Evidence map›Paper›PMID 26713753›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2016

Motor Competence in Early Childhood Is Positively Associated With Bone Strength in Late Adolescence.

Alex Ireland, Adrian Sayers, Kevin C Deere, Alan Emond, Jon H Tobias

Open access · hybridAbstract 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, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Age at Onset of Walking in Infancy Is Associated With Hip Shape in Early Old Age.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
    Trial
  4. Review
  5. Article
  6. Review
  7. Motor development in infancy and spine shape in early old age: Findings from a British birth cohort study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    Article
  8. Article
  9. Observational
  10. Breech presentation is associated with lower adolescent tibial bone strength.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  11. Article
  12. Breech presentation is associated with lower bone mass and area: findings from the Southampton Women's Survey.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
  13. Article
  14. Exercise for osteoporosis: how to navigate between overeagerness and defeatism.Journal of musculoskeletal & neuronal interactions · 2017
    Article
  15. Review
  16. The functional muscle-bone unit in children with cerebral palsy.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  17. Later Age at Onset of Independent Walking Is Associated With Lower Bone Strength at Fracture-Prone Sites in Older Men.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    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

5 authors at 2 institutions in 1 country.

Alex IrelandSchool of Healthcare Science, Manchester Metropolitan University, Manchester, UK.
Adrian SayersSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Kevin C DeereSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Alan EmondSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Jon H TobiasSchool of Clinical Sciences, University of Bristol, Bristol, UK.
University of Bristol · GBManchester Metropolitan University · GB

Funding

Medical Research Council G9815508Medical Research Council MC_PC_15018Wellcome Trust 084632Wellcome Trust 102215
6 · The paper itself

Abstract

The onset of walking in early childhood results in exposure of the lower limb to substantial forces from weight bearing activity that ultimately contribute to adult bone strength. Relationships between gross motor score (GMS), at 18 months and bone outcomes measured at age 17 years were examined in 2327 participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). Higher GMS indicated greater motor competence in weight-bearing activities. Total hip bone mineral density (BMD) and hip cross-sectional moment of inertia (CSMI) were assessed from dual-energy X-ray absorptiometry (DXA). Bone measures including cortical bone mineral content (BMC), periosteal circumference (PC), cortical thickness (CT), cortical bone area (CBA), cortical BMD (BMDC ) and cross-sectional moment of inertia (CSMI) were assessed by peripheral quantitative computed tomography (pQCT) at 50% distal-proximal length. Before adjustment, GMS was associated with hip BMD, CSMI, and tibia BMC, PC, CT, CBA and CSMI (all p < 0.001) but not BMDC (p > 0.25). Strongest associations (standardized regression coefficients with 95% CI) were between GMS and hip BMD (0.086; 95% CI, 0.067 to 0.105) and tibia BMC (0.105; 95% CI, 0.089 to 0.121). With the exception of hip BMD, larger regression coefficients were observed in males (gender interactions all p < 0.05). Adjustment for lean mass resulted in substantial attenuation of regression coefficients, suggesting associations between impaired motor competence and subsequent bone development are partly mediated by alterations in body composition. In conclusion, impaired motor competence in childhood is associated with lower adolescent bone strength, and may represent a risk factor for subsequent osteoporosis. © 2015 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research (ASBMR).

Indexed as

Cortical BoneFemur HeadTomography, X-Ray ComputedAdolescentAdolescent DevelopmentBone DensityChildChild DevelopmentChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleMotor ActivityALSPACBODY COMPOSITIONBONE MINERAL DENSITYMOTOR CONTROL

Identifiers

PMID26713753
PMCPMC4864944
OpenAlexW2220987289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.