Higher‐Impact Physical Activity Is Associated With Maintenance of Bone Mineral Density But Not Reduced Incident Falls or Fractures in Older Men: The Concord Health and Aging in Men Project
ABSTRACT High‐impact physical activities with bone strains of high magnitude and frequency may benefit bone health. This study aimed to investigate the longitudinal associations between changes in loading intensities and application rates, estimated from self‐reported physical activity, with bone mi...
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| Veröffentlicht in: | Journal of bone and mineral research 2021-04, Vol.36 (4), p.662-672 |
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| creator | Ng, Carrie‐Anne Scott, David Seibel, Markus J Cumming, Robert G Naganathan, Vasi Blyth, Fiona M Le Couteur, David G Waite, Louise M Handelsman, David J Hirani, Vasant |
| description | ABSTRACT
High‐impact physical activities with bone strains of high magnitude and frequency may benefit bone health. This study aimed to investigate the longitudinal associations between changes in loading intensities and application rates, estimated from self‐reported physical activity, with bone mineral density (BMD) changes over 5 years and also with incident falls over 2 years and long‐term incident fractures in community‐dwelling older men. A total of 1599 men (mean age 76.8 ± 5.4 years) from the Concord Health and Aging in Men Project (CHAMP) were assessed at baseline (2005–2007) and at 2‐ and 5‐year follow‐up. At each time point, hip and lumbar spine BMD were measured by dual‐energy X‐ray absorptiometry, and physical activity energy expenditure over the past week was self‐reported via the Physical Activity Scale for the Elderly (PASE) questionnaire. Sum effective load ratings (ELRs) and peak force were estimated from the PASE questionnaire, reflecting the total and highest loading intensity and application rate of physical activities, respectively. Participants were contacted every 4 months over 2 years to self‐report falls and over 6.0 ± 2.2 years for fractures. Hip fractures were ascertained by data linkage for 8.9 ± 3.6 years. Compared with sum ELR and PASE scores, peak force demonstrated the greatest standardized effect size for BMD maintenance at the spine (β = 9.77 mg/cm2), total hip (β = 14.14 mg/cm2), and femoral neck (β = 13.72 mg/cm2) after adjustment for covariates, including PASE components (all p |
| doi_str_mv | 10.1002/jbmr.4228 |
| format | Article |
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High‐impact physical activities with bone strains of high magnitude and frequency may benefit bone health. This study aimed to investigate the longitudinal associations between changes in loading intensities and application rates, estimated from self‐reported physical activity, with bone mineral density (BMD) changes over 5 years and also with incident falls over 2 years and long‐term incident fractures in community‐dwelling older men. A total of 1599 men (mean age 76.8 ± 5.4 years) from the Concord Health and Aging in Men Project (CHAMP) were assessed at baseline (2005–2007) and at 2‐ and 5‐year follow‐up. At each time point, hip and lumbar spine BMD were measured by dual‐energy X‐ray absorptiometry, and physical activity energy expenditure over the past week was self‐reported via the Physical Activity Scale for the Elderly (PASE) questionnaire. Sum effective load ratings (ELRs) and peak force were estimated from the PASE questionnaire, reflecting the total and highest loading intensity and application rate of physical activities, respectively. Participants were contacted every 4 months over 2 years to self‐report falls and over 6.0 ± 2.2 years for fractures. Hip fractures were ascertained by data linkage for 8.9 ± 3.6 years. Compared with sum ELR and PASE scores, peak force demonstrated the greatest standardized effect size for BMD maintenance at the spine (β = 9.77 mg/cm2), total hip (β = 14.14 mg/cm2), and femoral neck (β = 13.72 mg/cm2) after adjustment for covariates, including PASE components (all p < .01). Only PASE scores were significantly associated with reduced falls risk (standardized incident rate ratio = 0.90, 95% confidence interval 0.81–1.00, p = .04). All physical activity measures were significantly associated with reduced incident fractures in univariate analyses, but none remained significant after multivariable adjustments. Older men who engaged in physical activity of high and rapid impact maintained higher BMD, while higher energy expenditure was associated with reduced falls risk. Coupling traditional physical activity data with bone loading estimates may improve understanding of the relationships between physical activity and bone health. © 2020 American Society for Bone and Mineral Research (ASBMR).</description><identifier>ISSN: 0884-0431</identifier><identifier>EISSN: 1523-4681</identifier><identifier>DOI: 10.1002/jbmr.4228</identifier><identifier>PMID: 33278306</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>AGING ; Bone density ; Bone mineral density ; Energy expenditure ; EXERCISE ; FRACTURE PREVENTION ; Fractures ; GENERAL POPULATION STUDIES ; Geriatrics ; Hip ; Mechanical loading ; OSTEOPOROSIS ; Physical activity ; Questionnaires ; Spine (lumbar)</subject><ispartof>Journal of bone and mineral research, 2021-04, Vol.36 (4), p.662-672</ispartof><rights>2020 American Society for Bone and Mineral Research (ASBMR)</rights><rights>2020 American Society for Bone and Mineral Research (ASBMR).</rights><rights>2021 American Society for Bone and Mineral Research</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-35e6065460a1eb16b67803fb4882677037f4c4f87a6d4cbed4561d8ba15e03373</citedby><cites>FETCH-LOGICAL-c3888-35e6065460a1eb16b67803fb4882677037f4c4f87a6d4cbed4561d8ba15e03373</cites><orcidid>0000-0002-2701-378X ; 0000-0001-9326-8492 ; 0000-0001-5226-1972</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjbmr.4228$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjbmr.4228$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33278306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ng, Carrie‐Anne</creatorcontrib><creatorcontrib>Scott, David</creatorcontrib><creatorcontrib>Seibel, Markus J</creatorcontrib><creatorcontrib>Cumming, Robert G</creatorcontrib><creatorcontrib>Naganathan, Vasi</creatorcontrib><creatorcontrib>Blyth, Fiona M</creatorcontrib><creatorcontrib>Le Couteur, David G</creatorcontrib><creatorcontrib>Waite, Louise M</creatorcontrib><creatorcontrib>Handelsman, David J</creatorcontrib><creatorcontrib>Hirani, Vasant</creatorcontrib><title>Higher‐Impact Physical Activity Is Associated With Maintenance of Bone Mineral Density But Not Reduced Incident Falls or Fractures in Older Men: The Concord Health and Aging in Men Project</title><title>Journal of bone and mineral research</title><addtitle>J Bone Miner Res</addtitle><description>ABSTRACT
High‐impact physical activities with bone strains of high magnitude and frequency may benefit bone health. This study aimed to investigate the longitudinal associations between changes in loading intensities and application rates, estimated from self‐reported physical activity, with bone mineral density (BMD) changes over 5 years and also with incident falls over 2 years and long‐term incident fractures in community‐dwelling older men. A total of 1599 men (mean age 76.8 ± 5.4 years) from the Concord Health and Aging in Men Project (CHAMP) were assessed at baseline (2005–2007) and at 2‐ and 5‐year follow‐up. At each time point, hip and lumbar spine BMD were measured by dual‐energy X‐ray absorptiometry, and physical activity energy expenditure over the past week was self‐reported via the Physical Activity Scale for the Elderly (PASE) questionnaire. Sum effective load ratings (ELRs) and peak force were estimated from the PASE questionnaire, reflecting the total and highest loading intensity and application rate of physical activities, respectively. Participants were contacted every 4 months over 2 years to self‐report falls and over 6.0 ± 2.2 years for fractures. Hip fractures were ascertained by data linkage for 8.9 ± 3.6 years. Compared with sum ELR and PASE scores, peak force demonstrated the greatest standardized effect size for BMD maintenance at the spine (β = 9.77 mg/cm2), total hip (β = 14.14 mg/cm2), and femoral neck (β = 13.72 mg/cm2) after adjustment for covariates, including PASE components (all p < .01). Only PASE scores were significantly associated with reduced falls risk (standardized incident rate ratio = 0.90, 95% confidence interval 0.81–1.00, p = .04). All physical activity measures were significantly associated with reduced incident fractures in univariate analyses, but none remained significant after multivariable adjustments. Older men who engaged in physical activity of high and rapid impact maintained higher BMD, while higher energy expenditure was associated with reduced falls risk. Coupling traditional physical activity data with bone loading estimates may improve understanding of the relationships between physical activity and bone health. © 2020 American Society for Bone and Mineral Research (ASBMR).</description><subject>AGING</subject><subject>Bone density</subject><subject>Bone mineral density</subject><subject>Energy expenditure</subject><subject>EXERCISE</subject><subject>FRACTURE PREVENTION</subject><subject>Fractures</subject><subject>GENERAL POPULATION STUDIES</subject><subject>Geriatrics</subject><subject>Hip</subject><subject>Mechanical loading</subject><subject>OSTEOPOROSIS</subject><subject>Physical activity</subject><subject>Questionnaires</subject><subject>Spine (lumbar)</subject><issn>0884-0431</issn><issn>1523-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kcGO0zAURS0EYsrAgh9AT2LFIjN2nDgWu7ZQWjRlRqNBLCPHfmldpXbHdkDd8Ql8ER_Dl5DQgR2rtzn3XD1dQl4yesEozS93zT5cFHkuH5EJK3OeFUKyx2RCpSwyWnB2Rp7FuKOUilKIp-SM87ySnIoJ-bm0my2GX99_rPYHpRPcbI_RatXBVCf71aYjrCJMY_TaqoQGvti0hbWyLqFTTiP4FmbeIaytwzDk3qGLY2zWJ_jkE9yi6fUQXDltDboEC9V1EXyARRgK-4ARrIPrzmCANbq3cLdFmHunfTCwRNUNhcoZmG6s24zoAMFN8DvU6Tl50qou4ouHe04-L97fzZfZ1fWH1Xx6lWkupcx4iWL4vRBUMWyYaEQlKW-bQspcVBXlVVvoopWVEqbQDZqiFMzIRrESKecVPyevT95D8Pc9xlTvfB_cUFnnJWNc5pLRgXpzonTwMQZs60OwexWONaP1uFQ9LlWPSw3sqwdj3-zR_CP_TjMAlyfgm-3w-H9T_XG2vv2j_A20i57I</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Ng, Carrie‐Anne</creator><creator>Scott, David</creator><creator>Seibel, Markus J</creator><creator>Cumming, Robert G</creator><creator>Naganathan, Vasi</creator><creator>Blyth, Fiona M</creator><creator>Le Couteur, David G</creator><creator>Waite, Louise M</creator><creator>Handelsman, David J</creator><creator>Hirani, Vasant</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-2701-378X</orcidid><orcidid>https://orcid.org/0000-0001-9326-8492</orcidid><orcidid>https://orcid.org/0000-0001-5226-1972</orcidid></search><sort><creationdate>202104</creationdate><title>Higher‐Impact Physical Activity Is Associated With Maintenance of Bone Mineral Density But Not Reduced Incident Falls or Fractures in Older Men: The Concord Health and Aging in Men Project</title><author>Ng, Carrie‐Anne ; Scott, David ; Seibel, Markus J ; Cumming, Robert G ; Naganathan, Vasi ; Blyth, Fiona M ; Le Couteur, David G ; Waite, Louise M ; Handelsman, David J ; Hirani, Vasant</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-35e6065460a1eb16b67803fb4882677037f4c4f87a6d4cbed4561d8ba15e03373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>AGING</topic><topic>Bone density</topic><topic>Bone mineral density</topic><topic>Energy expenditure</topic><topic>EXERCISE</topic><topic>FRACTURE PREVENTION</topic><topic>Fractures</topic><topic>GENERAL POPULATION STUDIES</topic><topic>Geriatrics</topic><topic>Hip</topic><topic>Mechanical loading</topic><topic>OSTEOPOROSIS</topic><topic>Physical activity</topic><topic>Questionnaires</topic><topic>Spine (lumbar)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ng, Carrie‐Anne</creatorcontrib><creatorcontrib>Scott, David</creatorcontrib><creatorcontrib>Seibel, Markus J</creatorcontrib><creatorcontrib>Cumming, Robert G</creatorcontrib><creatorcontrib>Naganathan, Vasi</creatorcontrib><creatorcontrib>Blyth, Fiona M</creatorcontrib><creatorcontrib>Le Couteur, David G</creatorcontrib><creatorcontrib>Waite, Louise M</creatorcontrib><creatorcontrib>Handelsman, David J</creatorcontrib><creatorcontrib>Hirani, Vasant</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of bone and mineral research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ng, Carrie‐Anne</au><au>Scott, David</au><au>Seibel, Markus J</au><au>Cumming, Robert G</au><au>Naganathan, Vasi</au><au>Blyth, Fiona M</au><au>Le Couteur, David G</au><au>Waite, Louise M</au><au>Handelsman, David J</au><au>Hirani, Vasant</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Higher‐Impact Physical Activity Is Associated With Maintenance of Bone Mineral Density But Not Reduced Incident Falls or Fractures in Older Men: The Concord Health and Aging in Men Project</atitle><jtitle>Journal of bone and mineral research</jtitle><addtitle>J Bone Miner Res</addtitle><date>2021-04</date><risdate>2021</risdate><volume>36</volume><issue>4</issue><spage>662</spage><epage>672</epage><pages>662-672</pages><issn>0884-0431</issn><eissn>1523-4681</eissn><abstract>ABSTRACT
High‐impact physical activities with bone strains of high magnitude and frequency may benefit bone health. This study aimed to investigate the longitudinal associations between changes in loading intensities and application rates, estimated from self‐reported physical activity, with bone mineral density (BMD) changes over 5 years and also with incident falls over 2 years and long‐term incident fractures in community‐dwelling older men. A total of 1599 men (mean age 76.8 ± 5.4 years) from the Concord Health and Aging in Men Project (CHAMP) were assessed at baseline (2005–2007) and at 2‐ and 5‐year follow‐up. At each time point, hip and lumbar spine BMD were measured by dual‐energy X‐ray absorptiometry, and physical activity energy expenditure over the past week was self‐reported via the Physical Activity Scale for the Elderly (PASE) questionnaire. Sum effective load ratings (ELRs) and peak force were estimated from the PASE questionnaire, reflecting the total and highest loading intensity and application rate of physical activities, respectively. Participants were contacted every 4 months over 2 years to self‐report falls and over 6.0 ± 2.2 years for fractures. Hip fractures were ascertained by data linkage for 8.9 ± 3.6 years. Compared with sum ELR and PASE scores, peak force demonstrated the greatest standardized effect size for BMD maintenance at the spine (β = 9.77 mg/cm2), total hip (β = 14.14 mg/cm2), and femoral neck (β = 13.72 mg/cm2) after adjustment for covariates, including PASE components (all p < .01). Only PASE scores were significantly associated with reduced falls risk (standardized incident rate ratio = 0.90, 95% confidence interval 0.81–1.00, p = .04). All physical activity measures were significantly associated with reduced incident fractures in univariate analyses, but none remained significant after multivariable adjustments. Older men who engaged in physical activity of high and rapid impact maintained higher BMD, while higher energy expenditure was associated with reduced falls risk. Coupling traditional physical activity data with bone loading estimates may improve understanding of the relationships between physical activity and bone health. © 2020 American Society for Bone and Mineral Research (ASBMR).</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33278306</pmid><doi>10.1002/jbmr.4228</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2701-378X</orcidid><orcidid>https://orcid.org/0000-0001-9326-8492</orcidid><orcidid>https://orcid.org/0000-0001-5226-1972</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of bone and mineral research, 2021-04, Vol.36 (4), p.662-672 |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Wiley Online Library All Journals |
| subjects | AGING Bone density Bone mineral density Energy expenditure EXERCISE FRACTURE PREVENTION Fractures GENERAL POPULATION STUDIES Geriatrics Hip Mechanical loading OSTEOPOROSIS Physical activity Questionnaires Spine (lumbar) |
| title | Higher‐Impact Physical Activity Is Associated With Maintenance of Bone Mineral Density But Not Reduced Incident Falls or Fractures in Older Men: The Concord Health and Aging in Men Project |
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