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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-41965

Meyer, U; Romann, M; Zahner, L; Schindler, C; Puder, J J; Kraenzlin, M; Rizzoli, R; Kriemler, S (2011). Effect of a general school-based physical activity intervention on bone mineral content and density: A cluster-randomized controlled trial. Bone, 48(4):792-797.

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BACKGROUND: Specific physical loading leads to enhanced bone development during childhood. A general physical activity program mimicking a real-life situation was successful at increasing general physical health in children. Yet, it is not clear whether it can equally increase bone mineral mass. We performed a cluster-randomized controlled trial in children of both gender and different pubertal stages to determine whether a school-based physical activity (PA) program during one school-year influences bone mineral content (BMC) and density (BMD), irrespective of gender. METHODS: Twenty-eight 1st and 5th grade (6-7 and 11-12year-old) classes were cluster randomized to an intervention (INT, 16 classes, n=297) and control (CON; 12 classes, n=205) group. The intervention consisted of a multi-component PA intervention including daily physical education with at least 10min of jumping or strength training exercises of various intensities. Measurements included anthropometry, and BMC and BMD of total body, femoral neck, total hip and lumbar spine using dual-energy X-ray absorptiometry (DXA). PA was assessed by accelerometers and Tanner stages by questionnaires. Analyses were performed by a regression model adjusted for gender, baseline height and weight, baseline PA, post-intervention pubertal stage, baseline BMC, and cluster. RESULTS: 275 (72%) of 380 children who initially agreed to have DXA measurements had also post-intervention DXA and PA data. Mean age of prepubertal and pubertal children at baseline was 8.7±2.1 and 11.1±0.6years, respectively. Compared to CON, children in INT showed statistically significant increases in BMC of total body, femoral neck, and lumbar spine by 5.5%, 5.4% and 4.7% (all p<0.05), respectively, and BMD of total body and lumbar spine by 8.4% and 7.3% (both p<0.01), respectively. There was no gender⁎group, but a pubertal stage⁎group interaction consistently favoring prepubertal children. CONCLUSION: A general school-based PA intervention can increase bone health in elementary school children of both genders, particularly before puberty.


19 citations in Web of Science®
25 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Epidemiology, Biostatistics and Prevention Institute (EBPI)
Dewey Decimal Classification:610 Medicine & health
Deposited On:12 Jan 2011 14:09
Last Modified:05 Apr 2016 14:34
Publisher DOI:10.1016/j.bone.2010.11.018
PubMed ID:21167330

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