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01-10-2004 | Original Article

Relationship between quantitative ultrasound, anthropometry and sports participation in college aged adults

Authors: Annie C. Wetter, Christina D. Economos

Published in: Osteoporosis International | Issue 10/2004

Abstract

The college years are an opportune timepoint of intervention in the primary prevention of osteoporosis. Physical activity is an important modifiable risk factor, yet national surveys reveal that young people are insufficiently active. To determine patterns of physical activity associated with improved skeletal status at this life stage, we assessed the relationship between self-reported physical activity patterns, grip strength, anthropometric measures, and calcaneal quantitative ultrasound (QUS) measures in a study of college students (n=235), the Tufts Longitudinal Health Study (TLHS). Univariate analyses revealed several highly significant relationships between QUS parameters and anthropometry, but only among women, with the highest correlation for skeletal muscle mass. Grip strength was significantly related to broadband attenuation (BUA) and stiffness index (SI) in both men and women. Multiple regression analysis revealed that among the modifiable body composition compartments, muscle mass but not fat mass was significantly associated with higher BUA in men (P<0.05) and women (P<0.001), and higher SI in women (P<0.001). Among our sample of college students, current weight training (P=0.004), and moderate (P=0.003) and vigorous (P<0.001) sports participation were each significantly associated with higher SI. Multiple regression analysis revealed that sports participation (moderate and/or vigorous) was associated with higher SI by 10.22±3.93 units (P=0.011) among men and 7.28±2.36 units (P=0.002) among women. These data suggest that improved skeletal status in young adulthood may require more specific moderate to vigorous physical activity, such as that achieved with sport, than is currently recommended for overall health.

US Department of Health and Human Services (2000) Healthy People 2010: understanding and improving health. US Government Printing Office, Washington D.C.

Calfas KJ, Sallis JF, Lovato CY et al. (1994) Physical activity and its determinants before and after college graduation. Med Exerc Nutr Health 3:323–334

Seefeldt V, Malina R, Clark M (2002) Factors affecting levels of physical activity in adults. Sports Med 32:143–168PubMed

Lowry R, Galuska DA, Fulton JE, Wechsler H, Kann L, Collins JL (2000) Physical activity, food choice, and weight management goals and practices among US college students. Am J Prev Med 18:18–27CrossRef

Lum CK, Wang M-C, Moore E et al. (1999) A comparison of calcaneus ultrasound and dual X-ray absorptiometry in healthy North American youths and young adults. J Clin Densitom 2:403–411PubMed

Zerahn B, Borgwardt A, Hojsgard C et al. (1996) Ultrasound and BMD measurements of the os calcis in normal Danish adults. Eur J Exp Musculoskel Res 4:154–159

Tromp A, Smit J, Deeg D, Lips P (1999) Quantitative ultrasound measurements of the tibia and calcaneus in comparison with DXA measurements at various skeletal sites. Osteoporos Int 9:230–235CrossRefPubMed

Wang M, Moore E, Crawford P, Hudes M, Sabry ZI, Marcus R, Bachrach LK (1999) Influence of pre-adolescent diet on quantitative ultrasound measurements of the calcaneus in young adult women. Osteoporos Int 9:532–535PubMed

Lehtonen-Veromaa M, Mottonen T, Nuotio I, Heinonen OJ, Viikari J (2000) Influence of physical activity on ultrasound and dual-energy X-ray absorptiometry bone measurements in peripubertal girls: a cross-sectional study. Calcif Tissue Int 66:248–254CrossRefPubMed

10.

Taaffe DR, Duret C, Cooper CS, Marcus R (1999) Comparison of calcaneal ultrasound and DXA in young women. Med Sci Sports Exerc 31:1484–1489PubMed

11.

Sawyer A, Moore S, Fielding K, Nix DA, Kiratli J, Bachrach LK (2001) Calcaneus ultrasound measurements in a convenience sample of healthy youth. J Clin Densitom 4:111–120PubMed

12.

Seeman E (2001) Unresolved issues in osteoporosis in men. Rev Endocr Metab Disord 2:45–64CrossRefPubMed

13.

Cooper Institute for Aerobics Research (1997) The Aerobics Center Longitudinal Study physical activity questionnaire. Med Sci Sports Exerc 29:S10–S14

14.

Hans D, Fuerst T, Duboeuf F (1997) Quantitative ultrasound bone measurement. Eur Radiol 7:S43–S50PubMed

15.

Greenspan S, Bouxsein M, Melton M, Kolodny AH, Clair JH, Delucca PT, Stek M Jr, Faulkner KG, Orwoll ES (1997) Precision and discriminatory ability of calcaneal bone assessment technologies. J Bone Miner Res 12:1303–1313PubMed

16.

Hodgskinson R, Njeh C, Currey J, Langton CM (1997) The ability of ultrasound to predict the stiffness of cancellous bone in vitro. Bone 21:183–190CrossRefPubMed

17.

Mazess R, Barden H (1999) Ultrasound stiffness of the os calcis provides T-scores comparable to axial BMD. Calcif Tissue Int 64:S104

18.

Lohman T (1992) Advances in body composition assessment. In: Heyward VH, Stolarczyk LM (eds) Current issues in exercise science. Human Kinetics, Champaign, Ill.

19.

Janssen I, Heymsfield SB, Baumgartner RN, Ross R (2000) Estimation of skeletal muscle mass by bioelectrical impedance analysis. J Appl Physiol 89:465–471PubMed

20.

Frost H (1997) Why do marathon runners have less bone than weight lifters? A vital-biomechanical view and explanation. Bone 22:683–690

21.

Rantanen T, Era P, Kauppinen M et al. (1994) Maximal isometric muscle strength and socio-economic status, health, and physical activity in 75-year-old persons. J Aging Phys Activity 2:206–220

22.

Hans D, Dargent-Molina P, Schott A, Sebert JL, Cormier C, Kotzki PO, Delmas PD, Pouilles JM, Breart G, Meunier PJ (1996) Ultrasonographic heel measurements to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514PubMed

23.

Frost ML, Blake GM, Fogelman I (2001) Quantitative ultrasound and bone mineral density are equally strongly associated with risk factors for osteoporosis. J Bone Miner Res 16:406–416PubMed

24.

Langton C, Langton D (2000) Comparison of bone mineral density and quantitative ultrasound of the calcaneus: site-matched correlation and discrimination of axial BMD status. Br J Radiol 73:31–35PubMed

25.

Creighton D, Morgan A, Boardley D, Brolinson PG (2001) Weight-bearing exercise and markers of bone turnover in female athletes. J Appl Physiol 90:565–570PubMed

26.

Recker R, Davies M, Hinders SM, Heaney RP, Stegman MR, Kimmel DB (1992) Bone gain in young adult women. JAMA 268:2403–2408CrossRefPubMed

27.

Mazess RB (1999) Activity strongly affects heel ultrasound. Calcif Tissue Int 64:494CrossRef

28.

Madsen K, Adams W, Van Loan M (1998) Effects of physical activity, body weight and composition, and muscular strength on bone density in young women. Med Sci Sports Exerc 30:114–120PubMed

29.

Kroke A, Klipstein-Grobusch K, Bergmann M, Weber K, Boeing H (2000) Influence of body composition on quantitative ultrasound parameters of the os calcis in a population-based sample of pre- and postmenopausal women. Calcif Tissue Int 66:5–10CrossRefPubMed

30.

Snow-Harter C, Whalen R, Myburgh K, Arnaud S, Marcus R (1992) Bone mineral density, muscle strength, and recreational exercise in men. J Bone Miner Res 7:1291–1296PubMed

31.

Snow-Harter C, Bouxsein M, Lewis B, Carter DR, Marcus R (1990) Muscle strength as a predictor of bone mineral density in young women. J Bone Miner Res 5:589–595PubMed

32.

Valdimarsson O, Kristinsson JO, Stefansson O, Valdimarsson S, Sigurdsson G (1999) Lean mass and physical activity as predictors of bone mineral density in 16–20 year old women. J Int Med 245:489–496

33.

Going S, Lohman T (1991) Letters to the editor-in-chief. Med Sci Sports Exerc 27:882–883

34.

Young A, Stokes M, Crowne M (1984) The size and strength of the quadriceps muscle of old and young women. Eur J Clin Invest 14:282–287PubMed

35.

Young A, Stokes M, Crowne M (1985) The size and strength of the quadriceps muscle of old and young men. Clin Physiol 5:145–154PubMed

36.

Bachrach LK (2001) Acquisition of optimal bone mass in childhood and adolescence. Trends Endrocrinol Metab 12:22–28CrossRef

Title: Relationship between quantitative ultrasound, anthropometry and sports participation in college aged adults
Authors: Annie C. Wetter
Christina D. Economos
Publication date: 01-10-2004
Publisher: Springer-Verlag
Published in: Osteoporosis International / Issue 10/2004
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-004-1607-4

At a glance: The STEP trials

Springer Medicine

Relationship between quantitative ultrasound, anthropometry and sports participation in college aged adults

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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