2021
DOI: 10.3390/ijerph182212126
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Association between Body Composition and Bone Mineral Density in Children and Adolescents: A Systematic Review and Meta-Analysis

Abstract: Background: Bone mass acquisition during growth is a major determinant of the risk of developing osteoporosis later in life. Body composition is an anthropometric determinant of bone mineral density (BMD) and significantly influences its development during childhood and adolescence. Objective: This study aimed to systematically examine the association between body composition and bone mineral density in children and adolescents. Methods: Observational studies addressing this association were identified from Pu… Show more

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Cited by 23 publications
(13 citation statements)
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“…In this regard, our main finding contributes to this research area by showing the significant but partial mediation role of a muscle mass indicator adjusted for height on the relationship between fatness and BMC. In children and adolescents, ASMI, and strength are strongly associated ( 58 ), and both have been associated with bone health in the transition from childhood to adulthood ( 48 , 59 ). Thereby, physical activity plays a fundamental role in promoting healthy muscle mass in this population.…”
Section: Discussionmentioning
confidence: 99%
“…In this regard, our main finding contributes to this research area by showing the significant but partial mediation role of a muscle mass indicator adjusted for height on the relationship between fatness and BMC. In children and adolescents, ASMI, and strength are strongly associated ( 58 ), and both have been associated with bone health in the transition from childhood to adulthood ( 48 , 59 ). Thereby, physical activity plays a fundamental role in promoting healthy muscle mass in this population.…”
Section: Discussionmentioning
confidence: 99%
“…[2] The amount of bone a person acquires during growth is a major factor that determines the symptoms and risk factors for OP later in life. [3] The skeletal system develops rapidly during adolescence, with bone mass approaching 90% of peak adult bone mass by the end of puberty. [4] Therefore, accumulating more bone mass and obtaining higher peak bone mass during adolescence is crucial for the prevention of OP in the elderly.…”
Section: Introductionmentioning
confidence: 99%
“…In adolescents, body composition, a parameter combining fat mass (FM) and lean mass (LM), has been associated with bone mineral density (BMD) ( Jeddi et al, 2015 ; Sioen et al, 2016 ; Han, Kim & Kim, 2021 ), a measurement of the mineral mass of bone per unit area, expressed in g/cm2 ( International Atomic Energy Agency, 2010 ). LM shows a clear association with bone health, explained by the mechanical loading transferred to the skeleton ( Deng et al, 2021 ). The effect of FM on bone health, however, is controversial, with reports of positive and negative associations in studies with adolescents ( Deng et al, 2021 ) and adults ( Hamrick, 2011 ).…”
Section: Introductionmentioning
confidence: 99%
“…LM shows a clear association with bone health, explained by the mechanical loading transferred to the skeleton ( Deng et al, 2021 ). The effect of FM on bone health, however, is controversial, with reports of positive and negative associations in studies with adolescents ( Deng et al, 2021 ) and adults ( Hamrick, 2011 ). On the one hand, the mechanical loading of extra mass may be favorable to bone development, but on the other hand, high levels of fat mass can lead to inflammation and oxidative stress, culminating in negative effects ( Hamrick, 2011 ; Shapses, Pop & Wang, 2017 ).…”
Section: Introductionmentioning
confidence: 99%