Evidence map›Paper›PMID 28556682›Full record

ArticlePediatric exercise science2017

Bouts of Vigorous Physical Activity and Bone Strength Accrual During Adolescence.

Leigh Gabel, Heather M Macdonald, Lindsay Nettlefold, Heather A McKay

Abstract read
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In one paragraph

Article in Pediatric exercise science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. A comparison of the associations between bone health and three different intensities of accelerometer-derived habitual physical activity in children and adolescents: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  2. Association of objectively measured physical activity and bone health in children and adolescents: a systematic review and narrative synthesis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Pooled it
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  8. The Bones of Children With Obesity.Frontiers in endocrinology · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Leigh Gabel1 University of British Columbia and Vancouver Coastal Health Research Institute.
Heather M Macdonald1 University of British Columbia and Vancouver Coastal Health Research Institute.
Lindsay Nettlefold1 University of British Columbia and Vancouver Coastal Health Research Institute.
Heather A McKay1 University of British Columbia and Vancouver Coastal Health Research Institute.

Funding

CIHR MOP-84575
6 · The paper itself

Abstract

purposeWe examined the influence of vigorous physical activity (VPA) bout frequency on bone strength accrual across adolescence, independent of total volume of VPA.

methodsWe measured VPA (6 metabolic equivalents; total volume and bout frequency <5 min in duration) annually using waist-worn accelerometers (ActiGraph GT1M) in 309 adolescents (9-20 y at baseline: 99, <13 y; 126, 13-18 y; 84, >18 y) over a maximum of 4 years. We applied finite element analysis to high-resolution peripheral quantitative computed tomography scans of the distal tibia (8% site) to estimate bone strength (failure load; F.Load, Newtons). We fit a mixed effects model with maturity offset (years from age at peak height velocity) as a random effect and sex, ethnicity, tibia length, lean body mass, and VPA (volume and bout frequency) as fixed effects.

resultsVPA volume and bout frequency were positively associated with F.Load across adolescence; however, VPA volume did not predict F.Load once VPA bout frequency was included in the model. Participants in the upper quartile of VPA bout frequency (∼33 bouts per day) had 10% (500 N) greater F.Load across adolescence compared with participants in the lowest quartile (∼9 bouts per day; P = .012). Each additional daily bout of VPA was associated with 21 N greater F.Load, independent of total volume of VPA.

conclusionFrequent VPA should be promoted for optimal bone strength accrual.

Indexed as

Bone DensityExerciseAdolescentBody CompositionBone and BonesChildFemaleHumansLongitudinal StudiesMaleaccelerometrybone healthgrowthHR-pQCTpediatric

Identifiers

PMID28556682

What OpenQuestion holds

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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.