Influence of lifestyle factors on quantitative heel ultrasound measurements in middle-aged and elderly men

Stephen R. Pye, Vinodh Devakumar, Steven Boonen, Herman Borghs, Dirk Vanderschueren, Judith E. Adams, Kate A. Ward, Gyorgy Bartfai, Felipe F. Casanueva, Joseph D. Finn, Gianni Forti, Aleksander Giwercman, Thang S. Han, Ilpo T. Huhtaniemi, Krzysztof Kula, Michael E.J. Lean, Neil Pendleton, Margus Punab, Alan J. Silman, Frederick C.W. WuTerence W. O'Neill

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

We examined the distribution of quantitative heel ultrasound (QUS) parameters in population samples of European men and looked at the influence of lifestyle factors on the occurrence of these parameters. Men aged between 40 and 79 years were recruited from eight European centers and invited to attend for an interviewer-assisted questionnaire, assessment of physical performance, and quantitative ultrasound (QUS) of the calcaneus (Hologic; Sahara). The relationships between QUS parameters and lifestyle variables were assessed using linear regression with adjustments for age, center, and weight. Three thousand two hundred fiftyeight men, mean age 60.0 years, were included in the analysis. A higher PASE score (upper vs. lower tertile) was associated with a higher BUA (β coefficient = 2.44 dB/ Mhz), SOS (β = 6.83 m/s), and QUI (β = 3.87). Compared to those who were inactive, those who walked or cycled more than an hour per day had a higher BUA (β = 3.71 dB/Mhz), SOS (β = 6.97 m/s), and QUI (β = 4.50). A longer time to walk 50 ft was linked with a lower BUA (β = -0.62 dB/ Mhz), SOS (β = -1.06 m/s), and QUI (β = -0.69). Smoking was associated with a reduction in BUA, SOS, and QUI. There was a U-shaped association with frequency of alcohol consumption. Modification of lifestyle, including increasing physical activity and stopping smoking, may help optimize bone strength and reduce the risk of fracture in middle-aged and elderly European men.

Original languageEnglish
Pages (from-to)211-219
Number of pages9
JournalCalcified Tissue International
Volume86
Issue number3
DOIs
Publication statusPublished - Mar 1 2010

Keywords

  • Bone mineral density
  • Epidemiology
  • Exercise
  • Risk factors
  • Ultrasound

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Orthopedics and Sports Medicine
  • Endocrinology

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    Pye, S. R., Devakumar, V., Boonen, S., Borghs, H., Vanderschueren, D., Adams, J. E., Ward, K. A., Bartfai, G., Casanueva, F. F., Finn, J. D., Forti, G., Giwercman, A., Han, T. S., Huhtaniemi, I. T., Kula, K., Lean, M. E. J., Pendleton, N., Punab, M., Silman, A. J., ... O'Neill, T. W. (2010). Influence of lifestyle factors on quantitative heel ultrasound measurements in middle-aged and elderly men. Calcified Tissue International, 86(3), 211-219. https://doi.org/10.1007/s00223-009-9330-y