ArticleEuropean journal of pediatrics2020
The impact of diet, body composition, and physical activity on child bone mineral density at five years of age-findings from the ROLO Kids Study.
Article in European journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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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.
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.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association between sedentary behavior and bone mass, microstructure and strength in children, adolescents and young adults: a systematic review.BMC public health · 2024Pooled it
- Association between Body Composition and Bone Mineral Density in Children and Adolescents: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- No effect of maternal calcium intake and bone resorption during pregnancy on offspring bone mineral density at age 5 years.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Trial
- Trial
- Assessing Bone and Adipose Tissue Biomarkers in 5-6-Year-Old Polish Children Adhering to Vegetarian and Traditional Diets.Nutrients · 2026Article
- Early-life nutritional status as a determinant of bone density and hip joint morphology in children.Frontiers in nutrition · 2026Article
- Triglycerides-Total Cholesterol-Body Weight Index, bone metabolism indicators and bone mineral density in Chinese children: a mediation analysis.European journal of nutrition · 2025Observational
- Association of bone turnover C-terminal telopeptide levels, 25-hydroxyvitamin D concentrations and calcium intake in Malaysian adolescents.Frontiers in nutrition · 2025Article
- Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study.BMC pediatrics · 2024Observational
- Associations between family factors and physical activity clustering in preschool children: a cross-sectional study.Frontiers in public health · 2024Article
- Assessment of Bone Health Using Dual-Energy X-Ray Absorptiometry (DEXA) And Its Association with Dietary Intakes, Serum Vitamin D Levels, and Anthropometric Measures in Healthy Urban Preschool Children.Indian journal of pediatrics · 2023Article
- Health Outcomes of Judo Training as an Organized Physical Activity for Children and Adolescents: A Literature Review.Children (Basel, Switzerland) · 2023Review
- Drug Treatment of Low Bone Mass and Other Bone Conditions in Pediatric Patients.Paediatric drugs · 2022Review
- A 15-year follow-up study of hip bone mineral density and associations with leisure time physical activity. The Tromsø Study 2001-2016.PloS one · 2022Article
- The Relationship between Body Composition and Bone Mineral Density of Female Workers in A Unit of Tai'an.Computational and mathematical methods in medicine · 2022Article
- Influence of dietary patterns and physical activity on bone mineral content and density, osteoporosis among children with stimulant use.Frontiers in pediatrics · 2022Article
- Prevalence and Trends of Physical Activity in Thai Children and Young People: Pooled Panel Data Analysis from Thailand's Surveillance on Physical Activity 2012-2020.International journal of environmental research and public health · 2021Article
- Early Nutrition during Hospitalization in Relation to Bone Health in Preterm Infants at Term Age and Six Months Corrected Age.Nutrients · 2021Article
- Bone Mineral Density in Adolescent Boys: Cross-Sectional Observational Study.International journal of environmental research and public health · 2020Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Bone health is extremely important in early childhood because children with low bone mineral density (BMD) are at a greater risk of bone fractures. While physical activity and intake of both calcium and vitamin D benefit BMD in older children, there is limited research on the determinants of good bone health in early childhood. The aim of this cross-sectional study was to investigate the impact of diet, physical activity, and body composition on BMD at five years of age. Dietary intakes and physical activity levels were measured through questionnaires. Whole body BMD was measured by dual-energy X-ray absorptiometry in 102 children. Child weight, height, circumferences, skinfolds and serum 25-hydroxyvitamin D (25OHD) concentrations were assessed. There was no association between BMD and dietary calcium, dietary vitamin D, 25OHD, physical activity, or sedentary behaviour. Several measures of body composition were significantly positively associated with BMD; however, neither fat mass nor lean body mass was associated with BMD.Conclusion: Although we found no association between self-reported dietary and lifestyle factors and bone health in early years, increased body size was linked with higher BMD. These findings are important as identifying modifiable factors that can improve bone health at a young age is of utmost importance.What is Known:• Bone health is extremely important in early childhood, as children with low bone mineral density (BMD) are at greater risk of bone fractures.• Physical activity has been found to be beneficial for bone health in adolescents, and body composition has also been associated with BMD in teenage years.• Limited research on the determinants of good bone health in early childhood.What is New:• No association between self-reported lifestyle and dietary factors with bone health in early childhood.• Increased body size was associated with higher BMD at five years of age.
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