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Published in: Archives of Osteoporosis 1/2021

01-12-2021 | Original Article

Relationship between physical activity, lean body mass, and bone mass in the Mexican adult population

Authors: Edgar Denova-Gutiérrez, Berenice Rivera-Paredez, Rafael Velázquez-Cruz, Paloma Muñoz-Aguirre, Paula Ramírez-Palacios, Patricia Clark, Jose Luis Ferretti, Jorge Salmerón, Gustavo Roberto Cointry

Published in: Archives of Osteoporosis | Issue 1/2021

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Abstract

Summary

We evaluated the association between leisure-time physical activity (LTPA), bone mineral content (BMC), and lean mass (LM) in whole body (wb) and limbs of the Mexican adult population. Our results demonstrate that some types of LTPA with relatively high/medium impact on bones such as football, basketball, tennis, and weightlifting improve BMC and LM.

Purpose

To evaluate the effect of different kinds of leisure-time physical activity (LTPA) on bone mass values and its association with lean mass (LM) in the whole body (wb) and limbs of a large sample of Mexican men and premenopausal (pre-MP) women.

Methods

We conducted a cross-sectional analysis of data from the Health Workers Cohort Study. Bone mineral content (BMC, kg), bone area (cm2), and LM (kg) were measured with DXA. The LTPA level and the “sedentary” condition were determined using a validated questionnaire adapted for the Mexican population. One-way ANOVA tests evaluated the differences in weight, height, body mass index, and wb, lower limb (ll) and upper limb (ul) BMC and LM between the active (those who engaged in LTPA) and sedentary group. Relationships between BMC and LM values were analyzed. Slopes of the curves and Z scores of LTPA groups with respect to the sedentary group were compared.

Results

In men, both wb-BMC and ll-BMC were significantly higher in the groups performing basketball, football, tennis, weightlifting, and running, and all wb-LM, ll-LM, and ul-LM were higher in running, weightlifting, football, and basketball groups with respect to the sedentary group. Both the Z scores and the slopes of BMC-vs-LM relationships were higher than the controls, but only in the ll of male basketball and football players.

Conclusion

Our findings demonstrate that some types of LTPA with relatively high/medium impact on bones, such as football, basketball, tennis, and weightlifting, improve both BMC and LM compared to sedentary individuals. Finally, this relationship is stronger for the bones found in the legs and it seems that women are less sensitive to this effect, possibly due to hormonal, dietary, and pharmacological reasons.
Literature
1.
go back to reference Lupsa BC, Insogna K (2015) Bone health and osteoporosis. Endocrinol Metab Clin North Am 44:517–530CrossRef Lupsa BC, Insogna K (2015) Bone health and osteoporosis. Endocrinol Metab Clin North Am 44:517–530CrossRef
3.
go back to reference Denova-Gutiérrez E, Clark P, Tucker KL, Muñoz-Aguirre P, Salmerón J (2016) Dietary patterns are associated with bone mineral density in an urban Mexican adult population. Osteoporos Int 27:3033–3040CrossRef Denova-Gutiérrez E, Clark P, Tucker KL, Muñoz-Aguirre P, Salmerón J (2016) Dietary patterns are associated with bone mineral density in an urban Mexican adult population. Osteoporos Int 27:3033–3040CrossRef
6.
go back to reference Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259CrossRef Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259CrossRef
7.
go back to reference Denova-Gutiérrez E, Clark P, Capozza RF, Nocciolino LM, Ferretti JL, Velázquez-Cruz R, Rivera B, Cointry GR, Salmerón J (2019) Differences in the relation between bone mineral content and lean body mass according to gender and reproductive status by age ranges. Bone Miner Metab 37:749–758CrossRef Denova-Gutiérrez E, Clark P, Capozza RF, Nocciolino LM, Ferretti JL, Velázquez-Cruz R, Rivera B, Cointry GR, Salmerón J (2019) Differences in the relation between bone mineral content and lean body mass according to gender and reproductive status by age ranges. Bone Miner Metab 37:749–758CrossRef
9.
go back to reference Rantalainen T, Weeks BK, Nogueira RC, Beck BR (2015) Effects of bone-specific physical activity, gender and maturity on tibial cross-sectional bone material distribution: a cross-sectional pQCT comparison of children and young adults aged 5–29 years. Bone 72:101–108CrossRef Rantalainen T, Weeks BK, Nogueira RC, Beck BR (2015) Effects of bone-specific physical activity, gender and maturity on tibial cross-sectional bone material distribution: a cross-sectional pQCT comparison of children and young adults aged 5–29 years. Bone 72:101–108CrossRef
10.
go back to reference Wilks DC, Winwood K, Gilliver SF, Kwiet A, Chatfield M, Michaelis I, Sun LW, Ferretti JL, Sargeant AJ, Felsenberg D, Rittweger J (2009) Bone mass and geometry of the tibia and the radius of master sprinters, middle and long distance runners, race-walkers and sedentary control participants: a pQCT study. Bone 45:91–97CrossRef Wilks DC, Winwood K, Gilliver SF, Kwiet A, Chatfield M, Michaelis I, Sun LW, Ferretti JL, Sargeant AJ, Felsenberg D, Rittweger J (2009) Bone mass and geometry of the tibia and the radius of master sprinters, middle and long distance runners, race-walkers and sedentary control participants: a pQCT study. Bone 45:91–97CrossRef
11.
go back to reference Vicente-Rodriguez G (2006) How does exercise affect bone development during growth? Sports Med 36:561–569CrossRef Vicente-Rodriguez G (2006) How does exercise affect bone development during growth? Sports Med 36:561–569CrossRef
12.
go back to reference 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 36:1789–1795CrossRef 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 36:1789–1795CrossRef
13.
go back to reference Frost HM (2000) Muscle, bone, and the Utah paradigm: a 1999 overview. Med Sci Sports Exerc 32:911–917CrossRef Frost HM (2000) Muscle, bone, and the Utah paradigm: a 1999 overview. Med Sci Sports Exerc 32:911–917CrossRef
14.
go back to reference Bonnet N, Ferrari SL (2010) Exercise and the skeleton: how it works and what it really does. IBMS BoneKey 7:235–248CrossRef Bonnet N, Ferrari SL (2010) Exercise and the skeleton: how it works and what it really does. IBMS BoneKey 7:235–248CrossRef
15.
go back to reference Feldman S, Capozza RF, Mortarino PA, Reina PS, Ferretti JL, Rittweger J, Cointry GR (2012) Site and sex effects on tibia structure in distance runners and untrained people. Med Sci Sports Exerc 44:1580–1588CrossRef Feldman S, Capozza RF, Mortarino PA, Reina PS, Ferretti JL, Rittweger J, Cointry GR (2012) Site and sex effects on tibia structure in distance runners and untrained people. Med Sci Sports Exerc 44:1580–1588CrossRef
16.
go back to reference Cointry GR, Nocciolino L, Ireland A, Hall NM, Kriechbaumer A, Ferretti JL, Rittweger J, Capozza RF (2016) Structural differences in cortical shell properties between upper and lower human fibula as described by pQCT serial scans. A biomechanical interpretation. Bone 90:185–194CrossRef Cointry GR, Nocciolino L, Ireland A, Hall NM, Kriechbaumer A, Ferretti JL, Rittweger J, Capozza RF (2016) Structural differences in cortical shell properties between upper and lower human fibula as described by pQCT serial scans. A biomechanical interpretation. Bone 90:185–194CrossRef
17.
go back to reference Ferretti JL, Capozza RF, Cointry GR, García SL, Plotkin H, Alvarez Filgueira ML, Zanchetta JR (1998) Gender-related differences in the relationship between densitometric values of whole-body bone mineral content and lean body mass in humans between 2 and 87 years of age. Bone 22:683–690CrossRef Ferretti JL, Capozza RF, Cointry GR, García SL, Plotkin H, Alvarez Filgueira ML, Zanchetta JR (1998) Gender-related differences in the relationship between densitometric values of whole-body bone mineral content and lean body mass in humans between 2 and 87 years of age. Bone 22:683–690CrossRef
18.
go back to reference Ferretti JL, Cointry GR, Capozza RF, Zanchetta JR (2001) Dual-energy X-ray absorptiometry. In: Preedy VR, Peters TJ (eds). Skeletal muscle: Pathology, diagnosis and management of disease. London: Greenwich, pp 451–58 Ferretti JL, Cointry GR, Capozza RF, Zanchetta JR (2001) Dual-energy X-ray absorptiometry. In: Preedy VR, Peters TJ (eds). Skeletal muscle: Pathology, diagnosis and management of disease. London: Greenwich, pp 451–58
19.
go back to reference Reina P, Cointry GR, Nocciolino L, Feldman S, Ferretti JL, Rittweger J, Capozza RF (2015) Analysis of the independent power of age-related, anthropometric and mechanical factors as determinants of the structure of radius and tibia in normal adults. A pQCT study. J Musculoskelet Neuronal Interact 15:10–22PubMedPubMedCentral Reina P, Cointry GR, Nocciolino L, Feldman S, Ferretti JL, Rittweger J, Capozza RF (2015) Analysis of the independent power of age-related, anthropometric and mechanical factors as determinants of the structure of radius and tibia in normal adults. A pQCT study. J Musculoskelet Neuronal Interact 15:10–22PubMedPubMedCentral
20.
go back to reference Schoenau E, Neu CM, Beck B, Manz F, Rauch F (2002) Bone mineral content per muscle cross-sectional area as an index of the functional muscle-bone unit. J Bone Miner Res 17:1095–1101CrossRef Schoenau E, Neu CM, Beck B, Manz F, Rauch F (2002) Bone mineral content per muscle cross-sectional area as an index of the functional muscle-bone unit. J Bone Miner Res 17:1095–1101CrossRef
21.
go back to reference Capozza RF, Cure-Cure C, Cointry GR, Meta M, Cure P, Rittweger J, Ferretti JL (2008) Association between low lean body mass and osteoporotic fractures after menopause. Menopause 15:905–913CrossRef Capozza RF, Cure-Cure C, Cointry GR, Meta M, Cure P, Rittweger J, Ferretti JL (2008) Association between low lean body mass and osteoporotic fractures after menopause. Menopause 15:905–913CrossRef
22.
go back to reference Denova-Gutiérrez E, Flores YN, Gallegos-Carrillo K, Ramírez-Palacios P, Rivera-Paredez B, Muñoz-Aguirre P, Velázquez-Cruz R, Torres-Ibarra L, Meneses-León J, Méndez-Hernández P, Hernández-López R, Salazar-Martínez E, Talavera JO, Tamayo J, Castañón S, Osuna-Ramírez I, León-Maldonado L, Flores M, Macías N, Antúnez D, Huitrón-Bravo G, Salmerón J (2016) Health workers cohort study: methods and study design. Salud Publica Mex 58:708–716CrossRef Denova-Gutiérrez E, Flores YN, Gallegos-Carrillo K, Ramírez-Palacios P, Rivera-Paredez B, Muñoz-Aguirre P, Velázquez-Cruz R, Torres-Ibarra L, Meneses-León J, Méndez-Hernández P, Hernández-López R, Salazar-Martínez E, Talavera JO, Tamayo J, Castañón S, Osuna-Ramírez I, León-Maldonado L, Flores M, Macías N, Antúnez D, Huitrón-Bravo G, Salmerón J (2016) Health workers cohort study: methods and study design. Salud Publica Mex 58:708–716CrossRef
23.
go back to reference Clark P, Denova-Gutiérrez E, Ambrosi R, Szulc P, Rivas-Ruiz R, Salmerón J (2016) Reference values of total lean mass, appendicular lean mass, and fat mass measured with dual-energy X-ray absorptiometry in a healthy Mexican population. Calcif Tissue Int 99:462–471CrossRef Clark P, Denova-Gutiérrez E, Ambrosi R, Szulc P, Rivas-Ruiz R, Salmerón J (2016) Reference values of total lean mass, appendicular lean mass, and fat mass measured with dual-energy X-ray absorptiometry in a healthy Mexican population. Calcif Tissue Int 99:462–471CrossRef
24.
go back to reference Martínez-González MA, López-Fontana C, Varo JJ, Sánchez-Villegas A, Martinez JA (2005) Validation of the Spanish version of the physical activity questionnaire used in the nurses’ health study and the health professionals’ follow-up study. Public Health Nutr 8:920–927CrossRef Martínez-González MA, López-Fontana C, Varo JJ, Sánchez-Villegas A, Martinez JA (2005) Validation of the Spanish version of the physical activity questionnaire used in the nurses’ health study and the health professionals’ follow-up study. Public Health Nutr 8:920–927CrossRef
25.
go back to reference Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr (2000) Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9S):S498–S504CrossRef Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr (2000) Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9S):S498–S504CrossRef
26.
go back to reference Lohman TG, Roche AF, Martorell R (1988) Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books Lohman TG, Roche AF, Martorell R (1988) Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books
30.
go back to reference Ireland A, Korhonen M, Heinonen A, Suominen H, Baur C, Stevens S, Degen H, Rittweger J (2011) Side-to-side differences in bone strength in master jumpers and sprinters. J Musculoskelet Neuronal Interact 11:298–305PubMed Ireland A, Korhonen M, Heinonen A, Suominen H, Baur C, Stevens S, Degen H, Rittweger J (2011) Side-to-side differences in bone strength in master jumpers and sprinters. J Musculoskelet Neuronal Interact 11:298–305PubMed
31.
go back to reference Ubago-Guisado E, Gómez-Cabello A, Sánchez-Sánchez J, García-Unanue J, Gallardo L (2015) Influence of different sports on bone mass in growing girls. J Sports Sci 33:1710–1718CrossRef Ubago-Guisado E, Gómez-Cabello A, Sánchez-Sánchez J, García-Unanue J, Gallardo L (2015) Influence of different sports on bone mass in growing girls. J Sports Sci 33:1710–1718CrossRef
32.
go back to reference Hara S, Yanagi H, Amagai H, Endoh K, Tsuchiya S, Tomura S (2001) Effect of physical activity during teenage years, based on type of sport and duration of exercise, on bone mineral density of young, premenopausal Japanese women. Calcif Tissue Int 68:23–30CrossRef Hara S, Yanagi H, Amagai H, Endoh K, Tsuchiya S, Tomura S (2001) Effect of physical activity during teenage years, based on type of sport and duration of exercise, on bone mineral density of young, premenopausal Japanese women. Calcif Tissue Int 68:23–30CrossRef
33.
go back to reference Nakazono E, Miyazaki H, Abe S, Imai K, Masuda T, Iwamoto M, Moriguchi R, Ueno H, Ono M, Yazumi K, Moriyama K, Nakano S, Tsuda H (2014) Discontinuation of leisure time impact-loading exercise is related to reduction of a calcaneus quantitative ultrasound parameter in young adult Japanese females: a 3-yearfollow-up study. Osteoporos Int 25:485–495CrossRef Nakazono E, Miyazaki H, Abe S, Imai K, Masuda T, Iwamoto M, Moriguchi R, Ueno H, Ono M, Yazumi K, Moriyama K, Nakano S, Tsuda H (2014) Discontinuation of leisure time impact-loading exercise is related to reduction of a calcaneus quantitative ultrasound parameter in young adult Japanese females: a 3-yearfollow-up study. Osteoporos Int 25:485–495CrossRef
34.
go back to reference Gomez-Bruton A, Gonzalez-Agüero A, Matute-Llorente A, Lozano-Berges G, Gomez-Cabello A, Moreno LA, Casajus JA, Vicente-Rodríguez G (2019) The muscle-bone unit in adolescent swimmers. Osteoporos Int 30:1079–1088CrossRef Gomez-Bruton A, Gonzalez-Agüero A, Matute-Llorente A, Lozano-Berges G, Gomez-Cabello A, Moreno LA, Casajus JA, Vicente-Rodríguez G (2019) The muscle-bone unit in adolescent swimmers. Osteoporos Int 30:1079–1088CrossRef
36.
go back to reference Zhao R, Zhao M, Zhang L (2014) Efficiency of jumping exercise in improving bone mineral density among premenopausal women: a meta-analysis. Sports Med 44:1393–1402CrossRef Zhao R, Zhao M, Zhang L (2014) Efficiency of jumping exercise in improving bone mineral density among premenopausal women: a meta-analysis. Sports Med 44:1393–1402CrossRef
37.
go back to reference Vlachopoulos D, Barkera AR, Ubago-Guisado E, Ortega FP, Krustrupa P, Metcalf B, Castro Pinero J, Ruiz JR, Knapp KM, Williams CA, Moreno LA, Gracia-Marco L (2018) The effect of 12-month participation in osteogenic and non-osteogenic sports on bone development in adolescent male athletes. The PRO-BONE study. J Sci Med Sport 21:404–409CrossRef Vlachopoulos D, Barkera AR, Ubago-Guisado E, Ortega FP, Krustrupa P, Metcalf B, Castro Pinero J, Ruiz JR, Knapp KM, Williams CA, Moreno LA, Gracia-Marco L (2018) The effect of 12-month participation in osteogenic and non-osteogenic sports on bone development in adolescent male athletes. The PRO-BONE study. J Sci Med Sport 21:404–409CrossRef
39.
go back to reference Ginty F, Rennie KL, Mills L, Stear S, Jones S, Prentice A (2005) Positive, site-specificassociations between bone mineral status, fitness, and time spent at high impact activities in 16- to 18-year-old boys. Bone 36:101–110CrossRef Ginty F, Rennie KL, Mills L, Stear S, Jones S, Prentice A (2005) Positive, site-specificassociations between bone mineral status, fitness, and time spent at high impact activities in 16- to 18-year-old boys. Bone 36:101–110CrossRef
40.
go back to reference Ferry B, Lespessailles E, Ferry RP, B, Lespessailles E, Rochcongar P, Duclos M, Courteix D, (2013) Bone health during late adolescence: effects of an 8-month training program on bone geometry in female athletes. Joint Bone Spine 80:57–63CrossRef Ferry B, Lespessailles E, Ferry RP, B, Lespessailles E, Rochcongar P, Duclos M, Courteix D, (2013) Bone health during late adolescence: effects of an 8-month training program on bone geometry in female athletes. Joint Bone Spine 80:57–63CrossRef
41.
go back to reference Erickson CR, Vukovich MD (2010) Osteogenic index and changes in bone markers during a jump program: a pilot study. Med Sci Sports Exerc 42:1485–1492CrossRef Erickson CR, Vukovich MD (2010) Osteogenic index and changes in bone markers during a jump program: a pilot study. Med Sci Sports Exerc 42:1485–1492CrossRef
42.
go back to reference Zribi A, Zouch M, Chaari H, Bouajina E, Ben Nasr H, Zaouali M, Tabka Z (2014) Short-term lower-body plyometric training improves whole-body BMC, bone metabolic markers, and physical fitness in early pubertal male basketball players. Pediatr Exerc Sci 26:22–32CrossRef Zribi A, Zouch M, Chaari H, Bouajina E, Ben Nasr H, Zaouali M, Tabka Z (2014) Short-term lower-body plyometric training improves whole-body BMC, bone metabolic markers, and physical fitness in early pubertal male basketball players. Pediatr Exerc Sci 26:22–32CrossRef
44.
go back to reference Capozza RF, Rittweger J, Reina PS, Mortarino P, Nocciolino LM, Feldman S, Ferretti JL, Cointry GR (2013) pQCT-assessed relationships between diaphyseal design and cortical bone mass density in the tibiae of healthy sedentary and trained men and women. Musculoskelet Neuronal Interact 13:195–205 Capozza RF, Rittweger J, Reina PS, Mortarino P, Nocciolino LM, Feldman S, Ferretti JL, Cointry GR (2013) pQCT-assessed relationships between diaphyseal design and cortical bone mass density in the tibiae of healthy sedentary and trained men and women. Musculoskelet Neuronal Interact 13:195–205
45.
go back to reference Ferretti JL, Cointry GR, Capozza RF, Frost HM (2003) Bone mass, bone strength, muscle – bone interactions, osteopenias and osteoporoses. Mech Ageing Dev 124:269–280CrossRef Ferretti JL, Cointry GR, Capozza RF, Frost HM (2003) Bone mass, bone strength, muscle – bone interactions, osteopenias and osteoporoses. Mech Ageing Dev 124:269–280CrossRef
46.
go back to reference Cointry GR, Capozza RF, Negri AL, Roldán EJA, Ferretti JL (2004) Biomechanical background for a noninvasive assessment of bone strength and muscle-bone interactions. J Musculoskelt Neuronal Interact 4:1–11 Cointry GR, Capozza RF, Negri AL, Roldán EJA, Ferretti JL (2004) Biomechanical background for a noninvasive assessment of bone strength and muscle-bone interactions. J Musculoskelt Neuronal Interact 4:1–11
47.
go back to reference Cointry GR, Capozza (ex-aequo) RF, Ferretti SE, Feldman S, Reina P, Fracalossi NM, Ulla MR, Cure-Cure C, Ferretti JL (2005) Absorptiometric assessment of muscle-bone relationships in humans. Reference, validation, and application studies. J Bone Miner Metab 23:S109–S114CrossRef Cointry GR, Capozza (ex-aequo) RF, Ferretti SE, Feldman S, Reina P, Fracalossi NM, Ulla MR, Cure-Cure C, Ferretti JL (2005) Absorptiometric assessment of muscle-bone relationships in humans. Reference, validation, and application studies. J Bone Miner Metab 23:S109–S114CrossRef
Metadata
Title
Relationship between physical activity, lean body mass, and bone mass in the Mexican adult population
Authors
Edgar Denova-Gutiérrez
Berenice Rivera-Paredez
Rafael Velázquez-Cruz
Paloma Muñoz-Aguirre
Paula Ramírez-Palacios
Patricia Clark
Jose Luis Ferretti
Jorge Salmerón
Gustavo Roberto Cointry
Publication date
01-12-2021
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2021
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-021-00936-3

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