Osteoporosis, bone & mineral

Association between weekend warrior physical activity pattern and bone mineral density among adults: national health and nutrition examination survey

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

Among US adults, the WW PA pattern was significantly associated with increased femoral neck BMD, with benefits comparable to those observed in the RA pattern.

Study context

Population
NHANES adults aged ≥18 years; mean age 53.6 ± 17.2 years, 8677 men (51.2%) and 8260 women (48.8%); Physical activity (PA) patterns self-reported by questionnaire
Participants
16,937 adults
Exposure
PA patterns vs inactive
  • Inactiven = 9,123reference
  • Insufficiently activen = 2,559
  • Weekend warrior (WW)n = 952
  • Regularly active (RA)n = 4,303
Outcome
Femoral neck BMD
Methodological detailsNHANES, multivariable linear regression, subgroup and sensitivity analyses
  • NHANES
  • Multivariable linear regression
  • Subgroup and sensitivity analyses

Main finding

As reported in the abstract

Femoral neck BMD (adjusted)

β

0.027

95% CI 0.020–0.033P < 0.001

WW

β

0.034

95% CI 0.025–0.044P < 0.001

RA

Observational data: associations, not effects.

Further findings

Femoral neck bone mineral density (BMD) by subgroup

Younger adults (<50 years), males and unmarried individuals may derive greater BMD benefits from WW and RA patterns

Original publication

Association between weekend warrior physical activity pattern and bone mineral density among adults: national health and nutrition examination survey. Osteoporos Int. Published 26 May 2025. doi:10.1007/s00198-025-07535-9

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