Skip to main content
Top
Published in: Osteoporosis International 8/2007

01-08-2007 | Original Article

Modifiable lifestyle factors affecting bone health using calcaneus quantitative ultrasound in adolescent girls

Authors: M. L. Robinson, K. Winters-Stone, K. Gabel, D. Dolny

Published in: Osteoporosis International | Issue 8/2007

Login to get access

Abstract

Summary

One hundred and fourteen girls were measured for calcaneus QUS (stiffness index score), calcium intake, weight, and total hours spent in physical activity (moderate to high-impact activities and low to no-impact activities). Multiple regression analysis indicated that hours spent in moderate to high-impact activities, current calcium intake, and weight significantly predicted SI.

Introduction

To determine the influence of modifiable lifestyle factors on adolescent girls’ bone health measured by calcaneus quantitative ultrasound (QUS).

Methods

One hundred and fourteen girls, ages 14–18 (15.97 ± .7), enrolled in high school physical education classes, were measured for calcaneus QUS (stiffness index score), height, weight, current calcium intake from 2–3 day food records, and estimated total hours spent in physical activity from kindergarten to present. Cumulative physical activity hours were separated into two classifications (according to their estimated strain from ground reaction force): moderate to high-impact activities and low to no-impact activities.

Results

Pearson correlations between stiffness index (SI) and age, height, weight, current calcium intake, and hours spent in moderate to high-impact versus low to no-impact activities indicated a positive relationships between SI and weight (r = .259, p = .005), current calcium intake (r = .286, p = .002), and hours spent in moderate to high-impact activities (r = .451, p < .001). Multiple regression between SI and the above independent variables indicated that collectively, hours spent in moderate to high-impact activities, current calcium intake, and weight (r 2 = .363, p = <.001) significantly predicted SI.

Conclusion

Our data indicate that moderate to high-impact activities, current calcium intake, and weight positively influence bone properties of the calcaneus in adolescent girls.
Literature
1.
go back to reference Bailey DA (1997) The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med 18:S191–S194PubMedCrossRef Bailey DA (1997) The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med 18:S191–S194PubMedCrossRef
2.
go back to reference Hui SL, Slemenda CW, Johnston CC Jr (1990) The contribution of bone loss to postmenopausal osteoporosis. Osteoporos Int 1(1):30–34PubMedCrossRef Hui SL, Slemenda CW, Johnston CC Jr (1990) The contribution of bone loss to postmenopausal osteoporosis. Osteoporos Int 1(1):30–34PubMedCrossRef
3.
go back to reference Bachrach LK (2005) Osteoporosis and measurement of bone mass in children and adolescents. Endocrinol Metab Clin N Am 34:521–535CrossRef Bachrach LK (2005) Osteoporosis and measurement of bone mass in children and adolescents. Endocrinol Metab Clin N Am 34:521–535CrossRef
4.
go back to reference Specker BL, Schoenau E (2005) Quantitative bone analysis in children: current methods and recommendations. J Pediatr 146(6):726–731PubMedCrossRef Specker BL, Schoenau E (2005) Quantitative bone analysis in children: current methods and recommendations. J Pediatr 146(6):726–731PubMedCrossRef
5.
go back to reference Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporosis Int 7:7–22CrossRef Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporosis Int 7:7–22CrossRef
6.
go back to reference Njeh CF, Fuerst T, Diessel E et al (2001) Is quantitative ultrasound dependent on bone structure? A reflection. Osteoporos Int 12:1–15PubMed Njeh CF, Fuerst T, Diessel E et al (2001) Is quantitative ultrasound dependent on bone structure? A reflection. Osteoporos Int 12:1–15PubMed
7.
go back to reference Falcini F, Bindi G, Ermini M et al (2000) Comparison of quantitative calcaneal ultrasound and dual energy X-ray absorptiometry in the evaluation of osteoporotic risk in children with chronic rheumatic disease. Calcif Tissue Int 67(1):9–23CrossRef Falcini F, Bindi G, Ermini M et al (2000) Comparison of quantitative calcaneal ultrasound and dual energy X-ray absorptiometry in the evaluation of osteoporotic risk in children with chronic rheumatic disease. Calcif Tissue Int 67(1):9–23CrossRef
8.
go back to reference Lum CK, Wang MC, 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(4):403–411PubMedCrossRef Lum CK, Wang MC, 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(4):403–411PubMedCrossRef
9.
go back to reference Mughal MZ, Langton CM, Utretch G et al (1996) Comparison between broad-band ultrasound attenuation of the calcaneum and total body bone mineral density in children. Acta Paediatr 85(6):663–665PubMed Mughal MZ, Langton CM, Utretch G et al (1996) Comparison between broad-band ultrasound attenuation of the calcaneum and total body bone mineral density in children. Acta Paediatr 85(6):663–665PubMed
10.
go back to reference Krall EA, Dawson-Hughes B (1993) Heritable and life-style determinants of bone mineral density. J Bone Miner Res 8(1):1–9PubMed Krall EA, Dawson-Hughes B (1993) Heritable and life-style determinants of bone mineral density. J Bone Miner Res 8(1):1–9PubMed
11.
go back to reference Pocock NA, Eisman JA, Hooper L et al (1987) Genetic determinants of bone mass in adults: a twin study. J of Clin Invest 80:706–710CrossRef Pocock NA, Eisman JA, Hooper L et al (1987) Genetic determinants of bone mass in adults: a twin study. J of Clin Invest 80:706–710CrossRef
12.
go back to reference Arnett MG, Lutz B (2002) Effects of rope-jump training on the os calcis stiffness index of postpubescent girls. Med Sci Sports Exerc 34(12):1913–1919PubMedCrossRef Arnett MG, Lutz B (2002) Effects of rope-jump training on the os calcis stiffness index of postpubescent girls. Med Sci Sports Exerc 34(12):1913–1919PubMedCrossRef
13.
go back to reference Witzke KA, Snow CM (2000) Effects of plyometric jump training on bone mass in adolescent girls. Med Sci Sports Exerc 32(6):1051–1057PubMedCrossRef Witzke KA, Snow CM (2000) Effects of plyometric jump training on bone mass in adolescent girls. Med Sci Sports Exerc 32(6):1051–1057PubMedCrossRef
14.
go back to reference Johnston CC, Miller JZ, Slemenda CW et al (1992) Calcium supplementation and increased in bone mineral density in children. N Engl J Med 327(2):82–87PubMedCrossRef Johnston CC, Miller JZ, Slemenda CW et al (1992) Calcium supplementation and increased in bone mineral density in children. N Engl J Med 327(2):82–87PubMedCrossRef
15.
go back to reference Wang MC, Crawford PB, Hudes M et al (2003) Diet in midpuberty and sedentary activity in prepuberty predict peak bone mass. Am J Clin Nutr 77(2):495–503PubMed Wang MC, Crawford PB, Hudes M et al (2003) Diet in midpuberty and sedentary activity in prepuberty predict peak bone mass. Am J Clin Nutr 77(2):495–503PubMed
16.
go back to reference Lin JD, Chen JF, Chang HY et al (2001) Evaluation of bone mineral density by quantitative ultrasound of bone in 16,862 subjects during routine health examination. Br J Radiol 74:602–606PubMed Lin JD, Chen JF, Chang HY et al (2001) Evaluation of bone mineral density by quantitative ultrasound of bone in 16,862 subjects during routine health examination. Br J Radiol 74:602–606PubMed
17.
go back to reference Martins SL, Curtis KM, Glasier AF (2006) Combined hormonal contraception and bone health: a systematic review. Contraception 73(5):445–469PubMedCrossRef Martins SL, Curtis KM, Glasier AF (2006) Combined hormonal contraception and bone health: a systematic review. Contraception 73(5):445–469PubMedCrossRef
18.
go back to reference Lloyd T, Petit MA, Lin HM (2004) Lifestyle factors and the development of bone mass and bone strength in young women. J Pediatr 144(6):776–782PubMed Lloyd T, Petit MA, Lin HM (2004) Lifestyle factors and the development of bone mass and bone strength in young women. J Pediatr 144(6):776–782PubMed
19.
go back to reference Thompson FE, Subar AF (2001) Dietary assessment methodology. In: AM Coulston, CL Rock, ER Monsen (eds) (2001) Nutrition in the prevention and treatment of disease, Academic Press, pp 3–30 Thompson FE, Subar AF (2001) Dietary assessment methodology. In: AM Coulston, CL Rock, ER Monsen (eds) (2001) Nutrition in the prevention and treatment of disease, Academic Press, pp 3–30
20.
go back to reference Rifas-Shiman SL, Gillman MW, Field AE et al (2001) Comparing physical activity questionnaires for youth: seasonal versus annual format. Am J Prev Med 20(4):282–285PubMedCrossRef Rifas-Shiman SL, Gillman MW, Field AE et al (2001) Comparing physical activity questionnaires for youth: seasonal versus annual format. Am J Prev Med 20(4):282–285PubMedCrossRef
21.
go back to reference Groothausen J, Siemer H, Kemper HCG et al (1997) Influence of peak strain on lumbar bone mineral density: an analysis of 15-year physical activity in young males and females. Pediatr Exerc Sci 9:159–173 Groothausen J, Siemer H, Kemper HCG et al (1997) Influence of peak strain on lumbar bone mineral density: an analysis of 15-year physical activity in young males and females. Pediatr Exerc Sci 9:159–173
22.
go back to reference Magkos F, Manios Y, Babaroutsi E et al (2005) Contralateral differences in quantitative ultrasound of the heel: the important of side in clinical practice. Osteoporos Int 16(8):879–886PubMedCrossRef Magkos F, Manios Y, Babaroutsi E et al (2005) Contralateral differences in quantitative ultrasound of the heel: the important of side in clinical practice. Osteoporos Int 16(8):879–886PubMedCrossRef
23.
go back to reference Lees B, Stevenson JC (1993) Preliminary evaluation of a new ultrasound bone densitometer. Calcif Tissue Int 53:149–152PubMedCrossRef Lees B, Stevenson JC (1993) Preliminary evaluation of a new ultrasound bone densitometer. Calcif Tissue Int 53:149–152PubMedCrossRef
24.
go back to reference Sawyer A, Moore S, Fielding KT et al (2001) Calcaneus ultrasound measurements in a convenience sample of healthy youth. J Clin Densitom 4(2):111–120PubMedCrossRef Sawyer A, Moore S, Fielding KT et al (2001) Calcaneus ultrasound measurements in a convenience sample of healthy youth. J Clin Densitom 4(2):111–120PubMedCrossRef
25.
go back to reference Sasaki M, Harata S, Kumazawa Y et al (2000) Bone mineral density and osteo sono assessment index in adolescents. J Ortho Sci 5(3):185–191CrossRef Sasaki M, Harata S, Kumazawa Y et al (2000) Bone mineral density and osteo sono assessment index in adolescents. J Ortho Sci 5(3):185–191CrossRef
26.
go back to reference Daly RM, Rich PA, Klein R (1997) Influence of high impact loading on ultrasound bone measurements in children: a cross-sectional report. Calcif Tissue Int 60:401–404PubMedCrossRef Daly RM, Rich PA, Klein R (1997) Influence of high impact loading on ultrasound bone measurements in children: a cross-sectional report. Calcif Tissue Int 60:401–404PubMedCrossRef
27.
go back to reference Cvijetić S, Barić IC, Bolanča S et al (2003) Ultrasound bone measurement in children and adolescents: correlation with nutrition, puberty, anthropometry, and physical activity. J Clin Epidemiol 56(6):591–597PubMedCrossRef Cvijetić S, Barić IC, Bolanča S et al (2003) Ultrasound bone measurement in children and adolescents: correlation with nutrition, puberty, anthropometry, and physical activity. J Clin Epidemiol 56(6):591–597PubMedCrossRef
28.
go back to reference Lehtonen-Veromaa M, Möttönen T, Nuotio I et al (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(4):248–254PubMedCrossRef Lehtonen-Veromaa M, Möttönen T, Nuotio I et al (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(4):248–254PubMedCrossRef
29.
go back to reference Nurmi-Lawton JA, Baxter-Jones AD, Mirwald RL et al (2004) Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res 19(2):314–322PubMedCrossRef Nurmi-Lawton JA, Baxter-Jones AD, Mirwald RL et al (2004) Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res 19(2):314–322PubMedCrossRef
30.
go back to reference Babaroutsi E, Magkos F, Manios Y et al (2005) Lifestyle factors affecting heel ultrasound in Greek females across different life stages. Osteoporos Int 16(5):552–561PubMedCrossRef Babaroutsi E, Magkos F, Manios Y et al (2005) Lifestyle factors affecting heel ultrasound in Greek females across different life stages. Osteoporos Int 16(5):552–561PubMedCrossRef
31.
go back to reference Wang MC, Moore EC, Crawford PB et al (1999) Influence of pre-adolescent diet on quantitative ultrasound measurements of the calcaneus in young adult women. Osteoporos Int 9(6):532–535PubMed Wang MC, Moore EC, Crawford PB et al (1999) Influence of pre-adolescent diet on quantitative ultrasound measurements of the calcaneus in young adult women. Osteoporos Int 9(6):532–535PubMed
32.
go back to reference Lanou AJ, Berkow SE, Barnard ND (2005) Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence. Pediatrics 115(3):736–743PubMedCrossRef Lanou AJ, Berkow SE, Barnard ND (2005) Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence. Pediatrics 115(3):736–743PubMedCrossRef
33.
go back to reference Hans D, Dargent-Molina P, Schott AM et al (1996) Ultrasonographic heel measurement to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514PubMedCrossRef Hans D, Dargent-Molina P, Schott AM et al (1996) Ultrasonographic heel measurement to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514PubMedCrossRef
34.
go back to reference Arden NK, Baker J, Hogg C et al (1996) The heritability of bone mineral density, ultrasound of the calcaneus and hip axis length: a study of postmenopausal twins. J Bone Min Res 11(4):530–534CrossRef Arden NK, Baker J, Hogg C et al (1996) The heritability of bone mineral density, ultrasound of the calcaneus and hip axis length: a study of postmenopausal twins. J Bone Min Res 11(4):530–534CrossRef
35.
go back to reference Jaworski M, Lebiedowski M, Lorene RS et al (1995) Ultrasound bone measurement in pediatric subjects. Calcif Tissue Int 56(5):368–371PubMedCrossRef Jaworski M, Lebiedowski M, Lorene RS et al (1995) Ultrasound bone measurement in pediatric subjects. Calcif Tissue Int 56(5):368–371PubMedCrossRef
36.
go back to reference Sundberg M, Gardsell P, Johnell O et al (1998) Comparison of quantitative ultrasound measurements in calcaneus with DXA and SXA at other skeletal sites: a population-based study on 280 children aged 11–16 years. Osteoporos Int 8(5):410–417PubMedCrossRef Sundberg M, Gardsell P, Johnell O et al (1998) Comparison of quantitative ultrasound measurements in calcaneus with DXA and SXA at other skeletal sites: a population-based study on 280 children aged 11–16 years. Osteoporos Int 8(5):410–417PubMedCrossRef
37.
go back to reference Fielding KT, Nix DA, Bachrach LK (2003) Comparison of calcaneus ultrasound and dual X-ray absorptiometry in children at risk of osteopenia. J Clin Densitom 6(1):7–15PubMedCrossRef Fielding KT, Nix DA, Bachrach LK (2003) Comparison of calcaneus ultrasound and dual X-ray absorptiometry in children at risk of osteopenia. J Clin Densitom 6(1):7–15PubMedCrossRef
38.
go back to reference Cummings SR, Black DM, Nevitt MC et al (1993) Bone density at various sites for prediction of hip fractures. Lancet 341:72–75PubMedCrossRef Cummings SR, Black DM, Nevitt MC et al (1993) Bone density at various sites for prediction of hip fractures. Lancet 341:72–75PubMedCrossRef
Metadata
Title
Modifiable lifestyle factors affecting bone health using calcaneus quantitative ultrasound in adolescent girls
Authors
M. L. Robinson
K. Winters-Stone
K. Gabel
D. Dolny
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 8/2007
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-007-0359-3

Other articles of this Issue 8/2007

Osteoporosis International 8/2007 Go to the issue