Top

Osteoporosis International

Published in:

01-09-2020 | Osteoporosis | Original Article

Association between sedentary behavior and bone mass in adolescents

Authors: A. Pelegrini, J. A. Klen, A. M. Costa, M. A. Bim, G. S. Claumann, H. C. C. De Angelo, A. de Araújo Pinto

Published in: Osteoporosis International | Issue 9/2020

Abstract

Summary

The effects of sedentary behavior on adolescents’ bone health are controversial because, even in normal weight individuals, the excessive time spent in some specific types of these behaviors appears to have no negative effect on bone health.

Purpose

To analyze the relationship between sedentary behaviors and bone mass in adolescents.

Methods

One hundred four adolescent boys and girls, aged 10 to 14 years, were divided into normal weight and overweight according to weight status. Specific sedentary behaviors (time spent on the Internet for school and non-school purposes, using the computer, watching television, and playing videogames) were assessed by questionnaire, and the total sedentary behavior time by accelerometry. Bone parameters were collected using X-ray absorptiometry, using total and lumbar bone mineral density (BMD) and total and lumbar bone mineral content (BMC) values.

Results

In both groups, the time spent on the Internet for non-school purposes was positively correlated to the total and lumbar BMD. Also, while in the overweight group, the time spent using the computer was negatively correlated to lumbar BMD, and the time spent on the Internet for non-school purposes was positively correlated to the total and lumbar BMC, and in the normal weight group, the time spent on the Internet for non-school purposes was positively correlated to lumbar BMC.

Conclusions

Adolescents who spend more time in sedentary behavior, especially using the Internet for non-school purposes, have higher BMD and BMC, while normal weight adolescents who spend more time on the computer have lower BMD.

Drake MT, Murad MH, Mauck KF, Lane MA, Undavalli C, Elraiyah T, Stuart LM, Prasad C, Shahrour A, Mullan RJ, Hazem A, Erwin PJ, Montori VM (2012) Risk factors for low bone mass-related fractures in men: a systematic review and meta-analysis. J Clin Endocrinol Metab 97:1861–1870. https://doi.org/10.1210/jc.2011-3058CrossRefPubMed

Brüggmann D, Mäule LS, Klingelhöfer D, Schöffel N, Gerber A, Jaque JM, Groneberg DA (2016) World-wide architecture of osteoporosis research: density-equalizing mapping studies and gender analysis. Climacteric 19:463–470. https://doi.org/10.1080/13697137.2016.1200548CrossRefPubMed

Marinho BC, Guerra LP, Drummond JB, Silva BC, Soares MM (2014) The burden of osteoporosis in Brazil. Arq Bras Endocrinol Metabol 58:434–443. https://doi.org/10.1590/0004-2730000003203CrossRefPubMed

Gracia-Marco L, Rey-López JP, Santaliestra-Pasías AM, Jiménez-Pavón D, Díaz LE, Moreno LA, Vicente-Rodríguez G (2012) Sedentary behaviours and its association with bone mass in adolescents: the HELENA cross-sectional study. BMC Public Health 13:971. https://doi.org/10.1186/1471-2458-12-971CrossRef

Chain A, Melo MELD, Crivelli M, Normando P, Bezerra FF (2015) Nutrição e outros aspectos relevantes para a saúde óssea na adolescência. Rev Hosp Uni Pedro Ernesto 14:73–81. https://doi.org/10.12957/rhupe.2015.19943CrossRef

Chastin SFM, Mandrichenko O, Skelton DA (2014) The frequency of osteogenic activities and the pattern of intermittence between periods of physical activity and sedentary behaviour affects bone mineral content: the cross-sectional NHANES study. BMC Public Health 14:4. https://doi.org/10.1186/1471-2458-14-4CrossRefPubMedPubMedCentral

Kato T, Terashima T, Yamashita T, Hatanaka Y, Honda A, Umemura Y (2006) Effect of low-repetition jump training on bone mineral density in young women. J Appl Physiol 100:839–843. https://doi.org/10.1152/japplphysiol.00666.2005CrossRefPubMed

Vicente-Rodriguez G, Ara I, Perez-Gomez J, Serrano-Sanchez JA, Dorado C, Calbet JÁ (2004) High femoral bone mineral density accretion in prepubertal soccer players. Med Sci Sports Exerc 36:1789–1795CrossRefPubMed

Salmon J, Tremblay MS, Marshall SJ, Hume C (2011) Health risks, correlates, andinterventions to reduce sedentary behavior in young people. Am J Prev Med 41:197–206. https://doi.org/10.1016/j.amepre.2011.05.001CrossRefPubMed

10.

Kennedy K, Shepherd S, Williams JE, Ahmed SF, Wells JC, Fewtrell M (2013) Activity, body composition and bone health in children. Arch Dis Child 98:204–207. https://doi.org/10.1136/archdischild-2012-302823CrossRefPubMed

11.

Ivuškāns A, Mäestu J, Jürimäe T, Lätt E, Purge P, Saar M, Maasalu K, Jürimäe J (2015) Sedentary time has a negative influence on bone mineral parameters in peripubertal boys: a 1-year prospective study. J Bone Miner Metab 33:85–92. https://doi.org/10.1007/s00774-013-0556-4CrossRefPubMed

12.

Binkley TL, Specker BL (2016) The negative effect of sitting time on bone is mediated by lean mass in pubertal children. J Musculoskelet Neuronal Interact 16:18–23PubMedPubMedCentral

13.

Vaikeviciute D, Lätt E, Mäestu J, Jürimäe T, Saar M, Purge P, Maasalu K, Jürimäe (2014) Physical activity and bone mineral accrual in boys with different body mass parameters during puberty: a longitudinal study. J PLoS One 9:e107759. https://doi.org/10.1371/journal.pone.0107759CrossRef

14.

Costa CS, Flores TR, Wendt A, Neves RG, Assunção MCF, Santos IS (2018) Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2015. Cad Saúde Pública 34:e00021017. https://doi.org/10.1590/0102-311X00021017CrossRefPubMed

15.

Celis-Morales CA, Perez-Bravo F, Ibañez L, Salas C, Bailey MES, Gill JMR (2017) Objective vs. self-reported physical activity and sedentary time: effects of measurement method on relationships with risk biomarkers. PLoS One 7:e36345. https://doi.org/10.1371/journal.pone.0036345CrossRef

16.

Koedijk JB, van Rijswijk J, Oranje WA, van den Bergh JP, Bours SP, Savelberg HH, Schaper NC (2017) Sedentary behaviour and bone health in children, adolescents and young adults: a systematic review. Osteoporos Int 28:2507–2519. https://doi.org/10.1007/s00198-017-4076-2CrossRefPubMedPubMedCentral

17.

Golden NH, Abrams SA (2014) Optimizing bone health in children and adolescents. Pediatrics 134:1229–1243. https://doi.org/10.1542/peds.2014-2173CrossRef

18.

Kouda K, Fujita Y, Sato Y, Ohara K, Nakamura H, Uenishi K, Iki M (2014) Fat mass is positively associated with bone mass in relatively thin adolescents: data from the Kitakata Kids Health Study. Bone 64:298–302. https://doi.org/10.1016/j.bone.2014.04.027CrossRefPubMed

19.

Kim HY, Jung HW, Hong H, Kim JH, Shin CH, Yang SW, Lee YA (2017) The role of overweight and obesity on bone health in Korean adolescents with a focus on lean and fat mass. J Korean Med Sci 32:1633–1641. https://doi.org/10.3346/jkms.2017.32.10.1633CrossRefPubMedPubMedCentral

20.

Mosca LN, Goldberg TBL, Silva VN, Silva CC, Kurokawa CS, Rizzo ACB, Corrente JE (2014) Excess body fat negatively affects bone mass in adolescents. Nutrition 30:847–852. https://doi.org/10.1016/j.nut.2013.12.003CrossRefPubMed

21.

Khadilkar A, Chiplonkar S, Agrawal DP, Sanwalka N, Khadilkar C (2016) Bone health status in Indian overweight/obese children. Indian J Pediatr 83:1473–1475. https://doi.org/10.1007/s12098-016-2179-yCrossRefPubMed

22.

Sioen I, Lust E, De Henauw S, Moreno LA, Jiménez-Pavón D (2016) Associations between body composition and bone health in children and adolescents: a systematic review. Calcif Tissue Int 99:557–577. https://doi.org/10.1007/s00223-016-0183-xCrossRefPubMed

23.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J 320:1240–1243. https://doi.org/10.1136/bmj.320.7244.1240CrossRef

24.

Cole TJ, Flegal KM, Nicholls D, Jackson AA (2007) Body mass index cut offs to define thinness in children and adolescents: international survey. Br Med J 335:194. https://doi.org/10.1136/bmj.39238.399444.55CrossRef

25.

Canadian Society for Exercise Physiology (CSEP) (2004) The Canadian physical activity, fitness and lifestyle appraisal: CSEP’s guide to health active living, 3rd.ed edn. CSEP, Ottawa

26.

Rey-López JP, Ruiz JR, Ortega FB, Verloigne M, Vicente-Rodriguez G, Gracia-Marco L, Gottrand F, Molnar D, Widhalm K, Zaccaria M, Cuenca-García M, Sjöström M, de Bourdeaudhuij I, Moreno LA, HELENA Study Group (2012) Reliability and validity of a screen time-based sedentary behaviour questionnaire for adolescents: the HELENA study. Eur J Pub Health 22:373–377. https://doi.org/10.1093/eurpub/ckr040CrossRef

27.

Evenson KR, McGinn AP (2005) Test–retest reliability of adult surveillance measures for physical activity and inactivity. Am J Prev Med 28:470–478. https://doi.org/10.1016/j.amepre.2005.02.005CrossRefPubMed

28.

Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG (2008) Calibration of two objective measures of physical activity for children. J Sports Sci 26:1557–1565. https://doi.org/10.1080/02640410802334196CrossRefPubMed

29.

Leonard CM, Roza MA, Barr RD, Webber CE (2009) Reproducibility of DXA measurements of bone mineral density and body composition in children. Pediatr Radiol 39:148–154. https://doi.org/10.1007/s00247-008-1067-7CrossRefPubMed

30.

Guthold R, Cowan MJ, Autenrieth CS, Kann L, Riley LM (2010) Physical activity and sedentary behavior among schoolchildren: a 34-country comparison. J Pediatr 157:43–49. https://doi.org/10.1016/j.jpeds.2010.01.019CrossRefPubMed

31.

Bauman A, Ainsworth BR, Sallis JF, Hagströmer M, Craig CL, Bull FC, Pratt M, Venugopal K, Chau J, Sjöström M, IPS Group (2011) The descriptive epidemiology of sitting: a 20-country comparison using the International Physical Activity Questionnaire (IPAQ). Am J Prev Med 41:228–235. https://doi.org/10.1016/j.amepre.2011.05.003CrossRefPubMed

32.

Gabel L, McKay HA, Nettlefold L, Race D, Macdonald HM (2015) Bone architecture and strength in the growing skeleton: the role of sedentary time. Med Sci Sports Exerc 47:363–372. https://doi.org/10.1249/MSS.0000000000000418CrossRefPubMed

33.

Robling AG, Burr DB, Turner CH (2000) Partitioning a daily mechanical stimulus into discrete loading bouts improves the osteogenic response to loading. J Bone Miner Res 15:1596–1602. https://doi.org/10.1359/jbmr.2000.15.8.1596CrossRefPubMed

34.

Umemura Y, Nagasawa S, Honda A, Singh R (2008) High-impact exercise frequency per week or day for osteogenic response in rats. J Bone Miner Metab 26:456–460. https://doi.org/10.1007/s00774-007-0848-7CrossRefPubMed

35.

Rodrigues Júnior MA, Agostinete RR, Luiz-de-Marco R, Ito IH, Ribeiro-dos-Santos MR, Fernandes RA (2017) Bone mineral density gains related to basketball practice in boys: cohort study. J Hum Growth Dev 27:71–76. https://doi.org/10.7322/jhgd.127655CrossRef

36.

Krahenbühl T, Borges JH, Filho AAB, Guerra-Junior G, Gonçalves EM (2018) Assessment of bone mineral density in young female handball players. Rev Bras Cineantropom Desempenho Hum 20:102–113. https://doi.org/10.5007/1980-0037.2018v20n1p102CrossRef

37.

Ito IH, Mantovani AM, Agostinete RR et al (2016) Prática de artes marciais e densidade mineral óssea em adolescentes de ambos os sexos. Rev Paul de Pediatria 34:210–215. https://doi.org/10.1016/j.rpped.2015.09.001CrossRef

38.

Winther A, Ahmed LA, Furberg AS, Grimnes G, Jorde R, Nilsen AO, Dennison E, Emaus N (2015) Leisure time computer use and adolescent bone health—findings from the Tromsø Study, Fit Futures: a cross-sectional study. BMJ Open 5(6):e006665. https://doi.org/10.1136/bmjopen-2014-006665CrossRefPubMedPubMedCentral

39.

Vicente-Rodriguez G, Ortega FB, Rey-Lopez JP, España-Romero V, Blay VA, Blay G, Martín-Matillas M, Moreno LA (2009) Extracurricular physical activity participation modifies the association between high TV watching and low bone mass. Bone 45:925–930. https://doi.org/10.1016/j.bone.2009.07.084CrossRefPubMed

40.

Muñoz-Hernandez V, Arenaza L, Gracia-Marco L et al (2018) Influence of physical activity on bone mineral content and density in overweight and obese children with low adherence to the Mediterranean dietary pattern. Nutrients 10:1075. https://doi.org/10.3390/nu10081075CrossRefPubMedCentral

41.

Hallal PC, Bertoldi AD, Gonçalves H, Victora CG (2006) Prevalência de sedentarismo e fatores associados em adolescentes de 10-12 anos de idade. Cad Saúde Pública 22:1277–1287. https://doi.org/10.1590/S0102-311X2006000600017CrossRefPubMed

42.

Helba M, Binkovitz LA (2009) Pediatric body composition analysis with dual-energy X-ray absorptiometry. Pediatr Radiol 39:647–656. https://doi.org/10.1007/s00247-009-1247-0CrossRefPubMed

43.

Bergmann GG, Bertoldi AD, Mielke GI, Camargo AL, Matijasevich A, Hallal PC (2016) Atividade física, tempo de tela e utilização de medicamentos em adolescentes: coorte de nascimentos de Pelotas, Rio Grande do Sul, Brasil, 1993. Cad Saúde Pública 32(4):e00011715. https://doi.org/10.1590/0102-311X00011715CrossRefPubMed

Title: Association between sedentary behavior and bone mass in adolescents
Authors: A. Pelegrini
J. A. Klen
A. M. Costa
M. A. Bim
G. S. Claumann
H. C. C. De Angelo
A. de Araújo Pinto
Publication date: 01-09-2020
Publisher: Springer London
Keywords: Osteoporosis
Osteoporosis
Overweight
Published in: Osteoporosis International / Issue 9/2020
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-020-05412-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Association between sedentary behavior and bone mass in adolescents

Abstract

Summary

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2020

Once-yearly zoledronic acid and change in abdominal aortic calcification over 3 years in postmenopausal women with osteoporosis: results from the HORIZON Pivotal Fracture Trial

Disease burden of osteoporosis and other non-communicable diseases in Lebanon

People living with HIV and fracture risk

Guidelines for the assessment of bone density and microarchitecture in vivo using high-resolution peripheral quantitative computed tomography

Exposure to heavy metals and the risk of osteopenia or osteoporosis: a systematic review and meta-analysis

Teriparatide improves microarchitectural characteristics of peri-implant bone in orchiectomized rats