RT info:eu-repo/semantics/article
T1 Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study
A1 Moradell, Ana
A1 Rodríguez Gómez, Irene Magdalena
A1 Fernández García, Ángel Iván
A1 Navarrete Villanueva, David
A1 Marín Puyalto, Jorge
A1 Villa Vicente, José Gerardo
A1 Pérez Gómez, Jorge
A1 González Gross, Marcela
A1 Ara, Ignacio
A1 Casajús, José A.
A1 Gómez Cabello, Alba
A1 Vicente Rodríguez, Germán
A2 Educacion Fisica y Deportiva
K1 Deporte
K1 Educación Física
K1 Bone mineral density
K1 Elderly
K1 Moderate-to-vigorous physical activity
K1 Sedentary time
AB [EN] With aging, bone density is reduced, increasing the risk of suffering osteoporosis and fractures. Increasing physical activity (PA) may have preventive effects. However, until now, no studies have considered movement behaviors with compositional data or its association to bone mass and structure measured by peripheral computed tomography (pQCT). Thus, the aim of our study was to investigate these associations and to describe movement behavior distribution in older adults with previous falls and fractures and other related risk parameters, taking into account many nutritional and metabolic confounders. In the current study, 70 participants above 65 years old (51 females) from the city of Zaragoza were evaluated for the EXERNET-Elder 3.0 project. Bone mass and structure were assessed with pQCT, and PA patterns were objectively measured by accelerometry. Prevalence of fear of falling, risk of falling, and history of falls and fractures were asked through the questionnaire. Analyses were performed using a compositional data approach. Whole-movement distribution patterns were associated with cortical thickness. In regard to other movement behaviors, moderate-to-vigorous PA (MVPA) showed positive association with cortical thickness and total true bone mineral density (BMD) at 38% (all p < 0.05). In addition, less light PA (LPA) and MVPA were observed in those participants with previous fractures and fear of falling, whereas those at risk of falling and those with previous falls showed higher levels of PA. Our results showed positive associations between higher levels of MVPA and volumetric bone. The different movement patterns observed in the groups with a history of having suffered falls or fractures and other risk outcomes suggest that different exercise interventions should be designed in these populations in order to improve bone and prevent the risk of osteoporosis and subsequent fractures.
PB MDPI
LK https://hdl.handle.net/10612/19395
UL https://hdl.handle.net/10612/19395
NO Moradell, A., Rodríguez-Gómez, I., Fernández-García, Á. I., Navarrete-Villanueva, D., Marín-Puyalto, J., Pérez-Gómez, J., Villa-Vicente, J. G., González-Gross, M., Ara, I., Casajús, J. A., Gómez-Cabello, A., & Vicente-Rodríguez, G. (2021). Associations between daily movement distribution, bone structure, falls, and fractures in older adults: A compositional data analysis study. International Journal of Environmental Research and Public Health, 18(7). https://doi.org/10.3390/IJERPH18073757
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 27-jun-2024