Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study

Abstract Background During childhood and adolescence, skeletal microarchitecture and bone mineral density (BMD) undergo significant changes. Peak bone mass is built and its level significantly affects the condition of bones in later years of life. Understanding the modifiable factors that improve bo...

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Main Authors: Anna Kopiczko, Michał Czapla, Raúl Juárez-Vela, Catherine Ross, Bartosz Uchmanowicz
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-024-04539-y
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author Anna Kopiczko
Michał Czapla
Raúl Juárez-Vela
Catherine Ross
Bartosz Uchmanowicz
author_facet Anna Kopiczko
Michał Czapla
Raúl Juárez-Vela
Catherine Ross
Bartosz Uchmanowicz
author_sort Anna Kopiczko
collection DOAJ
description Abstract Background During childhood and adolescence, skeletal microarchitecture and bone mineral density (BMD) undergo significant changes. Peak bone mass is built and its level significantly affects the condition of bones in later years of life. Understanding the modifiable factors that improve bone parameters at an early age is necessary to early prevent osteoporosis. To identify these modifiable factors we analysed the relationship between dairy product consumption, eating habits, sedentary behaviour, and level of physical activity with BMD in 115 young boys (14–17 years). Methods Bone parameters were measured by dual energy x-ray absorptiometry using paediatric specific software to compile the data. Dairy product consumption and eating habits were assessed by means of a dietary interview. Sedentary behaviour and physical activity was assessed in a face-to-face interview conducted using the International Physical Activity Questionnaire. Data collection on total physical activity level was performed by collecting information on the number of days and the duration of vigorous and moderate intensity (MVPA) and average daily time spent in sitting (SIT time). Results The strongest relationships with BMD in distal part of forearm were found for moderate plus vigorous activity, sit time, and intake of dairy products, intake of calcium, protein, vitamin D, phosphorus from diet. Relationships between BMD, bone mineral content (BMC) in the distal and proximal part of the forearm and PA, sit time and eating parameters were evaluated using the multiple forward stepwise regression. The presented model explained 48–67% (adjusted R 2 = 0.48–0.67; p < 0.001) of the variance in bone parameters. The predictor of interactions of three variables: protein intake (g/person/day), vitamin D intake (µg/day) and phosphorus intake (mg/day) was significant for BMD dis (adjusted R 2 = 0.59; p < 0.001). The predictor of interactions of two variables: SIT time (h/day) and dairy products (n/day) was significant for BMD prox (adjusted R 2 = 0.48; p < 0.001). Furthermore, the predictor of interactions dairy products (n/day), protein intake (g/person/day) and phosphorus intake (mg/day) was significant for BMC prox and dis (adjusted R 2 = 0.63–0.67; p < 0.001). Conclusions High physical activity and optimal eating habits especially adequate intake of important dietary components for bone health such as calcium, protein, vitamin D and phosphorus affect the mineralization of forearm bones.
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spelling doaj.art-8da9b756f1514d1bbfed2af42b06f4782024-01-21T12:35:42ZengBMCBMC Pediatrics1471-24312024-01-0124111210.1186/s12887-024-04539-yDairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational studyAnna Kopiczko0Michał Czapla1Raúl Juárez-Vela2Catherine Ross3Bartosz Uchmanowicz4Department of Human Biology, Józef Piłsudski University of Physical Education in WarsawDepartment of Emergency Medical Service, Wrocław Medical UniversityGroup of Research in Care (GRUPAC), Faculty of Health Science, University of La RiojaCentre for Cardiovascular Health, School of Health and Social Care, Edinburgh Napier UniversityDepartment of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical UniversityAbstract Background During childhood and adolescence, skeletal microarchitecture and bone mineral density (BMD) undergo significant changes. Peak bone mass is built and its level significantly affects the condition of bones in later years of life. Understanding the modifiable factors that improve bone parameters at an early age is necessary to early prevent osteoporosis. To identify these modifiable factors we analysed the relationship between dairy product consumption, eating habits, sedentary behaviour, and level of physical activity with BMD in 115 young boys (14–17 years). Methods Bone parameters were measured by dual energy x-ray absorptiometry using paediatric specific software to compile the data. Dairy product consumption and eating habits were assessed by means of a dietary interview. Sedentary behaviour and physical activity was assessed in a face-to-face interview conducted using the International Physical Activity Questionnaire. Data collection on total physical activity level was performed by collecting information on the number of days and the duration of vigorous and moderate intensity (MVPA) and average daily time spent in sitting (SIT time). Results The strongest relationships with BMD in distal part of forearm were found for moderate plus vigorous activity, sit time, and intake of dairy products, intake of calcium, protein, vitamin D, phosphorus from diet. Relationships between BMD, bone mineral content (BMC) in the distal and proximal part of the forearm and PA, sit time and eating parameters were evaluated using the multiple forward stepwise regression. The presented model explained 48–67% (adjusted R 2 = 0.48–0.67; p < 0.001) of the variance in bone parameters. The predictor of interactions of three variables: protein intake (g/person/day), vitamin D intake (µg/day) and phosphorus intake (mg/day) was significant for BMD dis (adjusted R 2 = 0.59; p < 0.001). The predictor of interactions of two variables: SIT time (h/day) and dairy products (n/day) was significant for BMD prox (adjusted R 2 = 0.48; p < 0.001). Furthermore, the predictor of interactions dairy products (n/day), protein intake (g/person/day) and phosphorus intake (mg/day) was significant for BMC prox and dis (adjusted R 2 = 0.63–0.67; p < 0.001). Conclusions High physical activity and optimal eating habits especially adequate intake of important dietary components for bone health such as calcium, protein, vitamin D and phosphorus affect the mineralization of forearm bones.https://doi.org/10.1186/s12887-024-04539-yBone healthAdolescentsPhysical activitySedentary behaviourEating habitsDairy products
spellingShingle Anna Kopiczko
Michał Czapla
Raúl Juárez-Vela
Catherine Ross
Bartosz Uchmanowicz
Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study
BMC Pediatrics
Bone health
Adolescents
Physical activity
Sedentary behaviour
Eating habits
Dairy products
title Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study
title_full Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study
title_fullStr Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study
title_full_unstemmed Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study
title_short Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study
title_sort dairy product consumption eating habits sedentary behaviour and physical activity association with bone mineral density among adolescent boys a cross sectional observational study
topic Bone health
Adolescents
Physical activity
Sedentary behaviour
Eating habits
Dairy products
url https://doi.org/10.1186/s12887-024-04539-y
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