Functional fitness and bone mineral density in the elderly

Summary Bone quality has been associated with genetic factors and several environmental influences. This study suggests that although functional fitness should be considered in clinical assessments of bone health, body composition appears to have a higher relevance in the explanation of bone health/...

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Veröffentlicht in:Archives of osteoporosis 2012, Vol.7 (1-2), p.75-85
Hauptverfasser: Gouveia, Élvio R., Maia, José A., Beunen, Gaston P., Blimkie, C. J. R., Rodrigues, António L., Freitas, Duarte L.
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container_end_page 85
container_issue 1-2
container_start_page 75
container_title Archives of osteoporosis
container_volume 7
creator Gouveia, Élvio R.
Maia, José A.
Beunen, Gaston P.
Blimkie, C. J. R.
Rodrigues, António L.
Freitas, Duarte L.
description Summary Bone quality has been associated with genetic factors and several environmental influences. This study suggests that although functional fitness should be considered in clinical assessments of bone health, body composition appears to have a higher relevance in the explanation of bone health/strength in older people. Purpose This study aims to describe the association between functional fitness (FF), other constitutive factors, and bone health/strength in a large community-dwelling sample of elderly active Portuguese. Methods This cross-sectional study included 401 males and 401 females aged 60–79 years old. Bone mineral density (BMD) of the total body, lumbar spine (LS), and hip region was determined by dual-energy X-ray absorptiometry (DXA). In addition, femur strength index (FSI) was determined. FF was assessed using the Senior Fitness Test. Demographic information and a health history were obtained by telephone interview through questionnaire. Results Aerobic endurance and body strength were positively related with hip BMD region in males (0.10 
doi_str_mv 10.1007/s11657-012-0083-2
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J. R. ; Rodrigues, António L. ; Freitas, Duarte L.</creator><creatorcontrib>Gouveia, Élvio R. ; Maia, José A. ; Beunen, Gaston P. ; Blimkie, C. J. R. ; Rodrigues, António L. ; Freitas, Duarte L.</creatorcontrib><description><![CDATA[Summary Bone quality has been associated with genetic factors and several environmental influences. This study suggests that although functional fitness should be considered in clinical assessments of bone health, body composition appears to have a higher relevance in the explanation of bone health/strength in older people. Purpose This study aims to describe the association between functional fitness (FF), other constitutive factors, and bone health/strength in a large community-dwelling sample of elderly active Portuguese. Methods This cross-sectional study included 401 males and 401 females aged 60–79 years old. Bone mineral density (BMD) of the total body, lumbar spine (LS), and hip region was determined by dual-energy X-ray absorptiometry (DXA). In addition, femur strength index (FSI) was determined. FF was assessed using the Senior Fitness Test. Demographic information and a health history were obtained by telephone interview through questionnaire. Results Aerobic endurance and body strength were positively related with hip BMD region in males (0.10 <  r  < 0.16; p  < 0.01–0.05) and females (0.13 <  r  < 0.28; p  < 0.01). No significant correlation was found between any FF test and LS BMD, except for upper-body strength in females. After controlling for other constitutive predictors (sex, age, height, body mass (BM), total fat mass (TFM), and total lean tissue mass (TLTM)), FF had a minor contribution only in prediction of BMD at multisites and FSI. The total explained variance for all determinants was moderate ( R ² = 0.35 for femoral neck (FN) BMD, R ² = 0.27 for LS BMD, R ² = 0.49 total body BMD, and R ² = 0.22 for FSI). Conclusions Sex, age, height, BM, TLTM, and TFM entered as the most significant contributors for BMD and FSI. Although FF parameters are typically considered in clinical assessments of bone health/strength in older people, body composition appears to have a higher relevance in the explanation of BMD and strength.]]></description><identifier>ISSN: 1862-3522</identifier><identifier>EISSN: 1862-3514</identifier><identifier>DOI: 10.1007/s11657-012-0083-2</identifier><identifier>PMID: 23225284</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Aged ; Aging - physiology ; Body Composition - physiology ; Body Size - physiology ; Bone Density - physiology ; Cross-Sectional Studies ; Endocrinology ; Exercise - physiology ; Female ; Femur - physiology ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Original Article ; Orthopedics ; Osteoporosis - epidemiology ; Osteoporosis - physiopathology ; Osteoporosis - prevention &amp; control ; Physical Endurance - physiology ; Physical Fitness - physiology ; Portugal - epidemiology ; Risk Factors ; Surveys and Questionnaires</subject><ispartof>Archives of osteoporosis, 2012, Vol.7 (1-2), p.75-85</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-8be259ce85d76a9773c660546f9628229f3167caf608f4d9dd11657505a6cb373</citedby><cites>FETCH-LOGICAL-c3532-8be259ce85d76a9773c660546f9628229f3167caf608f4d9dd11657505a6cb373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11657-012-0083-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11657-012-0083-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23225284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gouveia, Élvio R.</creatorcontrib><creatorcontrib>Maia, José A.</creatorcontrib><creatorcontrib>Beunen, Gaston P.</creatorcontrib><creatorcontrib>Blimkie, C. J. R.</creatorcontrib><creatorcontrib>Rodrigues, António L.</creatorcontrib><creatorcontrib>Freitas, Duarte L.</creatorcontrib><title>Functional fitness and bone mineral density in the elderly</title><title>Archives of osteoporosis</title><addtitle>Arch Osteoporos</addtitle><addtitle>Arch Osteoporos</addtitle><description><![CDATA[Summary Bone quality has been associated with genetic factors and several environmental influences. This study suggests that although functional fitness should be considered in clinical assessments of bone health, body composition appears to have a higher relevance in the explanation of bone health/strength in older people. Purpose This study aims to describe the association between functional fitness (FF), other constitutive factors, and bone health/strength in a large community-dwelling sample of elderly active Portuguese. Methods This cross-sectional study included 401 males and 401 females aged 60–79 years old. Bone mineral density (BMD) of the total body, lumbar spine (LS), and hip region was determined by dual-energy X-ray absorptiometry (DXA). In addition, femur strength index (FSI) was determined. FF was assessed using the Senior Fitness Test. Demographic information and a health history were obtained by telephone interview through questionnaire. Results Aerobic endurance and body strength were positively related with hip BMD region in males (0.10 <  r  < 0.16; p  < 0.01–0.05) and females (0.13 <  r  < 0.28; p  < 0.01). No significant correlation was found between any FF test and LS BMD, except for upper-body strength in females. After controlling for other constitutive predictors (sex, age, height, body mass (BM), total fat mass (TFM), and total lean tissue mass (TLTM)), FF had a minor contribution only in prediction of BMD at multisites and FSI. The total explained variance for all determinants was moderate ( R ² = 0.35 for femoral neck (FN) BMD, R ² = 0.27 for LS BMD, R ² = 0.49 total body BMD, and R ² = 0.22 for FSI). Conclusions Sex, age, height, BM, TLTM, and TFM entered as the most significant contributors for BMD and FSI. Although FF parameters are typically considered in clinical assessments of bone health/strength in older people, body composition appears to have a higher relevance in the explanation of BMD and strength.]]></description><subject>Aged</subject><subject>Aging - physiology</subject><subject>Body Composition - physiology</subject><subject>Body Size - physiology</subject><subject>Bone Density - physiology</subject><subject>Cross-Sectional Studies</subject><subject>Endocrinology</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Femur - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoporosis - epidemiology</subject><subject>Osteoporosis - physiopathology</subject><subject>Osteoporosis - prevention &amp; control</subject><subject>Physical Endurance - physiology</subject><subject>Physical Fitness - physiology</subject><subject>Portugal - epidemiology</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><issn>1862-3522</issn><issn>1862-3514</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAUhS0EoqXwACwoI0vAvo7thA1VFJAqscBsOfENpEqcYidD3x6XlI5M90rnRzofIdeM3jFK1X1gTAqVUgYppTlP4YTMWS4h5YJlp8cfYEYuQthQKikT8pzMgAMIyLM5eViNrhqa3pk2qZvBYQiJcTYpe4dJ1zj0UbDoQjPsksYlwxcm2Fr07e6SnNWmDXh1uAvysXp6X76k67fn1-XjOq244JDmJYIoKsyFVdIUSvFKSioyWRcScoCi5kyqytSS5nVmC2t_VwkqjKxKrviC3E69W99_jxgG3TWhwrY1DvsxaAZc0SJupdHKJmvl-xA81nrrm874nWZU75HpCZmOyPQemYaYuTnUj2WH9pj4YxQNMBlClNwner3pRx-BhX9afwAjuXRv</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Gouveia, Élvio R.</creator><creator>Maia, José A.</creator><creator>Beunen, Gaston P.</creator><creator>Blimkie, C. J. R.</creator><creator>Rodrigues, António L.</creator><creator>Freitas, Duarte L.</creator><general>Springer-Verlag</general><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>7X8</scope></search><sort><creationdate>2012</creationdate><title>Functional fitness and bone mineral density in the elderly</title><author>Gouveia, Élvio R. ; Maia, José A. ; Beunen, Gaston P. ; Blimkie, C. J. R. ; Rodrigues, António L. ; Freitas, Duarte L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-8be259ce85d76a9773c660546f9628229f3167caf608f4d9dd11657505a6cb373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aging - physiology</topic><topic>Body Composition - physiology</topic><topic>Body Size - physiology</topic><topic>Bone Density - physiology</topic><topic>Cross-Sectional Studies</topic><topic>Endocrinology</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Femur - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoporosis - epidemiology</topic><topic>Osteoporosis - physiopathology</topic><topic>Osteoporosis - prevention &amp; control</topic><topic>Physical Endurance - physiology</topic><topic>Physical Fitness - physiology</topic><topic>Portugal - epidemiology</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gouveia, Élvio R.</creatorcontrib><creatorcontrib>Maia, José A.</creatorcontrib><creatorcontrib>Beunen, Gaston P.</creatorcontrib><creatorcontrib>Blimkie, C. J. R.</creatorcontrib><creatorcontrib>Rodrigues, António L.</creatorcontrib><creatorcontrib>Freitas, Duarte L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of osteoporosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gouveia, Élvio R.</au><au>Maia, José A.</au><au>Beunen, Gaston P.</au><au>Blimkie, C. J. R.</au><au>Rodrigues, António L.</au><au>Freitas, Duarte L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional fitness and bone mineral density in the elderly</atitle><jtitle>Archives of osteoporosis</jtitle><stitle>Arch Osteoporos</stitle><addtitle>Arch Osteoporos</addtitle><date>2012</date><risdate>2012</risdate><volume>7</volume><issue>1-2</issue><spage>75</spage><epage>85</epage><pages>75-85</pages><issn>1862-3522</issn><eissn>1862-3514</eissn><abstract><![CDATA[Summary Bone quality has been associated with genetic factors and several environmental influences. This study suggests that although functional fitness should be considered in clinical assessments of bone health, body composition appears to have a higher relevance in the explanation of bone health/strength in older people. Purpose This study aims to describe the association between functional fitness (FF), other constitutive factors, and bone health/strength in a large community-dwelling sample of elderly active Portuguese. Methods This cross-sectional study included 401 males and 401 females aged 60–79 years old. Bone mineral density (BMD) of the total body, lumbar spine (LS), and hip region was determined by dual-energy X-ray absorptiometry (DXA). In addition, femur strength index (FSI) was determined. FF was assessed using the Senior Fitness Test. Demographic information and a health history were obtained by telephone interview through questionnaire. Results Aerobic endurance and body strength were positively related with hip BMD region in males (0.10 <  r  < 0.16; p  < 0.01–0.05) and females (0.13 <  r  < 0.28; p  < 0.01). No significant correlation was found between any FF test and LS BMD, except for upper-body strength in females. After controlling for other constitutive predictors (sex, age, height, body mass (BM), total fat mass (TFM), and total lean tissue mass (TLTM)), FF had a minor contribution only in prediction of BMD at multisites and FSI. The total explained variance for all determinants was moderate ( R ² = 0.35 for femoral neck (FN) BMD, R ² = 0.27 for LS BMD, R ² = 0.49 total body BMD, and R ² = 0.22 for FSI). Conclusions Sex, age, height, BM, TLTM, and TFM entered as the most significant contributors for BMD and FSI. Although FF parameters are typically considered in clinical assessments of bone health/strength in older people, body composition appears to have a higher relevance in the explanation of BMD and strength.]]></abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>23225284</pmid><doi>10.1007/s11657-012-0083-2</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerNature Journals
subjects Aged
Aging - physiology
Body Composition - physiology
Body Size - physiology
Bone Density - physiology
Cross-Sectional Studies
Endocrinology
Exercise - physiology
Female
Femur - physiology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Orthopedics
Osteoporosis - epidemiology
Osteoporosis - physiopathology
Osteoporosis - prevention & control
Physical Endurance - physiology
Physical Fitness - physiology
Portugal - epidemiology
Risk Factors
Surveys and Questionnaires
title Functional fitness and bone mineral density in the elderly
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