000151310 001__ 151310
000151310 005__ 20251017144617.0
000151310 0247_ $$2doi$$a10.3390/ijerph18073757
000151310 0248_ $$2sideral$$a124064
000151310 037__ $$aART-2021-124064
000151310 041__ $$aeng
000151310 100__ $$0(orcid)0000-0003-0330-5558$$aMoradell, A.$$uUniversidad de Zaragoza
000151310 245__ $$aAssociations between daily movement distribution, bone structure, falls, and fractures in older adults: A compositional data analysis study
000151310 260__ $$c2021
000151310 5060_ $$aAccess copy available to the general public$$fUnrestricted
000151310 5203_ $$aWith 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.
000151310 536__ $$9info:eu-repo/grantAgreement/ES/FEDER/CB16-10-00477$$9info:eu-repo/grantAgreement/ES/MECD/EXERNET-DEP2005-00046$$9info:eu-repo/grantAgreement/ES/MECD/09-UPB-19$$9info:eu-repo/grantAgreement/ES/MECD/45-UPB-20$$9info:eu-repo/grantAgreement/ES/MINECO/DEP2016-78309-R$$9info:eu-repo/grantAgreement/ES/UZ/CUD2017-BIO-01
000151310 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000151310 590__ $$a4.614$$b2021
000151310 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b45 / 182 = 0.247$$c2021$$dQ1$$eT1
000151310 591__ $$aENVIRONMENTAL SCIENCES$$b100 / 279 = 0.358$$c2021$$dQ2$$eT2
000151310 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b71 / 210 = 0.338$$c2021$$dQ2$$eT2
000151310 592__ $$a0.814$$b2021
000151310 593__ $$aPollution$$c2021$$dQ1
000151310 593__ $$aHealth, Toxicology and Mutagenesis$$c2021$$dQ1
000151310 594__ $$a4.5$$b2021
000151310 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000151310 700__ $$aRodríguez-Gómez, I.
000151310 700__ $$0(orcid)0000-0003-4789-9618$$aFernández-García, Á.I.$$uUniversidad de Zaragoza
000151310 700__ $$0(orcid)0000-0001-6523-5511$$aNavarrete-Villanueva, D.$$uUniversidad de Zaragoza
000151310 700__ $$0(orcid)0000-0002-1042-542X$$aMarín-Puyalto, J.$$uUniversidad de Zaragoza
000151310 700__ $$aPérez-Gómez, J.
000151310 700__ $$aVilla-Vicente, J.G.
000151310 700__ $$aGonzález-Gross, M.
000151310 700__ $$aAra, I.
000151310 700__ $$0(orcid)0000-0002-7215-6931$$aCasajús, J.A.$$uUniversidad de Zaragoza
000151310 700__ $$0(orcid)0000-0001-6492-2512$$aGómez-Cabello, A.
000151310 700__ $$0(orcid)0000-0002-4303-4097$$aVicente-Rodríguez, G.$$uUniversidad de Zaragoza
000151310 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000151310 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000151310 773__ $$g18, 7 (2021), 3757 [15 pp.]$$pInt. j. environ. res. public health$$tInternational journal of environmental research and public health$$x1661-7827
000151310 8564_ $$s1110419$$uhttps://zaguan.unizar.es/record/151310/files/texto_completo.pdf$$yVersión publicada
000151310 8564_ $$s2960830$$uhttps://zaguan.unizar.es/record/151310/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000151310 909CO $$ooai:zaguan.unizar.es:151310$$particulos$$pdriver
000151310 951__ $$a2025-10-17-14:20:27
000151310 980__ $$aARTICLE