An epidemiologic perspective on physical activity, bone mineral density, and osteoporotic fractures

Introduction and purpose: The purpose od this study is to describe influence of participating in sporting activities on health of the bones. Osteoporosis is a disease of elderly people in which bone mineral density lowers. Physical activity was reported to increase bone mineral density.A brief description of the state of knowledge: Better physical performance is a positive factor that lowers the possibility of fracturing the bones of the elderly. Another factor that plays protective role is lean body mass and development of muscles. Training in young age can help to increase the bone mineral density, but the effect ceases with the passing of time, being much lower after decades. Multiple genes have impact on bone mineral density of the individual. Professional athletes have usually higher bone mineral density, but accumulation of microdamage in their bones can result in stress fractures. Training in elderly age is proven to increase bone mineral density of an individual, especially performing weight-bearing sports.Conclusions: Physical activity has been proven to positively affect health in many ways. One of them is strengthening the bones by increasing bone mineral density. As it increases, the possibility to break the bone lowers, which makes it an effective way to support the fight against the osteoporosis. It is especially important for women, who are more susceptible to osteoporotic fractures in post-menopausal age.

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Review for "Genetic burden contributing to extremely low or high bone mineral density in a senior male population from the Osteoporotic Fractures in Men (MrOS) study"

10.1002/jbm4.10335/v2/review2 ◽

2019 ◽

Keyword(s):

Bone Mineral Density ◽

Bone Mineral ◽

Osteoporotic Fractures ◽

High Bone Mineral Density ◽

Mineral Density ◽

Male Population ◽

High Bone ◽

Genetic Burden

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Review for "Higher Impact Physical Activity is Associated with Maintenance of Bone Mineral Density but Not Reduced Incident Falls or Fractures in Older Men: The Concord Health and Ageing in Men Project"

10.1002/jbmr.4228/v1/review1 ◽

2020 ◽

Keyword(s):

Physical Activity ◽

Bone Mineral Density ◽

Bone Mineral ◽

Older Men ◽

Mineral Density

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Are Physical Activity Associations with Bone Mineral Density Modified by Metabolic Traits?

Diabetes ◽

10.2337/db18-2244-pub ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 2244-PUB

Author(s):

ANSHU BUTTAN ◽

XIUQING GUO ◽

YII-DER IDA CHEN ◽

WILLA HSUEH ◽

JEROME I. ROTTER ◽

...

Keyword(s):

Physical Activity ◽

Bone Mineral Density ◽

Bone Mineral ◽

Mineral Density ◽

Metabolic Traits

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Anxiety Levels Predict Bone Mineral Density in Postmenopausal Women Undergoing Oral Bisphosphonates: A Two-Year Follow-Up

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158144 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8144

Author(s):

Gabriella Martino ◽

Federica Bellone ◽

Carmelo M. Vicario ◽

Agostino Gaudio ◽

Andrea Caputo ◽

...

Keyword(s):

Bone Mineral Density ◽

Bone Mineral ◽

Rating Scale ◽

Osteoporotic Fractures ◽

Oral Bisphosphonates ◽

Mineral Density ◽

X Ray ◽

Hamilton Anxiety Rating Scale ◽

Anxiety Levels

Clinical psychological factors may predict medical diseases. Anxiety level has been associated with osteoporosis, but its role on bone mineral density (BMD) change is still unknown. This study aimed to investigate the association between anxiety levels and both adherence and treatment response to oral bisphosphonates (BPs) in postmenopausal osteoporosis. BMD and anxiety levels were evaluated trough dual-energy X-ray absorptiometry and the Hamilton Anxiety Rating Scale (HAM-A), respectively. Participants received weekly medication with alendronate or risedronate and were grouped according to the HAM-A scores into tertiles (HAM-A 3 > HAM-A 2 > HAM-A 1). After 24 months, BMD changes were different among the HAM-A tertiles. The median lumbar BMD change was significantly greater in both the HAM-A 2 and HAM-A 3 in comparison with the HAM-A 1. The same trend was observed for femoral BMD change. Adherence to BPs was >75% in 68% of patients in the HAM-A 1, 79% of patients in the HAM-A 2, and 89% of patients in the HAM-A 3 (p = 0.0014). After correcting for age, body mass index, depressive symptoms, and the 10-yr. probability of osteoporotic fractures, anxiety levels independently predicted lumbar BMD change (β = 0.3417, SE 0.145, p = 0.02). In conclusion, women with higher anxiety levels reported greater BMD improvement, highlighting that anxiety was associated with adherence and response to osteoporosis medical treatment, although further research on this topic is needed.

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