Sedentary Behaviours and Its Association with Bone Mass in Adolescents: the HELENA Cross-Sectional Study

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2012 Nov 15

PMID 23148760

Citations 27

Authors

Luis Gracia-Marco

Juan P Rey-Lopez

Alba M Santaliestra-Pasias

David Jimenez-Pavon

Ligia E Diaz

Luis A Moreno

German Vicente-Rodriguez

Affiliations

Soon will be listed here.

Abstract

Background: We aimed to examine whether time spent on different sedentary behaviours is associated with bone mineral content (BMC) in adolescents, after controlling for relevant confounders such as lean mass and objectively measured physical activity (PA), and if so, whether extra-curricular participation in osteogenic sports could have a role in this association.

Methods: Participants were 359 Spanish adolescents (12.5-17.5 yr, 178 boys,) from the HELENA-CSS (2006-07). Relationships of sedentary behaviours with bone variables were analysed by linear regression. The prevalence of low BMC (at least 1SD below the mean) and time spent on sedentary behaviours according to extracurricular sport participation was analysed by Chi-square tests.

Results: In boys, the use of internet for non-study was negatively associated with whole body BMC after adjustment for lean mass and moderate to vigorous PA (MVPA). In girls, the time spent studying was negatively associated with femoral neck BMC. Additional adjustment for lean mass slightly reduced the negative association between time spent studying and femoral neck BMC. The additional adjustment for MVPA did not change the results at this site. The percentage of girls having low femoral neck BMC was significantly smaller in those participating in osteogenic sports (≥ 3 h/week) than in the rest, independently of the cut-off selected for the time spent studying.

Conclusions: The use of internet for non-study (in boys) and the time spent studying (in girls) are negatively associated with whole body and femoral neck BMC, respectively. In addition, at least 3 h/week of extra-curricular osteogenic sports may help to counteract the negative association of time spent studying on bone health in girls.

Citing Articles

Short bouts and long-term exercise reduce sedentary-induced bone loss and microstructural changes by modulating bone formation and resorption in healthy young male rats.

Wang L, Liang L, Zhang X, Chi H, Peng F Sci Rep. 2025; 15(1):1825.

PMID: 39805876 PMC: 11730605. DOI: 10.1038/s41598-024-82243-8.

Association between sedentary behavior and bone mass, microstructure and strength in children, adolescents and young adults: a systematic review.

Wang L, Peng F, Zhang X, Liang L, Chi H BMC Public Health. 2024; 24(1):2991.

PMID: 39472834 PMC: 11520865. DOI: 10.1186/s12889-024-20437-5.

Can physical activity counteract the negative effects of sedentary behavior on the physical and mental health of children and adolescents? A narrative review.

Wang K, Li Y, Liu H, Zhang T, Luo J Front Public Health. 2024; 12:1412389.

PMID: 39157520 PMC: 11328546. DOI: 10.3389/fpubh.2024.1412389.

Impact of Suspected Preterm Labor during Pregnancy on Cardiometabolic Profile and Neurodevelopment during Childhood: A Prospective Cohort Study Protocol.

Gonzalez J, Vilella M, Ruiz S, Iglesia I, Clavero-Adell M, Ayerza-Casas A Diagnostics (Basel). 2023; 13(6).

PMID: 36980410 PMC: 10047113. DOI: 10.3390/diagnostics13061101.

Comparison of bone mineral density according to domains of sedentary behavior in children and adolescents.

Christofaro D, Tebar W, Thamyres Ciccotti Saraiva B, da Silva G, Barbosa Dos Santos A, Mielke G BMC Pediatr. 2022; 22(1):72.

PMID: 35105341 PMC: 8805312. DOI: 10.1186/s12887-022-03135-2.

References

Ho A, Kung A . Determinants of peak bone mineral density and bone area in young women. J Bone Miner Metab. 2005; 23(6):470-5. DOI: 10.1007/s00774-005-0630-7. View

Moliner-Urdiales D, Ruiz J, Ortega F, Rey-Lopez J, Vicente-Rodriguez G, Espana-Romero V . Association of objectively assessed physical activity with total and central body fat in Spanish adolescents; the HELENA Study. Int J Obes (Lond). 2009; 33(10):1126-35. DOI: 10.1038/ijo.2009.139. View

Vicente-Rodriguez G, Jimenez-Ramirez J, Ara I, Serrano-Sanchez J, Dorado C, Calbet J . Enhanced bone mass and physical fitness in prepubescent footballers. Bone. 2003; 33(5):853-9. DOI: 10.1016/j.bone.2003.08.003. View

Pate R, ONeill J, Lobelo F . The evolving definition of "sedentary". Exerc Sport Sci Rev. 2008; 36(4):173-8. DOI: 10.1097/JES.0b013e3181877d1a. View

Vicente-Rodriguez G, Dorado C, Perez-Gomez J, Gonzalez-Henriquez J, Calbet J . Enhanced bone mass and physical fitness in young female handball players. Bone. 2004; 35(5):1208-15. DOI: 10.1016/j.bone.2004.06.012. View

Gracia-Marco L, Vicente-Rodriguez G, Valtuena J, Rey-Lopez J, Martinez A, Mesana M . Bone mass and bone metabolism markers during adolescence: The HELENA Study. Horm Res Paediatr. 2010; 74(5):339-50. DOI: 10.1159/000314965. View

Cooper C, Wickham C, Coggon D . Sedentary work in middle life and fracture of the proximal femur. Br J Ind Med. 1990; 47(1):69-70. PMC: 1035100. DOI: 10.1136/oem.47.1.69. View

Gracia-Marco L, Vicente-Rodriguez G, Casajus J, Molnar D, Castillo M, Moreno L . Effect of fitness and physical activity on bone mass in adolescents: the HELENA Study. Eur J Appl Physiol. 2011; 111(11):2671-80. DOI: 10.1007/s00421-011-1897-0. View

Moreno L, Gonzalez-Gross M, Kersting M, Molnar D, De Henauw S, Beghin L . Assessing, understanding and modifying nutritional status, eating habits and physical activity in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr. 2007; 11(3):288-99. DOI: 10.1017/S1368980007000535. View

10.

Tanner J, Whitehouse R . Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976; 51(3):170-9. PMC: 1545912. DOI: 10.1136/adc.51.3.170. View

11.

Rizzoli R, Bianchi M, Garabedian M, McKay H, Moreno L . Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone. 2009; 46(2):294-305. DOI: 10.1016/j.bone.2009.10.005. View

12.

Gracia-Marco L, Ortega F, Jimenez-Pavon D, Rodriguez G, Castillo M, Vicente-Rodriguez G . Adiposity and bone health in Spanish adolescents. The HELENA study. Osteoporos Int. 2011; 23(3):937-47. DOI: 10.1007/s00198-011-1649-3. View

13.

Beghin L, Castera M, Manios Y, Gilbert C, Kersting M, De Henauw S . Quality assurance of ethical issues and regulatory aspects relating to good clinical practices in the HELENA Cross-Sectional Study. Int J Obes (Lond). 2008; 32 Suppl 5:S12-8. DOI: 10.1038/ijo.2008.179. View

14.

Ara I, Vicente-Rodriguez G, Perez-Gomez J, Jimenez-Ramirez J, Serrano-Sanchez J, Dorado C . Influence of extracurricular sport activities on body composition and physical fitness in boys: a 3-year longitudinal study. Int J Obes (Lond). 2006; 30(7):1062-71. DOI: 10.1038/sj.ijo.0803303. View

15.

Andersen L, Harro M, Sardinha L, Froberg K, Ekelund U, Brage S . Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet. 2006; 368(9532):299-304. DOI: 10.1016/S0140-6736(06)69075-2. View

16.

Rauch F, Bailey D, Baxter-Jones A, Mirwald R, Faulkner R . The 'muscle-bone unit' during the pubertal growth spurt. Bone. 2004; 34(5):771-5. DOI: 10.1016/j.bone.2004.01.022. View

17.

Vicente-Rodriguez G, Ortega F, Rey-Lopez J, Espana-Romero V, Blay V, Blay G . Extracurricular physical activity participation modifies the association between high TV watching and low bone mass. Bone. 2009; 45(5):925-30. DOI: 10.1016/j.bone.2009.07.084. View

18.

Vicente-Rodriguez G, Ara I, Perez-Gomez J, Dorado C, Calbet J . Muscular development and physical activity as major determinants of femoral bone mass acquisition during growth. Br J Sports Med. 2005; 39(9):611-6. PMC: 1725300. DOI: 10.1136/bjsm.2004.014431. View

19.

Zofkova I . [Role of genetics in prediction of osteoporosis risk]. Vnitr Lek. 2011; 57(1):78-84. View

20.

Schoenau E, Frost H . The "muscle-bone unit" in children and adolescents. Calcif Tissue Int. 2002; 70(5):405-7. DOI: 10.1007/s00223-001-0048-8. View