Bone marrow fat fraction assessment in regard to physical activity: KORA FF4–3-T MR imaging in a population-based cohort

Objectives To establish the effect of different degrees and kinds of physical activity on bone marrow fat (BMAT) content at different anatomical locations in a population-based cohort study undergoing whole-body MR imaging. Methods Subjects of the KORA FF4 study without known cardiovascular disease...

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Veröffentlicht in:European radiology 2020-06, Vol.30 (6), p.3417-3428
Hauptverfasser: Bertheau, Robert C., Lorbeer, Roberto, Nattenmüller, Johanna, Wintermeyer, Elke, Machann, Jürgen, Linkohr, Birgit, Peters, Annette, Bamberg, Fabian, Schlett, Christopher L.
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container_end_page 3428
container_issue 6
container_start_page 3417
container_title European radiology
container_volume 30
creator Bertheau, Robert C.
Lorbeer, Roberto
Nattenmüller, Johanna
Wintermeyer, Elke
Machann, Jürgen
Linkohr, Birgit
Peters, Annette
Bamberg, Fabian
Schlett, Christopher L.
description Objectives To establish the effect of different degrees and kinds of physical activity on bone marrow fat (BMAT) content at different anatomical locations in a population-based cohort study undergoing whole-body MR imaging. Methods Subjects of the KORA FF4 study without known cardiovascular disease underwent BMAT fat fraction (FF) quantification in L1 and L2 vertebrae and femoral heads/necks (hip) via a 2-point T1-weighted VIBE Dixon sequence. BMAT-FF was calculated as mean value (fat image) divided by mean value (fat + water image). Physical activity was determined by self-assessment questionnaire regarding time spent exercising, non-exercise walking, non-exercise cycling, and job-related physical activity. Results A total of 385 subjects (96% of 400 available; 56 ± 9.1 years; 58% male) were included in the analysis. Exercise was distributed quite evenly (29% > 2 h/week; 31% ~ 1 h/week (regularly); 15% ~ 1 h/week (irregularly); 26% no physical activity). BMAT-FF was 52.6 ± 10.2% in L1, 56.2 ± 10.3% in L2, 87.4 ± 5.9% in the right hip, and 87.2 ± 5.9% in the left hip (all p   2 h/week ( p  ≤ 0.02 vs. p  ≥ 0.35, respectively). These associations remained significant after adjusting for age, gender, waist circumference, and glucose tolerance. No coherent association was found between BMAT-FF and physical activity in the less active groups. Conclusions In our study, exercise was inversely correlated with vertebral BMAT-FF, but not hip BMAT-FF, when exercising for more than 2 h per week. Physical activity seems to affect the spine at least preferentially compared to the hip. Key Points • In our population-based cohort, at least 2 h of physical activity per week were required to show lower levels of bone marrow adipose tissue fat fraction in MRI. • Physical activity seems to affect bone marrow adipose tissue at least preferentially at the spine in contrast to the proximal femur.
doi_str_mv 10.1007/s00330-019-06612-y
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Methods Subjects of the KORA FF4 study without known cardiovascular disease underwent BMAT fat fraction (FF) quantification in L1 and L2 vertebrae and femoral heads/necks (hip) via a 2-point T1-weighted VIBE Dixon sequence. BMAT-FF was calculated as mean value (fat image) divided by mean value (fat + water image). Physical activity was determined by self-assessment questionnaire regarding time spent exercising, non-exercise walking, non-exercise cycling, and job-related physical activity. Results A total of 385 subjects (96% of 400 available; 56 ± 9.1 years; 58% male) were included in the analysis. Exercise was distributed quite evenly (29% &gt; 2 h/week; 31% ~ 1 h/week (regularly); 15% ~ 1 h/week (irregularly); 26% no physical activity). BMAT-FF was 52.6 ± 10.2% in L1, 56.2 ± 10.3% in L2, 87.4 ± 5.9% in the right hip, and 87.2 ± 5.9% in the left hip (all p  &lt; 0.001). Correlation of BMAT-FF between spine and hip was only moderate ( r 0.42 to 0.46). Spinal BMAT-FF, but not hip BMAT-FF, was inversely associated with exercise &gt; 2 h/week ( p  ≤ 0.02 vs. p  ≥ 0.35, respectively). These associations remained significant after adjusting for age, gender, waist circumference, and glucose tolerance. No coherent association was found between BMAT-FF and physical activity in the less active groups. Conclusions In our study, exercise was inversely correlated with vertebral BMAT-FF, but not hip BMAT-FF, when exercising for more than 2 h per week. Physical activity seems to affect the spine at least preferentially compared to the hip. Key Points • In our population-based cohort, at least 2 h of physical activity per week were required to show lower levels of bone marrow adipose tissue fat fraction in MRI. • Physical activity seems to affect bone marrow adipose tissue at least preferentially at the spine in contrast to the proximal femur.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-019-06612-y</identifier><identifier>PMID: 32086579</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adipose tissue ; Adipose Tissue - diagnostic imaging ; Aged ; Biomedical materials ; Bone marrow ; Bone Marrow - diagnostic imaging ; Cardiovascular diseases ; Cohort Studies ; Correlation analysis ; Diagnostic Radiology ; Exercise ; Female ; Femur ; Femur Head - diagnostic imaging ; Femur Neck - diagnostic imaging ; Glucose tolerance ; Health risk assessment ; Hip ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Life Sciences &amp; Biomedicine ; Lumbar Vertebrae - diagnostic imaging ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Musculoskeletal ; Neuroradiology ; Physical activity ; Physical fitness ; Physical training ; Population studies ; Radiology ; Radiology, Nuclear Medicine &amp; Medical Imaging ; Science &amp; Technology ; Self-assessment ; Spine ; Ultrasound ; Vertebrae ; Walking ; Whole Body Imaging</subject><ispartof>European radiology, 2020-06, Vol.30 (6), p.3417-3428</ispartof><rights>European Society of Radiology 2019</rights><rights>European Society of Radiology 2019.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>21</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000516314700008</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c419t-43f0b2ef9ed09869cd0db57cdd222cd649b7b1da6fc87b89a6f5db8c662c09183</citedby><cites>FETCH-LOGICAL-c419t-43f0b2ef9ed09869cd0db57cdd222cd649b7b1da6fc87b89a6f5db8c662c09183</cites><orcidid>0000-0002-1576-1481 ; 0000-0001-6645-0985</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-019-06612-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-019-06612-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32086579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bertheau, Robert C.</creatorcontrib><creatorcontrib>Lorbeer, Roberto</creatorcontrib><creatorcontrib>Nattenmüller, Johanna</creatorcontrib><creatorcontrib>Wintermeyer, Elke</creatorcontrib><creatorcontrib>Machann, Jürgen</creatorcontrib><creatorcontrib>Linkohr, Birgit</creatorcontrib><creatorcontrib>Peters, Annette</creatorcontrib><creatorcontrib>Bamberg, Fabian</creatorcontrib><creatorcontrib>Schlett, Christopher L.</creatorcontrib><title>Bone marrow fat fraction assessment in regard to physical activity: KORA FF4–3-T MR imaging in a population-based cohort</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>EUR RADIOL</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives To establish the effect of different degrees and kinds of physical activity on bone marrow fat (BMAT) content at different anatomical locations in a population-based cohort study undergoing whole-body MR imaging. Methods Subjects of the KORA FF4 study without known cardiovascular disease underwent BMAT fat fraction (FF) quantification in L1 and L2 vertebrae and femoral heads/necks (hip) via a 2-point T1-weighted VIBE Dixon sequence. BMAT-FF was calculated as mean value (fat image) divided by mean value (fat + water image). Physical activity was determined by self-assessment questionnaire regarding time spent exercising, non-exercise walking, non-exercise cycling, and job-related physical activity. Results A total of 385 subjects (96% of 400 available; 56 ± 9.1 years; 58% male) were included in the analysis. Exercise was distributed quite evenly (29% &gt; 2 h/week; 31% ~ 1 h/week (regularly); 15% ~ 1 h/week (irregularly); 26% no physical activity). BMAT-FF was 52.6 ± 10.2% in L1, 56.2 ± 10.3% in L2, 87.4 ± 5.9% in the right hip, and 87.2 ± 5.9% in the left hip (all p  &lt; 0.001). Correlation of BMAT-FF between spine and hip was only moderate ( r 0.42 to 0.46). Spinal BMAT-FF, but not hip BMAT-FF, was inversely associated with exercise &gt; 2 h/week ( p  ≤ 0.02 vs. p  ≥ 0.35, respectively). These associations remained significant after adjusting for age, gender, waist circumference, and glucose tolerance. No coherent association was found between BMAT-FF and physical activity in the less active groups. Conclusions In our study, exercise was inversely correlated with vertebral BMAT-FF, but not hip BMAT-FF, when exercising for more than 2 h per week. Physical activity seems to affect the spine at least preferentially compared to the hip. Key Points • In our population-based cohort, at least 2 h of physical activity per week were required to show lower levels of bone marrow adipose tissue fat fraction in MRI. • Physical activity seems to affect bone marrow adipose tissue at least preferentially at the spine in contrast to the proximal femur.</description><subject>Adipose tissue</subject><subject>Adipose Tissue - diagnostic imaging</subject><subject>Aged</subject><subject>Biomedical materials</subject><subject>Bone marrow</subject><subject>Bone Marrow - diagnostic imaging</subject><subject>Cardiovascular diseases</subject><subject>Cohort Studies</subject><subject>Correlation analysis</subject><subject>Diagnostic Radiology</subject><subject>Exercise</subject><subject>Female</subject><subject>Femur</subject><subject>Femur Head - diagnostic imaging</subject><subject>Femur Neck - diagnostic imaging</subject><subject>Glucose tolerance</subject><subject>Health risk assessment</subject><subject>Hip</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Musculoskeletal</subject><subject>Neuroradiology</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Population studies</subject><subject>Radiology</subject><subject>Radiology, Nuclear Medicine &amp; Medical Imaging</subject><subject>Science &amp; Technology</subject><subject>Self-assessment</subject><subject>Spine</subject><subject>Ultrasound</subject><subject>Vertebrae</subject><subject>Walking</subject><subject>Whole Body Imaging</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkc1u1DAUhS0EokPhBVggSyyR4fonjs2uHTGAKKpUlXXk2M401UwcbIcqrHgH3pAnwdOUskOsfBffOdfnXISeU3hNAeo3CYBzIEA1ASkpI_MDtKKCM0JBiYdoBZorUmstjtCTlK4BQFNRP0ZHnIGSVa1X6PtpGDzemxjDDe5Mxl00NvdhwCYln9LeDxn3A45-a6LDOeDxak69NTt84L71eX6LP51fnODNRvz68ZOTS_z5Avd7s-2H7UFp8BjGaWcOpqQ1yTtsw1WI-Sl61Jld8s_u3mP0ZfPucv2BnJ2__7g-OSNWUJ2J4B20zHfaO9BKauvAtVVtnWOMWSeFbuuWOiM7q-pW6TJUrlVWSmZLXsWP0cvFd4zh6-RTbq7DFIeysmECpBCiElWh2ELZGFKKvmvGWFLEuaHQHOpulrqbUndzW3czF9GLO-up3Xt3L_nTbwHUAtz4NnTJ9n6w_h4rB6mo5OUmZQK17vNtS-swDblIX_2_tNB8oVMhhq2Pf0P-4_-_ARrTrWI</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Bertheau, Robert C.</creator><creator>Lorbeer, Roberto</creator><creator>Nattenmüller, Johanna</creator><creator>Wintermeyer, Elke</creator><creator>Machann, Jürgen</creator><creator>Linkohr, Birgit</creator><creator>Peters, Annette</creator><creator>Bamberg, Fabian</creator><creator>Schlett, Christopher L.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature</general><general>Springer Nature B.V</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-1576-1481</orcidid><orcidid>https://orcid.org/0000-0001-6645-0985</orcidid></search><sort><creationdate>20200601</creationdate><title>Bone marrow fat fraction assessment in regard to physical activity: KORA FF4–3-T MR imaging in a population-based cohort</title><author>Bertheau, Robert C. ; 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Biomedicine</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Musculoskeletal</topic><topic>Neuroradiology</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Population studies</topic><topic>Radiology</topic><topic>Radiology, Nuclear Medicine &amp; Medical Imaging</topic><topic>Science &amp; Technology</topic><topic>Self-assessment</topic><topic>Spine</topic><topic>Ultrasound</topic><topic>Vertebrae</topic><topic>Walking</topic><topic>Whole Body Imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bertheau, Robert C.</creatorcontrib><creatorcontrib>Lorbeer, Roberto</creatorcontrib><creatorcontrib>Nattenmüller, Johanna</creatorcontrib><creatorcontrib>Wintermeyer, Elke</creatorcontrib><creatorcontrib>Machann, Jürgen</creatorcontrib><creatorcontrib>Linkohr, Birgit</creatorcontrib><creatorcontrib>Peters, Annette</creatorcontrib><creatorcontrib>Bamberg, Fabian</creatorcontrib><creatorcontrib>Schlett, Christopher L.</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; 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Methods Subjects of the KORA FF4 study without known cardiovascular disease underwent BMAT fat fraction (FF) quantification in L1 and L2 vertebrae and femoral heads/necks (hip) via a 2-point T1-weighted VIBE Dixon sequence. BMAT-FF was calculated as mean value (fat image) divided by mean value (fat + water image). Physical activity was determined by self-assessment questionnaire regarding time spent exercising, non-exercise walking, non-exercise cycling, and job-related physical activity. Results A total of 385 subjects (96% of 400 available; 56 ± 9.1 years; 58% male) were included in the analysis. Exercise was distributed quite evenly (29% &gt; 2 h/week; 31% ~ 1 h/week (regularly); 15% ~ 1 h/week (irregularly); 26% no physical activity). BMAT-FF was 52.6 ± 10.2% in L1, 56.2 ± 10.3% in L2, 87.4 ± 5.9% in the right hip, and 87.2 ± 5.9% in the left hip (all p  &lt; 0.001). Correlation of BMAT-FF between spine and hip was only moderate ( r 0.42 to 0.46). Spinal BMAT-FF, but not hip BMAT-FF, was inversely associated with exercise &gt; 2 h/week ( p  ≤ 0.02 vs. p  ≥ 0.35, respectively). These associations remained significant after adjusting for age, gender, waist circumference, and glucose tolerance. No coherent association was found between BMAT-FF and physical activity in the less active groups. Conclusions In our study, exercise was inversely correlated with vertebral BMAT-FF, but not hip BMAT-FF, when exercising for more than 2 h per week. Physical activity seems to affect the spine at least preferentially compared to the hip. Key Points • In our population-based cohort, at least 2 h of physical activity per week were required to show lower levels of bone marrow adipose tissue fat fraction in MRI. • Physical activity seems to affect bone marrow adipose tissue at least preferentially at the spine in contrast to the proximal femur.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32086579</pmid><doi>10.1007/s00330-019-06612-y</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-1576-1481</orcidid><orcidid>https://orcid.org/0000-0001-6645-0985</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adipose tissue
Adipose Tissue - diagnostic imaging
Aged
Biomedical materials
Bone marrow
Bone Marrow - diagnostic imaging
Cardiovascular diseases
Cohort Studies
Correlation analysis
Diagnostic Radiology
Exercise
Female
Femur
Femur Head - diagnostic imaging
Femur Neck - diagnostic imaging
Glucose tolerance
Health risk assessment
Hip
Humans
Imaging
Internal Medicine
Interventional Radiology
Life Sciences & Biomedicine
Lumbar Vertebrae - diagnostic imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Musculoskeletal
Neuroradiology
Physical activity
Physical fitness
Physical training
Population studies
Radiology
Radiology, Nuclear Medicine & Medical Imaging
Science & Technology
Self-assessment
Spine
Ultrasound
Vertebrae
Walking
Whole Body Imaging
title Bone marrow fat fraction assessment in regard to physical activity: KORA FF4–3-T MR imaging in a population-based cohort
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