Evidence map›Paper›PMID 26561526›Full record

ArticleBMC sports science, medicine & rehabilitation2015

Does the frequency and intensity of physical activity in adolescence have an impact on bone? The Tromsø Study, Fit Futures.

Tore Christoffersen, Anne Winther, Ole Andreas Nilsen, Luai Awad Ahmed, Anne-Sofie Furberg, Guri Grimnes, Elaine Dennison, Nina Emaus

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Vigorous physical activity patterns affect bone growth during early puberty in boys.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  10. Article
  11. The association between childhood fractures and adolescence bone outcomes: a population-based study, the Tromsø Study, Fit Futures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
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

8 authors.

Tore ChristoffersenDepartment of Health and Care Sciences, UIT The Arctic University of Norway, Forskningsparken, Sykehusveien 21, NO-9037 Tromsø, Norway ; Finnmark Hospital Trust, Alta, Norway.
Anne WintherDepartment of Health and Care Sciences, UIT The Arctic University of Norway, Forskningsparken, Sykehusveien 21, NO-9037 Tromsø, Norway ; Division of Neurosciences, Orthopedics and Rehabilitation Services, University Hospital of North Norway, Tromsø, Norway.
Ole Andreas NilsenDepartment of Health and Care Sciences, UIT The Arctic University of Norway, Forskningsparken, Sykehusveien 21, NO-9037 Tromsø, Norway.
Luai Awad AhmedDepartment of Health and Care Sciences, UIT The Arctic University of Norway, Forskningsparken, Sykehusveien 21, NO-9037 Tromsø, Norway ; Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Anne-Sofie FurbergDepartment of Community Medicine, UIT the Arctic University of Norway, Tromsø, Norway.
Guri GrimnesDivision of Internal Medicine, University Hospital of North Norway, Tromsø, Norway ; Tromsø Endocrine Research Group, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Elaine DennisonMRC Lifecourse Epidemiology Unit, Southampton, UK ; Victoria University, Wellington, New Zealand.
Nina EmausDepartment of Health and Care Sciences, UIT The Arctic University of Norway, Forskningsparken, Sykehusveien 21, NO-9037 Tromsø, Norway.

Funding

Medical Research Council G0400491Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1
6 · The paper itself

Abstract

backgroundOptimization of the genetic potential for bone accrual in early life may prevent future fractures. Possible modification factors include lifestyle factors such as nutrition and physical activity. Measured levels of bone mineral density (BMD) and bone mass content (BMC) are indicators of bone strength, and are correlated with fracture risk. This study explored the impact of self-reported physical activity frequencies and intensity on BMD and BMC in Norwegian adolescents.

methodsIn 2010-2011 school students in two North-Norwegian municipalities were invited to a health survey, the Fit Future study. 508 girls and 530 boys aged 15-18 years attended. BMD and BMC were measured by dual X-ray absorptiometry. Physical activity and other lifestyle-factors were reported by questionnaires and clinical interviews. Statistical analyses were performed sex stratified, using ANOVA for comparison of means and linear regression models adjusting for factors known to affect bone.

resultsApproximately 2/3 of girls and boys reported themselves as physically active outside school hours. Active participants had a significantly higher BMD and BMC at all sites (p < 0.001), except for BMC total body in girls, compared to inactive participants. In multiple linear regression analyses, increased physical activity measured as days a week, categorized into seldom, moderate and highly, was positively associated with BMD (g/cm(2)) at all sites in girls. Girls reporting themselves as highly active had BMD levels 0.093 g/cm(2), 0.090 g/cm(2) and 0.046 g/cm(2) higher (p < 0.001) than their more seldom active peers at femoral neck, total hip and total body respectively. Corresponding values for boys were 0.125 g/cm(2), 0.133 g/cm(2) and 0.66 g/cm(2). BMC measures showed similar trends at femoral neck and total hip.

conclusionsIncreased level of physical activity is associated with higher BMD and BMC levels in adolescents. For both sexes high activity frequency seems to be essential, whilst boys reporting quite hard intensity has an additional impact. The differential effects of physical activity on bone strength in adolescence have clinical implications, especially in preventive strategies.

Indexed as

AdolescentsBone mineral densityDXAPhysical activityPopulation-based study

Identifiers

PMID26561526
PMCPMC4641333

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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.