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This study was funded by the Ministerio de Economia, Industria y Competitividad (DEP2016-78309-R) and Centro Universitario de la Defensa de Zaragoza (UZCUD2017-BIO-01), Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES) and FEDER funds from the European Union (CB16/10/00477).

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Pedrero-Chamizo, RaquelAuthor

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Role of Dietary Intake and Serum 25(OH)D on the Effects of a Multicomponent Exercise Program on Bone Mass and Structure of Frail and Pre-Frail Older Adults

Publicated to:Nutrients. 12 (10): E3016-16 - 2020-01-01 12(10), DOI: 10.3390/nu12103016

Authors: Moradell, Ana; Navarrete-Villanueva, David; Fernandez-Garcia, Angel I.; Marin-Puyalto, Jorge; Gomez-Bruton, Alejandro; Pedrero-Chamizo, Raquel; Perez-Gomez, Jorge; Ara, Ignacio; Casajus, Jose A.; Gomez-Cabello, Alba; Vicente-Rodriguez, German;

Affiliations

‎ Biomed Res Net Physiopatol Obes & Nutricit CIBERO, Madrid 28029, Spain - Author
‎ CIBER Frailty & Hlth Aging CIBERFES, Madrid 28029, Spain - Author
‎ Def Univ Ctr, Zaragoza 50090, Spain - Author
‎ Exercise & Hlth Special Populat Spanish Res Net E, Zaragoza 50009, Spain - Author
‎ Univ Castilla La Mancha, GENUD Toledo Res Grp, Toledo 45071, Spain - Author
‎ Univ Extremadura, HEME Res Grp, Caceres 10003, Spain - Author
‎ Univ Politecn Madrid, Fac Phys Act & Sport Sci INEF, Dept Hlth & Human Performance, ImFINE Res Grp, Madrid 28040, Spain - Author
‎ Univ Zaragoza, CITA, Agrifood Res & Technol Ctr Aragon IA2, Zaragoza 50009, Spain - Author
‎ Univ Zaragoza, Dept Physiatry & Nursing, Fac Hlth & Sport Sci FCSD, Zaragoza 50009, Spain - Author
‎ Univ Zaragoza, Dept Physiatry & Nursing, Fac Hlth, Zaragoza 50009, Spain - Author
‎ Univ Zaragoza, GENUD Growth Exercise NUtr & Dev Res Grp, Zaragoza 50009, Spain - Author
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Abstract

The multicomponent training (MCT) effect on bone health in frail and pre-frail elders, which is influenced by dietary intake, is still unknown. The objective of this non-randomized intervention trial was to assess the effects of a 6-month MCT on bone structure in frail and pre-frail elders, and to analyse the influence of dietary intake and serum vitamin D (25(OH)D) in these changes. Thirty MCT (TRAIN) and sixteen controls (CON), frail and pre-frail completed the information required for this study. Peripheral quantitative computed tomography measurements were taken at 4% and 38% of the tibia length and dietary intake was registered. The 25(OH)D values were obtained from blood samples. Analyses of covariance (ANCOVA) for repeated measures showed significant decreases for CON in total bone mineral content at 38% of tibia length. One factor ANOVAs showed smaller decreases in bone mineral density and cortical thickness percentage of change in TRAIN compared to CON. Linear regression analyses were performed to study the influence of nutrients and 25(OH)D on bone changes. Alcohol showed a negative influence on fracture index changes, while polyunsaturated fatty acid and vitamin A showed a positive association with some bone variables. The 25(OH)D only affected positively the cortical bone mineral density. In conclusion, our MCT seems to slow down some of the bone detriments associated with ageing in frail and pre-frail older adults, with alcohol showing a negative effect on the bone and apparent limited effect of nutrients and serum 25(OH)D on training related changes.

Keywords

AlcoholFrailtyHealthMineral densityOsteoporosisPhysical activityPhysical-activityPolyunsaturated fatty acidsPolyunsaturated fatty-acidsPosition statementPostmenopausalQuestionnaireVitamin dVitamin-dWomen

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Nutrients due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2020, it was in position 17/88, thus managing to position itself as a Q1 (Primer Cuartil), in the category Nutrition & Dietetics.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-06-12:

  • WoS: 1
  • Scopus: 2
  • OpenCitations: 3

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-12:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 78.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 77 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 18.25.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).
  • The number of mentions in news outlets: 2 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://oa.upm.es/85919/

As a result of the publication of the work in the institutional repository, statistical usage data has been obtained that reflects its impact. In terms of dissemination, we can state that, as of

  • Views: 32
  • Downloads: 2