Volume 44 Issue 12
Dec.  2023
Turn off MathJax
Article Contents
WEN Lei, ZHANG Shuna, SUN Shunli, SU Liqiang, HUANG Ting, ZOU Weina, FU Jinmei, ZHAO Miaolin. Association of pre-school children physical activities and sedentary behaviors on calcanues bone density[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1843-1847. doi: 10.16835/j.cnki.1000-9817.2023.12.018
Citation: WEN Lei, ZHANG Shuna, SUN Shunli, SU Liqiang, HUANG Ting, ZOU Weina, FU Jinmei, ZHAO Miaolin. Association of pre-school children physical activities and sedentary behaviors on calcanues bone density[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1843-1847. doi: 10.16835/j.cnki.1000-9817.2023.12.018

Association of pre-school children physical activities and sedentary behaviors on calcanues bone density

doi: 10.16835/j.cnki.1000-9817.2023.12.018
  • Received Date: 2023-08-12
  • Rev Recd Date: 2023-10-31
  • Available Online: 2023-12-26
  • Publish Date: 2023-12-25
  •   Objective  To investigate the effects of physical activity (PA) intensity and sedentary behavior (SB) on calcanues bone mineral density (BMD) in preschool children, so as to provide a basis for rationalizing the daily physical activity of preschool children to promote bone health.  Methods  A total of 673 pre-school children aged 3-6 years from nine kindergartens in Pingxiang City, Ganzhou City and Yingtan City of Jiangxi Province, were selected from September to December 2021 by using the whole stratified cluster random sampling method. The PA levels and SB were measured by using a three-axis acceleration sensor, and left calcanues BMD was measured by an ultrasound bone densitometer. Multiple linear regression was used to explore the effects of changes in PA on calcanues BMD in pre-school children of all ages.  Results  Of the 673 preschoolers surveyed, 498 (74.0%) achieved an average of ≥60 min of moderate to vigorous physical activity (MVPA) per day, there were 265 boys (71.2%), and 233 girls (77.4%). The difference between genders was not statistically significant (χ2=2.77, P>0.05). There was no statistically significant difference in the BMD test of the calcaneus bones of preschoolers by gender (Z=0.42, P>0.05). The difference in BMD results of pre-school children with 3, 4, 5 to 6 years was statistically significant (H=2.65, P < 0.05). Correlation analysis revealed a negative correlation between SB duration and calcaneus BMD (r=-0.13), and a positive correlation between low-intensity physical activity (LPA) duration, MVPA duration, and calcaneus BMD (r=0.14, 0.25) (P < 0.05). Multivariate linear regression analysis showed that SB duration negatively correlated with calcaneus BMD, whereas LPA and MVPA duration positively correlated with calcaneus BMD (P < 0.05).  Conclusions  MVPA duration is positively correlated with the growth of BMD in the heel bone and negatively correlated with SB. The kindergartens can adjust their curricula according to the physical and mental developmental characteristics, gender and age differences of pre-school children, increase the time of outdoor activities, and reduce the sedentary time to promote the bone health of young children.
  • loading
  • [1]
    SIOEN I, MICHELS N, POLFLIET C, et al. The influence of dairy consumption, sedentary behaviour and physical activity on bone mass in Flemish children: a cross-sectional study[J]. BMC Public Health, 2015, 15: 717. doi: 10.1186/s12889-015-2077-7
    [2]
    HALPER A, SANCHEZ B, HODGES J S, et al. Use of an aromatase inhibitor in children with congenital adrenal hyperplasia: impact of anastrozole on bone mineral density and visceral adipose tissue[J]. Clin Endocrinol (Oxf), 2019, 91(1): 124-130. doi: 10.1111/cen.14009
    [3]
    REN Y, XI X, HU D, et al. Determinants for low bone mineral density in pre-school children: a matched case-control study in Wuhan, China[J]. J Pediatr Endocrinol Metab, 2019, 32(7): 739-748. doi: 10.1515/jpem-2018-0554
    [4]
    SKINNER A M, ROWLANDS A V, VLACHOPOULOS D, et al. The influence of accelerometer epoch length on associations of physical activity intensity and volume with bone outcomes[J]. J Sports Sci Med, 2023, 22(1): 117-132.
    [5]
    BULL F C, AL-ANSARI S S, BIDDLE S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462. doi: 10.1136/bjsports-2020-102955
    [6]
    马晓凯, 朱政, 孙晨, 等. 儿童青少年中高强度身体活动时长特征及其与体质健康关系探究[J]. 体育科学, 2022, 42(4): 43-49, 97. https://www.cnki.com.cn/Article/CJFDTOTAL-TYKX202204005.htm

    MA X K, ZHU Z, SUN C, et al. Bout characteristics of MVPA and its relationship with physical fitness in children and adolescents[J]. Chin Sport Sci, 2022, 42(4): 43-49, 97. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TYKX202204005.htm
    [7]
    关宏岩, 赵星, 屈莎, 等. 学龄前儿童(3~6岁)运动指南[J]. 中国儿童保健杂志, 2020, 28(6): 714-720. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202006031.htm

    GUAN H Y, ZHAO X, QU S, et al. Physical activity guideline for Chinese preschoolers aged 3-6 years[J]. Chin J Child Health, 2020, 28(6): 714-720. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202006031.htm
    [8]
    张红, 汪馨垚, 姚春花, 等. 学龄前儿童居家户外活动时间的影响因素[J]. 中国儿童保健杂志, 2023, 31(5): 481-485. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202305004.htm

    ZHANG H, WANG X Y, YAO C H, et al. Influencing factors of the home-based out door activities time among preschoolers[J]. Chin J Child Health, 2023, 31(5): 481-485. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202305004.htm
    [9]
    R∅NNE M S, HEIDEMANN M, LYLLOFF L, et al. Bone mass development in childhood and its association with physical activity and Vitamin D levels: the CHAMPS-Study DK[J]. Calcif Tissue Int, 2019, 104(1): 1-13. doi: 10.1007/s00223-018-0466-5
    [10]
    KOHRT W M, BLOOMFIELD S A, LITTLE K D, et al. American college of sports medicine position stand: physical activity and bone health[J]. Med Sci Sports Exerc, 2004, 36(11): 1985-1996. doi: 10.1249/01.MSS.0000142662.21767.58
    [11]
    MARIN-PUYALTO J, MÄESTU J, GÓMEZ-CABELLO A, et al. Frequency and duration of vigorous physical activity bouts are associated with adolescent boys' bone mineral status: a cross-sectional study[J]. Bone, 2019, 120: 141-147. doi: 10.1016/j.bone.2018.10.019
    [12]
    TEBAR W R, RITTI-DIAS R M, SARAIVA B T C, et al. Physical activity levels are associated with regional bone mineral density in boys[J]. Phys Sportsmed, 2019, 47(3): 336-340. doi: 10.1080/00913847.2019.1568770
    [13]
    HERRMANN D, BUCK C, SIOEN I, et al. Impact of physical activity, sedentary behaviour and muscle strength on bone stiffness in 2-10-year-old children-cross-sectional results from the IDEFICS study[J]. Int J Behav Nutr Phys Act, 2015, 12: 112. doi: 10.1186/s12966-015-0273-6
    [14]
    CHRISTOFARO D G D, TEBAR W R, SARAIVA B T C, et al. Comparison of bone mineral density according to domains of sedentary behavior in children and adolescents[J]. BMC Pediatr, 2022, 22(1): 72. doi: 10.1186/s12887-022-03135-2
    [15]
    RATAJCZAK A E, ZAWADA A, RYCHTER A M, et al. Milk and dairy products: good or bad for human bone? practical dietary recommendations for the prevention and management of osteoporosis[J]. Nutrients, 2021, 13(4): 1329-1345. doi: 10.3390/nu13041329
    [16]
    POITRAS V J, GRAY C E, JANSSEN X, et al. Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years)[J]. BMC Public Health, 2017, 17(Suppl 5): 868-889.
    [17]
    常振亚, 王树明. 学龄前儿童身体活动采样间隔和强度分界值的适用性研究[J]. 中国体育科技, 2022, 58: 17-25. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY202206002.htm

    CHANG Z Y, WANG S M. Applicability of sampling interval and intensity cutoff value of physical activity in preschool children[J]. Chin Sport Sci Tec, 2022, 58: 17-25. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY202206002.htm
    [18]
    STEENE-JOHANNESSEN J, HANSEN B H, DALENE K E, et al. Variations in accelerometry measured physical activity and sedentary time across Europe-harmonized analyses of 47497 children and adolescents[J]. Int J Behav Nutr Phys Act, 2020, 17(1): 38-52. doi: 10.1186/s12966-020-00930-x
    [19]
    PATE R R, ALMEIDA M J, MCIVER K L, et al. Validation and calibration of an accelerometer in preschool children[J]. Obesity (Silver Spring), 2006, 14(11): 2000-2006. doi: 10.1038/oby.2006.234
    [20]
    ORGANIZATION W H. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age[R]. Geneva: WHO, 2019.
    [21]
    CHIN K-Y, IMA-NIRWANA S. Calcaneal quantitative ultrasound as a determinant of bone health status: what properties of bone does it reflect?[J]. Internat J Med Sci, 2013, 10(12): 1778-1783. doi: 10.7150/ijms.6765
    [22]
    TROMP A M, SMIT J H, DEEG D J, et al. Quantitative ultrasound measurements of the tibia and calcaneus in comparison with DXA measurements at various skeletal sites[J]. Osteoporos Int, 1999, 9(3): 230-235. doi: 10.1007/s001980050142
    [23]
    CHEN S J, CHEN Y J, CHENG C H, et al. Comparisons of different screening tools for identifying fracture/osteoporosis risk among community-dwelling older people[J]. Medicine (Baltimore), 2016, 95(20): e3415. doi: 10.1097/MD.0000000000003415
    [24]
    林微微. 南京2504例0~3岁婴幼儿的骨密度[J]. 解剖学报, 2019, 50(6): 823-826. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB201906030.htm

    LIN W W. Bone mineral density of 2504 infants aged 0-3 years in Nanjing[J]. Acta Anat Sin, 2019, 50(6): 823-826. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB201906030.htm
    [25]
    朱政. 中国9~17岁儿童青少年身体活动与体质健康的流行病学研究[D]. 上海: 上海体育学院, 2021.

    ZHU Z. Prevalence of physical activity and physical fitness among chinese children and adolescents aged 9-17 years old[D]. Shanghai: Shanghai University of Sport, 2021. (in Chinese)
    [26]
    NIE M J, FAN C Q, SUN R Z, et al. Accelerometer-measured physical activity in children and adolescents at altitudes over 3500 meters: a cross-sectional study in Tibet[J]. Int J Environ Res Public Health, 2019, 16(5): 686. doi: 10.3390/ijerph16050686
    [27]
    WEAVER C M, GORDON C M, JANZ K F, et al. The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations[J]. Osteoporos Int, 2016, 27(4): 1281-386.
    [28]
    TREMBLAY M S, CHAPUT J P, ADAMO K B, et al. Canadian 24-hour movement guidelines for the early years (0-4 years): an integration of physical activity, sedentary behaviour, and sleep[J]. BMC Public Health, 2017, 17(Suppl 5): 874.
    [29]
    CLIFF D P, REILLY J J, OKELY A D. Methodological considerations in using accelerometers to assess habitual physical activity in children aged 0-5 years[J]. J Sci Med Sport, 2009, 12(5): 557-567.
    [30]
    BLAND V L, HEATHERINGTON-RAUTH M, HOWE C, et al. Association of objectively measured physical activity and bone health in children and adolescents: a systematic review and narrative synthesis[J]. Osteoporos Int, 2020, 31(10): 1865-1894.
    [31]
    BAXTER-JONES A D, FAULKNER R A, FORWOOD M R, et al. Bone mineral accrual from 8 to 30 years of age: an estimation of peak bone mass[J]. J Bone Miner Res, 2011, 26(8): 1729-1739.
    [32]
    FAULKNER R A, BAILEY D A. Osteoporosis: a pediatric concern?[J]. Med Sport Sci, 2007, 51: 1-12.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (195) PDF downloads(29) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return