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Published in: Osteoporosis International 12/2018

01-12-2018 | Original Article

Vigorous physical activity patterns affect bone growth during early puberty in boys

Authors: J. Marin-Puyalto, J. Mäestu, A. Gomez-Cabello, E. Lätt, L. Remmel, P. Purge, J.A. Casajús, G. Vicente-Rodríguez, J. Jürimäe

Published in: Osteoporosis International | Issue 12/2018

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Abstract

Summary

This study aims to analyze the impact of participation in vigorous physical activity as it can promote a healthy bone development. Adolescents who increased their participation in vigorous physical activity showed higher improvements in bone parameters compared to those who did not, which highlights the relevance of vigorous physical activity engagement.

Introduction

The main purpose of the study was to analyze the effects of different patterns of vigorous physical activity (VPA) on bone development.

Methods

One-week accelerometry registers and dual-energy X-ray absorptiometry scans at the whole body, hip, and lumbar spine of 140 healthy male adolescents (11–13 years, at baseline) were performed twice with a 1-year interval between measurements. Four patterns of VPA evolution (“low–low,” “low–high,” “high–low,” and “high–high”) and three patterns of bone growth (“optimal,” “mean,” and “reduced”) were defined according to the median participation in VPA and a cluster analysis of the longitudinal changes in BMC and BMD in all sites measured, respectively. Bone mineral parameters were adjusted for skeletal age and body weight prior to statistical comparison among groups.

Results

Participants in the “low–high” group had greater adjusted BMD increases at both the femoral neck and lumbar spine when compared to the “low–low” group (estimated mean (95% CI) 0.066 (0.047–0.085) vs. 0.034 (0.021–0.047) g/cm2 and 0.074 (0.054–0.093) vs. 0.049 (0.035–0.062) g/cm2 respectively, both p < 0.05). Femoral neck BMD adjusted increase was also different between the “high–high” and the “high–low” groups (0.053 (0.041–0.066) vs. 0.030 (0.011–0.049) g/cm2, p < 0.05). Additionally, a higher percentage of “optimal” growth was found in the “low–high” group than in the “low–low” and “high–low” categories (36.3, 12.5 and 13.6% respectively, p < 0.05).

Conclusions

Engaging in VPA as well as maintaining high levels of VPA during puberty is associated with greater gains in bone mass, which can have an impact in future bone health.
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Metadata
Title
Vigorous physical activity patterns affect bone growth during early puberty in boys
Authors
J. Marin-Puyalto
J. Mäestu
A. Gomez-Cabello
E. Lätt
L. Remmel
P. Purge
J.A. Casajús
G. Vicente-Rodríguez
J. Jürimäe
Publication date
01-12-2018
Publisher
Springer London
Published in
Osteoporosis International / Issue 12/2018
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-018-4731-2

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