How Is Adolescent Bone Mass and Density Influenced by Early Life Body Size and Growth? The Tromso Study: Fit Futures-A Longitudinal Cohort Study From Norway.
Ontology highlight
ABSTRACT: The effect of birth weight and childhood body mass index (BMI) on adolescents' bone parameters is not established. The aim of this longitudinal, population-based study was to investigate the association of birth weight, childhood BMI, and growth, with adolescent bone mass and bone density in a sample of 633 adolescents (48% girls) from The Tromsø Study: Fit Futures. This population-based cohort study was conducted in 2010-2011 and 2012-2013 in Tromsø, Norway. Bone mineral content (BMC) and areal BMD (aBMD) were measured at total hip (TH) and total body (TB) by dual-energy X-ray absorptiometry (DXA) and converted to internal Z-scores. Birth weight and childhood anthropometric measurements were retrospectively obtained from the Medical Birth Registry of Norway and childhood health records. Associations between birth weight, BMI, and growth were evaluated by fitting linear mixed models with repeated measures of BMC and aBMD at ages 15 to 17 and 18 to 20 years as the outcome. In crude analysis, a significant positive association (p?Z-scores: ? coefficient (95% confidence interval [CI]) of 0.78 (0.53, 1.03) and 1.08 (0.85, 1.31) in girls, 0.63 (0.42, 0.85) and 0.74 (0.54, 0.95) in boys at TH and TB, respectively. Similar associations were found for BMC. Being underweight was consistently negatively associated with bone parameters in adolescence. In conclusion, birth weight influences adolescent bone mass but less than later growth and BMI in childhood and adolescence. © 2018 The Authors. JBMR Plus Published by Wiley Periodicals, Inc. on behalf of the American Society for Bone and Mineral Research.
SUBMITTER: Evensen E
PROVIDER: S-EPMC6139726 | biostudies-literature | 2018 Sep
REPOSITORIES: biostudies-literature
ACCESS DATA