Osteoporosis & bone health

The joint effects of physical activity and sleep duration on risk of osteoporosis in Taiwanese adult population: The Taiwan Biobank Study

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

The findings emphasize the joint role of sleep duration and physical activity in association with osteoporosis. Adults with high physical activity plus high sleep hours have the highest BMD and lowest risk of osteoporosis.

Study context

Population
Taiwanese adults aged 30–76 years with no history of cancer and DXA bone mineral density (BMD) measures, Taiwan Biobankprimary cohort
Participants
13,330 adults
Exposure
Physical activity level and sleep duration vs zero MET and short sleep
Outcome
Prevalent osteoporosis
Methodological detailscommunity-based cohort (Taiwan Biobank), univariate and multivariable regression
  • Community-based cohort (Taiwan Biobank)
  • Univariate and multivariable regression

Main finding

As reported in the abstract

Osteoporosis by physical activity level (adjusted)

Adjusted odds ratio

1.017

< 20 METs/week

Adjusted odds ratio

0.767

≥ 20 METs/week

Observational data: associations, not effects.

Further findings

OutcomeaORP value
Osteoporosis by sleep durationOdds not significantly lower0.934P = 0.266
Osteoporosis by joint physical activity and sleep duration≥ 20 METs/week and sleep ≥ 8 h/day vs short sleepers with no physical activity · significantly lowest likelihood0.702
Osteoporosis by joint physical activity and sleep duration< 20 METs/week plus 6.5-8 h/day vs short sleepers with no physical activity · not significantly higher odds1.129P = 0.151

Original publication

The joint effects of physical activity and sleep duration on risk of osteoporosis in Taiwanese adult population: The Taiwan Biobank Study. Osteoporos Int. Published 10 November 2023. doi:10.1007/s00198-023-06947-9

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