Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018

Abstract We compared the relationship between sedentary activity (SA) and physical activity (PA) with bone mineral density (BMD) and body fat percentage in the United States and found a negative association between SA and BMD and a positive association with body fat percentage. A positive associatio...

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Main Authors: Zhao Lin, Guang Shi, Xun Liao, Jingrou Huang, Mingyu Yu, Wei Liu, Xue Luo, Hongrui Zhan, Xiyu Cai
Format: Article
Language:English
Published: Nature Portfolio 2023-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-35742-z
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author Zhao Lin
Guang Shi
Xun Liao
Jingrou Huang
Mingyu Yu
Wei Liu
Xue Luo
Hongrui Zhan
Xiyu Cai
author_facet Zhao Lin
Guang Shi
Xun Liao
Jingrou Huang
Mingyu Yu
Wei Liu
Xue Luo
Hongrui Zhan
Xiyu Cai
author_sort Zhao Lin
collection DOAJ
description Abstract We compared the relationship between sedentary activity (SA) and physical activity (PA) with bone mineral density (BMD) and body fat percentage in the United States and found a negative association between SA and BMD and a positive association with body fat percentage. A positive association between PA and BMD and a negative association with body fat percentage. SA and PA are associated with changes in skeletal parameters and body fat percentage, and we aimed to investigate and compare the relationship between SA, PA and bone mineral density (BMD) and body fat percentage in men and women. We assessed the relationship between SA, PA and BMD and body fat percentage in 9787 Americans aged 20–59 years (mean age 38.28 ± 11.39 years) from NHANES 2011–2018. BMD and body fat percentage were measured by dual-energy X-ray bone densitometry (DXA). We used multiple linear regression models to examine the relationships between SA, PA and lumbar spine BMD and total body fat percentage, adjusted for a large number of confounding factors. After adjusting for race/ethnicity, age, alcohol and smoking behavior, body mass index (BMI), total protein, blood calcium, blood uric acid, cholesterol, blood phosphorus, vitamin D, and blood urea nitrogen, SA was negatively associated with lumbar spine BMD (β = − 0.0011 95% CI − 0.0020 to − 0.0002, P = 0.022), and SA was positively associated with total fat percentage (β = PA was positively associated with lumbar BMD (β = 0.0046 95% CI 0.0010 to 0.0082, P = 0.012) and there was a negative association between PA and body fat percentage (β = − 1.177 95% CI − 1.326 to –1.027, P < 0.001). Our results show that physical activity is a key component of maintaining bone health in both men and women and is strongly associated with lower body fat percentages. Sedentary activity is negatively correlated with bone density and is strongly associated with an increase in body fat percentage. Healthcare policy makers should consider reducing sedentary activity and increasing physical activity when preventing osteoporosis and obesity.
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spelling doaj.art-991a06e305eb4dd2a9f2178bfc148d552023-06-25T11:15:30ZengNature PortfolioScientific Reports2045-23222023-06-011311910.1038/s41598-023-35742-zCorrelation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018Zhao Lin0Guang Shi1Xun Liao2Jingrou Huang3Mingyu Yu4Wei Liu5Xue Luo6Hongrui Zhan7Xiyu Cai8Department of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Rehabilitation, The Fifth Affiliated Hospital of Sun Yat-sen UniversityDepartment of Orthopedics, The Fifth Affiliated Hospital of Sun Yat-sen UniversityAbstract We compared the relationship between sedentary activity (SA) and physical activity (PA) with bone mineral density (BMD) and body fat percentage in the United States and found a negative association between SA and BMD and a positive association with body fat percentage. A positive association between PA and BMD and a negative association with body fat percentage. SA and PA are associated with changes in skeletal parameters and body fat percentage, and we aimed to investigate and compare the relationship between SA, PA and bone mineral density (BMD) and body fat percentage in men and women. We assessed the relationship between SA, PA and BMD and body fat percentage in 9787 Americans aged 20–59 years (mean age 38.28 ± 11.39 years) from NHANES 2011–2018. BMD and body fat percentage were measured by dual-energy X-ray bone densitometry (DXA). We used multiple linear regression models to examine the relationships between SA, PA and lumbar spine BMD and total body fat percentage, adjusted for a large number of confounding factors. After adjusting for race/ethnicity, age, alcohol and smoking behavior, body mass index (BMI), total protein, blood calcium, blood uric acid, cholesterol, blood phosphorus, vitamin D, and blood urea nitrogen, SA was negatively associated with lumbar spine BMD (β = − 0.0011 95% CI − 0.0020 to − 0.0002, P = 0.022), and SA was positively associated with total fat percentage (β = PA was positively associated with lumbar BMD (β = 0.0046 95% CI 0.0010 to 0.0082, P = 0.012) and there was a negative association between PA and body fat percentage (β = − 1.177 95% CI − 1.326 to –1.027, P < 0.001). Our results show that physical activity is a key component of maintaining bone health in both men and women and is strongly associated with lower body fat percentages. Sedentary activity is negatively correlated with bone density and is strongly associated with an increase in body fat percentage. Healthcare policy makers should consider reducing sedentary activity and increasing physical activity when preventing osteoporosis and obesity.https://doi.org/10.1038/s41598-023-35742-z
spellingShingle Zhao Lin
Guang Shi
Xun Liao
Jingrou Huang
Mingyu Yu
Wei Liu
Xue Luo
Hongrui Zhan
Xiyu Cai
Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018
Scientific Reports
title Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018
title_full Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018
title_fullStr Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018
title_full_unstemmed Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018
title_short Correlation between sedentary activity, physical activity and bone mineral density and fat in America: National Health and Nutrition Examination Survey, 2011–2018
title_sort correlation between sedentary activity physical activity and bone mineral density and fat in america national health and nutrition examination survey 2011 2018
url https://doi.org/10.1038/s41598-023-35742-z
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