Abstract
This cross-sectional study examined the following four variables for impact on adolescent bone growth: the degree of impact, and the period, frequency, and daily duration of physical activity. We studied 127 boys and 136 girls between the ages of 12 and 15 years from northern Japan. Bone mineral density (BMD) at the spine and hip were measured using dual X-ray absorptiometry, and histories of participation in sports club activities beginning in first grade of elementary school were obtained through a questionnaire. The time spent participating in sports club activities between fourth and sixth grades during elementary school (E4-E6) was predictive of increased BMD, adjusted for height, weight, onset of pubic hair appearance, calcium intake, and grip strength, with the exception of hip BMD in females. Analysis of the period, frequency, daily duration of sports club activity, and a score of mechanical impact of physical activity (MECHPA) as substitute for time spent during E4–E6 revealed a significant relationship between the period of activity and BMD, with the exception of spine BMD in females. Activities performed two or more times a week during E4-E6 were also associated with an increased BMD at the hip for males and the spine region for females. Thus, the period and frequency of sports club activity, independent of its degree of impact or daily duration, in the age range of 9 to 12 years may be important for bone growth in children and adolescents.
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Sabatier JP, Guaydier-Souquieres G, Benmalek A, Marcelli C (1999) Evolution of lumbar bone mineral content during adolescence and adulthood: a longitudinal study in 395 healthy females 10–24 years of age and 206 premenopausal women. Osteoporos Int 9:476–482
Hansen MA, Overgaard K, Riis BJ, Christiansen C (1991) Role of peak bone mass and bone loss in postmenopausal osteoporosis: 12 year study. Br Med J 303:961–964
Riis BJ, Hansen MA, Jensen AM, Overgaard K, Christiansen C (1996) Low bone mass and fast rate of bone loss at menopause: equal risk factors for future fracture: a 15-year follow-up study. Bone (NY) 19:9–12
Mora S, Gilsanz V (2003) Establishment of peak bone mass. Endocrinol Metab Clin N Am 32:39–63
Linden C, Ahlborg HG, Besjakov J, Gardsell P, Karlsson MK (2006) A school curriculum-based exercise program increases bone mineral accrual and bone size in prepubertal girls: two-year data from the Pediatric Osteoporosis Prevention (POP) Study. J Bone Miner Res 21:829–835
Valdimarsson O, Linden C, Johnell O, Gardsell P, Karlsson MK (2006) Daily physical education in the school curriculum in prepubertal girls during 1 year is followed by an increase in bone mineral accrual and bone width: data from the prospective controlled Malmo pediatric osteoporosis prevention study. Calcif Tissue Int 78:65–71
McKay HA, Bailey DA, Mirwald RL, Davison KS, Faulkner RA (1998) Peak bone mineral accrual and age at menarche in adolescent girls: a 6-year longitudinal study. J Pediatr 133:682–687
Bass S, Pearce G, Bradney M, Hendrich E, Delmas PD, Harding A, Seeman E (1998) Exercise before puberty may confer residual benefits in bone density in adulthood: studies in active prepubertal and retired female gymnasts. J Bone Miner Res 13:500–507
MacKelvie KJ, Khan KM, Petit MA, Janssen PA, McKay HA (2003) A school-based exercise intervention elicits substantial bone health benefits: a 2-year randomized controlled trial in girls. Pediatrics 112:e447–e452
Sundberg M, Gardsell P, Johnell O, Karlsson MK, Ornstein E, Sandstedt B, Sernbo I (2002) Physical activity increases bone size in prepubertal boys and bone mass in prepubertal girls: a combined cross-sectional and 3-year longitudinal study. Calcif Tissue Int 71:406–415
Fuchs RK, Bauer JJ, Snow CM (2001) Jumping improves hip and lumbar spine bone mass in prepubescent children: a randomized controlled trial. J Bone Miner Res 16:148–156
MacKelvie KJ, Petit MA, Khan KM, Beck TJ, McKay HA (2004) Bone mass and structure are enhanced following a 2-year randomized controlled trial of exercise in prepubertal boys. Bone (NY) 34:755–764
Hind K, Burrows M (2007) Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlled trials. Bone (NY) 40:14–27
Naka H, Iki M, Morita A, Ikeda Y (2005) Effects of pubertal development, height, weight, and grip strength on the bone mineral density of the lumbar spine and hip in peripubertal Japanese children: Kyoto kids increase density in the skeleton study (Kyoto KIDS study). J Bone Miner Metab 23:463–469
Takahashi Y, Minamitani K, Kobayashi Y, Minagawa M, Yasuda T, Niimi H (1996) Spinal and femoral bone mass accumulation during normal adolescence: comparison with female patients with sexual precocity and with hypogonadism. J Clin Endocrinol Metab 81:1248–1253
Iki M, Kagamimori S, Kagawa Y, Matsuzaki T, Yoneshima H, Marumo F (2001) Bone mineral density of the spine, hip and distal forearm in representative samples of the Japanese female population: Japanese Population-Based Osteoporosis (JPOS) Study. Osteoporosis Int 12:529–537
Sato Y, Tamaki J, Kitayama F, Kusaka Y, Kodera Y, Koutani A, Iki M (2005) Development of a food-frequency questionnaire to measure the dietary calcium intake of adult Japanese women. Tohoku J Exp Med 207:217–222
Kemper H, Twisk W, Mechelen W, Post G, Lips P (2000) A fifteen-year longitudinal study in young adults on the relation of physical activity and fitness with the development of the bone mass: the Amsterdam Growth and Health Longitudinal Study. Bone (NY) 27:847–853
Kemper H, Laura L, Hayman M, Mahon T (2002) Chapter 4: The importance of physical activity in childhood and adolescence. In: Health and Behavior in Childhood and Adolescence. Springer, New York, p 132
Babaroutsi E, Magkos F, Manios Y, Sidossis SS (2005) Body mass index, calcium intake, and physical activity affect calcaneal ultrasound in healthy Greek males in an age-dependent and parameter-specific manner. J Bone Miner Metab 23:157–166
Hiroi M (1997) Report by the Subcommittee of Obesity and Sexual Function among Japanese Adolescent Girls in fiscal year 1995–1996: interrelationships, physique, menstrual cycle, change of body weight, and ideal body weight among Japanese adolescent girls, by way of a questionnaire (in Japanese). Acta Obstet Gynaecol Jpn 49:367–377
Gilsanz V, Wren TA (2007) Assessment of bone acquisition in childhood and adolescence. Pediatrics 119:S145–S149
Gilsanz V (1998) Bone density in children: a review of the available techniques and indications. Eur J Radiol 26:177–182
Wren TA, Liu X, Pitukcheewanont P, Gilsanz V (2005) Bone acquisition in healthy children and adolescents: comparisons of dual-energy X-ray absorptiometry and computed tomography measures. J Clin Endocrinol Metab 90:1925–1928
Bailey D, Mckay H, Mirwald R, Croker R, Faulkner R (1999) A six year longitudinal study of the relationship with physical activity to bone mineral accrual in growing children: the University of Saskatchewan bone mineral accrual study. J Bone Miner Res 14:1674–1679
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Tamaki, J., Ikeda, Y., Morita, A. et al. Which element of physical activity is more important for determining bone growth in Japanese children and adolescents: the degree of impact, the period, the frequency, or the daily duration of physical activity?. J Bone Miner Metab 26, 366–372 (2008). https://doi.org/10.1007/s00774-007-0839-8
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DOI: https://doi.org/10.1007/s00774-007-0839-8