Macintosh Alison A, Wells Jonathan C K, Stock Jay T
Department of Archaeology, University of Cambridge, Cambridge, UK.
Childhood Nutrition Research Centre, UCL Great Ormond Street Institute of Child Health, London WC, UK.
Evol Med Public Health. 2018 Aug 16;2018(1):167-179. doi: 10.1093/emph/eoy015. eCollection 2018.
Girls with a slower life history trajectory build a larger body with larger and mechanically stronger bones. Thus, variation in the emergence of slower versus faster life history trajectories during development can have consequences for bone mechanical competence, and hence fracture risk in adulthood.
Variation in life history trajectory, specifically relative investment in growth versus reproduction, has been associated with chronic disease risk among women, but whether this scenario extends to skeletal health and fracture risk is unknown. This study investigates the association of life history traits (proxies for maternal investment and maturational rate) with female bone outcomes in adulthood.
Body size variables, regional muscle and fat areas, and cross-sectional bone size and strength outcomes were obtained from 107 pre-menopausal women encompassing a wide range of physical activity levels. Developmental parameters (birth weight, age at menarche) were obtained from questionnaires.
High birth weight was significantly associated with a proportionately larger body and larger, mechanically stronger bones, independently of physical activity level. It was also positively but non-significantly associated with age at menarche. Later menarche was significantly associated with larger and mechanically stronger bones and substantially less absolute and relative regional subcutaneous fat. Age at menarche exhibited stronger relationships with adult adiposity than did physical activity.
Both larger birth weight and later menarche contribute to a slower life history trajectory, which is associated with greater body size, leanness and bone mechanical competence in early adulthood. In contrast, earlier sexual maturity prioritized energy allocation in adiposity over body size and skeletal strength. Thus, the level of maternal investment and the woman's own life history trajectory shape investment in skeletal properties, with implications for fracture risk later in life.
具有较慢生活史轨迹的女孩会发育出更大的体型,骨骼更大且机械强度更高。因此,发育过程中出现较慢与较快生活史轨迹的差异可能会影响骨骼的机械性能,进而影响成年后的骨折风险。
生活史轨迹的差异,特别是在生长与繁殖方面的相对投入,已被证明与女性患慢性病的风险有关,但这种情况是否会延伸至骨骼健康和骨折风险尚不清楚。本研究调查了生活史特征(母体投入和成熟率的代理指标)与成年女性骨骼指标之间的关联。
从107名绝经前女性中获取了身体大小变量、局部肌肉和脂肪面积,以及横断面骨骼大小和强度指标,这些女性的身体活动水平范围广泛。发育参数(出生体重、初潮年龄)通过问卷调查获得。
高出生体重与体型较大、骨骼更大且机械强度更高显著相关,且与身体活动水平无关。它与初潮年龄也呈正相关,但不显著。初潮较晚与骨骼更大、机械强度更高以及绝对和相对局部皮下脂肪显著减少有关。初潮年龄与成年肥胖的关系比身体活动更为密切。
出生体重较大和初潮较晚均导致生活史轨迹较慢,这与成年早期更大的体型、更低的体脂率和更高的骨骼机械性能相关。相比之下,性成熟较早则将能量分配优先用于脂肪堆积而非体型和骨骼强度。因此,母体投入水平和女性自身的生活史轨迹塑造了对骨骼特性的投入,对晚年的骨折风险具有影响。