Evidence map›Paper›PMID 34510230›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

Examining effects of habitual physical activity and body composition on bone structure in early post-menopausal women: a pQCT analysis.

L E Flores, S Nelson, N Waltman, K Kupzyk, J Lappe, L Mack, L D Bilek

Abstract read
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In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Obesity and lipid metabolism in the development of osteoporosis (Review).International journal of molecular medicine · 2024
    Review
  5. Review
  6. 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

7 authors at 3 institutions in 1 country.

L E FloresCollege of Allied Health Professions, 984000 Nebraska Medical Center, Omaha, NE, 68198-4000, USA. laura.flores@unmc.edu.
S NelsonCollege of Allied Health Professions, 984000 Nebraska Medical Center, Omaha, NE, 68198-4000, USA.
N WaltmanLincoln Division, University of Nebraska Medical Center College of Nursing, Lincoln, NE, USA.
K KupzykCenter for Nursing Science, University of Nebraska Medical Center, Omaha, NE, USA.
J LappeCreighton Osteoporosis Research Center, Omaha, NE, USA.
L MackDiabetes, Endocrinology, & Metabolism, Nebraska Medicine, Omaha, NE, USA.
L D BilekCollege of Allied Health Professions, 984000 Nebraska Medical Center, Omaha, NE, 68198-4000, USA.
Nebraska Medical Center · USUniversity of Nebraska Medical Center · USCreighton University · US

Funding

Bone Loading Exercises versus Risedronate on Bone Health in Post-Menopausal womenR01NR015029 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BILEK, LAURA DIANE, WALTMAN, NANCY L · 2014 to 2018
$3.3M
NIH HHS R01NR015029
6 · The paper itself

Abstract

After menopause, bones decline in structure and can break more easily. Physical activity can strengthen bones. This study investigated how activity and body composition can impact bone structure in post-menopausal women. Higher levels of physical activity were positively associated with bone structure at the lower leg. PURPOSE: The menopausal transition is characterized by dramatic bone loss, leading to an increased risk of fracture. Few studies have examined how modifiable risk factors influence bone structure. Thus, the objective of this cross-sectional study was to examine the relationship between habitual physical activity (PA), body composition, and bone structure in post-menopausal women with low bone mass.

methodsData was analyzed from 276 post-menopausal women with low bone mass enrolled in the Heartland Osteoporosis Prevention Study. Body composition and bone structure measures were collected using dual X-ray absorptiometry (DXA) and peripheral quantitative computed tomography (pQCT) at the tibia. Habitual PA was collected using the Human Activity Profile questionnaire. Multiple regression analysis was used to determine the relative impact of habitual PA and body composition on bone structure measures (density, area, and strength). Direct and/or indirect effects of PA on bone outcomes were assessed by path analysis.

resultsMean (± SD) age of participants was 54.5 (± 3.2) years and average BMI was 25.7 (± 4.7). Mean T-score of the total lumber spine and hip were - 1.5 (± .6) and - 0.8 (± .59), respectively, with all women classified with low bone mass. Habitual PA had a significant positive effect on bone area and strength measures at the 66% site, and trend effects at the 4% site. Lean mass had a significant positive effect on area and strength at the 66% site and 4% site. Fat mass showed no effect at the 66% site, with a positive effect on density and strength at the 4% site.

conclusionIncreased habitual activity was related to improved bone structure of the tibia. Our results in post-menopausal women emphasize that PA and lean mass preservation are important for maintaining bone structure in the years following menopause.

Indexed as

Bone DensityPostmenopauseAbsorptiometry, PhotonBody CompositionCross-Sectional StudiesExerciseFemaleHumansMiddle AgedBone StructureExerciseMenopauseOsteopeniaOsteoporosis

Identifiers

PMID34510230
OpenAlexW3200591619

What OpenQuestion holds

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Registered trials

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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.