ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2026
Are birth characteristics related to bone quality measures in young adults? The HUNT study, Norway.
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, 2026. 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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Abstract
This population-based study investigated the association between birth characteristics and DXA-derived bone quality in 2,680 young adults (aged 20-54 years). Higher birth weight and length were positively associated with bone strength measures, while associations with buckling ratio and hip axis length were weaker and less consistent. PURPOSE: To investigate the association between birth characteristics and bone quality indicators from dual-energy X-ray absorptiometry (DXA) in young adults.
methodsThis population-based study included 2,680 participants (60% women), aged 20-54 years, from the Trøndelag Health Study (HUNT3 and HUNT4), linked with birth data from the Medical Birth Registry of Norway. Birth characteristics included birth weight, birth length, and birth weight relative to gestational age and sex (categorized as small, appropriate, or large for gestational age). Linear regressions assessed associations with bone quality measures, including cross-sectional area, cross-sectional moment of inertia, buckling ratio, and hip axis length. Analyses were adjusted for sex, birth year, age at DXA scan, gestational length, and adult height (for buckling ratio and hip axis length). Additional analyses included bone mineral density (BMD) to assess direct effects.
resultsHigher birth weight and length were positively associated with cross-sectional area and cross-sectional moment of inertia. For each SD increase in birth weight and length, CSA increased by 4.33 and 4.29 mm
conclusionBirth characteristics are associated with both bone strength and geometry in young adulthood. These associations are partly independent of BMD, highlighting the value of DXA-derived bone quality measures in assessing skeletal health.
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