Osteoporosis International

, Volume 17, Issue 12, pp 1763–1771

Quantitative ultrasound variables of the heel in Finnish men aged 18–20 yr: predictors, relationship to bone mineral content, and changes during military service

  • V.-V. Välimäki
  • E. Löyttyniemi
  • M. J. Välimäki
Original Article



Determinants of BUA and SOS and their changes during military service-associated physical training were studied in 196 army recruits and 50 control men, aged 18–20 years.


Heel ultrasound measurement, DXA, muscle strength test, Cooper’s running test and genetic analyses were performed. Lifestyle factors were recorded. Sex steroids and bone turnover markers were determined. Heel ultrasound was repeated after six months.


Exercise was the most significant determinant of both BUA (p<0.0001) and SOS (p<0.0001). There were 10% and 1.3% differences in BUA (p=0.006) and SOS (p=0.0001), respectively, between men belonging to the lowest and highest quartiles of exercise index. Weight associated with BUA (p=0.005) and height with SOS (p=0.03). BUA and SOS correlated with BMC and BMD (p<0.0001) but explained only up to 21% of their variance. Over six months SOS increased more in recruits than in control men (p=0.0043), the increase being higher, the lower muscle strength at baseline (r =−0.27, p=0.0028).


Exercise is the most important determinant of ultrasonographic variables in men, aged 18–20 years. Physical loading during military training increases SOS.


Bone markers Bone mineral content Bone mineral density Exercise Polymorphism Quantitative ultrasound 

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2006

Authors and Affiliations

  • V.-V. Välimäki
    • 1
  • E. Löyttyniemi
    • 2
  • M. J. Välimäki
    • 1
  1. 1.Division of Endocrinology, Department of MedicineHelsinki University Central HospitalHelsinkiFinland
  2. 2.Department of StatisticsUniversity of TurkuTurkuFinland

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