Osteoporosis, bone & mineral

Are associations between physical activity and bone mineral density in adults sex- and age-dependent? An analysis of the UK Biobank study

J Bone Miner ResPublished Cross-sectional study

Authors' conclusion

These results suggest that associations between PA and bone health at clinically-relevant sites are weaker in older than younger women.

Study context

Population
Middle-aged and older adults in the UK Biobank with complete physical activity (PA), bone and covariate data; 52% women52% women
Participants
15,133 participants
Exposure
Accelerometer-measured PA and sedentary time vs LS and FN BMD, by sex and age
Outcome
Associations between PA (overall, sedentary, light, moderate-to-vigorous) and LS and FN BMD (DXA), with sex and age interactions
Methodological detailspopulation-based, UK Biobank, wrist-worn accelerometry, linear regression with sex and age interactions
  • Population-based
  • UK Biobank
  • Wrist-worn accelerometry
  • Linear regression with sex and age interactions

Main finding

As reported in the abstract

LS BMD

In women, associations weaker in older individuals: regression coefficients at ≥70 yr ≈50% lower than at 45-54 yr

age-by-PA interactions P < .01 in all models

Observational data: associations, not effects.

Further findings

FN BMD

Similar associations in basic but not full models for FN BMD
Greater light PA and sedentary time associated with higher and lower FN BMD, respectively, in both sexes

Sedentary time and LS BMD

Greater sedentary time associated with lower LS BMD in men only

Original publication

Are associations between physical activity and bone mineral density in adults sex- and age-dependent? An analysis of the UK Biobank study. J Bone Miner Res. Published 29 January 2024. doi:10.1093/jbmr/zjae017

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