Growth and Maturation in Elite Young Female Athletes:

The interaction of relative age with maturation and body size in female handball talent selection

The relative age effects (RAEs) and biological maturation are two distinct factors that have been identified to affect talent identification and selection. Previous research has suggested that talent selection should include sport-specific technical tasks instead of body size and/or physical test measurements, assuming that the technical tasks are less influenced by variations in maturation. Our purpose was to examine the prevalence of RAEs and to assess biological maturity, body size, and body composition within a single talent selection program for female handball players. Team coaches' recommendations, handball-specific drills, and in-game performance were the selection criteria. Birth distribution of all U14 female handball players were analysed (N = 3198) grouped in two-year age cohort. Measurements of body size, body composition (InBody 720), and bone age were performed in all players who were selected to participate in the selection program (n = 264) (mean±sd age: 13.1±0.6 years) and in a sample of not-selected players (n = 266) (mean±sd age: 13.2±0.6 years). Players were grouped in quarter-year intervals based on their date of birth. Chi-square was used to examine quartile distributions, differences between quartiles were tested with one-way analysis of variance, whereas differences between the selected and not-selected groups were examined with independent sample t-test (Cohen d effect size). Binary logistic regression was used to determine the effects of the predictors on the selection. In terms of all registered players, there was no difference in birth distribution. RAEs appeared at the first selection stage and were evident at all following stages. Quartiles differed only between the first and the last quartiles in body size and muscle mass. Only bone age differed between consecutive quartile or semi-year groups. Body size, body composition, and maturity had a significant, but of moderate power, effect on the selection. Larger body height increased the likelihood of selection by about 12%, larger muscle mass by 12% to 25%, larger bone age by 350-400%, while larger percent body fat decreased selection chances by 7%. The sport-specific criteria could not eliminate the prevalence of the RAEs. Relative age was connected to bone age, but not convincingly to body size and muscle mass. Although bone age had the largest effect on the selection, this was not associated with larger body size or muscle mass. Early maturation increased selection chances mainly during the coaches' subjective evaluation, but not convincingly when sport-specific tasks were applied. Given that differences were mostly evident between players of more than 1.5-year variation in their chronological age, one-year age cohorts within talent selection or the rotation of the cut-off dates of the bi-annual age grouping could be a promising strategy while also including maturation status and relative age in performance evaluations.

Associations between growth, maturation and injury in youth athletes engaged in elite pathways: a scoping review

OBJECTIVE

To describe the evidence pertaining to associations between growth, maturation and injury in elite youth athletes.

DESIGN

Scoping review.

DATA SOURCES

Electronic databases (SPORTDiscus, Embase, PubMed, MEDLINE and Web of Science) searched on 30 May 2023.

ELIGIBILITY CRITERIA

Original studies published since 2000 using quantitative or qualitative designs investigating associations between growth, maturation and injury in elite youth athletes.

RESULTS

From an initial 518 titles, 36 full-text articles were evaluated, of which 30 were eligible for final inclusion. Most studies were quantitative and employed prospective designs. Significant heterogeneity was evident across samples and in the operationalisation and measurement of growth, maturation and injury. Injury incidence and burden generally increased with maturity status, although growth-related injuries peaked during the adolescent growth spurt. More rapid growth in stature and of the lower limbs was associated with greater injury incidence and burden. While maturity timing did not show a clear or consistent association with injury, it may contribute to risk and burden due to variations in maturity status.

CONCLUSION

Evidence suggests that the processes of growth and maturation contribute to injury risk and burden in elite youth athletes, although the nature of the association varies with injury type. More research investigating the main and interactive effects on growth and maturation on injury is warranted, especially in female athletes and across a greater diversity of sports.

Load-Velocity Profile and Active Drag in Young Female Swimmers: An Age-Group Comparison

PURPOSE

The present study aimed to establish differences in load-velocity profiling, active drag (AD), and drag coefficient (Cd) between 3 age groups of female swimmers.

METHODS

Thirty-three swimmers (11, 13, or 16 y old) were recruited. The individual load-velocity profile was determined for the 4 competitive swimming strokes. The maximal velocity (V0), maximal load (L0), L0 normalized to the body mass, AD, and Cd were compared between the groups. A 2-way analysis of variance and correlation analysis were conducted.

RESULTS

Compared with their younger counterparts, 16-year-old swimmers generally had larger V0, L0, and AD, which was particularly evident when comparing them with 11-year-old swimmers (P ≤ .052). The exception was breaststroke, where no differences were observed in L0 and AD and Cd was smaller in the 16-year-old group than the 11-year-old group (P = .03). There was a negative correlation between Cd and V0 for all groups in backstroke (P ≤ .038) and for the 11-year-old group and 13-year-old group in breaststroke (P ≤ .022) and front crawl (P ≤ .010). For the 16-year-old group, large correlations with V0 were observed for L0, L0 normalized to the body mass, and AD (P ≤ .010) in breaststroke and for L0 and AD with V0 in front crawl (P ≤ .042). In butterfly, large negative correlations with V0 were observed in the 13-year-old group for all parameters (P ≤ .027).

CONCLUSIONS

Greater propulsive force is likely the factor that differentiates the oldest age group from the younger groups, except for breaststroke, where a lower Cd (implying a better technique) is evident in the oldest group.

Player-labelling as a solution to overcome maturation selection biases in youth football

The fact that potentially skilled, but biologically later-maturing athletes are less likely to be selected into talent development programmes (TDP) can represent a failure of Talent Identification (TID) in sports. To overcome maturation selection biases, maturation independent TID should be established to include less mature, but talented athletes in TDP more frequently. Using a randomised parallel-group design, this study aimed to evaluate the effect of labelling under-11 (U₁₁) Swiss male youth football players (n = 24, age = 11.0 ± 0.3 years) via maturation-ordered shirt numbers during rank assessment by talent scouts (n = 83, scout experience = 4.8 ± 2.4 years). Following observation of video recorded selection tournaments, player-labelling "informed" scouts were significantly more likely to rank less mature players higher on their player potential, t(81) = 2.57, p = .012, d = -0.6, 95% CI [-1.00, -0.13], than "uninformed" scouts. As altered rankings assisted less mature players, player-labelling may offer a practical and feasible strategy to improve TID by removing possible maturation selection biases. To address maturation selection biases and the potential positive impact of player-labelling more broadly, further research on both male and female athletes in various age categories and sports contexts is recommended.

Swiss-Ski Power Test Results in Youth Competitive Alpine Skiers Are Associated With Biological Maturation and Skiing Performance

PURPOSE

To explore reasonable application purposes and potential confounders of the Swiss-Ski Power Test (SSPT) that is, since 2004, annually performed by all youth competitive alpine skiers of the under-16-years age category in Switzerland.

METHODS

Preseason SSPT results (8 individual tests on anaerobic and aerobic capacity, muscle strength, and speed and coordination) of 144 skiers (57 female and 87 male) age 14.5 (0.7) years were analyzed along with anthropometry and biological age. Skiing performance was quantified as the actual performance points according to the Swiss national ranking. After the SSPT tests, skiers were prospectively monitored over 12 months using the Oslo Trauma Research Center questionnaire. Data were analyzed using multivariate analysis of variance, Pearson correlations, and multiple linear/binary logistic regression models.

RESULTS

Biological maturation and SSPT results differed between sexes and age (P < .05). For males, SSPT results in the subdisciplines Swiss Cross, 1-leg 5-hop, and standing long jump were correlated to maturity offset, while for females only the obstacle run was related. High box jump and Swiss Cross scores were associated with skiing performance (P < .05). However, none of the SSPT subdisciplines was related to traumatic and overuse injuries (P < .05).

CONCLUSIONS

The SSPT is a broadly implementable and cost-effective field test providing a general fitness profile of youth skiers. Around the growth spurt, differences in biological maturation should be considered. While SSPT results showed association with skiing performance, the test in its current form is limited for identifying injury-relevant physical deficiencies. Consequently, more specific tests may be required.

Talent Selection Based on Sport-Specific Tasks Is Affected by the Relative Age Effects among Adolescent Handball Players

Talent selection is often affected by the relative age effects (RAEs), resulting in the overrepresentation of relatively older (vs. relatively younger) players among those selected. The use of sport-specific tasks is suggested to reduce RAEs during talent selection. Purpose: To test the hypothesis that talent selection including only sport-specific tasks is not affected by the RAEs and to analyse the body size and biological maturity of the top selection level according to relative age. Methods: Participants were U14 female (n = 5428) and U15 (n = 4408) male handball players participating in four programs consisting of four selection levels (local, county, regional, and national) grouped in bi-annual age. Handball-specific generic skills, position-specific technical drills and in-game performance were the selection criteria evaluated by experts and coaches. Body dimensions were measured and bone age, as an indicator of maturity, was estimated. The relative age quartile distributions within the bi-annual cohorts were examined using Chi-square and Odds Ratios. Results: In terms of all the registered players no RAEs were evident. However, the RAEs of moderate effect size were evident at the county level; χ² = 53.2 (girls) and 66.4 (boys), OR = 2.5 and 3.3, respectively. The RAEs of a large effect size were found at the regional level; χ² = 139.5 (girls) and 144.9 (boys), OR = 8.2 and 5.2, respectively. At national level, RAEs were still present, but with no further increase in the effect size. At the highest selection level, there were no differences in the anthropometric measures between the relatively older and younger players. Conclusion: The findings provide support to the hypothesis that the selection process exacerbates RAEs even when using only sport-specific selection criteria. The performance metrics in technical skills, but also coaching assessments are likely involved. In addition, an advanced maturity and/or an above-average body size increases the selection odds for relatively younger players.

"Looking for a Golden Needle in the Haystack": Perspectives on Talent Identification and Development in Paralympic Sport

Despite rapid increases in research on talent identification and development in able-bodied sports, there remains limited knowledge regarding how talent is identified and developed in Paralympic contexts. The purpose of this study was to capture the perspectives of experts (coaches, high-performance managers, and pathway specialists) working in elite Paralympic sport to better understand how they conceptualize, measure, and develop talent. Eight coaches and three performance directors from six Paralympic sports, along with two pathway specialists from Paralympics Australia participated in semi-structured interviews. The results suggest impairment type and, therefore, classification are key indicators of identification and anticipated success, highlighting the importance of educating talent selectors in these areas. In addition, familial (e.g., overprotectiveness, sporting background) and biopsychosocial factors (e.g., resilience, work-ethic, sport-specific skills, other life commitments) were noted as being influential when selecting athletes. There were concerns regarding the disproportionately low number of female athletes in the system, suggesting a need for new initiatives to support early-entry points for female athletes (e.g., education on the benefits of sport participation, supportive environments). High-performance staff also lacked resources to better understand the nuances associated with different impairments and their implications (physiological response to training, associated psychological stresses from injury, identity change). Recruitment strategies included "talent search" days, collaborations with school programs and rehabilitation centers, and helping local clubs support "drop-in" athletes. However, limited funding impacted the sustainability of programs, resulting in a regular turnover of staff, loss of intellectual property, and a weakened pathway system. Results from this study generated several practical implications and future directions for research.

A Multi-Block Multivariate Analysis to Explore the Influence of the Somatic Maturation in Youth Basketball

The aim of this study was to examine the influence of somatic maturation in anthropometric, physical, and game-related variables in youth basketball age groups under-13 (U-13) and under-15 (U-15). One-hundred and eighty-five basketball players performed anthropometrical and physical tests during a non-official youth basketball tournament. Predicted maturity offset (MO) and game-related variables were also analyzed. Cluster analysis was used to analyze the between-maturation status differences in all parameters in each age group. Also, regularized generalized canonical correlation analysis (RGCCA) was used to assess relative contributions of maturational, physical, and game-related variables within each age group. Based on MO, two different clusters were identified within each age category. Greater differences in MO were identified among U-13 clusters than among U-15 clusters. No significant differences were observed between clusters in terms of physical and game-related variables. High correlations between maturational, physical, and game-related variables (i.e., points scored, field goals attempted, and rebounds) were found for boys. In girls, different trends in terms of correlations were observed. The strongest association between blocks was observed between physical tests and game-related variables in all age categories, except for U-15 girls. Knowing and identifying performance profiles according to biological age is of upmost importance since it allows the coach to create challenging situations adjusted to the individual's needs.

Age- and Maturity-Related Variations in Morphology, Body Composition, and Motor Fitness among Young Female Tennis Players

The purpose of this study was to examine the effects of age and maturity on anthropometric and various fitness characteristics in young competitive female tennis players. Sixty-one players, aged 10.4-13.2 years (11.8 ± 0.8) were measured for standing and sitting heights, body mass, skinfolds, grip strength, and agility, and dichotomized into two age (U12 and U14) and maturity (earliest and latest) groups according to their chronological age and maturity status. The results revealed significant age effects for stature, sitting height, leg length, and hand grip in favor of the older players. Girls contrasting in maturation differed significantly for all anthropometric and physical performance variables except for body mass index (BMI), body fat percentage (BF%), and hexagon agility test. The earliest maturing group showed significantly higher values for anthropometric measures and better results in the hand grip test than the latest maturing group. After controlling for chronological age, differences were revealed between contrasting maturity groups in stature, sitting height, BF%, and the hand grip test. The findings highlight the age- and maturity-related trends in body size and muscular strength among young female tennis players in the pubertal period. Nevertheless, the differences in the body composition and agility of the contrasting age and maturity groups were negligible.

Association between relative age effect and organisational practices of American youth football

The popular method of organising youth sport participants into age divisions, based solely on their birthdate, can result in an imbalance of the distribution of players. This is known as relative age effect (RAE), which inadvertently creates bias and is associated with deleterious short and long-term consequences. The overall purpose of this study was to examine how the potential for RAE is mitigated when simultaneously accounting for additional player criterion, supplementary to age. A mid-Atlantic American youth football registration database was acquired, including chronological (age), anthropometric (weight), and competency (skill) factors. Player (n = 1,265) data were classified into quartiles and multiple chi-square goodness of fit tests were conducted using proportions of live births as expected theoretical distribution values. When data were categorised by a single developmental criterion (e.g. age), results indicated significant departures (p ≤ 0.002) from expected proportions. However, when categorised using multiple criteria (i.e. age, weight, and skill), equitable birthdate distributions were observed. Findings from this study indicate using only one developmental criterion for organising players is associated with RAE, whereas approaches accounting for multiple variables are not associated with RAE. This study provides youth football programs with early evidence for considering alternative methods of organising players.

The Physique of Elite Female Artistic Gymnasts: A Systematic Review

It has been suggested that successful young gymnasts are a highly select group in terms of the physique. This review summarizes the available literature on elite female gymnasts’ anthropometric characteristics, somatotype, body composition and biological maturation. The main aims were to identify: (i) a common physique and (ii) the differences, if any, among competitive/performance levels. A systematic search was conducted online using five different databases. Of 407 putative papers, 17 fulfilled all criteria and were included in the review. Most studies identified similar physiques based on: physical traits (small size and low body mass), a body type (predominance of ecto-mesomorphy), body composition (low fat mass), and maturity status (late skeletal maturity as well as late age-at-menarche). However, there was no consensus as to whether these features predicted competitive performance, or even differentiated between gymnasts within distinctive competitive levels. In conclusion, gymnasts, as a group, have unique pronounced characteristics. These characteristics are likely due to selection for naturally-occurring inherited traits. However, data available for world class competitions were mostly outdated and sample sizes were small. Thus, it was difficult to make any conclusions about whether physiques differed between particular competitive levels.

Body physique and proportionality of Brazilian female artistic gymnasts

This study aimed to identify physique characteristics (anthropometry, somatotype, body proportionality) of Brazilian female artistic gymnasts, and to compare them across competitive levels (sub-elite versus non-elite) within competitive age-categories. Two hundred forty-nine female gymnasts (68 sub-elite; 181 non-elite) from 26 Brazilian gymnastics clubs, aged 9-20 years and split into four age-categories, were sampled. Gymnasts were assessed for 16 anthropometric traits (height, weight, lengths, widths, girths, and skinfolds); somatotype was determined according to Heath-Carter method, body fat was estimated by bioimpedance, and proportionality was computed based on the z-phantom strategy. Non-elite and sub-elite gymnasts had similar values in anthropometric characteristics, however non-elite had higher fat folds in all age-categories (P < 0.01). In general, mesomorphy was the salient somatotype component in all age-categories, and an increase in endomorphy, followed by a decrease in ectomorphy across age was observed. Regarding proportionality, profile similarity was found between sub-elite and non-elite within age-categories. In conclusion results suggest the presence of a typical gymnast's physical prototype across age and competitive level, which can be useful to coaches during their selection processes in clubs and regional/national teams.

Characteristics and contributing factors related to sports injuries in young volleyball players

Background

The participation of young in volleyball is becoming increasingly common, and this increased involvement raises concerns about the risk of installation of sports injuries. Therefore, the objectives the study were identify the characteristics of sports injuries in young volleyball players and associate anthropometric and training variables with contributing factors for injuries.

Methods

A total of 522 volleyball players participating in the High School Olympic Games of the State of São Paulo (Brazil) were interviewed. A reported condition inquiry was used to gather information on injuries, such as anatomic site affected, mechanism and moment of injury, as well as personal and training data. The level of significance was set at 5%.

Results

A 19% frequency of injuries was found. Higher age, weight, height, body mass index and training duration values were associated with the occurrence of injuries. The most affected anatomic site was the ankle/foot complex (45 injuries, 36.3%). Direct contact and contactless mechanisms were the main causes of injuries (61 injuries; 49.2% and 48 injuries; 38.7%, respectively). Training was the moment in which most injuries occurred (93 injuries; 75%), independently of personal and training characteristics.

Conclusion

Injuries affected the ankle/foot complex with a greater frequency. Direct contact and contactless mechanisms were the most frequently reported and injuries occurred mainly during training sessions. Personal and training characteristics were contributing factors for the occurrence of injuries.

Sports injuries among adolescent basketball players according to position on the court

Background

The participation of children and adolescents in sports, including basketball, is becoming increasingly common, and this increased involvement raises concerns about the potential risk of sports injuries.

Objective

To analyze the occurrence of sports injuries among young basketball players according to their position on the court and to associate these injuries with risk factors.

Method

A retrospective, epidemiological study. A sample consisting of 204 basketball players with a mean age of 14.33 ± 1.19 years participated in the study. The players were interviewed using a reported condition questionnaire containing anthropometric and training data as well as information on injuries during the previous 12 months.

Results

The frequency of injury was highest among the shooting guards (47.8%), followed by the centers (34.8%) and point guards (17.4%). Among the 204 participants, 40 players reported a total of 46 injuries, representing 0.22 injuries per participant and 1.15 injuries per injured participant. For the shooting guards and centers, statistically significant differences between injured and non-injured players were found related to age, weight, height, length of time in training and number of weekly practice hours (p < 0.05). For point guards, a statistically significant difference between injured and non-injured players was found based on weight alone (p < 0.05).

Conclusion

The occurrence of injuries among basketball players was low. Injuries were associated with both intrinsic and extrinsic factors among shooting guards and centers, whereas injuries were only associated with weight among point guards.

Activity participation intensity is associated with skeletal development in pre-pubertal children with developmental coordination disorder

PURPOSE

This study aimed (1) to compare the skeletal maturity and activity participation pattern between children with and without developmental coordination disorder (DCD); and (2) to determine whether activity participation pattern was associated with the skeletal development among children with DCD.

MATERIALS AND METHODS

Thirty-three children with DCD (mean age: 7.76 years) and 30 typically developing children (mean age: 7.60 years) were recruited. Skeletal maturity was assessed with the Sunlight BonAge system. Motor ability was evaluated by the Movement assessment battery for Children-2 (MABC-2). Participation patterns were evaluated using the Children Assessment of Participation and Enjoyment assessment. Analysis of variance was used to compare the outcome variables between the two groups. Multiple regression analysis was performed to examine the relationship between skeletal development, motor performance and activity participation intensity in children with DCD.

RESULTS

The DCD group had significantly delayed skeletal development, lower MABC-2 derived scores, and participated less intensely in various types of physical activities than their typically developing peers. After accounting for the effects of age and sex, activity participation intensity score remained significantly associated with delay in skeletal development, explaining 28.0% of the variance (F(change1, 29)=11.341, p=0.002).

CONCLUSION

Skeletal development is delayed in pre-pubertal children with DCD. Limited activity participation intensity appears to be one of the contributing factors.

Professor James M. Tanner and the sport sciences

BACKGROUND

Although Tanner was not directly involved in physical education or the sport sciences, several of his papers addressed issues related to research in the area.

AIM

To consider the implications of selected papers and research projects for the sport sciences. PAPERS AND IMPLICATIONS: Several early papers addressed ratio standards, somatotype and total cholesterol, and anthropometric and somatotype changes associated weight training and cessation of training in young adult men. The papers have, respectively, implications for current studies of allometric scaling, physique and risk factors for cardiovascular and metabolic complications, and responses to training. The survey of athletes at the 1960 Rome Olympic Games not only added to the literature but to some extent also set the stage for subsequent surveys of Olympic athletes in 1968, 1972 and 1976. Although not directly involved in the mixed-longitudinal study of Training of Youth Athletes (TOYA) in several sports, it was conducted in his department. Results from TOYA indicated no influence of systematic training for sport on growth in height, young adult height and sexual maturation. Growth at Adolescence was also a fixture in many graduate programs.

CONCLUSION

Though not a sport scientist, Tanner contributed directly and indirectly to the field.

The value of a non-sport-specific motor test battery in predicting performance in young female gymnasts

Gymnastics talent identification focuses on the identification of young gymnasts who display characteristics for potential success in the future. The aim of this study was to identify which current performance characteristics are related to performance in competition 2 years later. Twenty-three female gymnasts aged 7-8 years completed a multidimensional test battery measuring anthropometric, physical, and coordinative characteristics and were technically evaluated by expert coaches. Two years later, the all-around competition results of those gymnasts now participating in elite (n = 12) and sub-elite (n = 11) competition were obtained. None of the initial measurements significantly correlated with the results of the sub-elite gymnasts 2 years later. For the elite gymnasts, a non-sport-specific motor test battery correlated strongly with the competition result, with more than 40% of the variation in competition performance being explained by the result on that test 2 years earlier. Neither the coaches' judgement nor the anthropometric and physical characteristics were sensitive enough to predict performance. A motor coordination test might be valuable in the early identification of gymnasts, as its discriminative and predictive qualities might be sufficiently powerful for selection within a relatively homogeneous population of gymnasts exhibiting similar anthropometric and physical profiles.

Body Composition of Young Athletes

Absolute and relative components of body mass are a primary focus in studies of body composition. Components change with growth and maturation, requiring care in selecting methods of assessment in children and adolescents. Although sex differences are apparent in fat-free mass (FFM), fat mass (FM), and relative fatness (% Fat) during childhood, they are more clearly defined during adolescence and adulthood. Body composition is one of many determinants of sport performance, but % Fat tends to be the primary focus of discussion in young athletes. The influence of training for sport on bone mineral has received more attention in recent years because of methodological advances in assessment and concern for potential negative effects of altered menstrual function on bone. Relative fatness of young athletes in several sports is summarized, and issues related to sport training and body composition in young athletes are considered. Suggestions for dealing with body composition in young athletes are provided.

O exercício físico potencializa ou compromete o crescimento longitudinal de crianças e adolescentes? Mito ou verdade?

A sociedade atual tem valorizado de forma significativa a aparência alta e esbelta. Essa constituição física tem sido reforçada desde a infância e atinge a população adolescente, que deseja enquadrar-se nos estereótipos, particularmente aqueles veiculados pela mídia. Nesse sentido, profissionais de saúde são questionados rotineiramente sobre os efeitos positivos que o exercício físico exerce sobre o crescimento longitudinal de crianças e adolescentes. Procurou-se revisar a literatura especializada a respeito dos principais efeitos que o exercício físico exerceria sobre a secreção e atuação do hormônio de crescimento (GH) nos diversos tecidos corporais, durante a infância e adolescência. Através dessa revisão, foi possível verificar que o exercício físico induz a estimulação do eixo GH/IGF-1. Embora muito se especule quanto ao crescimento ósseo ser potencializado pela prática de exercícios físicos, não foram encontrados na literatura científica específica estudos bem desenvolvidos que forneçam sustentação a essa afirmação. No tocante aos efeitos adversos advindos do treinamento físico durante a infância e adolescência, aparentemente, esses foram independentes do tipo de esporte praticado, porém resultantes da intensidade do treinamento. A alta intensidade do treinamento parece ocasionar uma modulação metabólica importante, com a elevação de marcadores inflamatórios e a supressão do eixo GH/IGF-1. Entretanto, é importante ressaltar que a própria seleção esportiva, em algumas modalidades, recruta crianças e/ou adolescentes com perfis de menor estatura, como estratégia para obtenção de melhores resultados, em função da facilidade mecânica dos movimentos. Através dessa revisão, fica evidente a necessidade de realização de estudos longitudinais, nos quais os sujeitos sejam acompanhados antes, durante e após sua inserção nas atividades esportivas, com determinação do volume e da intensidade dos treinamentos, para que conclusões definitivas relativas aos efeitos sobre a estatura final possam ser emanadas.

Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study

The skeletal effects from intensive exercise throughout puberty are undefined. Forty-five female gymnasts and 52 controls were studied over 3 years, including a heredity aspect. The effects of size, maturity, exercise, and diet were identified using a multilevel regression model. Results demonstrated sustained skeletal benefits resulting from exercise throughout all stages of pubertal development.

INTRODUCTION

Weight-bearing exercise is beneficial for peak bone mass development. However, whether skeletal benefits achieved with exercise are maintained if training remains intensive throughout the pubertal years is not entirely clear. The influence of familial resemblance for bone mass remains undefined in physically active versus inactive children. The aim of this study was to investigate the long-term influences of impact-loading exercise on bone quantity and quality in young females after controlling for growth, maturation, and hereditary factors.

MATERIALS AND METHODS

At baseline, 45 gymnasts (G) and 52 normally active controls (C) 8-17 years of age were recruited. Anthropometry, diet, physical activity, and quantitative ultrasound (QUS) were measured annually for 3 consecutive years. DXA scans of total body (TB) and lumbar spine (LS) bone mineral content (BMC) and density (BMD) were taken three times at 1-year intervals. A multilevel regression model was fitted, and the independent effects of body size, maturity, physical activity, and diet were identified over time. To assess heredity influences, 27 G mothers and 26 C mothers volunteered for cross-sectional measurements of anthropometry, QUS, and BMC/BMD.

RESULTS AND CONCLUSIONS

Gymnasts were smaller and lighter (as were their mothers) than controls, but they had significantly higher QUS and axial and appendicular BMC and BMD, with > 170 g more bone mineral in TB across puberty (after adjustment for maturity [years from peak height velocity], height, weight, energy, and protein intake). Gymnasts had up to 24-51% higher BMC and 13-28% higher BMD, depending on skeletal site. These results provide evidence of sustained skeletal benefits from impact-loading exercise, which are unlikely to result entirely from heredity, throughout pubertal years.