Lifestyle Factors and Health Awareness for Improving Bone Density Acquisition in Adolescent Girls: A Pilot Study With Secondary Data

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 Feb 12

PMID 38344566

Authors

Kazue Yoshihara

Hiromi Kawasaki

Zhengai Cui

Sae Nakaoka

Affiliations

Soon will be listed here.

Abstract

Objectives: Adolescent girls are in an important life stage of peak bone mass (PBM) acquisition. We aimed to examine the provision of health guidance for female high school students and elucidate the factors that can increase bone density.

Design: A quantitative, cross-sectional analysis was used in conducting the study.

Sample: Sixty Japanese female first-year high school students comprised the study sample.

Measurements: We included secondary data from a bone mineral density survey conducted among female high school students in August 2016 and analyzed in 2023.

Results: Thirty participants each (age, mean±SD, 15.80±0.45 years) were assigned to the high and low bone stiffness groups. The high bone stiffness group had higher health awareness, better lifestyle habits, and higher club activity-related stress than the low bone stiffness group.

Conclusions: Lifestyle factors and health awareness improved bone density in adolescent girls. Items related to exercise were particularly important for improving bone density. Eating habits and health awareness also affected bone density. Adolescent women should recognize that adolescence is a critical period for lifelong health, a period with few opportunities to develop health awareness. Acquiring appropriate lifestyle habits during adolescence can help prevent bone density loss.

References

Jiang B, Villareal D . Weight Loss-Induced Reduction of Bone Mineral Density in Older Adults with Obesity. J Nutr Gerontol Geriatr. 2019; 38(1):100-114. PMC: 6480356. DOI: 10.1080/21551197.2018.1564721. View

Ricci J, Clevenger K, Sellers S, Davenport S, Pfeiffer K . Associations between extracurricular activity participation and health-related variables in underrepresented children. Sports Med Health Sci. 2022; 2(2):102-108. PMC: 9219325. DOI: 10.1016/j.smhs.2020.06.001. View

Proia P, Amato A, Drid P, Korovljev D, Vasto S, Baldassano S . The Impact of Diet and Physical Activity on Bone Health in Children and Adolescents. Front Endocrinol (Lausanne). 2021; 12:704647. PMC: 8473684. DOI: 10.3389/fendo.2021.704647. View

Alasagheirin M, Clark M . Skeletal growth, body composition, and metabolic risk among North Sudanese immigrant children. Public Health Nurs. 2018; 35(2):91-99. DOI: 10.1111/phn.12386. View

Cadogan J, Eastell R, Jones N, Barker M . Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ. 1997; 315(7118):1255-60. PMC: 2127785. DOI: 10.1136/bmj.315.7118.1255. View

Bolland M, Leung W, Tai V, Bastin S, Gamble G, Grey A . Calcium intake and risk of fracture: systematic review. BMJ. 2015; 351:h4580. PMC: 4784799. DOI: 10.1136/bmj.h4580. View

Anagnostis P, Florentin M, Livadas S, Lambrinoudaki I, Goulis D . Bone Health in Patients with Dyslipidemias: An Underestimated Aspect. Int J Mol Sci. 2022; 23(3). PMC: 8835770. DOI: 10.3390/ijms23031639. View

Swanson C, Kohrt W, Buxton O, Everson C, Wright Jr K, Orwoll E . The importance of the circadian system & sleep for bone health. Metabolism. 2017; 84:28-43. PMC: 5994176. DOI: 10.1016/j.metabol.2017.12.002. View

Khan A, Zadran N, Khan A, Ishaq M, Kumar J, Ibrar A . Vitamin D Levels and Bone Mineral Density in Premenopausal Women Compared to Postmenopausal Women: A Multi-Centre Study From Pakistan. Cureus. 2020; 12(11):e11439. PMC: 7732786. DOI: 10.7759/cureus.11439. View

10.

Gkastaris K, Goulis D, Potoupnis M, Anastasilakis A, Kapetanos G . Obesity, osteoporosis and bone metabolism. J Musculoskelet Neuronal Interact. 2020; 20(3):372-381. PMC: 7493444. View

11.

Sim M, Lewis J, Prince R, Levinger I, Brennan-Speranza T, Palmer C . The effects of vitamin K-rich green leafy vegetables on bone metabolism: A 4-week randomised controlled trial in middle-aged and older individuals. Bone Rep. 2020; 12:100274. PMC: 7235933. DOI: 10.1016/j.bonr.2020.100274. View

12.

Angbratt M, Timpka T, Blomberg C, Kronhed A, Waller J, Wingren G . Prevalence and correlates of insufficient calcium intake in a Swedish population. Public Health Nurs. 2007; 24(6):511-7. DOI: 10.1111/j.1525-1446.2007.00663.x. View

13.

Han C, Kim H, Kim S . Effects of Adolescents' Lifestyle Habits and Body Composition on Bone Mineral Density. Int J Environ Res Public Health. 2021; 18(11). PMC: 8201294. DOI: 10.3390/ijerph18116170. View

14.

Sagara T, Nishijo M, Hirokawa W, Morikawa Y, Miura K, Tabata M . [The effects of nutrition and life-style on calcaneal bone mass in high school students]. Nihon Koshu Eisei Zasshi. 2002; 49(5):389-98. View

15.

Rinonapoli G, Pace V, Ruggiero C, Ceccarini P, Bisaccia M, Meccariello L . Obesity and Bone: A Complex Relationship. Int J Mol Sci. 2021; 22(24). PMC: 8706946. DOI: 10.3390/ijms222413662. View

16.

Rozenberg S, Bruyere O, Bergmann P, Cavalier E, Gielen E, Goemaere S . How to manage osteoporosis before the age of 50. Maturitas. 2020; 138:14-25. DOI: 10.1016/j.maturitas.2020.05.004. View

17.

Ouyang Y, Quan Y, Guo C, Xie S, Liu C, Huang X . Saturation Effect of Body Mass Index on Bone Mineral Density in Adolescents of Different Ages: A Population-Based Study. Front Endocrinol (Lausanne). 2022; 13:922903. PMC: 9294630. DOI: 10.3389/fendo.2022.922903. View

18.

Iwaniec U, Turner R . Influence of body weight on bone mass, architecture and turnover. J Endocrinol. 2016; 230(3):R115-30. PMC: 4980254. DOI: 10.1530/JOE-16-0089. View

19.

Jurimae J, Gruodyte-Raciene R, Baxter-Jones A . Effects of Gymnastics Activities on Bone Accrual during Growth: A Systematic Review. J Sports Sci Med. 2018; 17(2):245-258. PMC: 5950742. View

20.

Weaver C, Gordon C, Janz K, Kalkwarf H, Lappe J, Lewis R . The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int. 2016; 27(4):1281-1386. PMC: 4791473. DOI: 10.1007/s00198-015-3440-3. View