Association between Energy Drinks, Blood Pressure, and Bone Tissue Quality and Quantity in Slovak Young Adults
摘要
Cardiovascular risk factors and unhealthy lifestyle behaviours may influence bone health, particularly during peak bone mass acquisition in young adulthood. This study examined whether systolic blood pressure (SBP) and energy drink (ED) consumption are associated with bone quality and quantity (BTQ) in young adults. Methods: A total of 993 young Slovak individuals (mean age 22 ± 2.35 years) were examined. BTQ was assessed using quantitative ultrasound (QUS, Z-score) of the left radius. Anthropometric data, including PBF (Bioelectrical Impedance Analysis, InBody 770), and SBP were measured. Self-reported data on ED consumption, coffee drinking, and frequency of physical activity (in days/month; PA) were collected via a validated questionnaire. Results: Linear regression revealed that a lower Z-score QUS was significantly associated with higher SBP (B = − 0.008, p = 0.007). The general linear model mediation analysis demonstrated a significant negative association between SBP and Z-scoreQUS (βDirect = − 0.10, p = 0.007). Moreover, among women, ED consumers had a significantly lower Z-scoreQUS (-0.35 vs. -0.14, p = 0.004). Component analysis confirmed a strong positive association between SBP and PBF (β = 0.24, p < 0.001). Conclusion: SBP was significantly associated with reduced BTQ in young adults, emphasising that the association between cardiovascular risk and skeletal health is independent of the measured body composition and ED consumption habits. Further research should focus on direct physiological mechanisms linking SBP to bone metabolism.