The Relationships Between Skeletal Muscle Index and Bone Variables in a Group of Young Adults

International audienceThe purpose of this study was to investigate the relationships between skeletal muscle index (SMI) and bone variables in a group of young adults. Three hundred and thirty-five young adults (129 men and 206 women) whose ages ranged from 18 to 35 yr voluntarily participated in this study. Weight and height were measured, and body mass index (BMI) was calculated. Body composition, bone mineral content (BMC), bone mineral density (BMD), geometric indices of hip bone strength and trabecular bone score (TBS) were determined for each individual by Dual-energy X-ray absorptiometry (DXA). Appendicular skeletal mass (ASM, in kg) was calculated by summing the muscle masses of the 4 limbs, assuming that all nonfat and nonebone mass is skeletal muscle. Skeletal muscle index (SMI) was defined as ASM/height². In young men, SMI was positively correlated to WB BMC (r = 0.63; p < 0.001), WB BMD (r = 0.53; p < 0.001), L1-L4 BMC (r = 0.33; p < 0.001), L1-L4 BMD (r = 0.30; p < 0.001), L1-L4 TBS (r = 0.26; p < 0.01), TH BMC (r = 0.61; p < 0.001), TH BMD (r = 0.46; p < 0.001), FN BMC (r = 0.51; p < 0.001), FN BMD (r = 0.46; p < 0.001), FN cross-sectional area (CSA) (r = 0.56; p < 0.001), FN cross-sectional moment of inertia (CSMI) (r = 0.52; p < 0.001) and FN section modulus (Z) (r = 0.54; p < 0.001) but negatively correlated to FN strength index (SI) (r = -0.24; p < 0.01). In young women, SMI was positively correlated to WB BMC (r = 0.61; p < 0.001), WB BMD (r = 0.60; p < 0.001), L1-L4 BMC (r = 0.35; p < 0.001), L1-L4 BMD (r = 0.33; p < 0.001), L1-L4 TBS (r = 0.29; p < 0.001), TH BMC (r = 0.61; p < 0.001), TH BMD (r = 0.53; p < 0.001), FN BMC (r = 0.45; p < 0.001), FN BMD (r = 0.49; p < 0.001), FN CSA (r = 0.60; p < 0.001), FN CSMI (r = 0.52; p < 0.001), and FN Z (r = 0.40; p < 0.001) but negatively correlated to FN SI (r = -0.20; p < 0.01). The current study suggests that SMI is a positive determinant of bone mineral density and geometric indices of hip bone strength in young adults

Influence of being overweight on bone mineral density and bone geometry in a group of Lebanese adolescents and young adults

Les buts de cette thèse étaient d'explorer les effets de l'obésité et du surpoids sur le contenu minéral osseux (CMO), la densité minérale osseuse (DMO) et la géométrie osseuse de la hanche ches des adolescents et des jeunes adultes libanais. 131 sujets libanais agés de 13 à 30 ans ont acceptés de participer à cette étude (67 de sexe masculin et 64 de sexe féminin) et ont donné leur consentement éclairé. Le poids et la taille ont été mesurés et l'indice de masse corporelle (IMC) a été calculé. La composition corporelle, le CMO du corps entier (CE), la DMO CE, la DMO du rachis lombaire (L2-L4), la DMO de la hanche et la DMO de l'avant-bras ont été mesuréses par la DXA. La géométrie osseuse de la hanche a été évaluée par le logiciel Hip Structure Analysis (HSA). La surface de la section transversale (CSA), le moment d'inertie de la surface transversale (CSMI), le module de section (Z), l'épaisseur corticale (CT) et le buckling ratio (BR) ont été ainsi mesurés par le logiciel HSA. Dans les deux sexes, l'obésité et le surpoids étaient associés à une augmentation des valeurs absolues de CMO, de DMO et d'indicecs géométriques de résistance osseuse (CSA et Z) au niveau de la hanche. Chez les sujets de sexe masculin, le CMO CE, le rapport CMO CE/taille, la DMO CE et la DMO du Radius ultra-distal étaient significativement inférieurs chez le groupe obèse par rapport aux groupes en surpoids et normo-pondérés après ajustement pour le poids (en utilisant une analyse de covariance). Chez les sujets de sexe féminin, après ajustement pour le poids (en utilisant une analyse de covariance), la DMO du rachis lombaire était inférieure chez le groupe obèse par rapport au groupe normo-pondéré alors qu'il n'y avait aucune différence entre les trois groupes (obèse, en surpoids et normo-pondéré) au niveau des indices géométriques de résistance osseuse de la hanche. Cette thèse montre donc que la DMO de certains sites osseux n'est pas correctement adaptée à l'excès de poids chez les jeunes obèses.The aims of this thesis were to explore the effects of obesity and overweight on bone mineral content (BMC), bone mineral density (BMD) and hip geometry in a group of Lebanese adolescents and young adults. 131 Lebanese subjects (67males and 64 female) whose ages range between 13 and 30 years participated in this study. Informed written consent was obtained from participants. Weight and height were measured, and body mass index (BMI) was calculated. Body composition, whole body bone mineral content (WB BMC), whole body bone mineral density (WB BMD), lumbar spine bone mineral density (L2-L4 BMD), hip BMD and forearm BMD were measured by DXA. To evaluate hip bone strength, DXA scans were analyzed by the hip structure analysis (HSA) program. Cross-sectional area (CSA), section modulus (Z), cross-sectional moment of inertia (CSMI), cortical thickness (CT) and buckling ratio (BR) were measured from hip bone mass profiles using the HSA software. In both sexes, obesity and overweight were associated with higher crude BMC, BMD and geometric indices of hip bone strengh values (CSA and Z). In males, obese group displayed lower WB BMC, WB BMC/height, WB BMD and ultra-distal Radius BMD values in comparison to overweight and normal-weight groups after adjustement for weight (using a one-way analysis of covariance). In females, after adjusting for body weight (using a one-way analysis of covariance), lumbar spine BMD was lower in the obese group compared to the normal-weight group while there were no significant differences among the three groups (obses, overweight and normal-weight) regarding geometric indicesof hip bone strength. This study shows that BMD of some skeletal sites is not well adapted to the increased body weight in young obese

Consommation d’oxygène chez des cyclistes confirmés lors d’une séance composée d'intervalles courts (30 s/30 s) sur bicyclette ergométrique

Introduction : L’entraînement par intervalles courts de type 30 s/30 s est très utilisé en athlétisme et en sports collectifs afin d’améliorer la consommation maximale d’oxygène (VO2max). Cependant, à notre connaissance, aucune étude ne s’est intéressée à détecter son éventuelle efficacité sur le développement de la VO2max chez les cyclistes. Le but de cette étude était de vérifier si l’entraînement par intervalles courts de type 30 s/30 s (20 répétitions) à puissance maximale aérobie (PMA) et avec une récupération passive permettait de passer beaucoup de temps à une intensité proche de VO2max chez des cyclistes confirmés. Méthodes et résultats : Sept cyclistes confirmés ont participé à cette étude. Les sujets ont d’abord réalisé un test maximal à charges croissantes sur bicyclette ergométrique afin de mesurer leur consommation maximale d’oxygène. Après une semaine, les sujets ont réalisé 20 répétitions de 30 s/30 s (30 secondes à la puissance maximale aérobie suivies de 30 secondes de récupération passive). Ce type d’effort n’a permis à aucun cycliste d’atteindre 90 % de VO2Max. Conclusion : L’entraînement par intervalles proposé (20 fois 30 s/30 s à PMA et en récupérant passivement) ne permet pas d’atteindre 90 % de la VO2max chez les cyclistes confirmés

Geometric Indices of Hip Bone Strength in Obese, Overweight, and Normal-Weight Adolescent Girls

International audienceThe aim of this study was to compare hip bone strength indices in obese, overweight, and normal-weight adolescent girls using hip structure analysis (HSA). This study included 64 postmenarcheal adolescent girls (14 obese, 21 overweight, and 29 normal weight). The 3 groups (obese, overweight, and normal weight) were matched for maturity (years since menarche). Body composition and bone mineral density (BMD) of whole body, lumbar spine, and proximal femur were assessed by dual-energy X-ray absorptiometry (DXA). To evaluate hip bone strength, DXA scans were analyzed at the femoral neck (FN) at its narrow neck (NN) region, the intertrochanteric (IT), and the femoral shaft (FS) by the HSA program. Cross-sectional area and section modulus were measured from hip BMD profiles. Total hip BMD and FN BMD were significantly higher in obese and overweight girls in comparison with normal-weight girls (p < 0.05). However, after adjusting for weight, using a one-way analysis of covariance, there were no significant differences among the 3 groups regarding HSA variables. This study suggests that in obese and overweight adolescent girls, axial strength and bending strength indices of the NN, IT, and FS are adapted to the increased body weight

Bone Mineral Content and Density in Obese , Overweight and Normal Weight Adolescent Boys

International audienceAim of the study: The aim of this study was to compare bone mineral content (BMC), bone mineral density (BMD) and bone mineral apparent density (BMAD) in obese, overweight and normal weight adolescent boys.Methods & results: This study included 23 obese, 19 overweight and 25 normal weight adolescents (aged 14-20 years) boys. The three groups (obese, overweight and normal weight) were matched for age and maturation index. Body composition, BMC and BMD were assessed by dual-energy X-ray absorptiometry (DXA). The expressions whole body (WB) BMC/height and WB BMD/height were used to adjust for WB bone size. BMAD was calculated for the WB. WB BMC, WB BMC/height, total hip (TH) BMD, femoral neck (FN) BMD and ultra distal (UD) radius BMD) were higher in obese and overweight boys in comparison to normal weight boys (p < 0.05). WB BMAD was lower in obese boys in comparison to overweight and normal weight boys (p < 0.05). After adjustment for either weight or lean mass, obese boys displayed lower WB BMC, WB BMC/height and WB BMD values in comparison to overweight and normal weight boys (p < 0.05).Conclusion: This study suggests that WB BMC, WB BMC/height and WB BMD do not adapt to the increased body weight in obese adolescent boys

The Relationships Between Skeletal Muscle Index and Bone Variables in a Group of Young Adults

International audienceThe purpose of this study was to investigate the relationships between skeletal muscle index (SMI) and bone variables in a group of young adults. Three hundred and thirty-five young adults (129 men and 206 women) whose ages ranged from 18 to 35 yr voluntarily participated in this study. Weight and height were measured, and body mass index (BMI) was calculated. Body composition, bone mineral content (BMC), bone mineral density (BMD), geometric indices of hip bone strength and trabecular bone score (TBS) were determined for each individual by Dual-energy X-ray absorptiometry (DXA). Appendicular skeletal mass (ASM, in kg) was calculated by summing the muscle masses of the 4 limbs, assuming that all nonfat and nonebone mass is skeletal muscle. Skeletal muscle index (SMI) was defined as ASM/height². In young men, SMI was positively correlated to WB BMC (r = 0.63; p < 0.001), WB BMD (r = 0.53; p < 0.001), L1-L4 BMC (r = 0.33; p < 0.001), L1-L4 BMD (r = 0.30; p < 0.001), L1-L4 TBS (r = 0.26; p < 0.01), TH BMC (r = 0.61; p < 0.001), TH BMD (r = 0.46; p < 0.001), FN BMC (r = 0.51; p < 0.001), FN BMD (r = 0.46; p < 0.001), FN cross-sectional area (CSA) (r = 0.56; p < 0.001), FN cross-sectional moment of inertia (CSMI) (r = 0.52; p < 0.001) and FN section modulus (Z) (r = 0.54; p < 0.001) but negatively correlated to FN strength index (SI) (r = -0.24; p < 0.01). In young women, SMI was positively correlated to WB BMC (r = 0.61; p < 0.001), WB BMD (r = 0.60; p < 0.001), L1-L4 BMC (r = 0.35; p < 0.001), L1-L4 BMD (r = 0.33; p < 0.001), L1-L4 TBS (r = 0.29; p < 0.001), TH BMC (r = 0.61; p < 0.001), TH BMD (r = 0.53; p < 0.001), FN BMC (r = 0.45; p < 0.001), FN BMD (r = 0.49; p < 0.001), FN CSA (r = 0.60; p < 0.001), FN CSMI (r = 0.52; p < 0.001), and FN Z (r = 0.40; p < 0.001) but negatively correlated to FN SI (r = -0.20; p < 0.01). The current study suggests that SMI is a positive determinant of bone mineral density and geometric indices of hip bone strength in young adults

Effects of the Type of Exercise Training on Bone Health Parameters in Adolescent Girls: A Systematic Review

International audienceInterventional studies offer strong evidence for exercise’s osteogenic impact on bone particularly during growth. With rising osteoporosis rates in older women, enhancing bone strength early in life is crucial. Thus, investigating the osteogenic effects of different types of physical activities in young females is crucial. Despite varied findings, only two systematic reviews tried to explore this topic without examining how different types of exercise may affect bone health in adolescent girls. The first aim of this systematic review was to assess the impact of exercise training on bone health parameters in adolescent girls, and the second aim was to investigate whether the type of exercise training can modulate this effect. A systematic literature search was conducted using common electronic databases from inception - January 2023. Seven studies (355 participants) were eligible for inclusion in this systematic review. Two studies dealt with resistance training, 3 studies applied plyometric training, 1 study used team sports, and 1 study used dancing. Results indicate that plyometric training increases lumbar spine bone mass in adolescent girls. Well-designed randomized controlled trials with a proper training period (&gt; 12 weeks) are needed to advocate a specific type of training which has the highest osteogenic effect