Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study

Ana Moradell, Irene Rodríguez-Gómez, Ángel Iván Fernández-García, David Navarrete-Villanueva, Jorge Marín-Puyalto, Jorge Pérez-Gómez, José Gerardo Villa-Vicente, Marcela González-Gross, Ignacio Ara, José Antonio Casajús, Alba Gómez-Cabello and Germán Vicente-Rodríguez
Additional contact information
Ana Moradell: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
Irene Rodríguez-Gómez: GENUD Toledo Research Group, University of Castilla-La Mancha, 45071 Toledo, Spain
Ángel Iván Fernández-García: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
David Navarrete-Villanueva: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
Jorge Marín-Puyalto: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
Jorge Pérez-Gómez: HEME (Health, Economy, Motricity and Education) Research Group, Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain
José Gerardo Villa-Vicente: VALFIS Research Group, Department of Physical Education and Sport, Institute of Biomedicine (IBIOMED), University of León, 24007 León, Spain
Marcela González-Gross: Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
Ignacio Ara: GENUD Toledo Research Group, University of Castilla-La Mancha, 45071 Toledo, Spain
José Antonio Casajús: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
Alba Gómez-Cabello: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
Germán Vicente-Rodríguez: GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain

IJERPH, 2021, vol. 18, issue 7, 1-15

Abstract: 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.

Keywords: bone mineral density; elderly; moderate-to-vigorous physical activity; sedentary time (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/7/3757/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/7/3757/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:7:p:3757-:d:529955

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().