Evidence map›Paper›PMID 25130421›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2015

The longitudinal effects of physical activity and dietary calcium on bone mass accrual across stages of pubertal development.

Joan M Lappe, Patrice Watson, Vicente Gilsanz, Thomas Hangartner, Heidi J Kalkwarf, Sharon Oberfield, John Shepherd, Karen K Winer, Babette Zemel

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Pooled it
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  9. Biological Benchmarks for Adult Bone Mass Proportions in Young Females: A Prospective Longitudinal Analysis.American journal of human biology : the official journal of the Human Biology Council · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Joan M LappeCreighton University, Omaha, NE, USA.
Patrice Watson
Vicente Gilsanz
Thomas Hangartner
Heidi J Kalkwarf
Sharon Oberfield
John Shepherd
Karen K Winer
Babette Zemel
Creighton University · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USColumbia University · USNational Institutes of Health · USWright State University · US

Funding

ZIDOVUDINE VS 2',3'DIDEHYDRO-3'DEOXYTHYMIDINE IN CHILDRENM01RR000240 · NCRR · CHILDREN'S HOSP OF PHILADELPHIA · PI ALTSCHULER, STEVEN M · 1985 to 2006
$15.3M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
NCRR NIH HHS 5M01‐RR‐000240NCRR NIH HHS M01 RR000240NCRR NIH HHS UL1 RR026314NCRR NIH HHS UL1RR‐026314NICHD NIH HHS N01-HD-13228NICHD NIH HHS N01-HD-13229NICHD NIH HHS N01-HD-13330NICHD NIH HHS N01-HD-13331NICHD NIH HHS N01-HD-13332NICHD NIH HHS N01-HD-13333
6 · The paper itself

Abstract

Childhood and adolescence are critical periods of bone mineral content (BMC) accrual that may have long-term consequences for osteoporosis in adulthood. Adequate dietary calcium intake and weight-bearing physical activity are important for maximizing BMC accrual. However, the relative effects of physical activity and dietary calcium on BMC accrual throughout the continuum of pubertal development in childhood remains unclear. The purpose of this study was to determine the effects of self-reported dietary calcium intake and weight-bearing physical activity on bone mass accrual across the five stages of pubertal development in a large, diverse cohort of US children and adolescents. The Bone Mineral Density in Childhood study was a mixed longitudinal study with 7393 observations on 1743 subjects. Annually, we measured BMC by dual-energy X-ray absorptiometry (DXA), physical activity and calcium intake by questionnaire, and pubertal development (Tanner stage) by examination for up to 7 years. Mixed-effects regression models were used to assess physical activity and calcium intake effects on BMC accrual at each Tanner stage. We found that self-reported weight-bearing physical activity contributed to significantly greater BMC accrual in both sexes and racial subgroups (black and nonblack). In nonblack males, the magnitude of the activity effect on total body BMC accrual varied among Tanner stages after adjustment for calcium intake; the greatest difference between high- and low-activity boys was in Tanner stage 3. Calcium intake had a significant effect on bone accrual only in nonblack girls. This effect was not significantly different among Tanner stages. Our findings do not support differential effects of physical activity or calcium intake on bone mass accrual according to maturational stage. The study demonstrated significant longitudinal effects of weight-bearing physical activity on bone mass accrual through all stages of pubertal development.

Indexed as

Absorptiometry, PhotonAdolescentAdultBone DensityBone DevelopmentCalcium, DietaryChildChild, PreschoolFemaleHumansLongitudinal StudiesMaleMotor ActivityPubertyCalcium, DietaryADOLESCENCEBONE MASS ACCRUALCALCIUM INTAKEPHYSICAL ACTIVITYPUBERTYTANNER STAGE

Identifiers

PMID25130421
PMCPMC4280289
OpenAlexW1541742614

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.