Journal
BMC MUSCULOSKELETAL DISORDERS
Volume 18, Issue -, Pages -Publisher
BIOMED CENTRAL LTD
DOI: 10.1186/s12891-017-1794-8
Keywords
Osteoporosis; Lumbar spine; Vertebral size; Sports participation; Magnetic resonance imaging; Cohort study
Categories
Funding
- Academy of Finland
- Oulu University Hospital
- University of Oulu
- Northern Finland Health Care Foundation
- Duodecim Foundation
- Finnish Ministry of Education and Culture [86/626/2014]
- European Regional Development Fund [539/2010 A31592]
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Background: Vertebral size and especially cross-sectional area (CSA) are independently associated with vertebral fracture risk. Previous studies have suggested that physical activity and especially high-impact exercise may affect vertebral strength. We aimed to investigate the association between high-impact exercise at 31 and 46 years of age and vertebral dimensions in midlife. Methods: We used a subsample of 1023 individuals from the Northern Finland Birth Cohort 1966 study with records of self-reported sports participation from 31 and 46 years and MRI-derived data on vertebral dimensions from 46 years. Based on the sports participation data, we constructed three impact categories (high, mixed, low) that represented longitudinal high-impact exercise activity in adulthood. We used linear regression and generalized estimating equation (GEE) models to analyse the association between high-impact exercise and vertebral CSA, with adjustments for vertebral height and body mass index. Results: Participation in high-impact sports was associated with large vertebral CSA among women but not men. The women in the 'mixed' group had 36.8 (95% confidence interval 11.2-62.5) mm(2) larger CSA and the women in the 'high' group 43.2 (15.2-71.1) mm(2) larger CSA than the 'low' group. Conclusions: We suggest that participation (>= 1/week) in one or more high-impact sports in adulthood is associated with larger vertebral size, and thus increased vertebral strength, among middle-aged women.
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