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Osteoporosis International

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Open Access 01-06-2019 | Original Article

Is vigorous-intensity physical activity required for improving bone mass in adolescence? Findings from a Brazilian birth cohort

Authors: R. M. Bielemann, V. V. Ramires, F. C. Wehrmeister, H. Gonçalves, M. C. F. Assunção, U. Ekelund, B. L. Horta

Published in: Osteoporosis International | Issue 6/2019

Abstract

Summary

The association between moderate and vigorous physical activity throughout adolescence and areal bone density (aBMD) at 18 years of age was evaluated. Vigorous-intensity physical activity at 11, 15, and 18 years was associated with aBMD in early adulthood, especially in boys. Cross-sectional analyses showed a positive association between moderate physical activity and aBMD.

Introduction

To evaluate independent associations of moderate and vigorous physical activity (MPA, VPA) across adolescence with areal bone mineral density (aBMD).

Methods

Physical activity (PA) was assessed at 11, 15, and 18 years of age by self-report and at 18 years by accelerometry in the 1993 Pelotas Birth Cohort Study. Time spent in MPA and VPA was determined using metabolic equivalents and specific cutoffs based on raw acceleration. Lumbar spine and femoral neck aBMD were measured by DXA at 18 years. Statistical analyses evaluated the association of MPA and VPA with aBMD, after adjusting for skin color, asset index, current height and age at menarche, and peak strain score (based on ground reaction forces of PA).

Results

Lumbar spine and femoral neck aBMD were available for 3947 (49.9% of boys) and 3960 (49.6% of boys) individuals, respectively. Time spent in MPA at 11 and 15 years was not associated with aBMD. VPA at all time points was positively related to both lumbar spine and femoral neck aBMD in boys. Results were consistent for objectively measured VPA. Girls who achieved 75+ minutes/week of VPA in at least two follow-ups showed higher aBMD at 18 years of age. Boys who reached 75+ minutes/week of VPA at all follow-ups had on average 0.117 g/cm² (95% CI: 0.090; 0.144) higher femoral neck aBMD than those who never achieved this threshold.

Conclusions

Self-reported VPA but not MPA throughout adolescence was associated with aBMD. Recommendation for PA in young people should consider the importance of VPA.

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Title: Is vigorous-intensity physical activity required for improving bone mass in adolescence? Findings from a Brazilian birth cohort
Authors: R. M. Bielemann
V. V. Ramires
F. C. Wehrmeister
H. Gonçalves
M. C. F. Assunção
U. Ekelund
B. L. Horta
Publication date: 01-06-2019
Publisher: Springer London
Published in: Osteoporosis International / Issue 6/2019
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-019-04862-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Is vigorous-intensity physical activity required for improving bone mass in adolescence? Findings from a Brazilian birth cohort

Abstract

Summary

Introduction

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusions

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