Browsing by Author "Mantila Roosa, Sara M."

Now showing 1 - 4 of 4
  • Thumbnail Image
    Item
    Age-Related Changes in Proximal Humerus Bone Health in White Males
    (Office of the Vice Chancellor for Research, 2012-04-13) Fuchs, Robyn K.; Mantila Roosa, Sara M.; Hurd, Andrea L; Warden, Stuart J.
    The proximal humerus is a common site for osteoporotic fracture during aging, accounting for up to 5% of fractures to the appendicular skeleton. While falls onto an outstretched hand are usually physically responsible for proximal humerus fractures, the ability of the underlying bone to resist applied loads must also play a role. Few studies have assessed proximal humerus bone health with aging. The aim of the current study was to explore age-related bone changes at the proximal humerus in men. A cross-sectional study design was used to assess peripheral quantitative computed tomography (pQCT)-derived bone properties of the proximal humerus in a cohort of 112 white males (age range = 30-85 yrs). A tomographic slice of the non-dominant upper extremity was acquired at 80% of humeral length proximal from its distal end—a location corresponding to the surgical neck of the humerus. Images were assessed for cortical (Ct.BMC) and trabecular (Tb.BMC) BMC, total (Tt.Ar), cortical (Ct.Ar) and medullary (Me.Ar) area, periosteal (Ps.Pm) and endosteal (Es.Pm) perimeter, cortical thickness (Ct.Th), and bone strength index for compression (BSIc). BSIc was calculated as the product of Tt.Ar and the square of total volumetric BMD. Data were plotted against age and linear regression lines assessed for their slope. Slopes were subsequently converted to percent change in the bone property per year. During aging, the proximal humerus expanded with Tt.Ar and Ps.Pm increasing at rates of 0.40%/yr and 0.19%/yr, respectively. However, Me.Ar (0.62%/yr) and Es.Pm (0.34%/yr) expanded at faster rates such that there was net loss of both Ct.BMC (-0.23%/yr) and Tb.BMC (-1.08%/yr). Also, the more rapid expansion of Me.Ar relative to Tt.Ar meant that Ct.Ar (-0.15%/yr) and Ct.Th (-0.34%/yr) both decreased with age. The net result of these mass and structural changes was progressive loss of bone strength with age, as indicated by a 0.44%/yr decline in BSIc. These data provide a picture of bone changes at the proximal humerus during aging. They suggest that between age 30 and 80 yrs, approximately 54% and 11% of Tb.BMC and Ct.BMC at the proximal humerus is lost, respectively. They also suggest that compressive strength of the proximal humerus declines by 22% between age 30 and 80 years. These declines in proximal humerus bone health have implications for fracture risk at this location during aging.
  • Thumbnail Image
    Item
    Exercise during growth provides lifelong benefit to bone structure and strength: a case study
    (Office of the Vice Chancellor for Research, 2011-04-08) Mantila Roosa, Sara M.; Warden, Stuart J.
    Exercise induces greatest gains in bone health during skeletal development, yet reduced bone strength is predominantly an age-related phenomenon. This dichotomy has raised the question of whether exercise-induced changes in bone health when young persist into late adulthood where they may have benefits on bone health and fracture risk. Previous work has suggested exercise-induced gains in bone mass are lost with aging; however, 1) exercise during growth predominantly influences bone structure rather than mass to increase bone strength and 2) mechanisms exist for the long-term maintenance of exercise effects on bone structure. The aim of the current case was to explore whether exercise-induced gains in bone structure and strength accrued when young persist lifelong. The subject was a 94-year-old former Major League Baseball (MLB) pitcher who played competitively for 20 years before ceasing play in 1955. Throwing athletes are a unique model to investigate the skeletal effects of exercise as: 1) the unilateral upper extremity loading associated with throwing enables the contralateral side to serve as an internal control site and 2) throwing athletes have large dominant-to-nondominant (D-to-ND) differences in midshaft humeral bone properties. Peripheral quantitative computed tomography slices of the subject’s dominant and nondominant humerii were taken at 50% humeral length, and D-to-ND percent differences in bone properties calculated and compared to those observed previously in non-throwing controls. Exercise when young had no lasting effects on D-to-ND difference in cortical bone mass or area; however, Dto-ND difference in total area was nearly 3-times that observed in controls. The maintenance of exercise effects on total area resulted from persistence of benefits on periosteal perimeter, with the loss of cortical bone mass and area benefits being due to greater endosteal expansion (perimeter). As a result of the maintenance of exercise-induced benefits on bone structure, D-to-ND difference in ability to resist torsional forces (polar moment of inertia) was nearly double that observed due to habitual loading associated with arm dominance in controls. The maintenance of exercise-induced benefits on bone structure in the current case, despite exercise ceasing 56 years ago, supports the hypothesis that exercise when young can have lasting benefits on bone strength independent of maintenance of bone mass effects. This question is being further explored in a cohort of 100 former MLB players and 100 matched controls.
  • Thumbnail Image
    Item
    Physical activity completed when young has residual bone benefits at 94 years of age: a within-subject controlled case study
    (Hylonome, 2014) Warden, Stuart J.; Mantila Roosa, Sara M.; Physical Therapy, School of Health and Human Sciences
    Physical activity is recommended for skeletal health because bones adapt to mechanical loading. The young skeleton shows greatest plasticity to physical activity-related mechanical loads, but bones are most at risk of failure later in life. The discrepancy raises the question of whether the skeletal benefits of physical activity completed when young persist with aging. Here we present a unique case wherein the cortical bone benefit of physical activity completed over five decades earlier could be established within an individual aged in their tenth decade of life. Specifically, we compared bone properties at the midshaft humerus between the throwing and nonthrowing arms of a 94-year-old former Major League Baseball player who ceased throwing 55 years earlier. By performing analyses within-subject, the long-term skeletal benefit of physical activity completed when young could be assessed independent of inherited and systemic traits. Also, as the subject threw left-handed during his throwing career, but was right-hand dominant in all other activities throughout life, any lasting skeletal benefits in favor of the throwing arm could not be attributable to simple arm dominance. Analyses indicated that any cortical bone mass, area and thickness benefits of throwing-related physical activity completed when young were lost with aging, possibly due to accelerated intracortical remodeling. In contrast, the subject's throwing (nondominant) arm had greater total cross-sectional area and estimated strength (polar moment of inertia) than in his dominant arm, despite muscle indices favoring the latter. These data indicate that physical activity completed when young can have lasting benefits on bone size and strength, independent of the maintenance of bone mass benefits.
  • Thumbnail Image
    Item
    Physical activity when young provides lifelong benefits to cortical bone size and strength in men
    (National Academy of Sciences, 2014-04-08) Warden, Stuart J.; Mantila Roosa, Sara M.; Kersh, Mariana E.; Hurd, Andrea L.; Fleisig, Glenn S.; Pandy, Marcus G.; Fuchs, Robyn K.; Department of Physical Therapy, School of Health and Rehabilitation Sciences
    The skeleton shows greatest plasticity to physical activity-related mechanical loads during youth but is more at risk for failure during aging. Do the skeletal benefits of physical activity during youth persist with aging? To address this question, we used a uniquely controlled cross-sectional study design in which we compared the throwing-to-nonthrowing arm differences in humeral diaphysis bone properties in professional baseball players at different stages of their careers (n = 103) with dominant-to-nondominant arm differences in controls (n = 94). Throwing-related physical activity introduced extreme loading to the humeral diaphysis and nearly doubled its strength. Once throwing activities ceased, the cortical bone mass, area, and thickness benefits of physical activity during youth were gradually lost because of greater medullary expansion and cortical trabecularization. However, half of the bone size (total cross-sectional area) and one-third of the bone strength (polar moment of inertia) benefits of throwing-related physical activity during youth were maintained lifelong. In players who continued throwing during aging, some cortical bone mass and more strength benefits of the physical activity during youth were maintained as a result of less medullary expansion and cortical trabecularization. These data indicate that the old adage of “use it or lose it” is not entirely applicable to the skeleton and that physical activity during youth should be encouraged for lifelong bone health, with the focus being optimization of bone size and strength rather than the current paradigm of increasing mass. The data also indicate that physical activity should be encouraged during aging to reduce skeletal structural decay.