Bone marrow fat fraction assessment in regard to physical activity: KORA FF4-3-T MR imaging in a population-based cohort.


Journal

European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 01 07 2019
accepted: 06 12 2019
revised: 31 10 2019
pubmed: 23 2 2020
medline: 15 12 2020
entrez: 23 2 2020
Statut: ppublish

Résumé

To establish the effect of different degrees and kinds of physical activity on bone marrow fat (BMAT) content at different anatomical locations in a population-based cohort study undergoing whole-body MR imaging. Subjects of the KORA FF4 study without known cardiovascular disease underwent BMAT fat fraction (FF) quantification in L1 and L2 vertebrae and femoral heads/necks (hip) via a 2-point T1-weighted VIBE Dixon sequence. BMAT-FF was calculated as mean value (fat image) divided by mean value (fat + water image). Physical activity was determined by self-assessment questionnaire regarding time spent exercising, non-exercise walking, non-exercise cycling, and job-related physical activity. A total of 385 subjects (96% of 400 available; 56 ± 9.1 years; 58% male) were included in the analysis. Exercise was distributed quite evenly (29% > 2 h/week; 31% ~ 1 h/week (regularly); 15% ~ 1 h/week (irregularly); 26% no physical activity). BMAT-FF was 52.6 ± 10.2% in L1, 56.2 ± 10.3% in L2, 87.4 ± 5.9% in the right hip, and 87.2 ± 5.9% in the left hip (all p < 0.001). Correlation of BMAT-FF between spine and hip was only moderate (r 0.42 to 0.46). Spinal BMAT-FF, but not hip BMAT-FF, was inversely associated with exercise > 2 h/week (p ≤ 0.02 vs. p ≥ 0.35, respectively). These associations remained significant after adjusting for age, gender, waist circumference, and glucose tolerance. No coherent association was found between BMAT-FF and physical activity in the less active groups. In our study, exercise was inversely correlated with vertebral BMAT-FF, but not hip BMAT-FF, when exercising for more than 2 h per week. Physical activity seems to affect the spine at least preferentially compared to the hip. • In our population-based cohort, at least 2 h of physical activity per week were required to show lower levels of bone marrow adipose tissue fat fraction in MRI. • Physical activity seems to affect bone marrow adipose tissue at least preferentially at the spine in contrast to the proximal femur.

Identifiants

pubmed: 32086579
doi: 10.1007/s00330-019-06612-y
pii: 10.1007/s00330-019-06612-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3417-3428

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : 245222810

Références

Al-Nbaheen M, Vishnubalaji R, Ali D et al (2013) Human stromal (mesenchymal) stem cells from bone marrow, adipose tissue and skin exhibit differences in molecular phenotype and differentiation potential. Stem Cell Rev 9:32–43
Gimble JM, Zvonic S, Floyd ZE, Kassem M, Nuttall ME (2006) Playing with bone and fat. J Cell Biochem 98:251–266
pubmed: 16479589
Pagnotti GM, Styner M (2016) Exercise regulation of marrow adipose tissue. Front Endocrinol (Lausanne) 7:94
Suchacki KJ, Cawthorn WP (2018) Molecular interaction of bone marrow adipose tissue with energy metabolism. Curr Mol Biol Rep 4:41–49
pubmed: 29888168 pmcid: 5976678
Ambrosi TH, Scialdone A, Graja A et al (2017) Adipocyte accumulation in the bone marrow during obesity and aging impairs stem cell-based hematopoietic and bone regeneration. Cell Stem Cell 20:771–784 e776
pubmed: 28330582 pmcid: 5459794
Zhou BO, Yu H, Yue R et al (2017) Bone marrow adipocytes promote the regeneration of stem cells and haematopoiesis by secreting SCF. Nat Cell Biol 19:891–903
pubmed: 28714970 pmcid: 5536858
Reagan M, Falank C, Fairfield H, McDonald M, Croucher P, Rosen CJ (2016) Multiple myeloma progression: dependence on bone marrow adipose tissue. Blood 128:3262–3262
Kugel H, Jung C, Schulte O, Heindel W (2001) Age- and sex-specific differences in the 1H-spectrum of vertebral bone marrow. J Magn Reson Imaging 13:263–268
pubmed: 11169833
Andrews CL (2000) From the RSNA Refresher Courses. Radiological Society of North America. Evaluation of the marrow space in the adult hip. Radiographics 20:S27-S42
pubmed: 11046160
Li Z, Hardij J, Bagchi DP, Scheller EL, MacDougald OA (2018) Development, regulation, metabolism and function of bone marrow adipose tissues. Bone 110:134–140
pubmed: 29343445 pmcid: 6277028
Ricci C, Cova M, Kang YS et al (1990) Normal age-related patterns of cellular and fatty bone marrow distribution in the axial skeleton: MR imaging study. Radiology 177:83–88
pubmed: 2399343
Ishijima H, Ishizaka H, Horikoshi H, Sakurai M (1996) Water fraction of lumbar vertebral bone marrow estimated from chemical shift misregistration on MR imaging: normal variations with age and sex. AJR Am J Roentgenol 167:355–358
pubmed: 8686603
Bredella MA, Fazeli PK, Miller KK et al (2009) Increased bone marrow fat in anorexia nervosa. J Clin Endocrinol Metab 94:2129–2136
pubmed: 19318450 pmcid: 2690416
Adler BJ, Kaushansky K, Rubin CT (2014) Obesity-driven disruption of haematopoiesis and the bone marrow niche. Nat Rev Endocrinol 10:737–748
pubmed: 25311396
Bredella MA, Torriani M, Ghomi RH et al (2011) Vertebral bone marrow fat is positively associated with visceral fat and inversely associated with IGF-1 in obese women. Obesity (Silver Spring) 19:49–53
Veldhuis-Vlug AG, Rosen CJ (2018) Clinical implications of bone marrow adiposity. J Intern Med 283:121–139
pubmed: 29211319 pmcid: 5847297
Sasai H, Katayama Y, Nakata Y et al (2010) The effects of vigorous physical activity on intra-abdominal fat levels: a preliminary study of middle-aged Japanese men. Diabetes Res Clin Pract 88:34–41
pubmed: 20074828
Verheggen RJ, Maessen MF, Green DJ, Hermus AR, Hopman MT, Thijssen DH (2016) A systematic review and meta-analysis on the effects of exercise training versus hypocaloric diet: distinct effects on body weight and visceral adipose tissue. Obes Rev 17:664–690
pubmed: 27213481
Kuhle CL, Steffen MW, Anderson PJ, Murad MH (2014) Effect of exercise on anthropometric measures and serum lipids in older individuals: a systematic review and meta-analysis. BMJ Open 4:e005283
pubmed: 24928594 pmcid: 4067884
Miyamoto-Mikami E, Sato K, Kurihara T et al (2015) Endurance training-induced increase in circulating irisin levels is associated with reduction of abdominal visceral fat in middle-aged and older adults. PLoS One 10:e0120354
pubmed: 25793753 pmcid: 4368602
Tong TK, Zhang H, Shi H et al (2018) Comparing time efficiency of sprint vs. high-intensity interval training in reducing abdominal visceral fat in obese young women: a randomized, controlled trial. Front Physiol 9:1048
pubmed: 30123136 pmcid: 6085472
Gappmaier E, Lake W, Nelson AG, Fisher AG (2006) Aerobic exercise in water versus walking on land: effects on indices of fat reduction and weight loss of obese women. J Sports Med Phys Fitness 46:564–569
pubmed: 17119521
Maillard F, Rousset S, Pereira B et al (2016) High-intensity interval training reduces abdominal fat mass in postmenopausal women with type 2 diabetes. Diabetes Metab 42:433–441
pubmed: 27567125
Ross R, Janssen I, Dawson J et al (2004) Exercise-induced reduction in obesity and insulin resistance in women: a randomized controlled trial. Obes Res 12:789–798
pubmed: 15166299
Leon AS, Conrad J, Hunninghake DB, Serfass R (1979) Effects of a vigorous walking program on body composition, and carbohydrate and lipid metabolism of obese young men. Am J Clin Nutr 32:1776–1787
pubmed: 474467
Pollock ML, Dimmick J, Miller HS Jr, Kendrick Z, Linnerud AC (1975) Effects of mode of training on cardiovascular function and body composition of adult men. Med Sci Sports 7:139–145
pubmed: 1152627
Trapp EG, Chisholm DJ, Freund J, Boutcher SH (2008) The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women. Int J Obes (Lond) 32:684–691
Wronski TJ, Morey ER (1982) Skeletal abnormalities in rats induced by simulated weightlessness. Metab Bone Dis Relat Res 4:69–75
pubmed: 7121257
David V, Martin A, Lafage-Proust MH et al (2007) Mechanical loading down-regulates peroxisome proliferator-activated receptor gamma in bone marrow stromal cells and favors osteoblastogenesis at the expense of adipogenesis. Endocrinology 148:2553–2562
pubmed: 17317771
Styner M, Pagnotti GM, Galior K et al (2015) Exercise regulation of marrow fat in the setting of PPARgamma agonist treatment in female C57BL/6 mice. Endocrinology 156:2753–2761
pubmed: 26052898 pmcid: 4511140
Styner M, Thompson WR, Galior K et al (2014) Bone marrow fat accumulation accelerated by high fat diet is suppressed by exercise. Bone 64:39–46
pubmed: 24709686 pmcid: 4041820
Ahdjoudj S, Lasmoles F, Holy X, Zerath E, Marie PJ (2002) Transforming growth factor beta2 inhibits adipocyte differentiation induced by skeletal unloading in rat bone marrow stroma. J Bone Miner Res 17:668–677
pubmed: 11918224
Styner M, Pagnotti GM, McGrath C et al (2017) Exercise decreases marrow adipose tissue through ss-oxidation in obese running mice. J Bone Miner Res 32:1692–1702
pubmed: 28436105 pmcid: 5550355
Menuki K, Mori T, Sakai A et al (2008) Climbing exercise enhances osteoblast differentiation and inhibits adipogenic differentiation with high expression of PTH/PTHrP receptor in bone marrow cells. Bone 43:613–620
pubmed: 18567552
Trudel G, Coletta E, Cameron I et al (2012) Resistive exercises, with or without whole body vibration, prevent vertebral marrow fat accumulation during 60 days of head-down tilt bed rest in men. J Appl Physiol (1985) 112:1824–1831
pubmed: 22442031
Trudel G, Payne M, Madler B et al (2009) Bone marrow fat accumulation after 60 days of bed rest persisted 1 year after activities were resumed along with hemopoietic stimulation: the women international space simulation for exploration study. J Appl Physiol (1985) 107:540–548
Belavy DL, Quittner MJ, Ridgers ND, Shiekh A, Rantalainen T, Trudel G (2018) Specific modulation of vertebral marrow adipose tissue by physical activity. J Bone Miner Res 33:651–657
pubmed: 29336053
Casazza K, Hanks LJ, Hidalgo B, Hu HH, Affuso O (2012) Short-term physical activity intervention decreases femoral bone marrow adipose tissue in young children: a pilot study. Bone 50:23–27
pubmed: 21939791
Rantalainen T, Nikander R, Heinonen A, Cervinka T, Sievanen H, Daly RM (2013) Differential effects of exercise on tibial shaft marrow density in young female athletes. J Clin Endocrinol Metab 98:2037–2044
pubmed: 23616150
Huovinen V, Viljakainen H, Hakkarainen A et al (2015) Bone marrow fat unsaturation in young adults is not affected by present or childhood obesity, but increases with age: a pilot study. Metabolism 64:1574–1581
pubmed: 26388537
Holle R, Happich M, Lowel H, Wichmann HE, MONICA/KORA Study Group (2005) KORA--a research platform for population based health research. Gesundheitswesen 67(Suppl 1):S19–S25
Bamberg F, Hetterich H, Rospleszcz S et al (2017) Subclinical disease burden as assessed by whole-body MRI in subjects with prediabetes, subjects with diabetes, and normal control subjects from the general population: the KORA-MRI study. Diabetes 66:158–169
pubmed: 27999110
Karl FM, Tremmel M, Luzak A et al (2018) Direct healthcare costs associated with device assessed and self-reported physical activity: results from a cross-sectional population-based study. BMC Public Health 18:966
pubmed: 30075768 pmcid: 6090754
Li GW, Xu Z, Chen QW et al (2014) Quantitative evaluation of vertebral marrow adipose tissue in postmenopausal female using MRI chemical shift-based water-fat separation. Clin Radiol 69:254–262
pubmed: 24286935
Singhal V, Maffazioli GDN, Cano Sokoloff N et al (2015) Regional fat depots and their relationship to bone density and microarchitecture in young oligo-amenorrheic athletes. Bone 77:83–90
pubmed: 25868796 pmcid: 4447547
Statistisches Bundesamt W (2014) Microzensus - Fragen zur Gesundheit - Körpermaße der Bevölkerung. Statistisches Bundesamt, Wiesbaden
Fryar CD, Kruszon-Moran D, Gu Q, Ogden CL (2018) Mean body weight, height, waist circumference, and body mass index among adults: United States, 1999–2000 Through 2015–2016. Natl Health Stat Report:1–16
(2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 894:i-xii, 1–253
UK NHS (2019) Why is my waist size important? NHS UK, UK. Available via https://www.nhs.uk/common-health-questions/lifestyle/why-is-my-waist-size-important/ . Accessed February 11 2019
Maillard F, Pereira B, Boisseau N (2018) Effect of high-intensity interval training on total, abdominal and visceral fat mass: a meta-analysis. Sports Med 48:269–288
pubmed: 29127602
Moore S, Dawson LK (1990) Red and yellow marrow in the femur: age-related changes in appearance at MR imaging. Radiology 175:219–223
pubmed: 2315484
Di Iorgi N, Rosol M, Mittelman SD, Gilsanz V (2008) Reciprocal relation between marrow adiposity and the amount of bone in the axial and appendicular skeleton of young adults. J Clin Endocrinol Metab 93:2281–2286
pubmed: 18381577 pmcid: 2435643
Shen W, Chen J, Punyanitya M, Shapses S, Heshka S, Heymsfield SB (2007) MRI-measured bone marrow adipose tissue is inversely related to DXA-measured bone mineral in Caucasian women. Osteoporos Int 18:641–647
pubmed: 17139464
Post S, Abdallah BM, Bentzon JF, Kassem M (2008) Demonstration of the presence of independent pre-osteoblastic and pre-adipocytic cell populations in bone marrow-derived mesenchymal stem cells. Bone 43:32–39
pubmed: 18456590
Goffrier B, Schulz M, Bätzing-Feigenbaum J (2017) Administrative Prävalenzen und Inzidenzen des Diabetes mellitus von 2009 bis 2015. Versorgungsatlas-Bericht, Zentralinstitut für die kassenärztliche Versorgung in Deutschland 17/03
Centers for Disease Control and Prevention (2017) National Diabetes Statistics Report, 2017
Rathmann W, Haastert B, Icks A et al (2003) High prevalence of undiagnosed diabetes mellitus in southern Germany: target populations for efficient screening. The KORA survey 2000. Diabetologia 46:182–189
pubmed: 12627316
Karampinos DC, Melkus G, Baum T, Bauer JS, Rummeny EJ, Krug R (2014) Bone marrow fat quantification in the presence of trabecular bone: initial comparison between water-fat imaging and single-voxel MRS. Magn Reson Med 71:1158–1165
pubmed: 23657998 pmcid: 3759615

Auteurs

Robert C Bertheau (RC)

Department of Radiology, Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.

Roberto Lorbeer (R)

Department of Radiology, Ludwig-Maximilian-University Hospital, Munich, Germany.

Johanna Nattenmüller (J)

Department of Radiology, Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.

Elke Wintermeyer (E)

Siegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University Tuebingen, Tuebingen, Germany.

Jürgen Machann (J)

Department of Diagnostic and Interventional Radiology, Section on Experimental Radiology, University Hospital Tuebingen, Tuebingen, Germany.
Institute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, University of Tuebingen, Tuebingen, Germany.
Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany.

Birgit Linkohr (B)

German Center for Diabetes Research (DZD), Neuherberg, Germany.

Annette Peters (A)

Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany.
German Center for Diabetes Research (DZD), Neuherberg, Germany.
German Center for Cardiovascular Disease Research (DZHK e.V.), Munich, Germany.
Institute for Cardiovascular Prevention, Ludwig-Maximilian-University-Hospital, Munich, Germany.

Fabian Bamberg (F)

Department of Diagnostic and Interventional Radiology, Medical Center - Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Christopher L Schlett (CL)

Department of Radiology, Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany. Christopher.Schlett@uniklinik-freiburg.de.
Department of Diagnostic and Interventional Radiology, Medical Center - Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany. Christopher.Schlett@uniklinik-freiburg.de.

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