value of serum PTH (r =
0.369, P NS) respectively. However, there was a significant correlatio
n between the BMD of the femoral neck with muscular strength (r = 0.60
2, P < 0.05). Conclusion. This study reveals the close relationship th
at exists between muscular strength of the proximal muscles and the BM
D of proximal femur in patients undergoing haemodialysis.