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Compositional Influence of Movement Behaviors on Bone Health during Aging

RODRÍGUEZ-GÓMEZ, IRENE1,2; MAÑAS, ASIER1,2; LOSA-REYNA, JOSÉ1,2,3; RODRÍGUEZ-MAÑAS, LEOCADIO2,4; CHASTIN, SEBASTIEN F. M.5,6; ALEGRE, LUIS M.1,2; GARCÍA-GARCÍA, FRANCISCO J.2,3; ARA, IGNACIO1,2

Medicine & Science in Sports & Exercise: August 2019 - Volume 51 - Issue 8 - p 1736–1744
doi: 10.1249/MSS.0000000000001972
APPLIED SCIENCES
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Introduction and Purpose Physical activity (PA) is considered the best nonpharmacological treatment for the decrease in bone mass (BM) produced during aging. Therefore, it is essential to assess how the time spent in PA is distributed to control further changes. This work examines the relationship between movement behaviors and BM during aging, using compositional data analysis.

Methods We studied 227 older people 65 to 94 yr old (102 men and 125 women), divided by sex and bone status, over a period of 4 yr. Time spent in sedentary behavior (SB), light PA (LPA), and moderate to vigorous PA (MVPA), was assessed using accelerometry. BM was determined by dual-energy x-ray absorptiometry.

Results The changes in MVPA were positively associated with the rate of BM decay at spine and leg in the whole sample and men’s subgroup (P ≤ 0.05). In women, the rate of BM decay at spine and Ward’s triangle were negatively associated with SB changes, and BM decay at femoral neck and Ward’s triangle were positively associated with LPA (P ≤ 0.05).

Conclusion Increasing MVPA related to other movement behaviors produces improvements in the rate of bone change in older men, whereas to increase LPA and maintain MVPA would be the best approach to enhance BM in older women.

1GENUD Toledo Research Group, University of Castilla–La Mancha, Toledo, SPAIN;

2CIBER of Frailty and Healthy Ageing (CIBERFES), Madrid, SPAIN;

3Geriatric Department, Virgen del Valle Hospital, Toledo, SPAIN;

4Geriatric Department, University Hospital of Getafe, Getafe, SPAIN;

5 School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UNITED KINGDOM; and

6 Department of Movement and Sport Sciences, Ghent University, Ghent, BELGIUM

Address for correspondence: Ignacio Ara, Ph.D., GENUD Toledo Research Group, University of Castilla–La Mancha, Avda Carlos III s/n, 45071 Toledo, Spain; E-mail: ignacio.ara@uclm.es.

F. J. G.-G. and I. A. equally contributed to this study.

Submitted for publication November 2018.

Accepted for publication February 2019.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.acsm-msse.org).

Online date: March 4, 2019

© 2019 American College of Sports Medicine