Evidence map›Paper›PMID 39692572›Full record

ArticleMedicine and science in sports and exercise2025

Associations of Habitual Skeletal Loading with Bone Changes during the Menopausal Transition: A Follow-Up Study.

Tuuli H Suominen, Timo Rantalainen, Matti Hyvärinen, Urho M Kujala, Pauliina Aukee, Tuija H Tammelin, Eija K Laakkonen, Sarianna Sipilä

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Article in Medicine and science in sports and exercise, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Tuuli H SuominenGerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FINLAND.
Timo RantalainenGerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FINLAND.
Matti HyvärinenGerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FINLAND.
Urho M KujalaFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FINLAND.
Pauliina AukeeDepartment of Obstetrics and Gynecology, Pelvic Floor Research and Therapy Unit, The Wellbeing Services County of Central Finland, Jyväskylä, FINLAND.
Tuija H TammelinLikes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, FINLAND.
Eija K LaakkonenGerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FINLAND.
Sarianna SipiläFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FINLAND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile weight-bearing physical activity benefits bone health, it remains unclear whether physical activity can counteract hormone-driven menopausal bone deterioration. This secondary analysis of a population-based prospective follow-up study examined changes in bone health indicators around menopause and evaluated whether accelerometer-measured habitual skeletal loading is associated with these changes.

methodsA total of 189 initially perimenopausal women without estrogen therapy (mean age, 52 yr; SD, 2 yr) were followed until they became postmenopausal (mean follow-up time, 15 months; SD, 9 months). Femoral neck bone mineral density (FN BMD) and bone mineral content were measured with dual x-ray absorptiometry. Femoral and tibial shaft volumetric BMD (vBMD), cross-sectional geometry, and stress-strain index (SSI) were assessed using quantitative computed tomography in a subset of 61 women. Habitual skeletal loads (mean daily osteogenic index and low-, medium-, and high-intensity impact counts) were evaluated with multiple-day free-living accelerometry records. Longitudinal associations of habitual skeletal loads and bone outcomes were analyzed with generalized estimating equation models.

resultsConsistent decreases were observed in FN BMD and bone mineral content, and femoral and tibial shaft vBMD and SSI ( P < 0.001) over the follow-up. Slight decreases over the follow-up were also observed in osteogenic index and medium impacts in the full sample, and medium and high impact counts in the subsample ( P < 0.05). Medium impacts were associated with tibial shaft vBMD and SSI (β = 0.204; 95% confidence interval [95% CI], 0.018-0.391 and β = 0.077; 95% CI, 0.000-0.154, respectively). High impacts were associated with femoral shaft vBMD (β = 0.186; 95% CI, 0.006-0.366). However, no association was observed between habitual skeletal loads and changes in bone characteristics over the follow-up.

conclusionsWe observed a rather uniform skeletal response to the menopausal transition at all measured bone sites. Positive associations were found between medium and high-intensity impacts and bone characteristics at the femoral and tibial shafts. However, habitual skeletal loading did not seem to counteract bone deterioration during the menopausal transition.

Indexed as

Bone DensityMenopausePerimenopauseWeight-BearingAbsorptiometry, PhotonAccelerometryFemaleFemurFemur NeckFollow-Up StudiesHumansMiddle AgedProspective StudiesTibiaACCELEROMETERBMDDXAMENOPAUSEQUANTITATIVEWOMEN

Identifiers

PMID39692572
PMCPMC12147753

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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.