The primary aim of the investigation was to assess the relationship between
whole-body fat expressed as a percentage of body weight with whole-body bo
ne mineral content relative to age and anthropometry. Sixty females between
10 and 19 years of age were recruited to this cross-sectional study, which
included measurements of weight and height and whole-body fat and bone min
eral content using dual-energy X-ray absorptiometry, To assess bone mineral
content, data were expressed as a weight or standard deviation scores usin
g age and bone area. Relationships between outcome variables rr cre determi
ned using multiple correlation analysis followed by multiple linear regress
ion with age, weight, height, and fat as predictor variables for outcomes o
f bone mineral content and density. Correlation analysis indicated that who
le-body fat expressed as a percent was significantly related to weight (p <
0.01), but was not related to age or bone mineral content or density unles
s bent: mineral content was corrected to age or bone area using standard de
viation scores. In addition, body fat was associated with bone area for age
and height (p < 0.01), However, multiple linear regression yielded opposit
e results. When included in regression, body fat had a negative impact on b
one mineral content (p = 0.003), mineral content corrected to bone area (p
= 0.02), and bone density (p = 0.003), while age, weight, and height had po
sitive impacts on these outcome measurements. The data suggest that for you
nger children, the relative influence of percent body fat will he greater a
nd could be linked with suboptimal attainment of peak bone mass. The female
s in this study appeared to be within reference limits for percent body fat
. However, greater amounts of body fat relative to weight could be a marker
for lifestyles that do not support attainment of optimal peak bone mass, (
C) 2000 by Elsevier Science Inc. All rights reserved.