Influence of physical activity on vertebral strength during late adolescence

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• 作者：Juho-Antti Junno ; PhD^a ; ^b ; ^{juho-antti.junno@oulu.fi} ; Markus Paananen ; MD^c ; Jaro Karppinen ; MD^c ; Tuija Tammelin ; PhD^d ; Jaakko Niinimä ; ki ; MD^e ; Eveliina Lammentausta ; PhD^e ; Markku Niskanen ; PhD^b ; Miika T. Nieminen ; PhD^e ; ^f ; Marjo-Riitta Jä ; rvelin ; MD ; PhD^g ; ^h ; ⁱ ; ^j ; Jani Takatalo ; MD^c ; Osmo Tervonen ; MD^e ; Juha Tuukkanen ; DDS ; PhD^a
• 关键词：Physical activity ; T2* ; Vertebral strength ; Vertebral size ; BMD
• 刊名：The Spine Journal
• 出版年：2013
• 出版时间：February, 2013
• 年：2013
• 卷：13
• 期：2
• 页码：184-189
• 全文大小：209 K

文摘

<h4 class=""h4"">Background contexth4>Reduced vertebral strength is a clear risk factor for vertebral fractures. Men and women with vertebral fractures often have reduced vertebral size and bone mineral density (BMD). Vertebral strength is controlled by both genetic and developmental factors. Malnutrition and low levels of physical activity are commonly considered to result in reduced bone size during growth. Several studies have also demonstrated the general relationship between BMD and physical activity in the appendicular skeleton.<h4 class=""h4"">Purposeh4>

In this study, we wanted to clarify the role of physical activity on vertebral bodies. Vertebral dimensions appear to generally be less pliant than long bones when lifetime changes occur. We wanted to explore the association between physical activity during late adolescence and vertebral strength parameters such as cross-sectional size and BMD.<h4 class=""h4"">Study designh4>

The association between physical activity and vertebral strength was explored by measuring vertebral strength parameters and defining the level of physical activity during adolescence.<h4 class=""h4"">Patient sampleh4>

The study population consisted of 6,928 males and females who, at 15 to 16 and 19 years of age, responded to a mailed questionnaire inquiring about their physical activity. A total of 558 individuals at the mean age of 21 years underwent magnetic resonance imaging (MRI) scans.<h4 class=""h4"">Methodsh4>

We measured the dimensions of the fourth lumbar vertebra from the MRI scans of the Northern Finland Birth Cohort 1986 and performed T2* relaxation time mapping, reflective of BMD. Vertebral strength was based on these two parameters. We analyzed the association of physical activity on vertebral strength using the analysis of variance.<h4 class=""h4"">Results and conclusionsh4>

We observed no association between the level of physical activity during late adolescence and vertebral strength at 21 years.