The Relationship of Weight-Bearing Physical Activity and Dietary Calcium Intake with Bone Mass Accrual in the Bone Mineral Density in ... View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2013-02-17

AUTHORS

Joan Lappe , Patrice Watson , Vicente Gilsanz , Heidi J. Kalkwarf , Thomas N. Hangartner , Sharon E. Oberfield , John Shepherd , Babette S. Zemel , Karen K. Winer

ABSTRACT

Background: Although it is widely accepted that dietary calcium intake (CaI) and weight-bearing physical activity (WBA) increase bone mass accrual during growth, few prospective studies have followed children from early childhood to sexual maturity to evaluate this relationship.Aims: To describe the relationship between CaI and WBA and total body bone mineral content (TBBMC) accrual in a large, multiracial cohort of children followed prospectively.Methods: Five US centers recruited 2014 healthy children (ages 5–19 years) and measured them annually for up to 7 years. Subjects with at least two annual visits are included in this analysis (944 boys, 973 girls). Assessments included TBBMC, Tanner stage, WBA, and CaI. Multiple regression was used to model annual increases in TBBMC, controlled for annualized overall height growth, Tanner stages, and baseline TBBMC. The effect of adding WBA and CaI to the model was evaluated for four subgroups: nonblack boys and girls and black boys and girls.Results: WBA had a positive association with adjusted annual increases in TBBMC in all subgroups (p < 0.05), while CaI was positively related to TBBMC increase in nonblack males and nonblack females.Conclusion: These findings support the importance of public health efforts to increase physical activity in children and adolescents while assuring adequate calcium intake. More... »

PAGES

325-333

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-4471-2769-7_31

DOI

http://dx.doi.org/10.1007/978-1-4471-2769-7_31

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050078650


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208 grid-institutes:grid.268333.f schema:alternateName BioMedical Imaging Laboratory, Wright State University, Dayton, OH, USA
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211 grid-institutes:grid.420089.7 schema:alternateName Department of Endocrinology, Nutrition, and Growth Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, Bethesda, MD, USA
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214 grid-institutes:grid.42505.36 schema:alternateName Department of Radiology, Children’s Hospital Los Angeles/University of Southern California, Los Angeles, CA, USA
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