ArticlePloS one2018
Modifiable factors associated with bone health in Malaysian adolescents utilising calcaneus quantitative ultrasound.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- Development and Evaluation of an e-Book for Bone Health and Osteoporosis Education in Adolescents.Nutrients · 2023Article
- Quality of energy intake in Malaysian adolescents: prevalence, characteristics, determinants and impact of implausible reporters.Public health nutrition · 2023Article
- Effects of 8-week High-Intensity Interval Training and Moderate-Intensity Continuous Training on Bone Metabolism in Sedentary Young Females.Journal of exercise science and fitness · 2022Article
- Lifestyle indices of body composition and obesity risk and prevalence among multi-ethnic adolescents in Malaysia.Frontiers in pediatrics · 2022Article
- Factors associated with bone health status of Malaysian pre-adolescent children in the PREBONE-Kids Study.BMC pediatrics · 2021Article
- Reliability of Self-Administered Questionnaire on Dietary Supplement Consumption in Malaysian Adolescents.Nutrients · 2020Article
- Cross-sectional and longitudinal associations between physical activity, sedentary behaviour and bone stiffness index across weight status in European children and adolescents.The international journal of behavioral nutrition and physical activity · 2020Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Maximizing bone mineral accrual to attain an optimal peak bone mass (PBM), particularly during adolescence, appears to be an effective protective strategy in the prevention of osteoporosis. This study aimed to evaluate the influence of physical activity (PA), fat mass (FM), lean mass (LM), body mass index (BMI), calcium, or combination of vitamin D supplement intake, smoking and alcohol drinking status on bone health assessed by calcaneus quantitative ultrasound (QUS) in a healthy adolescent population. The participants comprised of 920 male and female secondary school adolescents aged 15-17 years old. Quantitative ultrasound measurements of the left heel were performed using Lunar Achilles EX II, which included results of broadband ultrasound attenuation (BUA), speed of sound (SOS), and a calculated stiffness index (SI). Multivariable linear regression analyses revealed that-PA was positively associated with all three QUS indices in both genders; BMI was positively associated with SI and SOS in females; LM was positively associated with BUA in both genders; and FM was negatively associated with SI in females. These variables accounted for 32.1%, 21.2% and 29.4% of females' SOS, BUA and SI variances (p<0.001), respectively and 23.6%, 15.4% and 17.2% of males' SOS, BUA and SI variances (p<0.001), respectively. Promoting health benefits from physical activity could influence bone status and consequently improve PBM, which is a potent protective determinant against osteoporosis in adulthood.
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