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

Author

Listed:
  • Ana Moradell

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Ronda Misericordia 5, 22001 Huesca, Spain)

  • Irene Rodríguez-Gómez

    (GENUD Toledo Research Group, University of Castilla-La Mancha, 45071 Toledo, Spain
    Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), 28029 Madrid, Spain)

  • Ángel Iván Fernández-García

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Ronda Misericordia 5, 22001 Huesca, Spain)

  • David Navarrete-Villanueva

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Department of Physiatry and Nursing, Faculty of Health, University of Zaragoza, 50009 Zaragoza, Spain)

  • Jorge Marín-Puyalto

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Ronda Misericordia 5, 22001 Huesca, 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
    ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Polytechnic University of Madrid, 28040 Madrid, Spain)

  • Ignacio Ara

    (GENUD Toledo Research Group, University of Castilla-La Mancha, 45071 Toledo, Spain
    Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), 28029 Madrid, Spain)

  • José Antonio Casajús

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Department of Physiatry and Nursing, Faculty of Health, University of Zaragoza, 50009 Zaragoza, Spain)

  • Alba Gómez-Cabello

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Ronda Misericordia 5, 22001 Huesca, Spain)

  • Germán Vicente-Rodríguez

    (GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
    Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
    Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Ronda Misericordia 5, 22001 Huesca, Spain)

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.

Suggested Citation

  • 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 & Ignaci, 2021. "Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study," IJERPH, MDPI, vol. 18(7), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3757-:d:529955
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    References listed on IDEAS

    as
    1. Li, W. & Keegan, T.H.M. & Sternfeld, B. & Sidney, S. & Quesenberry Jr., C.P. & Kelsey, J.L., 2006. "Outdoor falls among middle-aged and older adults: A neglected public health problem," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1192-1200.
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    Cited by:

    1. Ángel Iván Fernández-García & Ana Moradell & David Navarrete-Villanueva & Jorge Subías-Perié & Jorge Pérez-Gómez & Ignacio Ara & Marcela González-Gross & José Antonio Casajús & Germán Vicente-Rodrígue, 2022. "Effects of Multicomponent Training Followed by a Detraining Period on Frailty Level and Functional Capacity of Older Adults with or at Risk of Frailty: Results of 10-Month Quasi-Experimental Study," IJERPH, MDPI, vol. 19(19), pages 1-23, September.

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