Skip to main content
Log in

Habitual and Low-Impact Activities are Associated with Better Bone Outcomes and Lower Body Fat in Older Women

  • Published:
Calcified Tissue International Aims and scope Submit manuscript

Abstract

The influence of habitual and low-impact physical activity (PA) on bone health and soft tissue including bone-free lean (BFL) and fat mass is less elucidated than the influence of high-impact activities. This study examines the interactive effects of PA and soft tissue on bone mineral density (BMD) and content (BMC) in healthy Caucasian women, aged 68.6 ± 7.1 years, with body mass index (BMI) of 26.0 ± 3.8 kg/m2 evaluated at baseline and every 6 months for 3 years. Measurements/assessments included BMD/BMC and soft tissue (by dual-energy X-ray absorptiometry), anthropometrics, dietary intake, and PA. Activities assessed were past activity, present heavy housework, gardening, do-it-yourself activities, stair-climbing, walking, walking pace, sports/recreation, and total activity. Baseline analyses revealed significant positive associations between past activity, heavy housework, faster-paced walking, BFL, and BMD/BMC of various skeletal sites. Prospective analyses showed subjects with more walking hours/week had significantly higher BMD/BMC of several skeletal sites (P < 0.05). Stratification by cumulative (over 3 years) median for heavy housework, walking, sports/recreational, and total activities revealed higher BMD and BMC in the femur and spine (P = 0.01) in subjects with those activities above median. Multivariate analysis of covariance results revealed that weight had the strongest influence on BMD and BMC, followed by BFL. Various modes of PA were negatively associated with BMI and fat but not with BFL. In conclusion, heavy housework, walking (faster pace), sports/recreational activities, and overall total participation in low-impact PA were beneficial for bone and for achieving more favorable body weight and fat but were not associated with BFL. The results indicate that even habitual activities engaged in by older women could benefit their bone and diminish body fat.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Looker AC, Orwoll ES, Johnston CC Jr, Lindsay RL, Wahner HW, Dunn WL, Calvo MS, Harris TB, Heyse SP (1997) Prevalence of low femoral bone density in older U.S. adults from NHANES III. J Bone Miner Res 12:1761–1768

    Article  PubMed  CAS  Google Scholar 

  2. NOF’s New Clinician’s Guide to Prevention and Treatment of Osteoporosis. http://www.nof.org/professionals/Clinicians_Guide.htm. Cited July 2008

  3. Nguyen TV, Sambrook PN, Eisman JA (1998) Bone loss, physical activity, and weight change in elderly women: the Dubbo Osteoporosis Epidemiology Study. J Bone Miner Res 13:1458–1467

    Article  PubMed  CAS  Google Scholar 

  4. Frost HM (1999) Why do bone strength and “mass” in aging adults become unresponsive to vigorous exercise? Insights of the Utah paradigm. J Bone Miner Metab 17:90–97

    Article  PubMed  CAS  Google Scholar 

  5. Chien MY, Wu YT, Hsu AT, Yang RS, Lai JS (2000) Efficacy of a 24-week aerobic exercise program for osteopenic postmenopausal women. Calcif Tissue Int 67:443–448

    Article  PubMed  CAS  Google Scholar 

  6. Engelke K, Kemmler W, Lauber D, Beeskow C, Pintag R, Kalender WA (2006) Exercise maintains bone density at spine and hip EFOPS: a 3-year longitudinal study in early postmenopausal women. Osteoporos Int 17:133–142

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. Stengel SV, Kemmler W, Pintag R, Beeskow C, Weineck J, Lauber D, Kalender WA, Engelke K (2005) Power training is more effective than strength training for maintaining bone mineral density in postmenopausal women. J Appl Physiol 99:181–188

    Article  PubMed  CAS  Google Scholar 

  9. Coupland CAC, Cliffe SJ, Bassey EJ, Grainge MJ, Hosking DJ, Chilvers CED (1999) Habitual physical activity and bone mineral density in postmenopausal women in England. Int J Epidemiol 28:241–246

    Article  PubMed  CAS  Google Scholar 

  10. Devine A, Dhaliwal SS, Dick IM, Bollersiev J, Prince RL (2004) Physical activity and calcium consumption are important determinants of lower limb bone mass in older women. J Bone Miner Res 19:1634–1639

    Article  PubMed  CAS  Google Scholar 

  11. Hagberg JM, Zmuda JM, McCole SD, Rodgers KS, Ferrell RE, Wilund KR, Moore GE (2001) Moderate physical activity is associated with higher bone mineral density in postmenopausal women. J Am Geriatr Soc 49:1411–1417

    Article  PubMed  CAS  Google Scholar 

  12. Ilich-Ernst J, Brownbill RA, Ludemann MA, Fu R (2002) Critical factors for bone health in women across the age span: how important is muscle mass? Medscape Women’s Health eJournal 7. http://www.medscape.com/viewarticle/432910

  13. Feskanich D, Willett W, Colditz G (2002) Walking and leisure-time activity and risk of hip fracture in postmenopausal women. JAMA 288:2300–2306

    Article  PubMed  Google Scholar 

  14. Kemmler W, Engelke K, Weineck J, Hensen J, Kalender WA (2003) The Erlangen Fitness Osteoporosis Prevention Study: a controlled exercise trial in early postmenopausal women with low bone density-first-year results. Arch Phys Med Rehabil 84:673–682

    PubMed  Google Scholar 

  15. Korpelainen R, Keinanen-Kiukaanniemi S, Heikkinen J, Vaananen K, Korpelainen J (2006) Effect of impact exercise on bone mineral density in elderly women with low BMD: a population-based randomized controlled 30-month intervention. Osteoporos Int 17:109–118

    Article  PubMed  Google Scholar 

  16. Humphries B, Newton RU, Bronks R, Marshal S, McBride J, Tripplet-McBride T, Hakkinen K, Kraemer WJ, Humphries N (2000) Effect of exercise intensity on bone density, strength, and calcium turnover in older women. Med Sci Sports Exerc 32:1043–1050

    Article  PubMed  CAS  Google Scholar 

  17. Jessup JV, Horne C, Vishen RK, Wheeler D (2003) Effects of exercise on bone density, balance and self-efficacy in older women. Biol Res Nurs 4:171–180

    Article  PubMed  Google Scholar 

  18. Lindsey C, Brownbill RA, Bohannon RA, Ilich JZ (2005) Association of physical performance measures with bone mineral density in postmenopausal women. Arch Phys Med Rehabil 86:1102–1107

    Article  PubMed  Google Scholar 

  19. Bedogni G, Mussi C, Malavolti M, Borghi A, Poli M, Battistini N, Salvioli G (2002) Relationship between body composition and bone mineral content in young and elderly women. Ann Hum Biol 29:559–565

    Article  PubMed  CAS  Google Scholar 

  20. Douchi T, Yamamoto S, Oki T, Maruta K, Kuwahata R, Yamasaki H, Nagata Y (2000) Difference in the effect of adiposity on bone density between pre- and postmenopausal women. Maturitas 34:261–266

    Article  PubMed  CAS  Google Scholar 

  21. Gillette-Guyonnet S, Nourhashemi F, Lauque S, Grandjean H, Vellas B (2000) Body composition and osteoporosis in elderly women. Gerontology 46:189–193

    Article  PubMed  CAS  Google Scholar 

  22. Institute of Medicine (1997) Dietary reference intakes for calcium, phosphorous, magnesium, vitamin D. and fluoride. National Academy Press, Washington, DC, pp 71–145

    Google Scholar 

  23. World Health Organization (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of WHO study group, 843. World Health Organization, Geneva, pp 1–129

    Google Scholar 

  24. Ilich JZ, Brownbill RA, Tamborini L (2003) Bone and nutrition in elderly women: protein, energy, and calcium as main determinants of bone mineral density. Eur J Clin Nutr 57:554–565

    Article  PubMed  CAS  Google Scholar 

  25. Ilich JZ, Zito M, Brownbill RA, Joyce M (2000) Change in bone mass after Colles’ fracture: a case report of unique data collection and long term implications. J Clin Densitom 3:383–389

    Article  PubMed  CAS  Google Scholar 

  26. Health Education Authority of London Sports Council (1992) The Allied Dunbar National Fitness Survey. Sports Council, London, pp 195–206

    Google Scholar 

  27. Vuillemin A, Guillemin F, Jouanny P, Denis G, Jeandel C (2001) Differential influence of physical activity on lumbar spine and femoral neck bone mineral density in the elderly population. J Gerontol A Biol Sci Med Sci 56:B248–B253

    PubMed  CAS  Google Scholar 

  28. Aoyagi K, Ross PD, Hayashi T, Okano K, Moji K, Sasayama H, Yahata Y, Takemoto T (2000) Calcaneus bone mineral density is lower among men and women with lower physical performance. Calcif Tissue Int 67:106–110

    Article  PubMed  CAS  Google Scholar 

  29. Hatori M, Hasegawa A, Adachi H, Shinozaki A, Hayashi R, Okano H, Mizunuma H, Murata K (1993) The effects of walking at the anaerobic threshold level on vertebral bone loss in postmenopausal women. Calcif Tissue Int 52:411–414

    Article  PubMed  CAS  Google Scholar 

  30. Brooke-Wavell K, Jones PR, Hardman AE, Tsuritan, Yamada Y (2001) Commencing, continuing and stopping brisk walking: effects on bone mineral density, quantitative ultrasound of bone and markers of bone metabolism in postmenopausal women. Osteoporos Int 12:581–587

  31. Gutin B, Kasper MJ (1992) Can vigorous exercise play a role in osteoporosis prevention? A review. Osteoporos Int 2:55–69

    Article  PubMed  CAS  Google Scholar 

  32. Brooke-Wavell K, Jones PR, Hardman AE (1997) Brisk walking reduces calcaneal bone loss in post-menopausal women. Clin Sci 92:75–80

    PubMed  CAS  Google Scholar 

  33. Kaptoge S, Jakes RW, Dalzell N, Wareham N, Khaw KT, Loveridge N, Beck TJ, Reeve J (2007) Effects of physical activity on evolution of proximal femur structure in a younger elderly population. Bone 40:506–515

    Article  PubMed  CAS  Google Scholar 

  34. Brownbill RA, Lindsey C, Crncevic-Orlic Z, Ilich JZ (2003) Dominant and non-dominant hip in postmenopausal women: geometry, bone mineral density, and effect of physical activity. Calcif Tissue Int 73:217–224

    Article  PubMed  CAS  Google Scholar 

  35. Stewart KJ, Deregis JR, Turner KL, Bacher AC, Sung J, Hees PS, Tayback M, Ouyang P (2002) Fitness, fatness and activity as predictors of bone mineral density in older persons. J Intern Med 252:381–388

    Article  PubMed  CAS  Google Scholar 

  36. Gerdham P, Ringsberg KA, Akesson K, Obrant KJ (2003) Influence of muscle strength, physical activity and weight on bone mass in a population-based sample of 1004 elderly. Osteoporos Int 14:768–772

    Article  Google Scholar 

  37. Makovey J, Naganathan V, Sambrook P (2005) Gender differences in relationships between body composition components, their distribution and bone mineral density: a cross-sectional opposite sex twin study. Osteoporos Int 16:1495–1505

    Article  PubMed  Google Scholar 

  38. Proctor DN, Melton LJIII, Khosla S, Crowson CS, O’Connor MK, Riggs BL (2000) Relative influence of physical activity, muscle mass and strength on bone density. Osteoporos Int 11:944–952

    Article  PubMed  CAS  Google Scholar 

  39. 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. JAMA 272:1909–1914

    Article  PubMed  CAS  Google Scholar 

  40. Ryan AS, Ivey FM, Hurlbut DE, Martel GF, Lemmer JT, Sorkin JD, Metter EJ, Fleg JL, Hurley BF (2004) Regional bone mineral density after resistive training in young and older men and women. Scan J Med Sci Sports 14:16–23

    Article  Google Scholar 

  41. Turner CH, Robling AG (2005) Mechanisms by which exercise improves bone strength. J Bone Miner Res 23(Suppl):16–22

    CAS  Google Scholar 

Download references

Acknowledgements

We are in debt to all participants of the study and their tireless efforts to comply with the protocols and remain in the study as long as they could. This work was funded in part by the NRI/USDA (2001–00836), Donaghue Medical Research Foundation (DF98-056), University of Connecticut Office for Sponsored Programs, and Mission Pharmacal.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jasminka Z. Ilich.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ilich, J.Z., Brownbill, R.A. Habitual and Low-Impact Activities are Associated with Better Bone Outcomes and Lower Body Fat in Older Women. Calcif Tissue Int 83, 260–271 (2008). https://doi.org/10.1007/s00223-008-9171-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00223-008-9171-0

Keywords

Navigation