Abstract
The importance of a physically active lifestyle as a preventive measure for maintaining bone mass is often stressed. The aim of this study was to evaluate the effect of everyday physical activity on bone mass from young adulthood to old age in 75-year-old women. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry technique in total body, hip (femoral neck and trochanter), and spine (LII–LIV) in a population-based cohort of 995 women, all 75 years old. Each woman responded to a questionnaire giving an estimate of the previous and present physical activity level at work and leisure time from youth and up to the present age of 75 years. No correlations were found between the different estimates of physical activity level and BMD. In a multiple regression analysis the different estimates of physical activity level did not have any combined effect on BMD in any of the skeletal regions measured; neither did the physical activity, previous or present, differ when the subgroup of women with a BMD in the highest quintile at all sites was compared with women with a BMD in the lowest quintile. The activity level in the various areas of life did not correlate to each other indicating that few women had chosen a generally active vs non-active lifestyle. A hypothetical positive effect on bone by one activity could therefore be diminished by another. The answer alternatives were mostly not normally distributed, which could also affect the results, making it difficult to identify women with extremely high or low physical activity level. In conclusion, the results from this study of randomly selected elderly women cannot confirm an effect of previous and present everyday physical activity on bone mass. Neither was it possible to find an effect of physical activity in those women with the highest BMD at all sites, suggesting that other factors are of greater importance for maintaining bone mass in elderly women.
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References
Alfredson H, Nordström P, Lorentzon R (1997) Aerobic workout and bone mass in females. Scand J Med Sci Sports 7:336–341
Valdimarson O, Kristinsson JO, Stefansson SO, Valdimarsson S, Sigurdsson G (1999) Lean mass and physical activity as predictors of bone mineral density in 16- to 20-year-old women. J Intern Med 245:489–496
Söderman K, Bergström E, Lorentzon R, Alfredson H (2000) Bone mass and muscle strength in young female soccer players. Calcif Tissue Int 67:297–303
Dalsky GP, Stocke KS, Ehsani AA, Slatopolsky E, Lee WC, Birge SJ Jr (1988) Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. Ann Intern Med 108:824–828
Nelson ME, Fiatarone MA, Morganti CM, Trice I, Greenberg RA, Evans WJ (1994) Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. J Am Med Assoc 272:1909–1914
Kerr D, Morton A, Dick I, Prince R (1996) Exercise effects on bone mass in postmenopausal women are site-specific and load-dependent. J Bone Miner Res 11:218–225
Kerr D, Ackland T, Maslen B, Morton A, Prince R (2001) Resistance training over 2 years increases bone mass in calcium-replete postmenopausal women. J Bone Miner Res 16:175–181
Kohrt WM, Ehsani AA, Birge SJ Jr (1997) Effects of exercise involving predominantly either joint-reaction or ground-reaction forces on bone mineral density in older women. J Bone Miner Res 12:1253–1261
Karlsson M, Lindén C, Karlsson C, Johnell O, Obrant KJ, Seeman E (2000) Exercise during growth and bone mineral density and fractures in old age. Lancet 355:469–470
Karlsson MK, Johnell O, Obrant KJ (1995) Is bone mineral density advantage maintained long-term in previous weight lifters? Calcif Tissue Int 57:325–328
Jónsson B (1993) Life style and fracture risk. Thesis, Lund University, Lund, pp 39–56
Jónsson B, Gardsell P, Johnell O, Sernbo I, Gullberg B (1993) Life-style and different fracture prevalence: a cross-sectional comparative population-based study. Calcif Tissue Int 52:452–533
Snow-Harter C, Bouxsein ML, Lewis BT, Carter DR, Marcus R (1999) Effects of resistance and endurance exercise on bone mineral status of young women: a randomized exercise intervention trial. J Bone Miner Res 7:761–769
Lohman T, Going S, Pamenter R et al. (1995) Effects of resistance training on regional and total bone mineral density in premenopausal women: a randomized prospective study. J Bone Miner Res 10:1015–1024
Kelley GA (1998) Aerobic exercise and bone density at the hip in postmenopausal women: a meta-analysis. Prev Med 27:798–807
Rutherford OM (1999) Is there a role for exercise in the prevention of osteoporotic fractures? Br J Sports Med 33:378–386
Karlsson M, Bass S, Seeman E (2001) The evidence that exercise during growth or adulthood reduces the risk for fragility fractures is weak. Best Practice Clin Res 15:429–450
Hannan MT, Felson DT, Dawson-Hughes B et al. (2000) Risk factors for longitudinal bone loss in elderly men and women: The Framingham Osteoporosis Study. J Bone Miner Res 15:710–719
Puntila E, Kröger H, Lakka T, Tuppurainen M, Jurvelin J, Honkanen R (2001) Leisure-time physical activity and rate of bone loss among peri- and postmenopausal women: a longitudinal study. Bone 29:442–446
Blair SN, Dowda M, Pate RR et al. (1991) Reliability of long-term recall of participation in physical activity by middle-aged men and women. Am J Epidemiol 133:266–275
Falkner KL, Trevisan M, McCann SE (1999) Reliability of recall of physical activity in the distant past. Am J Epidemiol 150:195–205
Slattery ML, Jacobs DR Jr (1995) Assessment of ability to recall physical activity of several years ago. Ann Epidemiol 5:292–296
Gardsell, Johnell O, Nilsson BE, Sernbo I (1991) Bone mass in an urban and a rural population: a comparative, population based study in southern Sweden. J Bone Miner Res 6:67–75
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Financial support was obtained from the Swedish Medical Research Council, Trygg-Hansa Research Fund, Malmö University Hospital Research Funds, and the Greta and Johan Kock Foundation.
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Gerdhem, P., Åkesson, K. & Obrant, K.J. Effect of previous and present physical activity on bone mass in elderly women. Osteoporos Int 14, 208–212 (2003). https://doi.org/10.1007/s00198-002-1362-3
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DOI: https://doi.org/10.1007/s00198-002-1362-3