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Nebigh A, Touhami I, Chtara M, Govindasamy K, Surech C, Hage RE, Saeidi A, Boullosa D, Clark CCT, Granacher U, Zouhal H. The Impact of Sport-discipline and Sex on Physical Fitness and Bone Markers in Athletes. Int J Sports Med 2023; 44:736-743. [PMID: 36807006 DOI: 10.1055/a-2038-3040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
This study was performed to determine the impact of sex and sport-discipline on physical fitness and bone markers in young sub-elite track and field athletes. One hundred and forty-four track and field sub-elite athletes (78 males aged 17.8±1.6 years; 66 females aged 17.2±1.9 years) volunteered to participate in this study and were categorized according to their disciplines in endurance (EG: n=67) or power athletes (PG: n=77). A significant main effect of sex was observed for C-telopeptide type I collagen (CTx) (F=11.37; p<0.001; η2=0.10, moderate), for osteocalcin (OC) (F=8.58; p<0.004; η2=0.09, moderate) and for N-terminal propeptide of procollagen type I (PINP) (F=7.96; p<0.05; η2=0.07, moderate). The average CTx, OC and P1NP levels were significantly higher in males compared with females (0.05
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Affiliation(s)
- Ammar Nebigh
- Research Laboratory Education, Motricity, Sports and Health, High Institute of Sport and Physical Education, Sfax University, Sfax, Tunisia
- Higher Institute of Sport and Physical Education of Ksar Saîd, University of "La Manouba", Tunis, Tunisia
| | - Imed Touhami
- National Center of Medicine and Science in Sports, Tunisian Research Laboratory "Sports Performance Optimization", National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - Mokhtar Chtara
- Unit Head, Science Studies and Research, Sharjah Women's Sports, UAE
- Tunisian Research Laboratory "Sport Performance Optimization", National Center of Medicine and Science in Sports, Tunis, Tunisia
| | - Karuppasamy Govindasamy
- Department of Physical Education & Sports Science, SRM Institute of Science and Technology, Kattankulathur, Tamilnadu, India
| | - Chandrababu Surech
- Department of Physical Education & Sports Science, SRM Institute of Science and Technology, Kattankulathur, Tamilnadu, India
| | - Rawad El Hage
- Department of Physical Education, University of Balamand, Balamand, Lebanon
| | - Ayoub Saeidi
- Department of Physical Education and Sport Sciences, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Kurdistan, Iran
| | - Daniel Boullosa
- INISA, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
- Faculty of Physical Activity and Sports Sciences, Universidad de León, León, Spain
| | - Cain C T Clark
- Centre for Intelligent Healthcare, Coventry University, Coventry, United Kingdom of Great Britain and Northern Ireland
| | - Urs Granacher
- University of Freiburg, Department of Sport and Sport Science, Exercise and Human Movement Science, Freiburg, Germany
| | - Hassane Zouhal
- UFR APS, laboratoire Mouvement Sport Sante, Rennes, France
- Institut International des Sciences du Sport (2I2S), Irodouer, France
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Tamolienė V, Remmel L, Gruodyte-Raciene R, Jürimäe J. Relationships of Bone Mineral Variables with Body Composition, Blood Hormones and Training Volume in Adolescent Female Athletes with Different Loading Patterns. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126571. [PMID: 34207239 PMCID: PMC8296434 DOI: 10.3390/ijerph18126571] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 06/15/2021] [Accepted: 06/15/2021] [Indexed: 12/24/2022]
Abstract
The aim of this investigation was to determine the relationships of areal bone mineral density (aBMD) and content (BMC) with body composition, blood hormone and training load variables in adolescent female athletes with different loading patterns. The participants were 73 healthy adolescent females (14–18 years), who were divided into three groups: rhythmic gymnasts (RG; n = 33), swimmers (SW; n = 20) and untrained controls (UC; n = 20). Bone mineral and body compositional variables were measured by dual-energy X-ray absorptiometry, and insulin-like growth factor-1 (IGF-1), estradiol and leptin were analyzed from blood samples. In addition, aerobic performance was assessed by a peak oxygen consumption test. No differences (p > 0.05) in weekly training volume were observed between rhythmic gymnasts (17.6 ± 5.3 h/week) and swimmers (16.1 ± 6.9 h/week). Measured areal bone mineral density and bone mineral content values were higher in rhythmic gymnasts compared with other groups (p < 0.05), while no differences (p > 0.05) in measured bone mineral values were seen between swimmers and untrained control groups. Multiple regression models indicated that IGF-1 alone explained 14% of the total variance (R2 × 100) in lumbar spine aBMD, while appendicular muscle mass and training volume together explained 37% of the total variance in femoral neck BMC in the rhythmic gymnast group only. In swimmers, age at menarche, estradiol and appendicular muscle mass together explained 68% of the total variance in lumbar spine BMC, while appendicular muscle mass was the only predictor and explained 19 to 53% of the total variance in measured bone mineral values in untrained controls. In conclusion, adolescent rhythmic gymnasts with specific weight-bearing athletic activity present higher areal bone mineral values in comparison with swimmers and untrained controls. Specific training volume together with appendicular muscle mass influenced cortical bone development at the femoral neck site of the skeleton in rhythmic gymnasts, while hormonal values influenced trabecular bone development at the lumbar spine site in both athletic groups with different loading patterns.
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Affiliation(s)
- Vita Tamolienė
- Institute of Sports Science and Innovations, Lithuanian Sports University, LT-44221 Kaunas, Lithuania;
| | - Liina Remmel
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, 50090 Tartu, Estonia;
| | - Rita Gruodyte-Raciene
- Department of Physical and Social Education, Lithuanian Sports University, LT-44221 Kaunas, Lithuania;
| | - Jaak Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, 50090 Tartu, Estonia;
- Correspondence:
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Wu Z, Yuan Y, Tian J, Long F, Luo W. The associations between serum trace elements and bone mineral density in children under 3 years of age. Sci Rep 2021; 11:1890. [PMID: 33479410 PMCID: PMC7820346 DOI: 10.1038/s41598-021-81501-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 01/05/2021] [Indexed: 12/31/2022] Open
Abstract
We examined the associations of age and serum magnesium, iron, lead, copper, and zinc levels with bone mineral density (BMD) in 2412 children under 3 years of age in order to find a tool to monitor BMD in children without the use of expensive imaging techniques. One-way ANOVA and chi-square tests were used to determine the associations of age and serum trace elements with BMD. Multivariable logistic regression analysis was used to test the correlation of five serum trace elements with BMD after adjustments for potential confounding factors in children under 3 years of age. Significant associations between age and four serum trace elements and BMD were found. Compared to the group with the lowest serum levels detected, the adjusted odds ratio (OR) for the incidence of normal bone mineral density in the third magnesium concentration tertile, the third iron concentration tertile, the fifth copper concentration quintile, the third zinc concentration quintile, and the fifth zinc concentration quintile were 1.30 (95% confidence interval (CI) 1.02–1.67), 1.43 (95% CI 1.11–1.84), 1.42 (95% CI 1.04–1.94), 1.46 (95% CI 1.05–2.04), and 1.48 (95% CI 1.06–2.06), respectively. However, there was no significant correlation between serum lead level and BMD in this study. Age and serum magnesium, iron, copper, and zinc levels are positively associated with BMD in children under 3 years old.
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Affiliation(s)
- Ziyi Wu
- Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China
| | - Yuhao Yuan
- Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China
| | - Jian Tian
- Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China
| | - Feng Long
- Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China
| | - Wei Luo
- Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
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de Almeida-Neto PF, Arrais RF, de Matos DG, Cesário TM, Bulhões-Correia A, Silva LF, Aidar FJ, Santana EE, Silva Dantas PM, Cabral BG. The influence of biological maturation and neuromuscular performance on peak bone mineral density in children. J Sports Med Phys Fitness 2020; 61:829-835. [PMID: 33146496 DOI: 10.23736/s0022-4707.20.11497-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The growth and development cycle of the adult is characterized by substantial changes in physical size and maturity, and is controlled by the simultaneous influence of genetic components and the environment. Changes in the development of bones, muscles and adipose tissue are among the most important aspects of adolescent physical development. The aim of this research was to examine the correlation between bone mineral density (BMD) and neuromuscular performance in children at different stages of maturation. METHODS The study included 31 participants of both sexes (11.7±1.89 years). Body composition was assessed through bone densitometry using an energy duo X-ray source. The neuromuscular performance of the upper limbs was analyzed by the medicine ball hand grip and throwing tests. The lower limbs by the vertical counter-motion jump test, and skeletal maturation was analyzed by bone age. Maturation was used as an effect control between the association of BMD and neuromuscular performance. RESULTS The results demonstrated significant associations between the performance of upper (P<0.0001) and lower (P=0.01) limbs and BMD. On inter-group comparison for only the accelerated maturational stage, male participants had greater BMD than female participants (P=0.001; effect size 3.13). Regarding the maturational stages, male participants in the accelerated maturational stage demonstrated higher BMD than those in the normal and delayed maturational stages (P=0.04; effect size 3.10), whereas female participants did not demonstrate significant differences in BMD accumulation. CONCLUSIONS BMD has a strong correlation with the neuromuscular performance of upper and lower limbs of children of both sexes.
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Affiliation(s)
- Paulo F de Almeida-Neto
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil -
| | - Ricardo F Arrais
- Department of Pediatrics, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
| | - Dihogo G de Matos
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Trás os Montes and Alto Douro University, Vila Real, Portugal.,Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), São Cristovão, Sergipe, Brazil
| | - Tatianny M Cesário
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
| | | | - Luíz F Silva
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
| | - Felipe J Aidar
- Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), São Cristovão, Sergipe, Brazil.,Department of Physical Education, Federal University of Sergipe (UFS), São Cristovão, Sergipe, Brazil
| | - Eduardo E Santana
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
| | - Paulo M Silva Dantas
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
| | - Breno G Cabral
- Department of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
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Narciso PH, Werneck AO, Luiz-de-Marco R, Ventura Faustino-da-Silva YDS, Maillane-Vanegas S, Agostinete RR, Fernandes RA. Influential role of lean soft tissue in the association between training volume and bone mineral density among male adolescent practitioners of impact-loading sports: ABCD Growth study. BMC Pediatr 2020; 20:496. [PMID: 33115423 PMCID: PMC7592582 DOI: 10.1186/s12887-020-02402-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 10/22/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Training volume is associated with direct and indirect pathways of bone adaptations. In addition, training volume is a training variable associated with lean soft tissue (LST), which has been shown to be an important predictor of areal bone mineral density (aBMD). Thus, the aim of this study is to investigate the influential role of lean soft tissue (LST) in the association between training volume and aBMD in male adolescent athletes. METHODS This cross-sectional study was composed of 299 male adolescent athletes, mean age 14.1 (1.8) years, from 9 different weight-bearing modalities. The Ethical Board approved the investigation. The adolescents reported the number of days per week they trained and the time spent training and, from this, the training volume (h/wk) was estimated. The LST and aBMD were assessed by dual-energy x-ray absorptiometry. Somatic maturation was estimated by the peak of height velocity. Mediation analysis was performed to investigate the role of LST in the association between training volume and aBMD. Level of significance was set at p < 0.05. RESULTS LST partially explained the association between training volume and aBMD in all body segments: upper limbs (58.37%; β = 0.00142), lower limbs (28.35%; β = 0.00156), spine (33.80%; β = 0.00124), and whole body (41.82%, β = 0.00131). There was no direct effect of training volume on aBMD in upper limbs (CI -0.00085 to 0.00287). CONCLUSION The association between training volume and aBMD is influenced by LST in different body segments, mainly upper limbs, demonstrating that interventions aiming to enhance aBMD should also consider LST as an important variable to be managed.
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Affiliation(s)
- Pedro Henrique Narciso
- Department of Physical Education, Sao Paulo State University (UNESP), Roberto Simonsen Avenue, 305. Educational Center, SP, CEP: 19060-900, Presidente Prudente, Brazil.
| | | | - Rafael Luiz-de-Marco
- Department of Physical Education, Post-Graduation Program in Movement Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | | | - Santiago Maillane-Vanegas
- Department of Physical Therapy, Post-Graduation Program in Physical Therapy, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Ricardo Ribeiro Agostinete
- Department of Physical Education, Post-Graduation Program in Movement Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Rômulo Araújo Fernandes
- Department of Physical Education, Sao Paulo State University (UNESP), Roberto Simonsen Avenue, 305. Educational Center, SP, CEP: 19060-900, Presidente Prudente, Brazil
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Luiz-de-Marco R, Gobbo LA, Castoldi RC, Maillane-Vanegas S, da Silva Ventura Faustino-da-Silva Y, Exupério IN, Agostinete RR, Fernandes RA. Impact of changes in fat mass and lean soft tissue on bone mineral density accrual in adolescents engaged in different sports: ABCD Growth Study. Arch Osteoporos 2020; 15:22. [PMID: 32090287 DOI: 10.1007/s11657-020-0707-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Accepted: 01/27/2020] [Indexed: 02/03/2023]
Abstract
UNLABELLED Body composition can have a significant impact on bone mineral density (BMD) in pediatric patients and may cause bone disease. This study demonstrated that lean soft tissue (LST) seems to have a greater impact on BMD gain in the lower limbs of adolescents. PURPOSE To analyze the impact of changes in lean soft tissue (LST) and fat mass on areal bone mineral density (BMD) accrual in the lower limbs among adolescents engaged in sports with different weight-bearing levels. METHODS Longitudinal (12 months: measurements at two time points). Adolescents of both sexes (n = 191; 62 girls [32.5%] and 129 boys [67.5%]) were divided into three groups: control group (n = 65), swimming group (n = 25), and weight-bearing sports group (n = 100). Absolute changes in LST (kg) and fat mass (kg) were the independent variables, while BMD accrual (left and right legs) was the dependent variable. Linear regression was used to assess the relationship between dependent and independent variables in a multivariate model adjusted by sex, body weight, somatic maturation, serum osteocalcin, and baseline values of BMD of the lower limbs. RESULTS For the left leg, LST was positively related to areal BMD accrual in the control (β = 0.021 [95%CI: 0.001 to 0.042]) and weight-bearing sport groups (β = 0.051 [95%CI: 0.037 to 0.065]), but not among swimmers (β = 0.029 [95%CI: - 0.004 to 0.062]). For the right leg, LST was positively related to areal BMD accrual in the swimming group (β = 0.065 [95%CI: 0.031 to 0.100]) and weight-bearing sport groups (β = 0.048 [95%CI: 0.034 to 0.062]), but not in the control group (β = 0.014 [95%CI: - 0.002 to 0.030]). Fat mass was not significantly related to areal BMD in either leg. CONCLUSIONS Changes in LST were the most relevant determinant of BMD accrual in the lower limbs, mainly among adolescents engaged in sports.
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Affiliation(s)
- Rafael Luiz-de-Marco
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil.
| | - Luis Alberto Gobbo
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Robson Chacon Castoldi
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Santiago Maillane-Vanegas
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Yuri da Silva Ventura Faustino-da-Silva
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Isabela Neto Exupério
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Ricardo Ribeiro Agostinete
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Romulo A Fernandes
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
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