title: The relationship between basal metabolic rate and femur bone mineral density in men with traumatic spinal cord injury.
abstract: OBJECTIVE
  To investigate the relationship between basal metabolic rate (BMR) and hip bone mineral density (BMD) in people with spinal cord injury (SCI) and to determine whether neurologic factors contribute to this relationship.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Inpatient SCI unit in a rehabilitation hospital.
  
  
  METHODS
  Thirty men with chronic (time since injury, >1 y) traumatic SCI with an American Spinal Injury Association Impairment Scale grade A or B. Subjects' mean age was 32 years (range, 20-45 y).
  
  
  METHODS
  All participants were evaluated with neurologic examination to define the level and severity of injury. BMR was determined by indirect calorimetry, and BMD was determined by dual-energy x-ray absorptiometry (DXA). Patients were allocated to osteoporotic, osteopenic, and normal bone density groups according to World Health Organization criteria. DXA was used also to estimate lean- and fat-tissue mass (in kilograms) by standard methods. DXA measurements were performed on the same day as BMR analysis.
  
  
  METHODS
  DXA and indirect calorimetry.
  
  
  RESULTS
  BMR correlated significantly with BMD of the total femur, femur neck, trochanter, and shaft. However, there was no correlation between BMR and femur Ward's triangle. These correlations were stronger in patients with tetraplegia. There was a moderate correlation between BMR and lean tissue mass (r = .66, P < .001), although femur BMD values did not correlate with lean tissue mass in our study group (P > .05).
  
  
  CONCLUSIONS
  BMR is closely associated with BMD in men with SCI.
authors.affiliation: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. bilgeyilmaztr@hotmail.com
authors.forename: Bilge
authors.initials: B
authors.lastname: Yilmaz
authors.forename: Evren
authors.initials: E
authors.lastname: Yasar
authors.forename: A Salim
authors.initials: AS
authors.lastname: Goktepe
authors.forename: M Erkut
authors.initials: ME
authors.lastname: Onder
authors.forename: Ridvan
authors.initials: R
authors.lastname: Alaca
authors.forename: Kamil
authors.initials: K
authors.lastname: Yazicioglu
authors.forename: Haydar
authors.initials: H
authors.lastname: Mohur
mesh_terms: D015502:Absorptiometry, Photon; D000328:Adult; D001481:Basal Metabolism; D001823:Body Composition; D015519:Bone Density; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005269:Femur / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000378:metabolism* / Q000503:physiopathology; D015599:Trauma Severity Indices