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Article

Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study

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GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain
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Agrifood Research and Technology Centre of Aragón, IA2, CITA—Universidad de Zaragoza, 50009 Zaragoza, Spain
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Exercise and Health in Special Population Spanish Research Net (EXERNET), 50009 Zaragoza, Spain
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Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Ronda Misericordia 5, 22001 Huesca, Spain
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GENUD Toledo Research Group, University of Castilla-La Mancha, 45071 Toledo, Spain
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Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), 28029 Madrid, Spain
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Department of Physiatry and Nursing, Faculty of Health, University of Zaragoza, 50009 Zaragoza, Spain
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HEME (Health, Economy, Motricity and Education) Research Group, Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain
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VALFIS Research Group, Department of Physical Education and Sport, Institute of Biomedicine (IBIOMED), University of León, 24007 León, Spain
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ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Polytechnic University of Madrid, 28040 Madrid, Spain
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Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), 28029 Madrid, Spain
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Centro Universitario de la Defensa, 50090 Zaragoza, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(7), 3757; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18073757
Received: 12 March 2021 / Revised: 29 March 2021 / Accepted: 1 April 2021 / Published: 3 April 2021
(This article belongs to the Special Issue Exercise, Health and Disease Management)
With aging, bone density is reduced, increasing the risk of suffering osteoporosis and fractures. Increasing physical activity (PA) may have preventive effects. However, until now, no studies have considered movement behaviors with compositional data or its association to bone mass and structure measured by peripheral computed tomography (pQCT). Thus, the aim of our study was to investigate these associations and to describe movement behavior distribution in older adults with previous falls and fractures and other related risk parameters, taking into account many nutritional and metabolic confounders. In the current study, 70 participants above 65 years old (51 females) from the city of Zaragoza were evaluated for the EXERNET-Elder 3.0 project. Bone mass and structure were assessed with pQCT, and PA patterns were objectively measured by accelerometry. Prevalence of fear of falling, risk of falling, and history of falls and fractures were asked through the questionnaire. Analyses were performed using a compositional data approach. Whole-movement distribution patterns were associated with cortical thickness. In regard to other movement behaviors, moderate-to-vigorous PA (MVPA) showed positive association with cortical thickness and total true bone mineral density (BMD) at 38% (all p < 0.05). In addition, less light PA (LPA) and MVPA were observed in those participants with previous fractures and fear of falling, whereas those at risk of falling and those with previous falls showed higher levels of PA. Our results showed positive associations between higher levels of MVPA and volumetric bone. The different movement patterns observed in the groups with a history of having suffered falls or fractures and other risk outcomes suggest that different exercise interventions should be designed in these populations in order to improve bone and prevent the risk of osteoporosis and subsequent fractures. View Full-Text
Keywords: bone mineral density; elderly; moderate-to-vigorous physical activity; sedentary time bone mineral density; elderly; moderate-to-vigorous physical activity; sedentary time
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MDPI and ACS Style

Moradell, A.; Rodríguez-Gómez, I.; Fernández-García, Á.I.; Navarrete-Villanueva, D.; Marín-Puyalto, J.; Pérez-Gómez, J.; Villa-Vicente, J.G.; González-Gross, M.; Ara, I.; Casajús, J.A.; Gómez-Cabello, A.; Vicente-Rodríguez, G. Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study. Int. J. Environ. Res. Public Health 2021, 18, 3757. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18073757

AMA Style

Moradell A, Rodríguez-Gómez I, Fernández-García ÁI, Navarrete-Villanueva D, Marín-Puyalto J, Pérez-Gómez J, Villa-Vicente JG, González-Gross M, Ara I, Casajús JA, Gómez-Cabello A, Vicente-Rodríguez G. Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study. International Journal of Environmental Research and Public Health. 2021; 18(7):3757. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18073757

Chicago/Turabian Style

Moradell, Ana, Irene Rodríguez-Gómez, Ángel I. Fernández-García, David Navarrete-Villanueva, Jorge Marín-Puyalto, Jorge Pérez-Gómez, José G. Villa-Vicente, Marcela González-Gross, Ignacio Ara, José A. Casajús, Alba Gómez-Cabello, and Germán Vicente-Rodríguez. 2021. "Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study" International Journal of Environmental Research and Public Health 18, no. 7: 3757. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18073757

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