Diniz TA, Agostinete RR, Costa P, Saraiva BTC, Sonvenso DK, Freitas IF, Fernandes RA, Christofaro DGD. Relationship between total and segmental bone mineral density and different domains of physical activity among children and adolescents: cross-sectional study.
SAO PAULO MED J 2017;
135:444-449. [PMID:
28832809 PMCID:
PMC10027243 DOI:
10.1590/1516-3180.2017.0042070417]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Accepted: 04/07/2017] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND
This study aimed to investigate the relationship between total and segmental bone mineral density (BDM) and physical activity (PA) in different domains (school, leisure and sports) among adolescents and children.
DESIGN AND SETTING
Cross-sectional study in the Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP).
METHODS
The study sample consisted of 173 children and adolescents (10.31 ± 1.87 years). The BMDs for the whole body (WB) and the regions of the trunk and legs were measured using dual energy X-ray absorptiometry (DXA). PA was measured using the Baecke questionnaire. A regression model was used to analyze the relationship between all the BMDs and the different domains of PA.
RESULTS
41.5% of the adolescents had high percentages of body fat. Regarding the comparison between physically active and insufficiently active adolescents, there were no statistically significant differences in any BMD variables (P > 0.05). The BMD of the legs showed positive relationships with the total PA (β = 0.009; P = 0.013) and sports PA (β = 0.010; P = 0.049) after insertion of the confounders. Similarly, the WB BMD showed the same relationships (total PA: β = 0.005; P = 0.045; and sports PA: β = 0.008; P = 0.049). No relationship was found between leisure and school PA and any of the BMDs (P > 0.05).
CONCLUSION
The results indicated that practice of sport was related to higher BMD values, independent of sex, age and body fatness.
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