| Titre : | Lifestyle Impact on Lifetime Bone Loss in Women and Men : The Tromso Study. (2009) |
| Auteurs : | Tom WILSGAARD ; Luai-Awad AHMED ; Gro-Rosvold BERNTSEN ; Nina EMAUS ; Guri GRIMNES ; Ragnar-Martin JOAKIMSEN ; OMSLAND (Tone-Kristin) : NOR. Institute of General Practice and Community Medicine. University of Oslo. Oslo. ; University Hospital of North Norway. Tromso. NOR |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 169, n° 7, 2009) |
| Pagination : | 877-886 |
| Langues: | Anglais |
| Mots-clés : | Condition vie ; Ostéoporose ; Femme ; Homme ; Norvège ; Epidémiologie ; Europe |
| Résumé : | [BDSP. Notice produite par INIST-CNRS ClHR0xB8. Diffusion soumise à autorisation]. A physically active, nonsmoking lifestyle with weight maintenance positively influences bone health. The authors estimated the effect of lifestyles on peak bone mass and lifetime bone loss in the Tromso Study, Norway. Bone mineral density (BMD) was measured at distal and ultradistal forearm sites with single x-ray absorptiometric devices in 7,948 men and women aged 24-84 years in 1994-1995 and repeated in 2001 in 6,182 subjects. BMD was significantly higher at peak than at old age. However, the difference, estimated as lifetime loss, varied between lifestyle groups. Lifetime loss in nonsmoking, physically active men with a body mass index of 25 kg/m2 compared with smoking, inactive, and lean men was 15.9% and 25.9% at the distal site and 17.5% and 29.7% at the ultradistal site, respectively. In women, the corresponding loss estimates were 34.4% and 45.7% and 35.6% and 55.7%, respectively. The differences in BMD at the age of 80 years correspond to an increased forearm fracture risk of 69% in men and 85% in women with greatest bone loss. A lifestyle including nonsmoking, a high physical activity level, and a high body weight reduces bone loss and fracture risk in both sexes, with increasing effect from peak bone mass to old age. |
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