Physical activity, sedentary time, and longitudinal bone strength in adolescent girls
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ORIGINAL ARTICLE
Physical activity, sedentary time, and longitudinal bone strength in adolescent girls V.L. Bland 1
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J.W. Bea 1,2,3
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D.J. Roe 3,4
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V.R. Lee 1
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R.M. Blew 1
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S.B. Going 1
Received: 9 July 2019 / Accepted: 30 March 2020 # International Osteoporosis Foundation and National Osteoporosis Foundation 2020
Abstract Summary The association between baseline physical activity and sedentary time with 2-year longitudinal bone strength was evaluated. The effect of physical activity on bone depended on maturity status. Sedentary time did not negatively impact bone outcomes, regardless of maturity. Maturity should be considered when developing exercise interventions to improve bone outcomes. Introduction Physical activity during adolescence is important to obtain peak bone mass; however, adolescents are increasingly sedentary, potentially increasing risk for osteoporosis later in life. The aim of this study was to assess the association of physical activity and sedentary time with 2-year longitudinal bone outcomes in adolescent females (69% Hispanic/31% non-Hispanic). Methods Bone strength was assessed at the 66% tibia, 20% femur, and 66% radius of 9- to 12-year-old girls (n = 131) using peripheral quantitative computed tomography at baseline and 2-year follow-up. Physical activity and sedentary time were assessed via accelerometry. Linear regression analyses were used to assess whether baseline vigorous physical activity (VPA), moderate physical activity (MPA), light physical activity (LPA), or sedentary time predict longitudinal bone outcomes, adjusting for relevant confounders. Results Significant interactions were found between maturity offset and physical activity. In weight-bearing bones, significant interactions were primarily identified between VPA and maturity offset. Interactions indicated that VPA was associated with favorable bone outcomes at the tibia and femur in girls further past the age of PHV. However, this favorable effect was not observed in girls closer to the age of PHV. At the radius, interactions were primarily observed between LPA and maturity offset. Again, LPA was more beneficial for girls further past the age of PHV. Sedentary time did not significantly influence bone outcomes. Conclusion The effects of physical activity on bone may be dependent on maturity. Therefore, physical activity interventions, with attention to maturity status, may be required to optimize bone strength in girls. Keywords Accelerometry . Adolescence . Female . Peripheral quantitative computed tomography . Physical activity . Physical inactivity
Introduction * V.L. Bland [email protected] 1
Department of Nutritional Sciences, University of Arizona, 1177 E 4th St, Tucson, AZ 85721, USA
2
Department of Medicine, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA
3
University of Arizona Cancer Center, 3838 N Campbell Ave, Tucson, AZ 85719, USA
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Department of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ 85724, USA
Adolescence is a period of ra
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