RT journal article T1 Association of physical fitness, body composition, cardiometabolic markers and adherence to the Mediterranean diet with bone mineral density in perimenopausal women. The FLAMENCO project A1 Aparicio, Virginia Ariadna A1 Ruiz-Cabello, Pilar A1 Borges Cosic, Milkana María A1 Andrade, Ana A1 Coll-Risco, Irene A1 Acosta-Manzano, Pedro A1 Soriano-Maldonado, Alberto A2 Didáctica de la Educación FísicaPlástica y Musical K1 Menopause K1 climacteric K1 nutrition K1 strenght K1 cardiorespiratory fitness K1 fat K1 heart AB *Aim: This study aimed to analyse the association of different components of physical fitness, body composition,cardiometabolic markers and the Mediterranean diet with bone mineral density (BMD) in perimenopausalwomen, and to test which of these components are independently associated with BMD. *Method: Thesample comprised 197 perimenopausal women (52.6 ± 4.5 years). Physical fitness was assessed with the“Senior Fitness Test” battery and the handgrip strength and Bruce tests. Fat and lean mass and BMDwere measured using dual-energy X-ray absorptiometry. We analysed the markers of metabolic syndrome,C-reactive protein, and components of the Mediterranean diet. *Results: Handgrip muscle strength(β = 0.212, P = 0.005), body weight (β = 0.244, P = 0.001), BMI (β = 0.180, P = 0.011) and lean mass(β = 0.379, P < 0.001) were positively associated with BMD. No associations were observed betweencardiometabolic markers or the Mediterranean diet with BMD (all P > 0.05). When all relevant indicatorsof BMD were simultaneously considered, lean mass was the only 1 showing an independent associationwith BMD (β = 0.392, P < 0.001), explaining 14% of the BMD variability. *Conclusion: In conclusion, muscle strengthmight be a marker of BMD in perimenopausal women. However, lean mass was the only factorindependently associated with BMD. Future research to determine whether increasing lean massthrough specific exercise-based interventions contributes to increasing BMD is warranted. PB Routledge, Taylor & Francis Group SN 1466-447X YR 2016 FD 2016 LK http://hdl.handle.net/10498/35102 UL http://hdl.handle.net/10498/35102 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 08-nov-2026