Effects of physical activities that induce moderate external loading on bone metabolism in male athletes

Sports characterized by little or moderate weight bearing or impact have a low osteogenic effect. However, the action of such sports on bone turnover remains unclear. The objective of this study was to determine the effect on bone remodelling of physical activities that induce moderate external loading on the skeleton. Thirty-eight male athletes aged 18-39 years (cyclists, n = 11; swimmers, n = 13; triathletes, n = 14) and 10 age-matched sedentary controls aged 22-35 years participated in the study. The study combined measurement of bone mineral density by dual-energy X-ray absorptiometry and bone turnover assessment from specific biochemical markers: serum bone-specific alkaline phosphatase, osteocalcin, urinary type I collagen C-telopeptide and calcium. Compared with the controls and swimmers, adjusted bone mineral density was higher (P < 0.05) in triathletes at the total proximal femur and lower limbs. No differences in bone mineral density were found between cyclists, swimmers and controls. Compared with controls, osteocalcin was higher (P < 0.05) in triathletes and swimmers and urinary type I collagen C-telopeptide was higher in swimmers only. Serum bone-specific alkaline phosphatase was lower (P < 0.05) in cyclists than in all other groups. In conclusion, an osteogenic effect was found only in triathletes, mainly at bone sites under high mechanical stress. Bone turnover differed in athletes compared with controls, suggesting that bone turnover may be sport-practice dependent. Despite some encouraging observations, it was not possible to show that changes in the bone remodelling process were sport-discipline dependent.     

Effects of physical activities that induce moderate external loading on bone metabolism in male athletes

Sports characterized by little or moderate weight bearing or impact have a low osteogenic effect. However, the action of such sports on bone turnover remains unclear. The objective of this study was to determine the effect on bone remodelling of physical activities that induce moderate external loading on the skeleton. Thirty-eight male athletes aged 18–39 years (cyclists, n?=?11; swimmers, n?=?13; triathletes, n?=?14) and 10 age-matched sedentary controls aged 22–35 years participated in the study. The study combined measurement of bone mineral density by dual-energy X-ray absorptiometry and bone turnover assessment from specific biochemical markers: serum bone-specific alkaline phosphatase, osteocalcin, urinary type I collagen C-telopeptide and calcium. Compared with the controls and swimmers, adjusted bone mineral density was higher (P?<?0.05) in triathletes at the total proximal femur and lower limbs. No differences in bone mineral density were found between cyclists, swimmers and controls. Compared with controls, osteocalcin was higher (P?<?0.05) in triathletes and swimmers and urinary type I collagen C-telopeptide was higher in swimmers only. Serum bone-specific alkaline phosphatase was lower (P?<?0.05) in cyclists than in all other groups. In conclusion, an osteogenic effect was found only in triathletes, mainly at bone sites under high mechanical stress. Bone turnover differed in athletes compared with controls, suggesting that bone turnover may be sport-practice dependent. Despite some encouraging observations, it was not possible to show that changes in the bone remodelling process were sport-discipline dependent.     

Influence of different sports on bone mass in growing girls

The aim of this study was to analyse whether there are differences in bone mass in girls playing different sports. Two hundred girls (10.6 ± 1.5 years old, Tanner stages I–III) participated in the study and were divided into groups of 40 (swimmers, soccer players, basketball players, handball players and controls). Bone mineral content and bone mineral density (BMD) (whole body and hip) were measured using dual-energy X-ray absorptiometry. The degree of sexual development was determined using Tanner test, and physical activity habits were recorded through a questionnaire designed ad hoc for this research. Girls were divided by pubertal stage and the type of sport. In the prepubertal group, intertrochanteric BMD was significantly higher in both handball and soccer players compared with the control group (P < 0.05). Furthermore, in the pubertal group, total BMD, mean arms BMD, pelvis BMD, femoral neck BMD, intertrochanteric BMD and Ward’s triangle BMD were significantly higher in soccer and handball players compared with the control group (P < 0.05), and the swimmers showed significantly higher values in the mean arms BMD compared with the control group (P < 0.01). Our data suggest that sport practice during puberty, especially in activities that support the body weight, may be an important factor in achieving a high peak bone mass and improving bone health in girls.     

Discriminant analysis of anthropometric and biomotor variables among elite adolescent female athletes in four sports

The aim of this study was to identify anthropometric and biomotor variables that discriminated among groups of elite adolescent female athletes aged 14.3 +/- 1.3 years (mean +/- s) from four different sports (tennis, n = 15; swimming, n = 23; figure skating, n = 46; volleyball, n = 16). The anthropometric variables included body mass, height, bi-epicondylar breadth of the distal extremity of the humerus and femur, maximal girth of the calf and biceps and the sum of five adipose skinfolds. The biomotor variables were maximal aerobic power, muscular endurance and flexibility of the trunk. Discriminant analysis revealed three significant functions (P < 0. 05). The first discriminant function primarily represented differences between figure skaters and all other groups of athletes. The other two underlined anthropometric and biomotor differences between swimmers and volleyball players and between tennis players and swimmers, respectively. After validation, the analysis showed that 88% of the athletes were correctly classified in their respective sports. Our model confirms that elite adolescent female athletes show physical and biomotor differences that clearly distinguish them according to their particular sport.     

Gonadal hormones may predict structural bone fragility in elite female soccer player

ABSTRACT

Purpose: This study determined the impact of menstrual status on bone tissue in elite post-pubertal female soccer players over an entire season.

Methods: Fifty-one elite female soccer players participated. At baseline, forty-one were assigned to the low hormonal androgenic profile (low-HAPL) and 10 to the high hormonal androgenic profile (high-HAPL).

Results: An 8-month training program led to increased bone mineral density content (p<0.05). The low-HAPL athletes improved the Narrow neck average cortical thickness (ACT) by 1.4% and reduced the corresponding Buckling ratio (BR) by 2.6%, thus decreasing the fracture risk (p<0.05). The high-HAPL athletes decreased the Narrow neck ACT by 5.4% and increased the BR by 2.6%, increasing fracture risk (p<0.05). Differences were assigned as being “very likely beneficial” for the low-HAPL athletes, supported by very large (d=3.41) and large (d=1.58) effect sizes for the Narrow neck ACT and BR, respectively.

Conclusion: A season of soccer training has induced bone geometry improvements in adolescent females. Bone health parameters improved in the two clusters. However, high-HAPL athletes decreased its resistance to loading compare to low-HAPL athletes. Even if female players do not present clinical symptoms related to their hormonal status, sport medicine physicians should pay attention to their structural bone fragility.     

Vitamin D in relation to bone health and muscle function in young female soccer players

The present work investigated serum vitamin D (25(OH)D) status in relation to bone and muscle qualities and functions in 19 female soccer players (13–16 years) resident at northern latitude with very low sun exposure (～32–36?h/month) during winter season (late January to early March). Serum 25(OH)D, parathyroid hormone and bone turnover markers osteocalcin (OC) and beta carboxy-terminal collagen cross-links (β-Ctx), as well as body composition and muscle performance were examined. Hormones were tested using routine laboratory methods. Fat mass, lean mass, and bone mineral density in whole body, as well as femur and lumbar spine were evaluated with dual-energy X-ray absorptiometry. Muscle performance was assessed through isokinetic knee extension and flexion, countermovement jump, and sprint running. 25(OH)D was low (50.5?±?12.8?nmol?l^?1), whereas the values of bone turnover markers were markedly high (OC: 59.4?±?18.6?µg?l^?1; β-Ctx: 1075?±?408?ng?l^?1). All bone and muscle measurements were normal or above normal. 25(OH)D was not significantly correlated with most of the parameters of bone and muscle quality or function, except the knee extension time to peak torque (r ?=??0.50, p?=?.03). In conclusion, the level of vitamin D is markedly low in adolescent female soccer players during the winter in Sweden. However, vitamin D levels did not significantly correlate with measures of bone and muscle except a moderate correlation in time to peak torque in the knee extensors. The practical implication of low vitamin D levels in young growing female athletes remains unclear.     

Discriminant analysis of anthropometric and biomotor variables among elite adolescent female athletes in four sports

The aim of this study was to identify anthropometric and biomotor variables that discriminated among groups of elite adolescent female athletes aged 14.3 ± 1.3 years (mean ± s) from four different sports (tennis, n = 15; swimming, n = 23; figure skating, n = 46; volleyball, n = 16). The anthropometric variables included body mass, height, bi-epicondylar breadth of the distal extremity of the humerus and femur, maximal girth of the calf and biceps and the sum of five adipose skinfolds. The biomotor variables were maximal aerobic power, muscular endurance and flexibility of the trunk. Discriminant analysis revealed three significant functions (P ? 0.05). The first discriminant function primarily represented differences between figure skaters and all other groups of athletes. The other two underlined anthropometric and biomotor differences between swimmers and volleyball players and between tennis players and swimmers, respectively. After validation, the analysis showed that 88% of the athletes were correctly classified in their respective sports. Our model confirms that elite adolescent female athletes show physical and biomotor differences that clearly distinguish them according to their particular sport.     

Association of different types of playing surfaces with bone mass in growing girls

The aim of this cross-sectional study was to compare bone mass in young female athletes playing ball games on different types of playing surfaces. About 120 girls, 9–13 years of age (10.6 ± 1.5 years old Tanner I–III) were recruited and divided into prepubertal and pubertal groups. The sample represented 3 groups of athletes: soccer (N = 40), basketball (N = 40), and handball (N = 40); and 6 different playing surfaces (soccer – ground, soccer – artificial turf, basketball – synthetic, basketball – parquet, handball – synthetic, and handball – smooth concrete). Total and regional body composition (bone mass, fat mass, and lean mass) were measured by dual-energy X-ray absorptiometry (DXA). The mechanical properties of the surfaces (force reduction, vertical deformation, and energy return) were measured with the Advanced Artificial Athlete (Triple A) method. The degree of sexual development was determined using Tanner test. The pubertal group showed that soccer players on the ground, basketball players on synthetic, and handball players on smooth concrete had higher values of bone mineral content (BMC) and bone mineral density (BMD) (P < 0.05) than the soccer players on the artificial turf, basketball players on parquet, and handball players on synthetic. In conclusion, a hard playing surface, with less vertical deformation and force reduction, and greater energy return, is associated with higher levels of BMD and BMC in growing girls, regardless of the sport they practice.     

水中运动对中老年人骨密度影响Meta分析

对纳入文献整理并进行有效合并,扩大样本容量,定量评价水中运动对中老年人骨密度影响,为影响中老年人骨密度,降低跌倒风险,提供科学、有效、安全的健身方式。以水中运动、中老年人、骨密度、游泳、aquatic therapy、aquatic plyometric training等为主题词;aquatic organisms、bone mineral density、density、the elderly等为关键词在Pubmed、知网等数据库检索,检索文献共1217篇,经过筛选后,最终纳入文献12篇。水中运动与对照组相比,对中老年人腰椎、桡骨、跟骨骨密度影响具有显著性差异,股骨骨密度则具有非常显著性差异,陆上抗阻运动对腰椎骨密度影响显著,但对股骨骨密度无显著性差异。水中健身运动改善中老年人桡骨、腰椎、股骨、跟骨骨密度,在效果表现为量的积累,预时长一年效果最佳,运动频率每周1-3次,每次35-60分钟。     

Bone mineral density and body composition in elite female golf and netball players

Abstract

The aim of this study was to compare bone density and body composition measurements in women participating in elite-level netball and golf, two sports with contrasting loading characteristics. Bone mineral density (BMD) and body composition were measured using dual-energy X-ray absorptiometry (DXA) in 14 state-level netball players (20.8±3.4 years), 11 single-digit handicap golf players (22.4±2.1 years) and a control group (n=18) not training for sport (22.6±3.6 years). Trunk extensor endurance and grip strength were also measured using the Sorensen test and hand-grip dynamometry respectively. Netball players had significantly higher total body, lumbar spine and hip BMD than the golf players (P<0.001) and control subjects (P<0.001). The golf players had higher BMD than the control subjects only in the lumbar spine (P<0.05). The netball players were significantly taller than the golf players and control group (P<0.01) and had a higher body mass than the control group (P<0.001). After adjustment for body height and mass, the BMD values in the netball players remained significantly higher than the control subjects at all sites (P<0.01), while the golf players had significantly higher lumbar spine BMD than the controls (P<0.05). Elite-level netball participation is associated with increased total body, hip and lumbar spine BMD, while this response was only evident in the lumbar spine in elite golf players. The contrasting loading characteristics of these sports may be reflected in the site-specific differences in BMD when compared to non-athletic control subjects.     

The components of the female athlete triad do not identify all physically active females at risk

The purpose of the present study was to assess the effectiveness of the triad components (amenorrhoea, disordered eating, and osteoporosis) in identifying physically active women at risk of long-term health problems. Eighty-two females (mean age 31.1 years, s = 6.7; body mass 58.4 kg, s = 6.6; stature 1.65 m, s = 0.06) completed training, menstrual, and dietary questionnaires. Bone mineral density and size-adjusted bone mineral density were assessed at the femoral neck and lumbar spine using dual energy X-ray absorptiometry. Seventy-eight percent of participants were eumenorrhoeic, 20% were oligomenorrhoeic, and 2% were amenorrhoeic. Thirty-six percent and 55% reported disordered eating practices in the present and past respectively. Eighty-one percent, 17%, and 2% were classified as normal, osteopaenic, and osteoporotic at the femoral neck respectively; 92% were normal, 7% osteopaenic, and 1% osteoporotic at the lumbar spine. No significant differences in femoral neck size-adjusted bone mineral density were observed between eumenorrhoeic and oligo/amenorrhoeic participants (F(2,80) = 0.119, P = 0.73); eumenorrhoeic participants had significantly greater lumbar spine size-adjusted bone mineral density (F(2,80) = 9.79, P = 0.003). Disordered eating participants had significantly lower femoral neck size-adjusted bone mineral density than those reporting no disordered eating (F(2,80) = 13.816, P = 0.000). Twenty-two percent of participants fulfilled triad criteria, while 55% were "at risk" of long-term health problems. An accumulation of conditions resulted in lower lumbar spine size-adjusted bone mineral density (F(1,80) = 6.074, P = 0.004). The current triad components do not identify all women "at risk" and more appropriate criteria such as exercise-related menstrual alterations, disordered eating, and osteopaenia are suggested.     

乒乓球运动对跟骨骨密度的影响

目的：探讨乒乓球运动对跟骨骨密度的影响。方法：采用CM-100超声波骨密度测定仪进行跟骨部超声波传导速度（SOS）的测定，同时测定血睾酮浓度。结果：乒乓球运动员的跟骨骨密度与普通大学生有显著性差异，两组骨密度都与血睾酮呈正相关。结论：乒乓球运动对跟骨骨密度有促进作用，血睾酮与骨密度有一定的相关性。     

Centre of pressure sway characteristics during static one-legged stance of athletes from different sports

The frequency of one-legged stance and two-legged stance differs considerably among sports. We therefore expect the balance ability of athletes from different sports to vary. This study compared the sway characteristics during a static one-legged stance of soccer players, basketball players, swimmers, and non-athletes. The centre of pressure sway during one-legged stance of ten male participants representing each of the four groups was measured using a stabilometer. Centre of pressure sway was assessed by four sway factors: sway velocity, anterior-posterior sway, horizontal sway, and high-frequency sway. None of the four groups of participants showed significant differences in body sway between standing on the dominant leg and standing on the non-dominant leg. The soccer players had more high-frequency sway and less anterior-posterior sway and horizontal sway than the basketball players, swimmers, and non-athletes. These results suggest that soccer players have superior ability to maintain a stable one-legged stance. Further study is required to determine how much of the superior balance ability in soccer players is innate and how much is developed through training, as well as to determine the relationship between balance ability and playing performance.     

Do sporting activities convey benefits to bone mass throughout the skeleton?

It is well known that sport and exercise play an important role in stimulating site-specific bone mineral density (BMD). However, what is less well understood is how these benefits dissipate throughout the body. Hence, the aim of the present study was to compare the BMD (recorded at nine sites throughout the skeleton) of 106 male athletes (from nine sports) with that of 15 male non-exercising age-matched controls. Given that BMD is known to increase with body mass and peak with age, multivariate and univariate analyses of covariance were performed to compare the BMD of the nine sports groups with controls (at all sites) using body mass and age as covariates. Our results confirmed a greater adjusted BMD in the arms of the upper-body athletes, the right arm of racket players and the legs of runners (compared with controls), supporting the site-specific nature (i.e. specific to the externally loaded site) of the bone remodelling response (all P <0.01). However, evidence that bone mass acquisition is not just site-specific comes from the results of the rugby players, strength athletes, triathletes and racket players. The rugby players' adjusted BMD was the greatest of all sports groups and greater than controls at all nine sites (all P <0.01), with differences ranging from 8% greater in the left arm to 21% in the lumbar spine. Similarly, the strength athletes' adjusted BMD was superior to that of controls at all sites (P <0.05) except the legs. The adjusted BMD of the triathletes was significantly greater than that of the controls in both the arms and the legs as well as the thoracic and lumbar spine. The racket players not only had significantly greater right arm BMD compared with the controls but also a greater BMD of the lumbar spine, the pelvis and legs. In contrast, the low-strain, low-impact activities of keep-fit, cycling and rowing failed to benefit BMD compared with the age-matched controls. These results suggest that sporting activities involving high impact, physical contact and/or rotational forces or strains are likely to convey significant benefits not only to the loaded sites, but also to other unloaded peripheral and axial sites throughout the skeleton.     

基于身体形态、体力活动和超声骨指标的超重和肥胖男性骨密度预测模型的构建

目的利用身体形态、体力活动和超声骨指标来预测超重和肥胖者的下肢骨密度、脊柱骨密度和全身骨密度。方法选取超重和肥胖男性受试者138名(年龄50.9±9.6岁;BMI29.1±2.6 kg/m^2),随机测量其身体形态(身高、体重、BMI、胸围和腰围等)、体力活动(握力、纵跳和肺活量等)和超声骨指标(超声声速和传播指数)。骨密度使用双能X线吸收测定法进行测量。使用Stepwise逐步回归法构建下肢骨密度、脊柱骨密度和全身骨密度的预测模型。结果多元线性回归分析显示,所构建的模型都能够有效地预测受试者的骨密度。其中,下肢骨密度预测模型的拟合度最高。Bland-Altman定量测量结果一致性分析表明,下肢骨密度、脊柱骨密度和全身骨密度的实测值与预测值具有显著的相关性(r=0.35,r=0.60,r=0.31;P<0.001)。结论研究所构建的模型可以有效预测不同年龄、肥胖程度和体力活动水平男性的下肢骨密度、脊柱骨密度和全身骨密度,适用于大规模人群的骨质疏松症筛查与早期防治。     

Time course of recovery of vertical jump height and heart rate versus running speed after a 90-km foot race

It is well known that sport and exercise play an important role in stimulating site-specific bone mineral density (BMD). However, what is less well understood is how these benefits dissipate throughout the body. Hence, the aim of the present study was to compare the BMD (recorded at nine sites throughout the skeleton) of 106 male athletes (from nine sports) with that of 15 male non-exercising age-matched controls. Given that BMD is known to increase with body mass and peak with age, multivariate and univariate analyses of covariance were performed to compare the BMD of the nine sports groups with controls (at all sites) using body mass and age as covariates. Our results confirmed a greater adjusted BMD in the arms of the upper-body athletes, the right arm of racket players and the legs of runners (compared with controls), supporting the site-specific nature (i.e. specific to the externally loaded site) of the bone remodelling response (all P?<0.01). However, evidence that bone mass acquisition is not just site-specific comes from the results of the rugby players, strength athletes, triathletes and racket players. The rugby players' adjusted BMD was the greatest of all sports groups and greater than controls at all nine sites (all P?<0.01), with differences ranging from 8% greater in the left arm to 21% in the lumbar spine. Similarly, the strength athletes' adjusted BMD was superior to that of controls at all sites (P?<0.05) except the legs. The adjusted BMD of the triathletes was significantly greater than that of the controls in both the arms and the legs as well as the thoracic and lumbar spine. The racket players not only had significantly greater right arm BMD compared with the controls but also a greater BMD of the lumbar spine, the pelvis and legs. In contrast, the low-strain, low-impact activities of keep-fit, cycling and rowing failed to benefit BMD compared with the age-matched controls. These results suggest that sporting activities involving high impact, physical contact and/or rotational forces or strains are likely to convey significant benefits not only to the loaded sites, but also to other unloaded peripheral and axial sites throughout the skeleton.     

Centre of pressure sway characteristics during static one-legged stance of athletes from different sports

Abstract

The frequency of one-legged stance and two-legged stance differs considerably among sports. We therefore expect the balance ability of athletes from different sports to vary. This study compared the sway characteristics during a static one-legged stance of soccer players, basketball players, swimmers, and non-athletes. The centre of pressure sway during one-legged stance of ten male participants representing each of the four groups was measured using a stabilometer. Centre of pressure sway was assessed by four sway factors: sway velocity, anterior-posterior sway, horizontal sway, and high-frequency sway. None of the four groups of participants showed significant differences in body sway between standing on the dominant leg and standing on the non-dominant leg. The soccer players had more high-frequency sway and less anterior-posterior sway and horizontal sway than the basketball players, swimmers, and non-athletes. These results suggest that soccer players have superior ability to maintain a stable one-legged stance. Further study is required to determine how much of the superior balance ability in soccer players is innate and how much is developed through training, as well as to determine the relationship between balance ability and playing performance.     

Swimming and peak bone mineral density: A systematic review and meta-analysis

This meta-analysis aims to determine the effects of regular swimming on bone mineral density (BMD) in young adults (18–30 years). A systematic search was performed in Pubmed, SPORTDiscus and the Cochrane Library from the earliest possible year to March 2016. Swimmers were compared to non-athletic controls (CG) and to high-impact athletes (HIGH). Effect sizes with the Hedges g in random effects models were developed. Fourteen studies met the inclusion criteria and were included in the meta-analyses. Swimmers presented similar BMD values to CG in whole-body (g = ?0.20; P = 0.251), femoral neck (g = ?0.05; P = 0.818) and lumbar spine (g = 0.18; P = 0.492); and lower BMD in the whole-body (g = ?1.21; P < 0.001), femoral neck (g = ?1.51; P < 0.001) and lumbar spine (g = ?0.84; P = 0.017) than the HIGH. For the whole-body differences, the higher the latitude the smaller the differences between swimmers and HIGH (B = 0.10; P = 0.001). For the femoral neck differences, age also seemed to reduce the differences between groups (B = 0.19; P = 0.020). Young adult swimmers present similar BMD values than CG and lower values than HIGH.     

Body composition of English Premier League soccer players: Influence of playing position,international status,and ethnicity

Abstract

Body composition is a key consideration in the physical make-up of professional soccer players. The aims of the present study were to determine whether the body composition of professional soccer players varied according to playing position, international status or ethnicity, and to establish which variables best distinguished the soccer players from a reference group. Body composition was assessed using dual-energy X-ray absorptiometry in 64 male professional soccer players. Measured variables included bone mineral density and the relative amounts of lean and fat mass. Data were analysed using analysis of variance and stepwise discriminant function. The soccer players recorded better values than a reference group (n = 24) for all body composition compartments. Percent lean mass and bone mineral density were the variables best able to identify the soccer players (95.5% correctly classified). Differences in body composition were evident between goalkeepers and outfield players, but not between outfield playing positions. No differences were found on the basis of international status. The non-Caucasian players demonstrated significantly lower percent body fat (9.2 ± 2.0%) than the Caucasian players (10.7 ± 1.8%). It was concluded that body composition is important for elite soccer players, but that homogeneity between players at top professional clubs results in little variation between individuals.     

Body composition and nutritional profile of male adolescent tennis players

In this cross-sectional study, we evaluated the body composition and dietary intake of 44 adolescent tennis players. After being divided into two groups (age 10-13 years and age 14-18), the players had their weight, height, and sexual maturation assessed. Dual-energy X-ray absorptiometry was used to assess body composition. Food intake was obtained from a non-consecutive 4-day food record. The data were analysed using the Virtual Nutri v.1.0 software and compared with the present recommendations for adolescent athletes or dietary reference intakes. Body mass index and body fat for tennis practice were adequate for 89% and 71% of the tennis players respectively, regardless of age group. A calorie deficit greater than 10% of energy expenditure was observed in 32% of the sample. Fifty percent of the athletes consumed carbohydrates in accordance with recommended values. Protein and lipid intakes were above recommended values, while fibre, calcium, potassium, magnesium, and folic acid intakes were below recommendation for 98%, 80%, 100%, 100%, and 98% of the tennis players respectively. The observed nutritional deficiencies represent an additional barrier for adolescents engaged in competitive sports to achieve an optimum nutrition to maintain growth, health, and performance.