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 |
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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 |
format | Article |
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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 & 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</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 & 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 & 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 & 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 & 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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language | eng |
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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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