Adult bone strength of children from single-parent families: the Midlife in the United States Study

Summary Bone health may be negatively impacted by childhood socio-environmental circumstances. We examined the independent associations of single-parent childhood and parental death or divorce in childhood with adult bone strength indices. Longer exposure to a single-parent household in childhood wa...

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Veröffentlicht in:Osteoporosis international 2015-03, Vol.26 (3), p.931-942
Hauptverfasser: Crandall, C. J., Karlamangla, A. S., Merkin, S. S., Binkley, N., Carr, D., Greendale, G. A., Seeman, T. E.
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container_end_page 942
container_issue 3
container_start_page 931
container_title Osteoporosis international
container_volume 26
creator Crandall, C. J.
Karlamangla, A. S.
Merkin, S. S.
Binkley, N.
Carr, D.
Greendale, G. A.
Seeman, T. E.
description Summary Bone health may be negatively impacted by childhood socio-environmental circumstances. We examined the independent associations of single-parent childhood and parental death or divorce in childhood with adult bone strength indices. Longer exposure to a single-parent household in childhood was associated with lower bone strength in adulthood. Introduction Because peak bone mass is acquired during childhood, bone health may be negatively impacted by childhood socio-environmental disadvantage. The goal of this study was to determine whether being raised in a single-parent household is associated with lower bone strength in adulthood. Methods Using dual-energy X-ray absorptiometry data from 708 participants (mean age 57 years) in the Midlife in the United States Biomarker Project, we examined the independent associations of composite indices of femoral neck bone strength relative to load (in three failure modes: compression, bending, and impact) in adulthood with the experience of single-parent childhood and parental death or divorce in childhood. Results After adjustment for gender, race, menopause transition stage, age, and body mass index, each additional year of single-parent childhood was associated with 0.02 to 0.03 SD lower indices of adult femoral neck strength. In those with 9–16 years of single-parent childhood, the compression strength index was 0.41 SD lower, bending strength index was 0.31 SD lower, and impact strength index was 0.25 SD lower (all p values 
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J. ; Karlamangla, A. S. ; Merkin, S. S. ; Binkley, N. ; Carr, D. ; Greendale, G. A. ; Seeman, T. E.</creator><creatorcontrib>Crandall, C. J. ; Karlamangla, A. S. ; Merkin, S. S. ; Binkley, N. ; Carr, D. ; Greendale, G. A. ; Seeman, T. E.</creatorcontrib><description>Summary Bone health may be negatively impacted by childhood socio-environmental circumstances. We examined the independent associations of single-parent childhood and parental death or divorce in childhood with adult bone strength indices. Longer exposure to a single-parent household in childhood was associated with lower bone strength in adulthood. Introduction Because peak bone mass is acquired during childhood, bone health may be negatively impacted by childhood socio-environmental disadvantage. The goal of this study was to determine whether being raised in a single-parent household is associated with lower bone strength in adulthood. Methods Using dual-energy X-ray absorptiometry data from 708 participants (mean age 57 years) in the Midlife in the United States Biomarker Project, we examined the independent associations of composite indices of femoral neck bone strength relative to load (in three failure modes: compression, bending, and impact) in adulthood with the experience of single-parent childhood and parental death or divorce in childhood. Results After adjustment for gender, race, menopause transition stage, age, and body mass index, each additional year of single-parent childhood was associated with 0.02 to 0.03 SD lower indices of adult femoral neck strength. In those with 9–16 years of single-parent childhood, the compression strength index was 0.41 SD lower, bending strength index was 0.31 SD lower, and impact strength index was 0.25 SD lower (all p values &lt; 0.05). In contrast, parental death or divorce during childhood was not by itself independently associated with adult bone strength indices. The magnitudes of these associations were unaltered by additional adjustment for lifestyle factors and socioeconomic status in childhood and adulthood. Conclusions Independent of parental death or divorce, growing up in a single-parent household is associated with lower femoral neck bone strength in adulthood, and this association is not entirely explained by childhood or adult socioeconomic conditions or lifestyle choices.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-014-2990-0</identifier><identifier>PMID: 25510582</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Absorptiometry, Photon ; Adult ; Aged ; Bone density ; Bone Density - physiology ; Child ; Children &amp; youth ; Divorce - statistics &amp; numerical data ; Endocrinology ; Female ; Femur Neck - physiology ; Humans ; Life Change Events ; Life Style ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Original Article ; Orthopedics ; Parental Death - statistics &amp; numerical data ; Rheumatology ; Single parents ; Single-Parent Family ; Social Class ; Social Environment ; Stress, Mechanical ; Studies ; Time Factors ; United States</subject><ispartof>Osteoporosis international, 2015-03, Vol.26 (3), p.931-942</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2014</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-5e454a43f85522e6fe150d1ebeafa56f664dc491f2ab12c2ca36d6150d1d7a453</citedby><cites>FETCH-LOGICAL-c481t-5e454a43f85522e6fe150d1ebeafa56f664dc491f2ab12c2ca36d6150d1d7a453</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/s00198-014-2990-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-014-2990-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25510582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crandall, C. J.</creatorcontrib><creatorcontrib>Karlamangla, A. S.</creatorcontrib><creatorcontrib>Merkin, S. S.</creatorcontrib><creatorcontrib>Binkley, N.</creatorcontrib><creatorcontrib>Carr, D.</creatorcontrib><creatorcontrib>Greendale, G. A.</creatorcontrib><creatorcontrib>Seeman, T. E.</creatorcontrib><title>Adult bone strength of children from single-parent families: the Midlife in the United States Study</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary Bone health may be negatively impacted by childhood socio-environmental circumstances. We examined the independent associations of single-parent childhood and parental death or divorce in childhood with adult bone strength indices. Longer exposure to a single-parent household in childhood was associated with lower bone strength in adulthood. Introduction Because peak bone mass is acquired during childhood, bone health may be negatively impacted by childhood socio-environmental disadvantage. The goal of this study was to determine whether being raised in a single-parent household is associated with lower bone strength in adulthood. Methods Using dual-energy X-ray absorptiometry data from 708 participants (mean age 57 years) in the Midlife in the United States Biomarker Project, we examined the independent associations of composite indices of femoral neck bone strength relative to load (in three failure modes: compression, bending, and impact) in adulthood with the experience of single-parent childhood and parental death or divorce in childhood. Results After adjustment for gender, race, menopause transition stage, age, and body mass index, each additional year of single-parent childhood was associated with 0.02 to 0.03 SD lower indices of adult femoral neck strength. In those with 9–16 years of single-parent childhood, the compression strength index was 0.41 SD lower, bending strength index was 0.31 SD lower, and impact strength index was 0.25 SD lower (all p values &lt; 0.05). In contrast, parental death or divorce during childhood was not by itself independently associated with adult bone strength indices. The magnitudes of these associations were unaltered by additional adjustment for lifestyle factors and socioeconomic status in childhood and adulthood. 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J.</au><au>Karlamangla, A. S.</au><au>Merkin, S. S.</au><au>Binkley, N.</au><au>Carr, D.</au><au>Greendale, G. A.</au><au>Seeman, T. E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adult bone strength of children from single-parent families: the Midlife in the United States Study</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>26</volume><issue>3</issue><spage>931</spage><epage>942</epage><pages>931-942</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary Bone health may be negatively impacted by childhood socio-environmental circumstances. We examined the independent associations of single-parent childhood and parental death or divorce in childhood with adult bone strength indices. Longer exposure to a single-parent household in childhood was associated with lower bone strength in adulthood. Introduction Because peak bone mass is acquired during childhood, bone health may be negatively impacted by childhood socio-environmental disadvantage. The goal of this study was to determine whether being raised in a single-parent household is associated with lower bone strength in adulthood. Methods Using dual-energy X-ray absorptiometry data from 708 participants (mean age 57 years) in the Midlife in the United States Biomarker Project, we examined the independent associations of composite indices of femoral neck bone strength relative to load (in three failure modes: compression, bending, and impact) in adulthood with the experience of single-parent childhood and parental death or divorce in childhood. Results After adjustment for gender, race, menopause transition stage, age, and body mass index, each additional year of single-parent childhood was associated with 0.02 to 0.03 SD lower indices of adult femoral neck strength. In those with 9–16 years of single-parent childhood, the compression strength index was 0.41 SD lower, bending strength index was 0.31 SD lower, and impact strength index was 0.25 SD lower (all p values &lt; 0.05). In contrast, parental death or divorce during childhood was not by itself independently associated with adult bone strength indices. The magnitudes of these associations were unaltered by additional adjustment for lifestyle factors and socioeconomic status in childhood and adulthood. Conclusions Independent of parental death or divorce, growing up in a single-parent household is associated with lower femoral neck bone strength in adulthood, and this association is not entirely explained by childhood or adult socioeconomic conditions or lifestyle choices.</abstract><cop>London</cop><pub>Springer London</pub><pmid>25510582</pmid><doi>10.1007/s00198-014-2990-0</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Absorptiometry, Photon
Adult
Aged
Bone density
Bone Density - physiology
Child
Children & youth
Divorce - statistics & numerical data
Endocrinology
Female
Femur Neck - physiology
Humans
Life Change Events
Life Style
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Orthopedics
Parental Death - statistics & numerical data
Rheumatology
Single parents
Single-Parent Family
Social Class
Social Environment
Stress, Mechanical
Studies
Time Factors
United States
title Adult bone strength of children from single-parent families: the Midlife in the United States Study
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