Osteoporosis, bone & mineral

Is There a Causal Relationship between Physical Activity and Bone Microarchitecture? A Study of Adult Female Twin Pairs

J Bone Miner ResPublished Cross-sectional study

Authors' conclusion

In conclusion, increasing PA was associated with thicker cortices, larger cortical area, lower porosity of the inner transitional zone, thicker trabeculae, and smaller medullary cavities. The attenuation of cross-pair cross-trait associations after accounting for the within-individual associations was consistent with PA having a causal effect on the improved cortical and trabecular microarchitecture of adult females, in addition to shared familial factors.

Study context

Population
Adult female twin pairs aged 31–77 years (47 dizygotic, 93 monozygotic); nondominant distal tibia imaged by HR-pQCT47 DZ and 93 MZ twin pairs
Outcome
Within-individual associations of PA index with distal tibia microarchitecture
Methodological detailstwin study, ICE FALCON
  • Twin study
  • ICE FALCON

Main finding

As reported in the abstract

Cortical cross-sectional area (CSA), β (p < 0.05)
0.20
Cortical thickness, β (p < 0.05)
0.22
Porosity of inner transitional zone, β (p < 0.05)
−0.17
Trabecular volumetric bone mineral density (vBMD), β (p ≤ 0.01)
0.13
Trabecular thickness, β (p ≤ 0.01)
0.14
Medullary CSA, β (p ≤ 0.01)
−0.22

Observational data: associations, not effects.

Further findings

Cross-pair cross-trait associations with physical activity (PA) after adjustment for within-individual association (ICE FALCON)

Attenuation, cortical thickness (p for change)
P = 0.048
Attenuation, cortical CSA (p for change)
P = 0.062
Attenuation, medullary CSA (p for change)
P = 0.028

Original publication

Is There a Causal Relationship between Physical Activity and Bone Microarchitecture? A Study of Adult Female Twin Pairs. J Bone Miner Res. Published 26 May 2023. doi:10.1002/jbmr.4826

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