Original Article
copied = false, 2000)" class="-mt-1 cursor-pointer flex hover:bg-neutralLight items-center p-1 rounded-sm">
Does a Validated Circum-menarcheal Arm Bone-Loading Index Predict Post-menarcheal Muscle Function in Adolescent Females?
Brian Josephson1, Timothy Chan1, Carol A. Sames2, Tamara A. Scerpella1,3, Jodi N. Dowthwaite1,3
1.
Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, NY, USA
2.
College of Health Professions, SUNY Upstate Medical University, Syracuse, NY, USA
3.
Department of Orthopedics & Rehabilitation, University of Wisconsin-Madison, Madison, WI, USA
Abstract
Objective: In this exploratory analysis, we evaluated our validated 3-year circum-menarcheal arm bone loading index (ARMBLI) as a predictor of upper extremity muscle function indices in post-menarcheal females. Methods: Forty-eight participants met inclusion criteria for non-dominant arm analyses, 1 to 2.5 years post-menarche: 1) menarche date (GYNAGE: yrs, menarche-centered age); 2) ARMBLI (3-yrs prior loading exposure); 2) grip strength (kg; primary outcome), 3) Biodex peak torques (Nm: shoulder, elbow; flexion, extension; secondary outcomes), 4) DXA arm non-bone fat-free mass (armNBffm, kg), 5) anthropometry [ulna length (mm), height (cm), weight (kg)]. Multiple linear regression evaluated muscle function in the total sample (n=48), gymnasts (n=24), and non-gymnasts (n=24), accounting for key factors: 1) whole-body model (GYNAGE, height, weight, ARMBLI); 2) hypertrophy model (GYNAGE, ulna length, ARMBFFM, ARMBLI). Results: After accounting for key factors, ARMBLI was an independent negative predictor of grip strength in the total sample [hypertrophy model B= -0.202, p=0.029] and non-gymnast subsample [hypertrophy model B= -0.935, p=0.030; whole-body model B= -1.127, p=0.005]. Conversely, ARMBLI was an independent positive predictor of shoulder flexion peak torque in the total sample [whole-body model B= +0.270, p=0.036]. Conclusions: Despite prior work showing ARMBLI predicts ARMNBFFM, ARMBLI showed inconsistent predictive value for muscle function indices.
Keywords
Adolescent Adolescent Exercise Exercise Female Female Grip Strength Grip Strength Peak Torque Peak Torque
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