Background: Metabolic syndrome (MetS) and osteoporosis are two of the world's major healthcare issues. There are several studies
which explored the association between MetS and bone mineral density (BMD), but all of them are cross-sectional. These studies
cover all populations, including expatriated, which did not determine the actual problem among Saudi women. This is the first casecontrol
study that determines the causal relationship between MetS and BMD. The objective of this study is to determine the
relationship between metabolic syndrome and bone mass density among Saudi menopausal women in Eastern Province - Saudi Arabia.
Methods: It’s a case-control study and 380 menopausal Saudi women were selected through simple random sampling. They were
divided into 190 cases with osteoporosis and 190 without osteoporosis. Bone Mineral Density (BMD) at the total hip was determined
using dual-energy X-ray absorptiometry (DEXA). T score was calculated. The association between the risk factors of MetS and bone
mineral density was determined by binary logistic regression analysis using SPSS (statistical package of social science) software.
Results: Among women, the prevalence of MetS was substantially higher in those with osteoporosis. The Mets is positively
correlated with bone mineral density. (r=0.08, p=0.051). The occurrence of MetS was associated with increased osteoporosis among
Saudi women (B=0.004; p=0.005) after adjustment of confounders. The existence of obesity was significantly associated with
increased odds of Bone marrow density among women (OR 2.56; 95 % CI, 2.22-3.44; p=0.030) after adjustment of confounders.
Conclusion: The incidence of MetS was associated with osteoporosis in Saudi women.
Keywords: Bone mineral density, Menopausal women, Metabolic syndrome, Osteoporosis