Levels of physical activity that predict optimal bone mass in adolescents: the HELENA study.

Abstract:

BACKGROUND:Physical activity is necessary for bone mass development in adolescence. There are few studies quantifying the associations between physical activity and bone mass in adolescents. PURPOSE:To assess the relationship between moderate-to-vigorous physical activity (MVPA) and vigorous physical activity (VPA) and bone mass in adolescents. METHODS:Bone mass was measured by dual-energy X-ray absorptiometry and physical activity by accelerometers in 380 healthy Spanish adolescents (189 boys, aged 12.5-17.5 years) from the HELENA-CSS (2006-2007). Subjects were classified according to the recommended amount of MVPA (<60 minutes or ≥60 minutes of MVPA/day). Receiver operating characteristic curve analysis was applied to calculate the relationship between physical activity and bone mass. RESULTS:Less than 41 and 45 minutes of MVPA/day are associated with reduced bone mass at the trochanter and femoral neck. More than 78 minutes of MVPA/day is associated with increased bone mineral density (BMD) at the femoral neck. Regarding VPA, more than 28 minutes/day for the hip and intertrochanter and more than 32 minutes/day for the femoral neck are associated with increased BMD. CONCLUSIONS:The recommended amount of physical activity (minutes/day) seems insufficient to guarantee increased bone mass. With some minutes of VPA/day, bone adaptations could be obtained at different bone sites.

journal_name

Am J Prev Med

authors

Gracia-Marco L,Moreno LA,Ortega FB,León F,Sioen I,Kafatos A,Martinez-Gomez D,Widhalm K,Castillo MJ,Vicente-Rodríguez G,HELENA Study Group.

doi

10.1016/j.amepre.2011.03.001

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

599-607

issue

6

eissn

0749-3797

issn

1873-2607

pii

S0749-3797(11)00184-X

journal_volume

40

pub_type

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