scholarly journals High Levels of Physical Activity May Promote a Reduction in Bone Mineral Density in Peritoneal Dialysis

Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 464
Author(s):  
Armando Raimundo ◽  
Zelinda Charrua ◽  
Nuno Batalha ◽  
Catarina Pereira ◽  
Jose Parraca ◽  
...  

Background and objectives: Peritoneal dialysis (PD) patients are expected to present lower levels of physical activity, unhealthy changes at the body composition level, and low levels of strength. Firstly, this study aimed to report the sex differences in physical activity, body composition and muscle strength and the relations among these variables. Secondly, we analyze the relationship between physical activity and biochemical parameters. Materials and Methods: Thirty-four patients (13 women and 21 men) participated in this study. Body composition was assessed by bioimpedance and dual-energy X-ray absorptiometry (DXA), and maximum isokinetic unilateral strength, analytical parameters and physical activity levels were evaluated. Results: The men showed higher values for weight, height, lean body mass, bone mineral content, bone mineral density (BMD) and total body water, while women showed higher values for the percentage of fat mass and hydration of lean body mass (p < 0.05). No differences between the sexes were found in different levels of physical activity; however, males registered significantly higher values for isokinetic strength variables except for knee extensor strength. BMD was positively related to sedentary activity and negatively related to moderate and vigorous activity (r = 0.383 and r = −0.404, respectively). Light physical activity was negatively correlated with albumin (r = −0.393) and total protein (r = −0.410) levels, while moderate/vigorous activity was positively correlated with urea distribution volume (r = 0.446) and creatinine clearance (r = 0.359) and negatively correlated with the triglyceride level (r = −0.455). Conclusions: PD patients with higher levels of physical activity present better results in terms of body composition and biochemical parameters. Additional studies should be conducted to clarify the relation between physical activity level and BMD.

2008 ◽  
Vol 18 (5) ◽  
pp. 524-538 ◽  
Author(s):  
Claudia Ridel Juzwiak ◽  
Olga Maria Silverio Amancio ◽  
Maria Sylvia Souza Vitalle ◽  
Vera Lúcia Szejnfeld ◽  
Marcelo Medeiros Pinheiro

In this prospective, cross-sectional study male adolescent tennis players (44) and nonathletic controls (32) were evaluated to determine the effects of physical activity, dietary nutrient intakes, sexual maturation, and body composition on bone-mineral density (BMD). Dietary nutrient intakes and physical activity expenditure were estimated by 4-d diaries. Total body composition, bone-mineral content (BMC), and BMD (L1–L4, femur, and nondominant forearm) were assessed by dual-energy X-ray absorptiometry. Tennis players had significantly greater lean body mass (mean [SEM] 50.6 [1.6] kg vs. 45.1 [1.7] kg, p = .022), trochanter BMD (1.0 [0.02] g/cm2 vs. 0.9 [0.03] g/cm2, p = .032), and dominant forearm BMC (173.7 [7.4] g vs. 146.5 [9.3] g) but lower BMD in the nondominant forearm (0.7 [0.02] g/cm2 vs. 0.8 [0.03] g/cm2, p = .028). Daily average calcium intake was below the recommendation in both groups. No correlation was found between BMD and calcium intake and exercise. Lean body mass was the best predictor of BMD and BMC for both tennis players and controls (R2 = .825, .628, and .693 for L1–L4, total femur, and nondominant forearm, respectively). Based on these results the authors conclude that lean body mass is the best predictor of BMD and BMC for both tennis players and others. Tennis exerts a site-specific effect, and training should focus on ways minimize this effect. Although calcium intake showed no effect on BMD, nutrition education for young athletes should focus on promoting a balanced diet, providing energy and nutrients in adequate amounts.


2006 ◽  
Vol 91 (11) ◽  
pp. 4302-4305 ◽  
Author(s):  
Mim Ari ◽  
Vladimir K. Bakalov ◽  
Suvimol Hill ◽  
Carolyn A. Bondy

Abstract Background: Many girls with Turner syndrome (TS) are treated with GH to increase adult height. In addition to promoting longitudinal bone growth, GH has effects on bone and body composition. Objective: The objective was to determine how GH treatment affects bone mineral density (BMD) and body composition in girls with TS. Method: In a cross-sectional study, we compared measures of body composition and BMD by dual energy x-ray absorptiometry, and phalangeal cortical thickness by hand radiography in 28 girls with TS who had never received GH and 39 girls who were treated with GH for at least 1 yr. All girls were participants in a National Institutes of Health (NIH) Clinical Research Center (CRC) protocol between 2001 and 2006. Results: The two groups were similar in age (12.3 yr, sd 2.9), bone age (11.5 yr, sd 2.6), and weight (42.8 kg, sd 16.6); but the GH-treated group was taller (134 vs. 137 cm, P = 0.001). The average duration of GH treatment was 4.2 (sd 3.2) yr (range 1–14 yr). After adjustment for size and bone age, there were no significant differences in BMD at L1–L4, 1/3 radius or cortical bone thickness measured at the second metacarpal. However, lean body mass percent was higher (P &lt; 0.001), whereas body fat percent was lower (P &lt; 0.001) in the GH-treated group. These effects were independent of estrogen exposure and were still apparent in girls that had finished GH treatment at least 1 yr previously. Conclusions: Although GH treatment has little effect on cortical or trabecular BMD in girls with TS, it is associated with increased lean body mass and reduced adiposity.


2010 ◽  
Vol 21 (7) ◽  
pp. 653-658 ◽  
Author(s):  
Angus G. Scrimgeour ◽  
Louis J. Marchitelli ◽  
Jered S. Whicker ◽  
Yang Song ◽  
Emily Ho ◽  
...  

1994 ◽  
Vol 40 (5) ◽  
pp. 653-661 ◽  
Author(s):  
Daniel Rudman ◽  
Paul J. Drinka ◽  
Charles R. Wilsont ◽  
Dale E. Mattson ◽  
Francis Scherman ◽  
...  

2016 ◽  
Vol 4 (2) ◽  
pp. 96-101
Author(s):  
Ni Putu Puspita Adhytiarini Dewi ◽  
Hardhono Susanto ◽  
Ali Rosidi

Background: Bone formation and peak bone mass determine with bone density in adulthood related with osteopenia or osteoporosis. It could be influenced by nutrition intakes, lean body mass, and physical activity.Objective: to analyze the correlation between nutritional adequacy, lean body mass, physical activity and bone mineral density in Udayana University Economic’s students, Denpasar. Methods: Cross-sectional study design was done to female students of Faculty of Economic and Business, Udayana University, Denpasar. Seventy five subjects were choosen by simple random sampling. Results: Research subjects were aged 20-25 years old. The mean t-score of bone mineral density is -0,363 ± 1,057. Research subjects were classified as low bone density (osteopenia) 26,7% and 73,3% are normal. Intakes of animal protein (p = 0,042) and lean body mass (p = 0,011) are related with bone mineral density protein (p = 0,955) but not on intakes of vitamin A (p = 0,249), vitamin C (p = 0,632), vitamin D (p = 0,864), calcium (p = 0,724), iron (p = 0,768), magnesium (p = 0,689), phosphorus (p = 0,716), and physical activity (p = 0,254). There were a positive trend on the level of protein, vitamin A, vitamin C, vitamin D, calcium, iron, magnesium and phosphorus sufficiency.Conclusions: Intakes of Animal protein, lean body mass and physical activity related with bone mineral density but not on protein, vitamin A, vitamin C, vitamin D, calcium, iron, magnesium, and phosphorus intake.


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