Skip to main content
Erschienen in: Osteoporosis International 8/2007

01.08.2007 | Original Article

Modifiable lifestyle factors affecting bone health using calcaneus quantitative ultrasound in adolescent girls

verfasst von: M. L. Robinson, K. Winters-Stone, K. Gabel, D. Dolny

Erschienen in: Osteoporosis International | Ausgabe 8/2007

Einloggen, um Zugang zu erhalten

Abstract

Summary

One hundred and fourteen girls were measured for calcaneus QUS (stiffness index score), calcium intake, weight, and total hours spent in physical activity (moderate to high-impact activities and low to no-impact activities). Multiple regression analysis indicated that hours spent in moderate to high-impact activities, current calcium intake, and weight significantly predicted SI.

Introduction

To determine the influence of modifiable lifestyle factors on adolescent girls’ bone health measured by calcaneus quantitative ultrasound (QUS).

Methods

One hundred and fourteen girls, ages 14–18 (15.97 ± .7), enrolled in high school physical education classes, were measured for calcaneus QUS (stiffness index score), height, weight, current calcium intake from 2–3 day food records, and estimated total hours spent in physical activity from kindergarten to present. Cumulative physical activity hours were separated into two classifications (according to their estimated strain from ground reaction force): moderate to high-impact activities and low to no-impact activities.

Results

Pearson correlations between stiffness index (SI) and age, height, weight, current calcium intake, and hours spent in moderate to high-impact versus low to no-impact activities indicated a positive relationships between SI and weight (r = .259, p = .005), current calcium intake (r = .286, p = .002), and hours spent in moderate to high-impact activities (r = .451, p < .001). Multiple regression between SI and the above independent variables indicated that collectively, hours spent in moderate to high-impact activities, current calcium intake, and weight (r 2 = .363, p = <.001) significantly predicted SI.

Conclusion

Our data indicate that moderate to high-impact activities, current calcium intake, and weight positively influence bone properties of the calcaneus in adolescent girls.
Literatur
1.
Zurück zum Zitat Bailey DA (1997) The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med 18:S191–S194PubMedCrossRef Bailey DA (1997) The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med 18:S191–S194PubMedCrossRef
2.
Zurück zum Zitat Hui SL, Slemenda CW, Johnston CC Jr (1990) The contribution of bone loss to postmenopausal osteoporosis. Osteoporos Int 1(1):30–34PubMedCrossRef Hui SL, Slemenda CW, Johnston CC Jr (1990) The contribution of bone loss to postmenopausal osteoporosis. Osteoporos Int 1(1):30–34PubMedCrossRef
3.
Zurück zum Zitat Bachrach LK (2005) Osteoporosis and measurement of bone mass in children and adolescents. Endocrinol Metab Clin N Am 34:521–535CrossRef Bachrach LK (2005) Osteoporosis and measurement of bone mass in children and adolescents. Endocrinol Metab Clin N Am 34:521–535CrossRef
4.
Zurück zum Zitat Specker BL, Schoenau E (2005) Quantitative bone analysis in children: current methods and recommendations. J Pediatr 146(6):726–731PubMedCrossRef Specker BL, Schoenau E (2005) Quantitative bone analysis in children: current methods and recommendations. J Pediatr 146(6):726–731PubMedCrossRef
5.
Zurück zum Zitat Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporosis Int 7:7–22CrossRef Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporosis Int 7:7–22CrossRef
6.
Zurück zum Zitat Njeh CF, Fuerst T, Diessel E et al (2001) Is quantitative ultrasound dependent on bone structure? A reflection. Osteoporos Int 12:1–15PubMed Njeh CF, Fuerst T, Diessel E et al (2001) Is quantitative ultrasound dependent on bone structure? A reflection. Osteoporos Int 12:1–15PubMed
7.
Zurück zum Zitat Falcini F, Bindi G, Ermini M et al (2000) Comparison of quantitative calcaneal ultrasound and dual energy X-ray absorptiometry in the evaluation of osteoporotic risk in children with chronic rheumatic disease. Calcif Tissue Int 67(1):9–23CrossRef Falcini F, Bindi G, Ermini M et al (2000) Comparison of quantitative calcaneal ultrasound and dual energy X-ray absorptiometry in the evaluation of osteoporotic risk in children with chronic rheumatic disease. Calcif Tissue Int 67(1):9–23CrossRef
8.
Zurück zum Zitat Lum CK, Wang MC, Moore E et al (1999) A comparison of calcaneus ultrasound and dual X-ray absorptiometry in healthy North American youths and young adults. J Clin Densitom 2(4):403–411PubMedCrossRef Lum CK, Wang MC, Moore E et al (1999) A comparison of calcaneus ultrasound and dual X-ray absorptiometry in healthy North American youths and young adults. J Clin Densitom 2(4):403–411PubMedCrossRef
9.
Zurück zum Zitat Mughal MZ, Langton CM, Utretch G et al (1996) Comparison between broad-band ultrasound attenuation of the calcaneum and total body bone mineral density in children. Acta Paediatr 85(6):663–665PubMed Mughal MZ, Langton CM, Utretch G et al (1996) Comparison between broad-band ultrasound attenuation of the calcaneum and total body bone mineral density in children. Acta Paediatr 85(6):663–665PubMed
10.
Zurück zum Zitat Krall EA, Dawson-Hughes B (1993) Heritable and life-style determinants of bone mineral density. J Bone Miner Res 8(1):1–9PubMed Krall EA, Dawson-Hughes B (1993) Heritable and life-style determinants of bone mineral density. J Bone Miner Res 8(1):1–9PubMed
11.
Zurück zum Zitat Pocock NA, Eisman JA, Hooper L et al (1987) Genetic determinants of bone mass in adults: a twin study. J of Clin Invest 80:706–710CrossRef Pocock NA, Eisman JA, Hooper L et al (1987) Genetic determinants of bone mass in adults: a twin study. J of Clin Invest 80:706–710CrossRef
12.
Zurück zum Zitat Arnett MG, Lutz B (2002) Effects of rope-jump training on the os calcis stiffness index of postpubescent girls. Med Sci Sports Exerc 34(12):1913–1919PubMedCrossRef Arnett MG, Lutz B (2002) Effects of rope-jump training on the os calcis stiffness index of postpubescent girls. Med Sci Sports Exerc 34(12):1913–1919PubMedCrossRef
13.
Zurück zum Zitat Witzke KA, Snow CM (2000) Effects of plyometric jump training on bone mass in adolescent girls. Med Sci Sports Exerc 32(6):1051–1057PubMedCrossRef Witzke KA, Snow CM (2000) Effects of plyometric jump training on bone mass in adolescent girls. Med Sci Sports Exerc 32(6):1051–1057PubMedCrossRef
14.
Zurück zum Zitat Johnston CC, Miller JZ, Slemenda CW et al (1992) Calcium supplementation and increased in bone mineral density in children. N Engl J Med 327(2):82–87PubMedCrossRef Johnston CC, Miller JZ, Slemenda CW et al (1992) Calcium supplementation and increased in bone mineral density in children. N Engl J Med 327(2):82–87PubMedCrossRef
15.
Zurück zum Zitat Wang MC, Crawford PB, Hudes M et al (2003) Diet in midpuberty and sedentary activity in prepuberty predict peak bone mass. Am J Clin Nutr 77(2):495–503PubMed Wang MC, Crawford PB, Hudes M et al (2003) Diet in midpuberty and sedentary activity in prepuberty predict peak bone mass. Am J Clin Nutr 77(2):495–503PubMed
16.
Zurück zum Zitat Lin JD, Chen JF, Chang HY et al (2001) Evaluation of bone mineral density by quantitative ultrasound of bone in 16,862 subjects during routine health examination. Br J Radiol 74:602–606PubMed Lin JD, Chen JF, Chang HY et al (2001) Evaluation of bone mineral density by quantitative ultrasound of bone in 16,862 subjects during routine health examination. Br J Radiol 74:602–606PubMed
17.
Zurück zum Zitat Martins SL, Curtis KM, Glasier AF (2006) Combined hormonal contraception and bone health: a systematic review. Contraception 73(5):445–469PubMedCrossRef Martins SL, Curtis KM, Glasier AF (2006) Combined hormonal contraception and bone health: a systematic review. Contraception 73(5):445–469PubMedCrossRef
18.
Zurück zum Zitat Lloyd T, Petit MA, Lin HM (2004) Lifestyle factors and the development of bone mass and bone strength in young women. J Pediatr 144(6):776–782PubMed Lloyd T, Petit MA, Lin HM (2004) Lifestyle factors and the development of bone mass and bone strength in young women. J Pediatr 144(6):776–782PubMed
19.
Zurück zum Zitat Thompson FE, Subar AF (2001) Dietary assessment methodology. In: AM Coulston, CL Rock, ER Monsen (eds) (2001) Nutrition in the prevention and treatment of disease, Academic Press, pp 3–30 Thompson FE, Subar AF (2001) Dietary assessment methodology. In: AM Coulston, CL Rock, ER Monsen (eds) (2001) Nutrition in the prevention and treatment of disease, Academic Press, pp 3–30
20.
Zurück zum Zitat Rifas-Shiman SL, Gillman MW, Field AE et al (2001) Comparing physical activity questionnaires for youth: seasonal versus annual format. Am J Prev Med 20(4):282–285PubMedCrossRef Rifas-Shiman SL, Gillman MW, Field AE et al (2001) Comparing physical activity questionnaires for youth: seasonal versus annual format. Am J Prev Med 20(4):282–285PubMedCrossRef
21.
Zurück zum Zitat Groothausen J, Siemer H, Kemper HCG et al (1997) Influence of peak strain on lumbar bone mineral density: an analysis of 15-year physical activity in young males and females. Pediatr Exerc Sci 9:159–173 Groothausen J, Siemer H, Kemper HCG et al (1997) Influence of peak strain on lumbar bone mineral density: an analysis of 15-year physical activity in young males and females. Pediatr Exerc Sci 9:159–173
22.
Zurück zum Zitat Magkos F, Manios Y, Babaroutsi E et al (2005) Contralateral differences in quantitative ultrasound of the heel: the important of side in clinical practice. Osteoporos Int 16(8):879–886PubMedCrossRef Magkos F, Manios Y, Babaroutsi E et al (2005) Contralateral differences in quantitative ultrasound of the heel: the important of side in clinical practice. Osteoporos Int 16(8):879–886PubMedCrossRef
23.
Zurück zum Zitat Lees B, Stevenson JC (1993) Preliminary evaluation of a new ultrasound bone densitometer. Calcif Tissue Int 53:149–152PubMedCrossRef Lees B, Stevenson JC (1993) Preliminary evaluation of a new ultrasound bone densitometer. Calcif Tissue Int 53:149–152PubMedCrossRef
24.
Zurück zum Zitat Sawyer A, Moore S, Fielding KT et al (2001) Calcaneus ultrasound measurements in a convenience sample of healthy youth. J Clin Densitom 4(2):111–120PubMedCrossRef Sawyer A, Moore S, Fielding KT et al (2001) Calcaneus ultrasound measurements in a convenience sample of healthy youth. J Clin Densitom 4(2):111–120PubMedCrossRef
25.
Zurück zum Zitat Sasaki M, Harata S, Kumazawa Y et al (2000) Bone mineral density and osteo sono assessment index in adolescents. J Ortho Sci 5(3):185–191CrossRef Sasaki M, Harata S, Kumazawa Y et al (2000) Bone mineral density and osteo sono assessment index in adolescents. J Ortho Sci 5(3):185–191CrossRef
26.
Zurück zum Zitat Daly RM, Rich PA, Klein R (1997) Influence of high impact loading on ultrasound bone measurements in children: a cross-sectional report. Calcif Tissue Int 60:401–404PubMedCrossRef Daly RM, Rich PA, Klein R (1997) Influence of high impact loading on ultrasound bone measurements in children: a cross-sectional report. Calcif Tissue Int 60:401–404PubMedCrossRef
27.
Zurück zum Zitat Cvijetić S, Barić IC, Bolanča S et al (2003) Ultrasound bone measurement in children and adolescents: correlation with nutrition, puberty, anthropometry, and physical activity. J Clin Epidemiol 56(6):591–597PubMedCrossRef Cvijetić S, Barić IC, Bolanča S et al (2003) Ultrasound bone measurement in children and adolescents: correlation with nutrition, puberty, anthropometry, and physical activity. J Clin Epidemiol 56(6):591–597PubMedCrossRef
28.
Zurück zum Zitat Lehtonen-Veromaa M, Möttönen T, Nuotio I et al (2000) Influence of physical activity on ultrasound and dual-energy x-ray absorptiometry bone measurements in peripubertal girls: a cross-sectional study. Calcif Tissue Int 66(4):248–254PubMedCrossRef Lehtonen-Veromaa M, Möttönen T, Nuotio I et al (2000) Influence of physical activity on ultrasound and dual-energy x-ray absorptiometry bone measurements in peripubertal girls: a cross-sectional study. Calcif Tissue Int 66(4):248–254PubMedCrossRef
29.
Zurück zum Zitat Nurmi-Lawton JA, Baxter-Jones AD, Mirwald RL et al (2004) Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res 19(2):314–322PubMedCrossRef Nurmi-Lawton JA, Baxter-Jones AD, Mirwald RL et al (2004) Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res 19(2):314–322PubMedCrossRef
30.
Zurück zum Zitat Babaroutsi E, Magkos F, Manios Y et al (2005) Lifestyle factors affecting heel ultrasound in Greek females across different life stages. Osteoporos Int 16(5):552–561PubMedCrossRef Babaroutsi E, Magkos F, Manios Y et al (2005) Lifestyle factors affecting heel ultrasound in Greek females across different life stages. Osteoporos Int 16(5):552–561PubMedCrossRef
31.
Zurück zum Zitat Wang MC, Moore EC, Crawford PB et al (1999) Influence of pre-adolescent diet on quantitative ultrasound measurements of the calcaneus in young adult women. Osteoporos Int 9(6):532–535PubMed Wang MC, Moore EC, Crawford PB et al (1999) Influence of pre-adolescent diet on quantitative ultrasound measurements of the calcaneus in young adult women. Osteoporos Int 9(6):532–535PubMed
32.
Zurück zum Zitat Lanou AJ, Berkow SE, Barnard ND (2005) Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence. Pediatrics 115(3):736–743PubMedCrossRef Lanou AJ, Berkow SE, Barnard ND (2005) Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence. Pediatrics 115(3):736–743PubMedCrossRef
33.
Zurück zum Zitat Hans D, Dargent-Molina P, Schott AM et al (1996) Ultrasonographic heel measurement to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514PubMedCrossRef Hans D, Dargent-Molina P, Schott AM et al (1996) Ultrasonographic heel measurement to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514PubMedCrossRef
34.
Zurück zum Zitat Arden NK, Baker J, Hogg C et al (1996) The heritability of bone mineral density, ultrasound of the calcaneus and hip axis length: a study of postmenopausal twins. J Bone Min Res 11(4):530–534CrossRef Arden NK, Baker J, Hogg C et al (1996) The heritability of bone mineral density, ultrasound of the calcaneus and hip axis length: a study of postmenopausal twins. J Bone Min Res 11(4):530–534CrossRef
35.
Zurück zum Zitat Jaworski M, Lebiedowski M, Lorene RS et al (1995) Ultrasound bone measurement in pediatric subjects. Calcif Tissue Int 56(5):368–371PubMedCrossRef Jaworski M, Lebiedowski M, Lorene RS et al (1995) Ultrasound bone measurement in pediatric subjects. Calcif Tissue Int 56(5):368–371PubMedCrossRef
36.
Zurück zum Zitat Sundberg M, Gardsell P, Johnell O et al (1998) Comparison of quantitative ultrasound measurements in calcaneus with DXA and SXA at other skeletal sites: a population-based study on 280 children aged 11–16 years. Osteoporos Int 8(5):410–417PubMedCrossRef Sundberg M, Gardsell P, Johnell O et al (1998) Comparison of quantitative ultrasound measurements in calcaneus with DXA and SXA at other skeletal sites: a population-based study on 280 children aged 11–16 years. Osteoporos Int 8(5):410–417PubMedCrossRef
37.
Zurück zum Zitat Fielding KT, Nix DA, Bachrach LK (2003) Comparison of calcaneus ultrasound and dual X-ray absorptiometry in children at risk of osteopenia. J Clin Densitom 6(1):7–15PubMedCrossRef Fielding KT, Nix DA, Bachrach LK (2003) Comparison of calcaneus ultrasound and dual X-ray absorptiometry in children at risk of osteopenia. J Clin Densitom 6(1):7–15PubMedCrossRef
38.
Zurück zum Zitat Cummings SR, Black DM, Nevitt MC et al (1993) Bone density at various sites for prediction of hip fractures. Lancet 341:72–75PubMedCrossRef Cummings SR, Black DM, Nevitt MC et al (1993) Bone density at various sites for prediction of hip fractures. Lancet 341:72–75PubMedCrossRef
Metadaten
Titel
Modifiable lifestyle factors affecting bone health using calcaneus quantitative ultrasound in adolescent girls
verfasst von
M. L. Robinson
K. Winters-Stone
K. Gabel
D. Dolny
Publikationsdatum
01.08.2007
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 8/2007
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-007-0359-3

Weitere Artikel der Ausgabe 8/2007

Osteoporosis International 8/2007 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.