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Summary  The aim of this study was to determine if bone-specific physical activity questionnaire (BPAQ) scores were positively related to bone health in healthy young and middle-aged premenopausal women. The total BPAQ was a stronger predictor of bone strength and bone mineral density of hip in young women as compared to middle-aged premenopausal women.    Purpose  The purpose of this study was to determine whether the BPAQ scores were predictive indices of volumetric BMD (vBMD), bone strength, and bone geometry in young and middle-aged premenopausal women.    Methods  Healthy young ( n  = 60) and middle-aged premenopausal women ( n  = 54) between the ages of 18 and 50 years were recruited for this study. Areal bone mineral density (aBMD) of lumbar spine and dual proximal femur (FN; femoral neck) was measured using DXA. We assessed vBMD of the tibia 4%, 38%, and 66% by peripheral quantitative computed tomography (pQCT). The BPAQ was used to obtain a comprehensive account of lifetime physical activity related to bone health.    Results  Pearson’s correlation tests showed positive correlations between total BPAQ and aBMD of the right FN ( r  = 0.313,  p  = 0.015) and the left FN ( r  = 0.307,  p  = 0.017) in young women while not found in middle-aged premenopausal women ( p  > 0.05). A positive relationship was only observed between total BPAQ and tibia 38% vBMD in middle-aged premenopausal women ( r  = 0.283,  p  = 0.038). All bone geometry variables were associated with total BPAQ ( r  = 0.280–0.422,  p  = 0.03–0.001) in young women. The Strength-Strain Index of tibia 38% ( r  = 0.350,  p  = 0.006) and 66% ( r  = 0.406,  p  = 0.001) was associated with total BPAQ in young women. In both young and middle-aged premenopausal women, when age, bone-free lean body mass (BFLBM), and total BPAQ were included in a stepwise multiple linear regression analysis, BFLBM was a significant predictor of all aBMD variables, accounting for 7–25.7% ( p  = 0.043–0.001).    Conclusions  The total BPAQ score-derived physical activity was more predictive of positive bone characteristics in young women than in middle-aged premenopausal women.

archives of osteoporosis

Association between bone-specific physical activity scores and pQCT-derived measures of bone strength and geometry in healthy young and middle-aged premenopausal women