Association of cardiorespiratory fitness with high-resolution peripheral quantitative computed tomography (HR-pQCT) bone parameters in older adults: the Study of Muscle, Mobility and Aging (SOMMA)

Osteoporos IntPublished Cohort study

Authors' conclusion

Associations of VO2peak with bone strength found in older men suggest VO2peak is associated with bone parameters in a sex-specific manner and mechanisms for these sex differences should be explored. Interventions aimed at increasing cardiorespiratory fitness should be evaluated for potential benefit to bone health among older men.

Study context

Population
Older adults in the Study of Muscle, Mobility and Aging (SOMMA); VO2peak by treadmill cardiopulmonary exercise testing at baseline; HR-pQCT and DXA after first annual follow-up (mean 1.2 ± 0.1 years)
Participants
123 vs 188
Exposure
Higher vs lower VO2peak
  • Menn = 123
  • Womenn = 188
Outcome
Association of VO2peak (per SD) with HR-pQCT failure load
Methodological detailssex-stratified analyses, linear regression adjusted for confounders
  • Sex-stratified analyses
  • Linear regression adjusted for confounders

Main finding

As reported in the abstract

Men: tibial failure load, std β

0.26

p = 0.03

Men: radial failure load, std β

0.36

p = 0.007

Observational data: associations, not effects.

Original publication

Association of cardiorespiratory fitness with HR-pQCT bone parameters in older adults: the Study of Muscle, Mobility and Aging (SOMMA). Osteoporos Int. Published 12 June 2025. doi:10.1007/s00198-025-07485-2

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