Skip to main content
Top
Published in: Osteoporosis International 5/2009

01-05-2009 | Original Article

Association of unipedal standing time and bone mineral density in community-dwelling Japanese women

Authors: A. Sakai, N. Toba, M. Takeda, M. Suzuki, Y. Abe, K. Aoyagi, T. Nakamura

Published in: Osteoporosis International | Issue 5/2009

Login to get access

Abstract

Summary

Bone mineral density (BMD) and physical performance of the lower extremities decrease with age. In community-dwelling Japanese women, unipedal standing time, timed up and go test, and age are associated with BMD while in women aged 70 years and over, unipedal standing time is associated with BMD.

Introduction

The aim of this study was to clarify whether unipedal standing time is significantly associated with BMD in community-dwelling women.

Methods

The subjects were 90 community-dwelling Japanese women aged 54.7 years. BMD of the second metacarpal bone was measured by computed X-ray densitometry. We measured unipedal standing time as well as timed up and go test to assess physical performance of the lower extremities.

Results

Unipedal standing time decreased with increased age. Timed up and go test significantly correlated with age. Low BMD was significantly associated with old age, short unipedal standing time, and long timed up and go test. Stepwise regression analysis revealed that age, unipedal standing time, and timed up and go test were significant factors associated with BMD. In 21 participants aged 70 years and over, body weight and unipedal standing time, but not age, were significantly associated with BMD.

Conclusion

BMD and physical performance of the lower extremities decrease with older age. Unipedal standing time, timed up and go test, and age are associated with BMD in community-dwelling Japanese women. In women aged 70 years and over, unipedal standing time is significantly associated with BMD.
Literature
1.
go back to reference Sakata T, Sakai A, Tsurukami H et al (1999) Trabecular bone turnover and bone marrow cell development in tail-suspended mice. J Bone Miner Res 14:1596–1604PubMedCrossRef Sakata T, Sakai A, Tsurukami H et al (1999) Trabecular bone turnover and bone marrow cell development in tail-suspended mice. J Bone Miner Res 14:1596–1604PubMedCrossRef
2.
go back to reference Sakai A, Sakata T, Tanaka S et al (2002) Disruption of the p53 gene results in preserved trabecular bone mass and bone formation after mechanical unloading. J Bone Miner Res 17:119–127PubMedCrossRef Sakai A, Sakata T, Tanaka S et al (2002) Disruption of the p53 gene results in preserved trabecular bone mass and bone formation after mechanical unloading. J Bone Miner Res 17:119–127PubMedCrossRef
3.
go back to reference Sakai A, Nakamura T, Tsurukami H et al (1996) Bone marrow capacity for bone cells and trabecular bone turnover in immobilized tibia after sciatic neurectomy in mice. Bone 18:479–486PubMedCrossRef Sakai A, Nakamura T, Tsurukami H et al (1996) Bone marrow capacity for bone cells and trabecular bone turnover in immobilized tibia after sciatic neurectomy in mice. Bone 18:479–486PubMedCrossRef
4.
go back to reference Sakai A, Sakata T, Ikeda S et al (1999) Intermittent administration of human parathyroid Hormone(1-34) prevents immobilization-related bone loss by regulating bone marrow capacity for bone cells in ddY mice. J Bone Miner Res 14:1691–1699PubMedCrossRef Sakai A, Sakata T, Ikeda S et al (1999) Intermittent administration of human parathyroid Hormone(1-34) prevents immobilization-related bone loss by regulating bone marrow capacity for bone cells in ddY mice. J Bone Miner Res 14:1691–1699PubMedCrossRef
5.
go back to reference Aoyagi K, Ross PD, Hayashi T et al (2000) Calcaneus bone mineral density is lower among men and women with lower physical performance. Calcif Tissue Int 67:106–110PubMedCrossRef Aoyagi K, Ross PD, Hayashi T et al (2000) Calcaneus bone mineral density is lower among men and women with lower physical performance. Calcif Tissue Int 67:106–110PubMedCrossRef
6.
go back to reference Taaffe DR, Simonsick EM, Visser M et al (2003) Lower extremity physical performance and hip bone mineral density in elderly black and white men and women: cross-sectional associations in the Health ABC Study. J Gerontol Ser A Biol Sci Med Sci 58:M934–M942 Taaffe DR, Simonsick EM, Visser M et al (2003) Lower extremity physical performance and hip bone mineral density in elderly black and white men and women: cross-sectional associations in the Health ABC Study. J Gerontol Ser A Biol Sci Med Sci 58:M934–M942
7.
go back to reference Brownbill RA, Lindsey C, Crncevic-Orlic Z et al (2003) Dual hip bone mineral density in postmenopausal women: geometry and effect of physical activity. Calcif Tissue Int 73:217–224PubMedCrossRef Brownbill RA, Lindsey C, Crncevic-Orlic Z et al (2003) Dual hip bone mineral density in postmenopausal women: geometry and effect of physical activity. Calcif Tissue Int 73:217–224PubMedCrossRef
8.
go back to reference Kwon J, Suzuki T, Yoshida H et al (2007) Association between change in bone mineral density and decline in usual walking speed in elderly community-dwelling Japanese women during 2 years of follow-up. J Am Geriatr Soc 55:240–244PubMedCrossRef Kwon J, Suzuki T, Yoshida H et al (2007) Association between change in bone mineral density and decline in usual walking speed in elderly community-dwelling Japanese women during 2 years of follow-up. J Am Geriatr Soc 55:240–244PubMedCrossRef
9.
go back to reference Vico L, Pouget JF, Calmels P et al (1995) The relations between physical ability and bone mass in women aged over 65 years. J Bone Miner Res 10:374–383PubMedCrossRef Vico L, Pouget JF, Calmels P et al (1995) The relations between physical ability and bone mass in women aged over 65 years. J Bone Miner Res 10:374–383PubMedCrossRef
10.
go back to reference Sakamoto K, Sugimoto F, Sato Y et al (1999) Dynamic flamingo therapy for prevention of femoral neck osteoporosis and fractures. Part 1: theoretical background. Showa Univ J Med Sci 11:247–254 Sakamoto K, Sugimoto F, Sato Y et al (1999) Dynamic flamingo therapy for prevention of femoral neck osteoporosis and fractures. Part 1: theoretical background. Showa Univ J Med Sci 11:247–254
11.
go back to reference Sakamoto K, Nakamura T, Hagino H et al (2006) Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci 11:467–472PubMedCrossRef Sakamoto K, Nakamura T, Hagino H et al (2006) Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci 11:467–472PubMedCrossRef
12.
go back to reference Podsiadlo D, Richardson S (1991) The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148PubMed Podsiadlo D, Richardson S (1991) The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148PubMed
13.
go back to reference Yoshida S, Aoyagi K, Felson DT et al (2002) Comparison of the prevalence of radiographic osteoarthritis of the knee and hand between Japan and the United States. J Rheumatol 29:1454–1458PubMed Yoshida S, Aoyagi K, Felson DT et al (2002) Comparison of the prevalence of radiographic osteoarthritis of the knee and hand between Japan and the United States. J Rheumatol 29:1454–1458PubMed
14.
go back to reference Jinbayashi H, Aoyagi K, Ross PD et al (2002) Prevalence of vertebral deformity and its associations with physical impairment among Japanese women: the Hizen-Oshima Study. Osteoporos Int 13:723–730PubMedCrossRef Jinbayashi H, Aoyagi K, Ross PD et al (2002) Prevalence of vertebral deformity and its associations with physical impairment among Japanese women: the Hizen-Oshima Study. Osteoporos Int 13:723–730PubMedCrossRef
15.
go back to reference Matsumoto C, Kushida K, Yamazaki K, Imose K, Inoue T (1994) Metacarpal bone mass in normal and osteoporotic Japanese women using computed X-ray densitometry. Calcif Tissue Int 55:324–329PubMedCrossRef Matsumoto C, Kushida K, Yamazaki K, Imose K, Inoue T (1994) Metacarpal bone mass in normal and osteoporotic Japanese women using computed X-ray densitometry. Calcif Tissue Int 55:324–329PubMedCrossRef
16.
go back to reference Walker JE, Howland J (1991) Falls and fear of falling among elderly persons living in the community: occupational therapy interventions. Am J Occup Ther 45:119–122PubMed Walker JE, Howland J (1991) Falls and fear of falling among elderly persons living in the community: occupational therapy interventions. Am J Occup Ther 45:119–122PubMed
17.
go back to reference Rittweger J, Frost HM, Schiessl H et al (2005) Muscle atrophy and bone loss after 90 days’ bed rest and the effects of flywheel resistive exercise and pamidronate: results from the LTBR study. Bone 36:1019–1029PubMedCrossRef Rittweger J, Frost HM, Schiessl H et al (2005) Muscle atrophy and bone loss after 90 days’ bed rest and the effects of flywheel resistive exercise and pamidronate: results from the LTBR study. Bone 36:1019–1029PubMedCrossRef
18.
go back to reference Suzuki T, Kim H, Yoshida H et al (2004) Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women. J Bone Miner Metab 22:602–611PubMedCrossRef Suzuki T, Kim H, Yoshida H et al (2004) Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women. J Bone Miner Metab 22:602–611PubMedCrossRef
19.
go back to reference Chow R, Harrison JE, Notarius C (1987) Effect of two randomised exercise programmes on bone mass of healthy postmenopausal women. Br Med J 295:1441–1444CrossRef Chow R, Harrison JE, Notarius C (1987) Effect of two randomised exercise programmes on bone mass of healthy postmenopausal women. Br Med J 295:1441–1444CrossRef
21.
go back to reference Asikainen TM, Kukkonen-Harjula K, Miilunpalo S (2004) Exercise for health for early postmenopausal women: a systematic review of randomised controlled trials. Sports Med 34:753–778PubMedCrossRef Asikainen TM, Kukkonen-Harjula K, Miilunpalo S (2004) Exercise for health for early postmenopausal women: a systematic review of randomised controlled trials. Sports Med 34:753–778PubMedCrossRef
22.
go back to reference Kemmler W, Lauber D, Weineck J et al (2004) Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women: results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Arch Intern Med 164:1084–1091PubMedCrossRef Kemmler W, Lauber D, Weineck J et al (2004) Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women: results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Arch Intern Med 164:1084–1091PubMedCrossRef
23.
go back to reference Crepaldi G, Romanato G, Tonin P et al (2007) Osteoporosis and body composition. J Endocrinol Investig 30:42–47 Crepaldi G, Romanato G, Tonin P et al (2007) Osteoporosis and body composition. J Endocrinol Investig 30:42–47
24.
go back to reference Misic MM, Rosengren KS, Woods JA et al (2007) Muscle quality, aerobic fitness and fat mass predict lower-extremity physical function in community-dwelling older adults. Gerontology 53:260–266PubMedCrossRef Misic MM, Rosengren KS, Woods JA et al (2007) Muscle quality, aerobic fitness and fat mass predict lower-extremity physical function in community-dwelling older adults. Gerontology 53:260–266PubMedCrossRef
25.
go back to reference Mattila VM, Tallroth K, Marttinen M et al (2007) Physical fitness and performance. Body composition by DEXA and its association with physical fitness in 140 conscripts. Med Sci Sports Exerc 39:2242–2247PubMedCrossRef Mattila VM, Tallroth K, Marttinen M et al (2007) Physical fitness and performance. Body composition by DEXA and its association with physical fitness in 140 conscripts. Med Sci Sports Exerc 39:2242–2247PubMedCrossRef
26.
go back to reference Morita M, Takamura N, Kusano Y et al (2005) Relationship between falls and physical performance measures among community-dwelling elderly women in Japan. Aging Clin Exp Res 17:211–216PubMed Morita M, Takamura N, Kusano Y et al (2005) Relationship between falls and physical performance measures among community-dwelling elderly women in Japan. Aging Clin Exp Res 17:211–216PubMed
27.
go back to reference Thrane G, Joakimsen RM, Thornquist E (2007) The association between timed up and go test and history of falls: the Tromsø study. BMC Geriatr 7:1PubMedCrossRef Thrane G, Joakimsen RM, Thornquist E (2007) The association between timed up and go test and history of falls: the Tromsø study. BMC Geriatr 7:1PubMedCrossRef
28.
go back to reference Arnold CM, Faulkner RA (2007) The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr 7:17PubMedCrossRef Arnold CM, Faulkner RA (2007) The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr 7:17PubMedCrossRef
Metadata
Title
Association of unipedal standing time and bone mineral density in community-dwelling Japanese women
Authors
A. Sakai
N. Toba
M. Takeda
M. Suzuki
Y. Abe
K. Aoyagi
T. Nakamura
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 5/2009
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-008-0726-8

Other articles of this Issue 5/2009

Osteoporosis International 5/2009 Go to the issue