Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces

Background Quantitative Ultrasound (QUS) methods have been widely used to assess estimated bone density. This study aimed to assess changes in estimated bone density in association with changes in body composition, physical activity, and anthropometry. Methods We examined changes in anthropometry, b...

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Main Authors: Michael Strässle, Jonas Grossmann, Patrick Eppenberger, Alexander Faas, Ivanka Jerkovic, Joël Floris, Lena Öhrström, Gülfirde Akgül, Lafi Aldakak, Frank Rühli, Nicole Bender, Kaspar Staub
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Language:English
Published: PeerJ Inc. 2023-04-01
Series:PeerJ
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Online Access:https://peerj.com/articles/15205.pdf
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author Michael Strässle
Jonas Grossmann
Patrick Eppenberger
Alexander Faas
Ivanka Jerkovic
Joël Floris
Lena Öhrström
Gülfirde Akgül
Lafi Aldakak
Frank Rühli
Nicole Bender
Kaspar Staub
author_facet Michael Strässle
Jonas Grossmann
Patrick Eppenberger
Alexander Faas
Ivanka Jerkovic
Joël Floris
Lena Öhrström
Gülfirde Akgül
Lafi Aldakak
Frank Rühli
Nicole Bender
Kaspar Staub
author_sort Michael Strässle
collection DOAJ
description Background Quantitative Ultrasound (QUS) methods have been widely used to assess estimated bone density. This study aimed to assess changes in estimated bone density in association with changes in body composition, physical activity, and anthropometry. Methods We examined changes in anthropometry, body composition, and physical activity associated with changes in estimated bone mineral density (measured using quantitative ultrasound with a heel ultrasound device indicating broadband ultrasound attenuation BUA and speed of sound SOS) in a follow-up sample of n = 73 young men at the beginning and again 18 weeks later at the end of basic military training. Results At the end of the basic training, the subjects were on average significantly heavier (+1.0%), slightly taller (+0.5%) and had a higher fat mass (+6.6%) and grip strength (+8.6%). A significant decrease in mean physical activity (−49.5%) and mean estimated bone density calculated with BUA (−7.5%) was observed in the paired t-test. The results of the multivariable linear regressions (backward selection) show that changes in skeletal muscle mass (delta = 2nd measurement minus 1st measurement) have negative and body weight (delta) have positive association with the speed of sound SOS (delta), while fat mass (delta) and physical activity (delta) had the strongest negative associations with estimated bone mineral density (delta). In particular, we found a negative association between fat mass (delta) and estimated bone mineral density (delta, estimated with BUA). Conclusion Our study suggests that estimated bone density from the calcaneus can change within a few months even in young and mostly healthy individuals, depending upon physical activity levels and other co-factors. Further studies including other troop types as control groups as well as on women should follow in order to investigate this public health relevant topic in more depth. To what extent the estimated bone density measurement with quantitative ultrasound is clinically relevant needs to be investigated in further studies.
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spelling doaj.art-616a512d2c044232a619b691303563512023-12-03T11:08:59ZengPeerJ Inc.PeerJ2167-83592023-04-0111e1520510.7717/peerj.15205Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed ForcesMichael Strässle0Jonas Grossmann1Patrick Eppenberger2Alexander Faas3Ivanka Jerkovic4Joël Floris5Lena Öhrström6Gülfirde Akgül7Lafi Aldakak8Frank Rühli9Nicole Bender10Kaspar Staub11Kantonsspital St. Gallen, St. Gallen, SwitzerlandFunctional Genomics Center Zurich, Eidgenössische Technische Hochschule Zürich, Zürich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandSwiss Armed Forces, Bern, SwitzerlandSwiss Armed Forces, Bern, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandInstitute of Evolutionary Medicine, University of Zurich, Zurich, SwitzerlandBackground Quantitative Ultrasound (QUS) methods have been widely used to assess estimated bone density. This study aimed to assess changes in estimated bone density in association with changes in body composition, physical activity, and anthropometry. Methods We examined changes in anthropometry, body composition, and physical activity associated with changes in estimated bone mineral density (measured using quantitative ultrasound with a heel ultrasound device indicating broadband ultrasound attenuation BUA and speed of sound SOS) in a follow-up sample of n = 73 young men at the beginning and again 18 weeks later at the end of basic military training. Results At the end of the basic training, the subjects were on average significantly heavier (+1.0%), slightly taller (+0.5%) and had a higher fat mass (+6.6%) and grip strength (+8.6%). A significant decrease in mean physical activity (−49.5%) and mean estimated bone density calculated with BUA (−7.5%) was observed in the paired t-test. The results of the multivariable linear regressions (backward selection) show that changes in skeletal muscle mass (delta = 2nd measurement minus 1st measurement) have negative and body weight (delta) have positive association with the speed of sound SOS (delta), while fat mass (delta) and physical activity (delta) had the strongest negative associations with estimated bone mineral density (delta). In particular, we found a negative association between fat mass (delta) and estimated bone mineral density (delta, estimated with BUA). Conclusion Our study suggests that estimated bone density from the calcaneus can change within a few months even in young and mostly healthy individuals, depending upon physical activity levels and other co-factors. Further studies including other troop types as control groups as well as on women should follow in order to investigate this public health relevant topic in more depth. To what extent the estimated bone density measurement with quantitative ultrasound is clinically relevant needs to be investigated in further studies.https://peerj.com/articles/15205.pdfBone healthFollow-upYoung adults
spellingShingle Michael Strässle
Jonas Grossmann
Patrick Eppenberger
Alexander Faas
Ivanka Jerkovic
Joël Floris
Lena Öhrström
Gülfirde Akgül
Lafi Aldakak
Frank Rühli
Nicole Bender
Kaspar Staub
Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces
PeerJ
Bone health
Follow-up
Young adults
title Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces
title_full Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces
title_fullStr Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces
title_full_unstemmed Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces
title_short Short-termed changes in quantitative ultrasound estimated bone density among young men in an 18-weeks follow-up during their basic training for the Swiss Armed Forces
title_sort short termed changes in quantitative ultrasound estimated bone density among young men in an 18 weeks follow up during their basic training for the swiss armed forces
topic Bone health
Follow-up
Young adults
url https://peerj.com/articles/15205.pdf
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