Development and reproducibility of the bone loading history questionnaire

Shawn H. Dolan, Daniel P. Williams, Barbara Ainsworth, Janet M. Shaw

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Purpose: To develop an historical bone loading questionnaire that assesses loads applied to the skeleton using bone loading units and to determine its reproducibility. Additional purposes were to correlate bone loading units with areal bone mineral density (aBMD) and to determine whether low levels of bone loading increase the odds for low aBMD in healthy premenopausal women. Methods: Premenopausal women (N = 80; age: 31 ± 7.7 yr) completed the newly developed bone loading history questionnaire (BLHQ) twice within 4-6 wk to establish reproducibility. aBMD (g·cm-2) of the whole body, lumbar spine (L2-4), and right hip (proximal femur) were assessed with dual energy x-ray absorptiometry (DXA) in the women. Results: The questionnaire demonstrated good test-retest reliability in premenopausal women using intraclass correlation coefficients (spine r = 0.89, P < 0.001; hip r = 0.92, P < 0.001). Total spine bone loading exposure (r = 0.338; P = 0.002) and hip bone loading exposure (r = 0.317; P = 0.004) were significantly and independently correlated with femoral neck aBMD, after adjusting for BMI. Logistic regression analyses revealed increased odds for low femoral neck aBMD among those in the lowest fertile for recent hip bone loading exposure after adjusting for older ages, oral contraceptive use, low calcium intake, and an overweight BMI (OR = 3.62; CI = 1.09-11.94; P = 0.035). Conclusion: Historical bone loading activity can be reliably assessed and is moderately associated with femoral neck aBMD. This questionnaire could help to identify women with low femoral neck aBMD prior to menopause.

Original languageEnglish (US)
Pages (from-to)1121-1131
Number of pages11
JournalMedicine and Science in Sports and Exercise
Volume38
Issue number6
DOIs
StatePublished - Jun 2006
Externally publishedYes

Fingerprint

Bone Development
Bone Density
History
Bone and Bones
Femur Neck
Pelvic Bones
Spine
Hip
Oral Contraceptives
Menopause
Surveys and Questionnaires
Skeleton
Reproducibility of Results
Femur
Logistic Models
Regression Analysis
X-Rays
Calcium

Keywords

  • Areal BMD
  • Bone loading
  • Physical activity questionnaire
  • Premenopausal

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine

Cite this

Development and reproducibility of the bone loading history questionnaire. / Dolan, Shawn H.; Williams, Daniel P.; Ainsworth, Barbara; Shaw, Janet M.

In: Medicine and Science in Sports and Exercise, Vol. 38, No. 6, 06.2006, p. 1121-1131.

Research output: Contribution to journalArticle

Dolan, Shawn H. ; Williams, Daniel P. ; Ainsworth, Barbara ; Shaw, Janet M. / Development and reproducibility of the bone loading history questionnaire. In: Medicine and Science in Sports and Exercise. 2006 ; Vol. 38, No. 6. pp. 1121-1131.
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