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Published in: Osteoporosis International 11/2008

01-11-2008 | Original Article

The BPAQ: a bone-specific physical activity assessment instrument

Authors: B. K. Weeks, B. R. Beck

Published in: Osteoporosis International | Issue 11/2008

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Abstract

Summary

A newly developed bone-specific physical activity questionnaire (BPAQ) was compared with other common measures of physical activity for its ability to predict parameters of bone strength in healthy, young adults. The BPAQ predicted indices of bone strength at clinically relevant sites in both men and women, while other measures did not.

Introduction

Only certain types of physical activity (PA) are notably osteogenic. Most methods to quantify levels of PA fail to account for bone relevant loading. Our aim was to examine the ability of several methods of PA assessment and a new bone-specific measure to predict parameters of bone strength in healthy adults.

Methods

We recruited 40 men and women (mean age 24.5). Subjects completed the modifiable activity questionnaire, Bouchard 3-day activity record, a recently published bone loading history questionnaire (BLHQ), and wore a pedometer for 14 days. We also administered our bone-specific physical activity questionnaire (BPAQ). Calcaneal broadband ultrasound attenuation (BUA) (QUS-2, Quidel) and densitometric measures (XR-36, Norland) were examined. Multiple regression and correlation analyses were performed on the data.

Results

The current activity component of BPAQ was a significant predictor of variance in femoral neck bone mineral density (BMD), lumbar spine BMD, and whole body BMD (R2 = 0.36–0.68, p < 0.01) for men, while the past activity component of BPAQ predicted calcaneal BUA (R2 = 0.48, p = 0.001) for women.

Conclusions

The BPAQ predicted indices of bone strength at skeletal sites at risk of osteoporotic fracture while other PA measurement tools did not.
Appendix
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Literature
1.
go back to reference Rubin CT (1984) Skeletal strain and the functional significance of bone architecture. Calcif Tissue Int 36(Suppl 1):S11–18CrossRefPubMed Rubin CT (1984) Skeletal strain and the functional significance of bone architecture. Calcif Tissue Int 36(Suppl 1):S11–18CrossRefPubMed
2.
go back to reference Rubin CT, Lanyon LE (1985) Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int 37:411–417CrossRefPubMed Rubin CT, Lanyon LE (1985) Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int 37:411–417CrossRefPubMed
3.
go back to reference O’Connor JA, Lanyon LE, MacFie H (1982) The influence of strain rate on adaptive bone remodelling. J Biomech 15:767–781CrossRefPubMed O’Connor JA, Lanyon LE, MacFie H (1982) The influence of strain rate on adaptive bone remodelling. J Biomech 15:767–781CrossRefPubMed
4.
go back to reference Turner CH, Owan I, Takano Y (1995) Mechanotransduction in bone: Role of strain rate. Am J Physiol 269:E438–442PubMed Turner CH, Owan I, Takano Y (1995) Mechanotransduction in bone: Role of strain rate. Am J Physiol 269:E438–442PubMed
5.
go back to reference Kannus P, Haapasalo H, Sankelo M et al (1995) Effect of starting age of physical activity on bone mass in the dominant arm of tennis and squash players. Ann Intern Med 123:27–31CrossRefPubMed Kannus P, Haapasalo H, Sankelo M et al (1995) Effect of starting age of physical activity on bone mass in the dominant arm of tennis and squash players. Ann Intern Med 123:27–31CrossRefPubMed
6.
go back to reference Burr DB, Milgrom C, Fyhrie D et al (1996) In vivo measurement of human tibial strains during vigorous activity. Bone 18:405–410CrossRefPubMed Burr DB, Milgrom C, Fyhrie D et al (1996) In vivo measurement of human tibial strains during vigorous activity. Bone 18:405–410CrossRefPubMed
7.
go back to reference Ekenman I, Halvorsen K, Westblad P et al (1998) Local bone deformation at two predominant sites for stress fractures of the tibia: An in vivo study. Foot Ankle Int 19:479–484CrossRefPubMed Ekenman I, Halvorsen K, Westblad P et al (1998) Local bone deformation at two predominant sites for stress fractures of the tibia: An in vivo study. Foot Ankle Int 19:479–484CrossRefPubMed
8.
go back to reference Lanyon LE, Hampson WG, Goodship AE et al (1975) Bone deformation recorded in vivo from strain gauges attached to the human tibial shaft. Acta Orthop Scand 46:256–268CrossRefPubMed Lanyon LE, Hampson WG, Goodship AE et al (1975) Bone deformation recorded in vivo from strain gauges attached to the human tibial shaft. Acta Orthop Scand 46:256–268CrossRefPubMed
9.
go back to reference Milgrom C, Miligram M, Simkin A et al (2001) A home exercise program for tibial bone strengthening based on in vivo strain measurements. Am J Phys Med Rehabil 80:433–438CrossRefPubMed Milgrom C, Miligram M, Simkin A et al (2001) A home exercise program for tibial bone strengthening based on in vivo strain measurements. Am J Phys Med Rehabil 80:433–438CrossRefPubMed
10.
go back to reference Milgrom C, Radeva-Petrova DR, Finestone A et al (2007) The effect of muscle fatigue on in vivo tibial strains. J Biomech 40:845–850CrossRefPubMed Milgrom C, Radeva-Petrova DR, Finestone A et al (2007) The effect of muscle fatigue on in vivo tibial strains. J Biomech 40:845–850CrossRefPubMed
11.
12.
go back to reference Hurrion PD, Dyson R, Hale T (2000) Simultaneous measurement of back and front foot ground reaction forces during the same delivery stride of the fast-medium bowler. J Sports Sci 18:993–997CrossRefPubMed Hurrion PD, Dyson R, Hale T (2000) Simultaneous measurement of back and front foot ground reaction forces during the same delivery stride of the fast-medium bowler. J Sports Sci 18:993–997CrossRefPubMed
13.
go back to reference Perttunen JO, Kyrolainen H, Komi PV et al (2000) Biomechanical loading in the triple jump. J Sports Sci 18:363–370CrossRefPubMed Perttunen JO, Kyrolainen H, Komi PV et al (2000) Biomechanical loading in the triple jump. J Sports Sci 18:363–370CrossRefPubMed
14.
go back to reference Salci Y, Kentel BB, Heycan C et al (2004) Comparison of landing maneuvers between male and female college volleyball players. Clin Biomech 19:622–628CrossRef Salci Y, Kentel BB, Heycan C et al (2004) Comparison of landing maneuvers between male and female college volleyball players. Clin Biomech 19:622–628CrossRef
15.
go back to reference Dolan SH, Williams DP, Ainsworth BE et al (2006) Development and reproducibility of the bone loading history questionnaire. Med Sci Sports Exerc 38:1121–1131CrossRefPubMed Dolan SH, Williams DP, Ainsworth BE et al (2006) Development and reproducibility of the bone loading history questionnaire. Med Sci Sports Exerc 38:1121–1131CrossRefPubMed
16.
go back to reference Turner CH, Robling AG (2003) Designing exercise regimens to increase bone strength. Exerc Sport Sci Rev 31:45–50CrossRefPubMed Turner CH, Robling AG (2003) Designing exercise regimens to increase bone strength. Exerc Sport Sci Rev 31:45–50CrossRefPubMed
18.
go back to reference Snow CM, Williams DP, LaRiviere J et al (2001) Bone gains and losses follow seasonal training and detraining in gymnasts. Calcif Tissue Int 69:7–12CrossRefPubMed Snow CM, Williams DP, LaRiviere J et al (2001) Bone gains and losses follow seasonal training and detraining in gymnasts. Calcif Tissue Int 69:7–12CrossRefPubMed
19.
go back to reference Kriska AM, Bennett PH (1992) An epidemiological perspective of the relationship between physical activity and NIDDM: from activity assessment to intervention. Diabetes Metab Rev 8:355–372CrossRefPubMed Kriska AM, Bennett PH (1992) An epidemiological perspective of the relationship between physical activity and NIDDM: from activity assessment to intervention. Diabetes Metab Rev 8:355–372CrossRefPubMed
20.
go back to reference Bouchard C, Tremblay A, Leblanc C et al (1983) A method to assess energy expenditure in children and adults. Am J Clin Nutr 37:461–467PubMed Bouchard C, Tremblay A, Leblanc C et al (1983) A method to assess energy expenditure in children and adults. Am J Clin Nutr 37:461–467PubMed
21.
go back to reference Pluijm SM, Graafmans WC, Bouter LM et al. (1999) Ultrasound measurements for the prediction of osteoporotic fractures in elderly people. 9:550–556 Pluijm SM, Graafmans WC, Bouter LM et al. (1999) Ultrasound measurements for the prediction of osteoporotic fractures in elderly people. 9:550–556
22.
go back to reference Prins SH, Jorgensen HL, Jorgensen LV et al. (1998) The role of quantitative ultrasound in the assessment of bone: a review. 18:3–17 Prins SH, Jorgensen HL, Jorgensen LV et al. (1998) The role of quantitative ultrasound in the assessment of bone: a review. 18:3–17
23.
go back to reference Wuster C, Hadji P (2001) Use of quantitative ultrasound densitometry (QUS) in male osteoporosis. 69:225–228 Wuster C, Hadji P (2001) Use of quantitative ultrasound densitometry (QUS) in male osteoporosis. 69:225–228
24.
go back to reference Sievanen H, Kannus P, Nieminen V et al (1996) Estimation of various mechanical characteristics of human bones using dual energy x-ray absorptiometry: Methodology and precision. Bone 18:17S–27SCrossRefPubMed Sievanen H, Kannus P, Nieminen V et al (1996) Estimation of various mechanical characteristics of human bones using dual energy x-ray absorptiometry: Methodology and precision. Bone 18:17S–27SCrossRefPubMed
25.
go back to reference Peterman MM, Hamel AJ, Cavanagh PR et al (2001) In vitro modeling of human tibial strains during exercise in micro-gravity. J Biomech 34:693–698CrossRefPubMed Peterman MM, Hamel AJ, Cavanagh PR et al (2001) In vitro modeling of human tibial strains during exercise in micro-gravity. J Biomech 34:693–698CrossRefPubMed
26.
go back to reference McKay H, Tsang G, Heinonen A et al (2005) Ground reaction forces associated with an effective elementary school based jumping intervention. Br J Sports Med 39:10–14CrossRefPubMedPubMedCentral McKay H, Tsang G, Heinonen A et al (2005) Ground reaction forces associated with an effective elementary school based jumping intervention. Br J Sports Med 39:10–14CrossRefPubMedPubMedCentral
27.
go back to reference Hert J, Liskova M, Landa J (1971) Reaction of bone to mechanical stimuli. Part 1. Continuous and intermittent loading of tibia in rabbit. Folia Morphol 19:290–300 Hert J, Liskova M, Landa J (1971) Reaction of bone to mechanical stimuli. Part 1. Continuous and intermittent loading of tibia in rabbit. Folia Morphol 19:290–300
28.
go back to reference Umemura Y, Ishiko T, Yamauchi T et al (1997) Five jumps per day increase bone mass and breaking force in rats. J Bone Miner Res 12:1480–1485CrossRefPubMed Umemura Y, Ishiko T, Yamauchi T et al (1997) Five jumps per day increase bone mass and breaking force in rats. J Bone Miner Res 12:1480–1485CrossRefPubMed
29.
go back to reference Robling AG, Burr DB, Turner CH (2001) Recovery periods restore mechanosensitivity to dynamically loaded bone. J Exp Biol 204:3389–3399PubMed Robling AG, Burr DB, Turner CH (2001) Recovery periods restore mechanosensitivity to dynamically loaded bone. J Exp Biol 204:3389–3399PubMed
30.
go back to reference Robling AG, Hinant FM, Burr DB et al (2002) Shorter, more frequent mechanical loading sessions enhance bone mass. Med Sci Sports Exerc 34:196–202CrossRefPubMed Robling AG, Hinant FM, Burr DB et al (2002) Shorter, more frequent mechanical loading sessions enhance bone mass. Med Sci Sports Exerc 34:196–202CrossRefPubMed
31.
go back to reference Robling AG, Hinant FM, Burr DB et al (2002) Improved bone structure and strength after long-term mechanical loading is greatest if loading is separated into short bouts. J Bone Miner Res 17:1545–1554CrossRefPubMed Robling AG, Hinant FM, Burr DB et al (2002) Improved bone structure and strength after long-term mechanical loading is greatest if loading is separated into short bouts. J Bone Miner Res 17:1545–1554CrossRefPubMed
32.
go back to reference Frederick EC, Determan JJ, Whittlesey SN et al (2006) Biomechanics of skateboarding: Kinetics of the Ollie. J Appl Biomech 22:33–40CrossRefPubMed Frederick EC, Determan JJ, Whittlesey SN et al (2006) Biomechanics of skateboarding: Kinetics of the Ollie. J Appl Biomech 22:33–40CrossRefPubMed
33.
go back to reference Kellis E, Katis A, Vrabas IS (2006) Effects of an intermittent exercise fatigue protocol on biomechanics of soccer kick performance. Scand J Med Sci Sports 16:334–344CrossRefPubMed Kellis E, Katis A, Vrabas IS (2006) Effects of an intermittent exercise fatigue protocol on biomechanics of soccer kick performance. Scand J Med Sci Sports 16:334–344CrossRefPubMed
34.
go back to reference Otago L (2004) Kinetic analysis of landings in netball: is a footwork rule change required to decrease ACL injuries? J Sci Med Sport 7:85–95CrossRefPubMed Otago L (2004) Kinetic analysis of landings in netball: is a footwork rule change required to decrease ACL injuries? J Sci Med Sport 7:85–95CrossRefPubMed
35.
go back to reference Taaffe DR, Snow Harter C, Connolly DA et al (1995) Differential effects of swimming versus weight-bearing activity on bone mineral status of eumenorrheic athletes. J Bone Miner Res 10:586–593CrossRefPubMed Taaffe DR, Snow Harter C, Connolly DA et al (1995) Differential effects of swimming versus weight-bearing activity on bone mineral status of eumenorrheic athletes. J Bone Miner Res 10:586–593CrossRefPubMed
36.
go back to reference Bass S, Delmas PD, Pearce G et al (1999) The differing tempo of growth in bone size, mass, and density in girls is region-specific. J Clin Invest 104:795–804CrossRefPubMedPubMedCentral Bass S, Delmas PD, Pearce G et al (1999) The differing tempo of growth in bone size, mass, and density in girls is region-specific. J Clin Invest 104:795–804CrossRefPubMedPubMedCentral
37.
go back to reference Bradney M, Karlsson MK, Duan Y et al (2000) Heterogeneity in the growth of the axial and appendicular skeleton in boys: Implications for the pathogenesis of bone fragility in men. J Bone Miner Res 15:1871–1878CrossRefPubMed Bradney M, Karlsson MK, Duan Y et al (2000) Heterogeneity in the growth of the axial and appendicular skeleton in boys: Implications for the pathogenesis of bone fragility in men. J Bone Miner Res 15:1871–1878CrossRefPubMed
Metadata
Title
The BPAQ: a bone-specific physical activity assessment instrument
Authors
B. K. Weeks
B. R. Beck
Publication date
01-11-2008
Publisher
Springer London
Published in
Osteoporosis International / Issue 11/2008
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-008-0606-2

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