Abstract
Summary
Rationale: This study intends to identify differences in growth of Asian and White girls. Main result: Asian girls gained bone at similar rates to White girls. Physical activity was important to bone growth. Ethnic differences remained after adjusting for physical activity, demographics, and diet. Significance: Physical activity can improve bone gain.
Purpose
The purpose of this study is to examine differences in body size and bone growth of Asian, White, and Asian-White Mixed girls.
Methods
Three prospective examinations of 99 Asian, 73 White, and 63 Mixed Asian and White girls, with a mean age of 11.0 years at enrollment were performed. Calcaneal bone mass, skeletal breadths, and body fat were measured. Physical activity, diet, and birth size were reported. The analyses examined the extent that body dimensions and bone size changed over time by demographic, diet, physical activity, body, and bone size parameters.
Results
White children were the most physically active yet had lower calcaneal ultrasound values for speed of sound (SOS). Based on regression models, bone mass, and subscapular skinfold thickness were greater in Asian girls compared to White and Asian-White Mixed girls at age 10 years. Asian-White Mixed girls had greater BMI compared to Asian or White girls. Asian girls gained body size more slowly than White girls, but changes in bone parameters did not differ significantly; Asian-White Mixed girls gained abdomen, hip, and weight more slowly than White girls. Among all girls, SOS and broadband ultrasound attenuation (BUA) increased significantly by level of physical activity before 12 years, but not after.
Conclusions
Asian girls had more upper body (subscapular) fat at age 10 years and gained height and hip and abdomen circumferences more slowly than Asian-White and White girls. Asian girls had greater bone SOS and BUA at age 10 years but gained bone at similar rates to White girls. Physical activity was especially important to bone growth before age 12 years. However, ethnic differences remained after adjusting for physical activity, demographic, and dietary factors.
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Acknowledgments
Rachel Novotny designed the study, acquired, and interpreted the data. She drafted the manuscript, approved the final version and is accountable for the work. James Davis analyzed the data, participated in drafting and revising it for intellectual content, and approved the final version and is accountable for the work. The authors accept responsibility for the integrity of the analysis. Rachel Novotny is the corresponding author. Kaiser Permanente Center for Health Research Hawaii was a partner in the research. Loic LeMarchand of the University of Hawaii Cancer Center was Co-PI on the third FAM examination. The work was partially supported by grants from the National Institute on Minority Health and Health Disparities U54MD007584, G12MD007601, and P20GM103466 from the National Institutes of Health. This work was also supported by the Breast Cancer Research Fund of the US Department of Defense [BC032028] and the University of Hawaii Cancer Center Developmental Funds and the Research Centers of Minority Institutions at the National Center for Research Resources of the National Institutes of Health [P20 RR119091] and the National Research Initiative of the US Department of Agriculture [99–00700].
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Novotny, R., Davis, J. Growth in bone and body size among Asian and white girls in the Female Adolescent Maturation (FAM) study. Arch Osteoporos 10, 31 (2015). https://doi.org/10.1007/s11657-015-0234-3
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DOI: https://doi.org/10.1007/s11657-015-0234-3