Genetic determinants of sports participation and daily physical activity

OBJECTIVE

The purpose is to review the existing literature on genetic determinants of sports participation, daily physical activity (PA) resting metabolic rate (RMR) and activity as a temperamental trait.

DESIGN

A synthesis will be given of the published material on this topic with special focus on twin and family data, and association and linkage studies.

MEASUREMENTS

Self reported sports participation, daily PA, RMR and activity as a temperamental trait.

ANALYSIS

Transmission and heritability coefficients calculated from twin and family data will be reported.

RESULTS

The reported heritability coefficients for sports participation vary between 0.35-0.83, and those for daily PA between 0.29-0.62. If one of the parents or co-twins is active in sports, it is more likely that the child or co-twin is also active in sports (odds ratios (ORs) vary from 1.2-5.8). Twin and parent-child correlations for RMR also indicate a moderate genetic effect. At present, only a linkage between RMR and uncoupling protein 2 markers has been demonstrated.

CONCLUSION

The genetic determination of sports participation, daily PA and RMR, varies from low to moderately high, and only between the uncoupling protein 2 genetic marker and RMR has a linkage has been demonstrated.

Birth weight and body composition in young adult men--a prospective twin study

OBJECTIVES

To evaluate the association between birth weight and adult body composition in twins, controlling for maternal and genetic influences.

DESIGN

Twins were randomly selected from the East Flanders Prospective Twin Survey, a population-based historic twin cohort.

SUBJECTS

Male members of 229 twin pairs between 18 and 34 y of age who participated in the Prenatal Programming Twin Study.

MEASUREMENTS

Adult body mass, height, BMI, lean body mass, sum of skinfolds and waist-to-hip-ratio. Lean body mass, sum of skinfolds and waist-to-hip-ratio were also adjusted for body mass. Intra-pair difference in adult anthropometric measures between the heaviest and the lightest twin at birth.

RESULTS

Per kg increase in birth weight, body mass (4.2 kg), height (3.3 cm), lean body mass (3.1 kg) and to a lesser extent BMI (0.49 kg/m(2)) increased, whereas waist-to-hip-ratio (-1.4%) and sum of skinfolds (-0.11 s.d.) decreased, when adjusted for body mass. In a pair-wise analysis, the heavier twin at birth was taller and heavier as an adult, but, when adjusted for body mass, he had a lower waist-to-hip-ratio, less subcutaneous fat, and more lean body mass, compared to his lighter sib. Intra-pair difference in body composition was associated with intra-pair birth weight difference in monozygotic and dizygotic twins.

CONCLUSIONS

An adverse intra-uterine environment, as measured by birth weight, is associated with more subcutaneous and abdominal fat and less lean body mass in adulthood. This association is independent of maternal and genetic influences. However, we cannot exclude the existence of genes that act on both birth weight and adult body composition.

Sedentary behaviour, physical activity and a continuous metabolic syndrome risk score in adults

OBJECTIVE

The association of sedentary behaviour and leisure time physical activity with a validated continuous metabolic syndrome risk score was investigated in adults.

SUBJECTS/METHODS

A number of 992 adults (559 men) without cardiovascular disease or diabetes. Subjects reported time spent in leisure time physical activity and television watching/computer activities. A validated metabolic syndrome risk score, based on waist circumference, triglycerides, blood pressure, fasting plasma glucose and high-density lipoprotein cholesterol, was used. The metabolic syndrome risk score and time spent in sedentary behaviour and physical activity were analysed as continuous variables using multiple linear regression.

RESULTS

Metabolic syndrome risk was positively associated with time spent watching television/computer activities, irrespective of physical activity level, and after adjustment for age, education level, smoking status and dietary intake in women aged > or =45 years (beta=0.184, P<0.05). Independent of the time being sedentary, moderate to vigorous leisure time physical activity was inversely associated with metabolic syndrome risk in men (<45 years: beta=-0.183, P<0.01; > or =45 years: beta=-0.192, P<0.01) and women aged > or =45 years (beta=-0.203, P<0.01).

CONCLUSIONS

Although cross-sectional, the present results support inclusion of efforts to decrease sedentary behaviour in metabolic syndrome prevention strategies for women aged > or =45 years, besides promotion of moderate to vigorous physical activity, since both behavioural changes might show additional effects.

Anthropometry, carbohydrate and lipid metabolism in the East Flanders Prospective Twin Survey: heritabilities

AIMS/HYPOTHESIS

We determined the genetic contribution of 18 anthropometric and metabolic risk factors of type 2 diabetes using a young healthy twin population.

METHODS

Traits were measured in 240 monozygotic (MZ) and 138 dizygotic (DZ) twin pairs aged 18 to 34 years. Twins were recruited from the Belgian population-based East Flanders Prospective Twin Survey, which is characterised by its accurate zygosity determination and extensive collection of perinatal and placental data, including information on chorionicity. Heritability was estimated using structural equation modelling implemented in the Mx software package.

RESULTS

Intra-pair correlations of the anthropometric and metabolic characteristics did not differ between MZ monochorionic and MZ dichorionic pairs; consequently heritabilities were estimated using the classical twin approach. For body mass, BMI and fat mass, quantitative sex differences were observed; genetic variance explained 84, 85 and 81% of the total variation in men and 74, 75 and 70% in women, respectively. Heritability estimates of the waist-to-hip ratio, sum of four skinfold thicknesses and lean body mass were 70, 74 and 81%, respectively. The heritability estimates of fasting glucose, fasting insulin, homeostasis model assessment of insulin resistance and beta cell function, as well as insulin-like growth factor binding protein-1 levels were 67, 49, 48, 62 and 47%, in that order. Finally, for total cholesterol, LDL-cholesterol, HDL-cholesterol, total cholesterol:HDL-cholesterol ratio, triacylglycerol, NEFA and leptin levels, genetic factors explained 75, 78, 76, 79, 58, 37 and 53% of the total variation, respectively.

CONCLUSIONS/INTERPRETATION

Genetic factors explain the greater part of the variation in traits related to obesity, glucose intolerance/insulin resistance and dyslipidaemia.

Motor performance during adolescence and age thirty as related to age at peak height velocity

Relationships between motor performance, as measured by various fitness tests, and age at peak height velocity have been studied in a sample of 173 Flemish boys, measured yearly between +/- 13 and +/- 18 years and again as adults at 30 years of age. In addition to correlation studies, comparisons were made between boys with an early, average and late age at peak height velocity. To summarize the successive measurements during adolescence, a longitudinal principal component analysis was carried out. The first component can be interpreted as an average percentile level component. During adolescence, three performance tasks, namely speed of limb movement, explosive strength and static strength, are negatively related to age at peak height velocity; thus early maturers performed significantly better than late maturers. However, between late adolescence and adulthood, a cross-over of the average distance curves between 18 and 30 years of age was noted for almost all motor tasks. The late maturers not only caught up the early maturers, but there were significant differences for explosive strength and functional strength in favour of late maturers. In order to predict performance in adulthood from measures during adolescence, the following hypothesis is suggested: the best results at adulthood are obtained by those men who were already good performers during adolescence and who were late maturers, while the worst results are obtained by poor performers during adolescence who were early maturers.

Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts

The ulnar variance in female gymnasts attending the World Championship Artistic Gymnastics Rotterdam 1987 was measured. There was a marked increase in the ulnar length in adult as well as immature gymnast compared with nonathletes. The changes in relative ulnar length were correlated to weight, height, and skeletal age of the athletes. In 10% of the gymnasts' wrists we noted so-called "stress-related changes" of the distal physis of the radius. Repetitive injury and compression of the wrist leads to a premature closure of the distal radial growth plate resulting in secondary ulnar overgrowth.

Birth weight and its relationship to size attained and relative fat distribution at 7 to 12 years of age

The relationship between birth weight and relative subcutaneous fat distribution at school age was considered in 131 boys and 106 girls 7 to 12 years of age. Relative fat distribution at school age was estimated with the ratio of the subscapular to triceps skinfolds (S/T) for the total sample, and with the ratio of the sum of two trunk (subscapular, midaxillary) to the sum of two extremity (triceps, medial calf) skinfolds (T/E) for subsamples of 102 boys and 63 girls. There were no sex differences in the S/T ratio (mm/mm), boys 0.62 +/- 0.15, girls 0.63 +/- 0.18; T/E ratio (mm/mm), boys 0.58 +/- 0.13, girls 0.59 +/- 0.16; and BMI (kg/m2), boys 17.1 +/- 2.4, girls 16.9 +/- 2.2. Second order partial correlations, controlling for age and the BMI or age and sum of skinfolds, between birth weight and the skinfold ratios are, respectively, -0.22 and -0.20 (p < 0.01) for S/T and -0.29 and -0.32 (p < 0.01) for T/E in girls, and -0.18 and -0.17 (p < 0.05) for S/T and -0.06 and -0.6 for T/E in boys. Though low, the correlations suggest that as birth weight decreases proportionally more subcutaneous fat is accumulated on the trunk than on the extremities, more so in females than in males. Results of stepwise multiple regression analyses indicate that birth weight accounts for from 2% to 8% of the variance in relative subcutaneous fat distribution at school age.

Trends in BMI among Belgian children, adolescents and adults from 1969 to 1996

OBJECTIVE

To document secular data on changes in the distribution of body mass index (BMI), to determine the probability of overweight at 40 y of age in Belgian males in relation to the presence or absence of overweight at different ages in adolescence, and to estimate tracking of BMI in Belgian males in Belgium aged 12-40 y.

DESIGN

Cross-sectional and mixed longitudinal surveys in nationally representative samples of Belgian males and females.

SUBJECTS

Cross-sectional-more than 21 000 boys and 9698 girls; to examine secular trends-3164 boys and 5140 girls; to examine tracking-161 males.

MEASURES

Body mass and height to determine BMI.

RESULTS

In Belgian children the degree of overweight has increased between 1969 and 1993. Tracking of BMI is high in adolescence (r=0.77) and adulthood (r=0.69-0.91) and moderate from adolescence to adulthood (r=0.49). In Belgian males, the probability of overweight at 40 y of age in the presence of overweight at different ages in adolescence is important (odds ratios 5.0-6.9).

CONCLUSIONS

Cross-sectional and longitudinal data, trends and tracking of BMI from 1969 until 1996 in Belgium indicate an increase in the degree of childhood overweight and obesity. Moreover, the risk of an overweight male adolescent becoming an overweight adult is substantial. Measures to restrict the Belgian overweight and obesity epidemic should be taken.

Birth weight and blood pressure in young adults: a prospective twin study

BACKGROUND

The intrauterine environment may be a critical period for the development of hypertension in later life. In the present study, we applied the twin approach to estimate the contribution of genetic and environmental causes that may underlie the birth weight-adult blood pressure association.

METHODS AND RESULTS

Birth weights of 418 twin pairs were obtained prospectively, and resting and 24-hour ambulatory blood pressures were obtained at the age of 18 to 34 years. In women, resting systolic blood pressure decreased 4.27 mm Hg (P<0.001) and diastolic pressure decreased 2.18 mm Hg (P=0.02) per kilogram increase in birth weight. Similar associations were found for ambulatory measurements, although these were somewhat less pronounced. Pair-wise analysis confirmed these findings: twin pairs of whom both members had a low birth weight (<2500 g) had a higher systolic blood pressure compared with twins who both had a high birth weight (>/=2500 g). Systolic blood pressure of the lightest of a low-birth-weight pair was >/=4.7 mm Hg (P=0.02) higher and of the heaviest >/=2.4 mm Hg higher (P=0.2) than similar measurements in high-birth-weight pairs. Intrapair differences in blood pressure between the lightest and the heaviest at birth were only present in low-birth-weight pairs. The results were similar for monozygotic and dizygotic twin pairs. In men, no associations were found between birth weight and adult blood pressure.

CONCLUSIONS

These findings suggest that prenatal programming of adult blood pressure occurs at least in female twins. We suggest that particularly maternal influences, experienced by both twin members, may underlie the association between birth weight and blood pressure. The fetoplacental unit seems to influence blood pressure only when both fetuses had low birth weight.

Linkage of myostatin pathway genes with knee strength in humans

This study was the first to explore the potential role of the myostatin (GDF8) pathway in relation to muscle strength and estimated muscle cross-sectional area in humans using linkage analysis with a candidate gene approach. In young male sibs (n = 329) 11 polymorphic markers in or near 10 candidate genes from the myostatin pathway were genotyped. Muscle mass was estimated by anthropometric measurements, and maximal knee strength was evaluated using isokinetic dynamometers (Cybex NORM). Single-point nonparametric variance components and linear quantitative trait locus regression linkage analysis methods were used. Linkage patterns were observed between knee extension and flexion peak torque with markers D2S118 (GDF8), D6S1051 (CDKN1A), and D11S4138 (MYOD1), and a maximum LOD score of 2.63 (P = 0.0002) was observed with D2S118. The ratios of peak torque over muscle and bone area of the midthigh of the lower contraction velocity (60 degrees/s) showed more frequently significant LOD scores than the torques at high velocity (240 degrees/s). Although myostatin is physiologically more related to muscle mass through possible effects of hyperplasia and hypertrophy than it is to strength, only two estimated muscle cross-sectional areas were marginally linked (LOD 1.06 and 1.07, P = 0.01) with marker D2S118 near GDF8 (2q32.2). The present results gave suggestive evidence that the myostatin pathway might be important for strength phenotypes, and GDF8, CDKN1A, and MYOD1 are potential candidate regions for a further and denser mapping with respect to these phenotypes.

Genetic variance of adolescent growth in stature

The aim of this study is to quantify the genetic and environmental variation in biological parameters of the adolescent growth in stature in both sexes, using structural equation models. Standing height was measured in 99 twin pairs from the Leuven Longitudinal Twin Study. Subjects were seen at semi-annual intervals between 10 and 16 years and at 18 years. Preece-Baines model I was fitted to the individual data and biologically meaningful parameters were derived. Path models were fitted to these parameters and a gender heterogeneity analysis was performed. A model including additive genetic and specific environmental factors (AE-model), allowing for a difference in total variance or in genetic/environmental variance components in males and females best explains most of the growth characteristics. For the timing and velocity of the adolescent growth spurt, no gender heterogeneity was observed, and the genetic (0.89 to 0.93) and specific environmental (0.07 to 0.11) contributions were equal in both sexes. For stature at take-off, stature at peak height velocity and for adult stature, gender heterogeneity was observed and different models appeared to result in the best fit for boys and girls. For height at PHV and adult stature, the significant contribution of a common environmental (0.39 to 0.56) factor in boys was noteworthy. For percentage of adult stature and distances between relevant time points of the growth curve, a non-scalar effect was observed, indicating that different genes affect these characteristics in boys and girls. It is concluded that most characteristics of the growth spurt in stature are under strong genetic control. Gender heterogeneity is present for stature and for a number of derived growth characteristics.

Polymorphisms in the vitamin D receptor gene are associated with muscle strength in men and women

INTRODUCTION

Vitamin D receptor (VDR) polymorphisms have been associated with fracture risk and muscle strength, although evidence for the latter is limited and conflicting.

METHODS

BsmI, TaqI and FokI VDR polymorphisms were genotyped in 253 men (54.9 +/- 10.2 yr) and 240 women (41.5 +/- 13.2 yr). Haplotypes were constructed for BsmI and TaqI. Handgrip, isometric (at 60 degrees , 120 degrees and 180 degrees joint angle) and eccentric torques (60 degrees /s) of knee extension and flexion were analysed using AN(C)OVA. Torque-velocity curves were constructed for concentric torques at 60 degrees /s, 180 degrees /s and 240 degrees /s and analysed using multivariate AN(C)OVA. Age, height and fat-free mass were included as covariates.

RESULTS

Quadriceps isometric and concentric strength were higher in female f/f homozygotes compared to F allele carriers. Adjustment for confounding factors rendered results for quadriceps isometric strength at 120 degrees non-significant. No significant association was found with BsmI-TaqI haplotype in women. In contrast, male Bt/Bt homozygotes had higher isometric quadriceps strength at 150 degrees and higher concentric quadriceps strength than bT allele carriers without and with adjustment for confounding factors. No association was observed with FokI in men. In both genders, no interaction effect was present between BsmI-TaqI haplotype and FokI.

CONCLUSIONS

Different VDR gene polymorphisms are associated with quadriceps strength in men and women.

Skeletal maturity in Belgian youths assessed by the Tanner-Whitehouse method (TW2)

Reference data for skeletal maturity (TW2 method) of the hand and wrist are provided for large representative samples of Belgian boys and girls. The sample of Belgian boys consisted of 21,174 boys aged 12 to 20 years studied in a nationwide cross-sectional and longitudinal study on the physical fitness of secondary schoolboys (1969-1974). The girls' sample consisted of 9698 6-19-year-old Flemish girls studied cross-sectionally (1979-1980). Both samples were multi-stage stratified cluster samples of entire school classes. All skeletal maturity assessments of the boys were made by the same observer (GB). His estimations agreed quite closely with those of the originators of the method. The skeletal age assessments of the girls were made by two observers trained by GB. Both observers showed high intraobserver reliability after training, and during the assessments. Moreover their ratings compared favourably with those of GB and the originators of the method. Smoothed percentile curves of the maturity scores (TW2-20 bone, RUS and CARP scores) were calculated by means of cubic splines using a stepwise regression procedure for the selection of suitable knots. In the boys, the TW2 scores (20 bone and RUS) increase linearly between 12 and 14.5 years of age, slow down for a while, and then increase again, while the CARP scores increase linearly between 12 and 15 years of age. In girls, the 20-bone maturity scores increase nearly linearly from 6 through 9.5 years of age, accelerate until 11.0 years followed by a smaller increase; RUS scores increase curvilinearly from 6 years of age onwards; and Carp scores increase almost linearly between 6.0 and 12.5 years of age. Belgian boys are advanced in RUS scores but are delayed for the carpal bones as compared with the British standards. The Belgian girls show advancement for both scales as compared with the British reference data. The skeletal maturation of youths from several other continental European countries corresponds more closely with the Belgian than with the British data. The reference data presented herein most probably provide suitable standards for youths of West-European countries.

Anthropometric characteristics of outstanding male and female gymnasts

Anthropometric data of outstanding gymnasts were gathered on the occasion of the 24th World Championship Artistic Gymnastics, held at Rotterdam, The Netherlands, in October 1987. In total 165 males and 201 females were investigated, constituting 84% of the total number of participants. The data of these gymnasts were descriptively compared with both reference data and data reported in previous studies on gymnasts competing at international events. Also, based on the data obtained, 'gymnastic-specific' anthropometric reference values (i.e. profile charts), were established for both male and female gymnasts. Finally, the maturational characteristics (skeletal age and menarche) of the 'Rotterdam' female gymnasts were described.

Chronological and biological age as related to physical fitness in boys 12 to 19 years

The relative importance of skeletal age and chronological age in explaining body measurements and the relative importance of skeletal age, chronological age, height, weight, and their interactions in explaining motor fitness components are reported. Anthropometric, motor fitness, and skeletal maturity data have been collected in a mixed longitudinal study of Belgian school boys 12+/- - 19+/- years. At each age level multiple regression equations were calculated to evaluate the relative importance of the independent variables. Skeletal age was assessed by the TW2 method and the anthropometric measurements were taken following standard procedures. The motor fitness tests were selected on their factor loading and reliability in the same age range. Between 13 and 16 years a fairly high percentage of the variation in body dimensions is explained by skeletal age (+/-50% for stature). The percentage of explained variance reaches its maximum at 14-15 years. The highest percentage is found for linear dimensions and weight followed by bone width dimensions and circumferences. Triceps and calf skinfolds are not related to skeletal age. Chronological age as such does not contribute in the prediction of body measurements. The interaction between chronological age and skeletal age as such or in combination with height and/or weight have the highest predictive value except for trunk strength (leg lifting) and functional strength (bent arm hang). Except for static strength (arm pull), for which the explained variance ranged from 33% to 58%, the predictive value of body size, maturity, chronological age and their interactions is rather low, varying between 0% and 17%. As for body dimensions, the explained variance reaches its maximum for most motor tests at 14-15 years.

Age at menarche in Flemish girls: current status and secular change in the 20th century

The age at menarche in a national sample of 4894 Flemish schoolgirls was surveyed in 1979-1980. The probit estimate of the mean age at menarche was 13.20 +/- 0.02 years (SD = 1.25 years). This estimate falls well within the range of reported ages at menarche for girls in northwestern Europe, but is slightly later than those for French-speaking girls in Belgium and in France. Status quo secular data for the 20th century indicate a decline in estimated mean ages at menarche of Flemish girls from about 14.3 years before World War II to 13.6 and 13.2 years, respectively, among girls born just before and during the war. Subsequently, mean ages at menarche of Flemish girls are fairly stable between 13.0 and 13.2 years. These secular changes are of the same magnitude as those observed in other European countries.

Development and tracking in fitness components: Leuven longtudinal study on lifestyle, fitness and health

In the Leuven Growth Study of Belgian Boys the growth and physical performance of Belgian boys followed longitudinally between 12 and 19 years were studied. Subsequently, a subsample (n = 240) of Flemish-speaking males were reexamined at 30 and 35 years. A first question relates to the individual growth patterns in a variety of physical fitness characteristics. The three strength tests (static, functional, explosive) show curves that are qualitatively similar to those for height and weight. Their adolescent spurts occur after the height spurt. Flexibility and the two speed tests appear to reach maximum velocities prior to the height and weight spurts. Longitudinal principal component analysis was applied to the study of growth patterns of several somatic and motor characteristics. The results for height show three components sufficient to provide an adequate representation of the original information. The first component characterizes the general position of an individual growth curve. Components 2 and 3 reflect fluctuation in percentile level during the age period studied and can be conceived as indices of stability and are related to age at peak height velocity (APHV) and peak height velocity (PHV), respectively. Relationships between somatic characteristics, physical performance, and APHV have been studied in a sample of 173 Flemish boys, measured yearly between +/- 13 and +/- 18 years and again as adults at 30 years of age. The sample was divided into three contrasting maturity categories based on the APHV. There are consistent differences among boys of contrasting maturity status during adolescence in body weight, skeletal lengths and breadths, circumferences, and skinfolds on the trunk. There are no differences in skinfolds on the extremities. None of the differences in somatic dimensions and ratios among the three contrasting maturity groups are significant at 30 years of age except those for subscapular skinfold and the trunk/extremity skinfold ratio. During adolescence, speed of limb movement, explosive strength and static strength are negatively related to APHV; thus, early maturers performed better than late maturers. However, between late adolescence and adulthood (30 years), the late maturers not only caught up to the early maturers, but there were significant differences for explosive strength and functional strength in favor of late maturers. Finally, age-specific tracking, using inter-age correlations, of adult health- and performance-related fitness scores were investigated. In addition, the independent contribution of adolescent physical characteristics to the explanation of adult fitness scores was also studied. Tracking between age 13 and age 30 years was moderately high (46% of variance explained) for flexibility, low to moderate (between 19% and 27% of variance explained) for the other fitness parameters and low for pulse recovery and static strength (7% to 11% of variance explained). Between age 18 and age 30 years the tracking was high for flexibility, moderately high for explosive and static strength, and moderate for the other fitness parameters except for pulse recovery. The amount of variance of adult fitness levels explained increased significantly when other characteristics observed during adolescence entered the regressions or discriminant functions.

The reproducibility of TW2 skeletal age assessments by a self-taught assessor

An investigation into the reproducibility of TW2 skeletal age assessments was carried out using three observers. The first, G.B., had learned the technique without expert advice, while the second, R.H.W., was one of the originators of the technique. The third, N.C., was an experienced rater orginally trained by R.H.W. G.B. and R.H.W. were compared using a standard set of 112 X-rays arranged in a random order. G.B. was compared to N.C. using a random sample of 50 X-rays from the Leuven Growth Study of Belgian Boys. The percentage agreement in rating all 20 bones was just over 83% in both analyses. Higher percentage agreements were found in both analyses for the round bones (88% and 85.1% respectively) as opposed to the radius, ulna and short bones (81.3% 82.1% respectively). Significant differences were found in mean bone-age between G.B. and R.H.W. and between G.B. and N.C. for TW220 and carpal bone ages. No significant differences in mean bone-ages were found for RUS bone-ages. The reproducibility of the self-taught assessor was found to be as good as that of assessors trained by the originators of the technique or experienced raters.

Gender-specific regional changes in genetic structure of muscularity in early adolescence

Genetic and environmental influences on muscle circumference measurements of the extremities were estimated in 105 pairs of twins between 10 and 14 yr of age. Four circumferences, extended upper arm (EAC), forearm (FC), thigh (TC), and calf (CC), were measured. Univariate model fitting revealed that the largest part (87-95%) of the variance for all circumferences at most ages was explained by additive genetic factors. Sex differences were observed for some age categories. Multivariate analyses showed a different pattern evolving according to age and gender. In boys from 10 to 12 yr of age, one general genetic factor influenced all four circumferences. With increasing age, an arm-leg model emerged, one genetic factor influencing the arm and another genetic factor the leg circumferences. In young girls one genetic factor loaded on the proximal (EAC, TC) and another on the distal (FC, CC) circumferences. With subjects at age 14 yr, an arm-leg model was observed. High genetic correlations indicated that genetic factors related to EAC, FC, TC, and CC did not act independently. The age-and gender-specific changes in the genetic structure suggest pubertal influences. This study shows that muscle circumferences are highly heritable characteristics and are therefore a promising starting point at which to locate their genes. Gene mapping could validate the gender-specific change of the genetic structure with age and region.

Age-specific correlation analysis of longitudinal physical fitness levels in men

This study investigated the age-specific tracking of adult health- and performance-related fitness scores. In addition, the independent contribution of adolescent physical characteristics to the explanation of adult fitness scores was also studied. The sample consisted of 173 adults observed at age 30 years. These subjects had been followed at annual intervals from age 13 to age 18 years and were remeasured at age 30 years. At each age nine fitness tests were administered together with the recording of anthropometric dimensions, biological maturation, sports participation and family characteristics. Tracking was measured by the inter-age correlations at each age between 13 and 18 years and the performance scores at 30 years. The independent contribution of characteristics observed during adolescence to the explanation of adult fitness was investigated through stepwise multiple regression analysis and discriminant analysis with the adult fitness scores as the dependent variables and the fitness, maturation, anthropometric characteristics, sports participation and family background as the independent variables. Tracking between age 13 and age 30 years was moderately high (46% of variance explained) for flexibility, low to moderate (between 19% and 27% of variance explained) for the other fitness parameters and low for pulse recovery and static strength (7% to 11% of variance explained). Between age 18 and age 30 years the tracking was high for flexibility, moderately high for explosive and static strength, and moderate for the other fitness parameters except for pulse recovery. The amount of variance of adult fitness levels explained increased significantly when other characteristics observed during adolescence entered the regressions or discriminant functions.(ABSTRACT TRUNCATED AT 250 WORDS)

Relation between cardiovascular risk factors at adult age, and physical activity during youth and adulthood: the Leuven Longitudinal Study on Lifestyle, Fitness and Health

This study investigated the relationship between sports participation/physical activity during youth (13 - 18 years of age) and adulthood (30 - 40 years of age), and cardiovascular risk factors (body fat and fat distribution, blood pressure, lipoprotein levels and cardiorespiratory fitness) at 40 years of age. Subjects were 166 Flemish males from "The Leuven Longitudinal Study on Lifestyle, Fitness and Health". Physical activity was assessed by means of a sports participation inventory and the Tecumseh community Health Study Questionnaire. In addition to correlation and multiple stepwise regression analyses, different groups (at risk, not at risk) were contrasted on sports participation/physical activity parameters using ANOVA. Long-term exposure during adulthood to daily physical activity was slightly related to a low/high risk profile for waist circumference, percent body fatness, triglycerides and peak VO(2). Sports participation during adolescence was not related to levels of cardiovascular risk factors at 40 years of age.

Influence of weight-bearing exercises on bone acquisition in prepubertal monozygotic female twins: a randomized controlled prospective study

The aim of this study was to determine whether high-impact exercises have an osteogenic effect in 21 prepubertal female monozygotic twins aged 8.7 (SD 0.7) years. Bone mineral density (aBMD), bone mineral content (BMC), bone area, and body composition were derived from DXA. Skeletal maturity was assessed by the Tanner-Whitehouse technique. Anthropometric dimensions (28 dimensions) were measured and also used to derive adiposity and muscularity indices, and information about physical activity was obtained by questionnaire. These measurements were taken before and after the exercise period. The exercise program consisted of high-impact exercises. During 9 months, one girl of each twin pair performed the exercises 3 times a week under supervision of a teacher while their sisters served as control group. At baseline there were no differences between the groups. After 9 months, exercisers (Ex) and controls (Con) had similar increases in height and weight. Significant lower adiposity was observed in the exercise group vs the control group. None of the bone indices differed significantly between the two groups. When the analyses were done for a subgroup of twin pairs (n = 12) who did not participate in high-impact sports during their leisure time, significant differences were obtained for aBMD and BMC of the proximal femur in favor of the exercise group. These results indicate that for prepubertal girls who are not involved in sport activities or who are only involved in low-impact sport activities this exercise program has an osteogenic effect on the proximal femur, but for girls who are already involved in high-impact sports this protocol does not have any additional effect on the bone status.

Bone mass and lifetime physical activity in Flemish males: a 27-year follow-up study

PURPOSE

The present population study is conducted to examine the extent to which lifetime physical activity and lifestyle parameters contribute to bone mass.

METHODS

The design of the project is a 27-yr prospective follow-up study. Subjects are 126 males gathered from the Leuven Longitudinal Study on Lifestyle, Physical Fitness and Health, and aged 13 yr at the onset of the study and 40 at the end of the follow-up. Physical activity and lifestyle parameters are obtained with questionnaires. Bone mass is measured by means of dual-energy x-ray absorptiometry (DXA).

RESULTS

Results from correlation and regression analyses show that the body mass index (BMI) is the most important parameter in relation to cortical and trabecular bone mass at every examination period. Longitudinally, static arm strength, running speed, and upper muscular endurance contribute significantly to the prediction of adult bone mass. The parameter "change in motor fitness" between 18 and 13 yr old was used to control for hereditary influences. The score for static arm strength and trunk muscle strength demonstrates a significant correlation with adult total bone mineral content (BMC) and lumbar bone mineral density (BMD), respectively. At the age of 40, the Baecke sports index is almost equally important as BMI in explaining the variance in BMD, and static arm strength is the most important parameter (after BMI) for BMC.

CONCLUSION

Lifetime physical activity, physical fitness, and BMI all contribute to adult bone mass. The clinical relevance of these findings is emphasized by the fact that the observed patterns of physical activity and motor fitness pertain to customary lifestyle and are thus feasible targets.

Neurodevelopmental outcome at 1 year in Zimbabwean neonates with extreme hyperbilirubinaemia

The study concentrates on estimating the magnitude of the effect of a single risk factor, maximum total serum bilirubin (TSB) in excess of 400 micromol/l (23.4 mg/dl), on the neurodevelopmental outcome of 50, singleton, Zimbabwean neonates at 1 year of age. At 1 year corrected age the Bayley Scales of Infant Development (BSID) was administered. Two infants died and five were lost to follow up. TSB was neither associated with birth weight nor with gestational age. Of 43 infants with a TSB > 400 micromol/l (23.4 mg/dl),11(26%) scored abnormal on the BSID at 1 year of age and 5 (12%) infants developed the choreoathetoid type of cerebral palsy.

CONCLUSION

Infants with bilirubin levels between 400 and 500 micromol/l (23.4 and 29.2 mg/dl) who scored abnormal or suspect on the Bayley Scales of Infant Development were preterm or had haemolytic disease. All term infants without haemolysis and with bilirubin levels between 400 and 500 micromol/l (23.4 mg/dl-29.2 mg/dl) were normal at 1 year of age.