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Otsuka H, Tabata H, Shi H, Sugimoto M, Kaga H, Someya Y, Naito H, Ito N, Abudurezake A, Umemura F, Tajima T, Kakehi S, Yoshizawa Y, Ishijima M, Kawamori R, Watada H, Tamura Y. Playing basketball and volleyball during adolescence is associated with higher bone mineral density in old age: the Bunkyo Health Study. Front Physiol 2023; 14:1227639. [PMID: 37900955 PMCID: PMC10602637 DOI: 10.3389/fphys.2023.1227639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 09/28/2023] [Indexed: 10/31/2023] Open
Abstract
Introduction: Exercise is beneficial for increasing areal bone mineral density (aBMD) in adolescence and maintaining it in old age. Moreover, high-impact sports are more effective than low-impact sports in increasing aBMD. This study aimed to determine the types of adolescent sports played in school-based sports clubs associated with aBMD in old age. Methods: In total, 1,596 older adults (681 men and 915 women, age: 65-84 years) living in an urban area of Japan were evaluated for the femoral neck and lumbar spine aBMD using dual-energy X-ray absorptiometry. The association between adolescent sports played in sports clubs and aBMD in old age was analyzed using multiple regression analysis, with femoral neck and lumbar spine aBMD as dependent variables, and sports type and participant characteristics such as age, body weight, and serum 25-hydroxyvitamin D [25(OH)D] level, as independent variables. Results: For the femoral neck, basketball was associated with aBMD in older men (β = 0.079, p < 0.05) and women (β = 0.08, p < 0.01), whereas current body weight and 25(OH)D level were associated with aBMD in both sexes. For the lumbar spine, volleyball (β = 0.08, p < 0.01) and swimming (β = 0.06, p < 0.05) was significantly associated with lumbar spine aBMD, whereas current body weight, 25(OH)D, and diabetes mellitus were associated with aBMD in older women. Conclusion: Both men and women who played basketball in adolescence had higher femoral neck aBMD in old age. Moreover, women who played volleyball in adolescence had higher lumbar spine aBMD in old age.
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Affiliation(s)
- Hikaru Otsuka
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Hiroki Tabata
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Huicong Shi
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Mari Sugimoto
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Hideyoshi Kaga
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Yuki Someya
- Graduate School of Health and Sports Science, Juntendo University, Inzai-shi, Chiba, Japan
| | - Hitoshi Naito
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Naoaki Ito
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Abulaiti Abudurezake
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Futaba Umemura
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Tsubasa Tajima
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Saori Kakehi
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Yasuyo Yoshizawa
- Department of Healthy Life Expectancy, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Muneaki Ishijima
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Medicine for Orthopaedics and Motor Organ, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Ryuzo Kawamori
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Hirotaka Watada
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
| | - Yoshifumi Tamura
- Sportology Center, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Department of Healthy Life Expectancy, Graduate School of Medicine, Juntendo University, Bunkyo-ku, Tokyo, Japan
- Faculty of International Liberal Arts, Juntendo University, Bunkyo-ku, Tokyo, Japan
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Fagundes U, Vancini RL, de Almeida AA, Nikolaidis PT, Weiss K, Knechtle B, Andrade MS, de Lira CAB. Reference values for bone mass in young athletes: a cross-sectional study in São Paulo, Brazil. Sci Rep 2023; 13:286. [PMID: 36609534 PMCID: PMC9822898 DOI: 10.1038/s41598-023-27582-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 01/04/2023] [Indexed: 01/09/2023] Open
Abstract
Reference values for bone mass in young athletes need to be used for screening purposes, and country/regional reference values should be used to improve precision of comparisons. The aim of the present study was to develop reference values for bone health variables in Brazilian young athletes. The bone mass content (BMC), bone mass density (BMD), and total body less head (TBLH) BMD using dual-energy X-ray absorptiometry were measured in 702 young athletes (327 men and 375 women) aged 8.5-18.5 years, divided into 5 groups, according to their age: group 1 (8.5-10.5 years), group 2 (10.6-12.5 years), group 3 (12.6-14.5 years), group 4 (14.6-16.5 years), and group 5 (16.6-18.5 years). Comparisons between the sexes and ages were performed and age-sex-smoothed reference values were constructed. Male athletes presented high BMC and BMD than female athletes in age groups 3, 4, and 5 (p < 0.005) and high TBLH BMD than female athletes in age groups 4 and 5 (p < 0.005). Reference values, including the percentiles are presented for the bone health variables of each sex and age group. The age-, sex-, and ethnic-specific reference data for bone variables presented in this study enabled more precise reference data for young Brazilian athletes. These data may assist in monitoring changes during an athletes' growth and different phases of athletic training.
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Affiliation(s)
- Ulysses Fagundes
- grid.411249.b0000 0001 0514 7202Graduate Program in Translational Medicine, Federal University of Sao Paulo, São Paulo, Brazil
| | - Rodrigo Luiz Vancini
- grid.412371.20000 0001 2167 4168Center of Physical Education and Sports, Federal University of Espírito Santo, São Paulo, Brazil
| | | | - Pantelis Theo Nikolaidis
- grid.499377.70000 0004 7222 9074School of Health and Caring Sciences, University of West Attica, Athens, Greece
| | - Katja Weiss
- grid.7400.30000 0004 1937 0650Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Beat Knechtle
- Institute of Primary Care, University of Zurich, Zurich, Switzerland. .,Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland.
| | - Marilia Santos Andrade
- grid.411249.b0000 0001 0514 7202Department of Physiology, Federal University of Sao Paulo, São Paulo, Brazil
| | - Claudio Andre Barbosa de Lira
- grid.411195.90000 0001 2192 5801Human and Exercise Physiology Division, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia, Brazil
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Fagundes U, Vancini RL, Seffrin A, de Almeida AA, Nikolaidis PT, Rosemann T, Knechtle B, Andrade MS, de Lira CAB. Adolescent female handball players present greater bone mass content than soccer players: A cross-sectional study. Bone 2022; 154:116217. [PMID: 34583063 DOI: 10.1016/j.bone.2021.116217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 09/07/2021] [Accepted: 09/21/2021] [Indexed: 12/21/2022]
Abstract
BACKGROUND Osteoporosis is a systemic disease affecting half of women over the age of 50 years. Considering that almost 90% of peak of bone mass is achieved until the second decade of life, ensuring a maximal bone mineral content acquisition may compensate for age-associated bone loss. Among several other factors, physical activity has been recommended to improve bone mass acquisition. However, it is unknown whether athletes involved with sports with different impact loading characteristics differ in regards to bone mass measurements. AIM To compare the bone mass content, bone mass density and lean mass of young female soccer players (odd-impact loading exercise), handball players (high-impact loading exercises) and non-athletes. METHODS A total of 115 female handball players (15.5 ± 1.3 years, 165.2 ± 5.6 cm and 61.9 ± 9.3 kg) and 142 soccer players (15.5 ± 1.5 years, 163.7 ± 6.6 cm and 56.5 ± 7.7 kg) were evaluated for body composition using a dual-emission X-ray absorptiometry system, and 136 female non-athletes (data from NHANES) (15.1 ± 1.32 years, 163.5 ± 5.8 cm and 67.2 ± 19.4 kg) were considered as the control. RESULTS Handball players presented higher bone mass content values than soccer players for upper limbs (294.8 ± 40.2 g and 270.7 ± 45.7 g, p < 0.001), lower limbs (1011.6 ± 145.5 g and 967.7 ± 144.3 g, p = 0.035), trunk (911.1 ± 182.5 g and 841.6 ± 163.7 g, p = 0.001), ribs (312.4 ± 69.9 g and 272.9 ± 58.0 g, p < 0.001), spine (245.1 ± 46.8 g and 222.0 ± 45.1 g, p < 0.001) and total bone mass (2708.7 ± 384.1 g and 2534.8 ± 386.0 g, p < 0.001). Moreover, non-athletes presented lower bone mass content for lower limbs (740.6 ± 132.3 g, p < 0.001), trunk (539.7 ± 98.6 g, p < 0.001), ribs (138.2 ± 29.9 g, p < 0.001), pelvis (238.9 ± 54.6 g, p < 0.001), spine (152.8 ± 26.4 g, p < 0.001) and total bone mass (1987.5 ± 311.3 g, p < 0.001) than both handball and soccer players. Handball players also presented higher bone mass density values than soccer players for trunk, ribs and spine (p < 0.05) and handball and soccer players presented higher bone mass density than non-athletes for all measurements (p < 0.005). Finally, the non-athletes' lower limb lean mass was lower than soccer and handball players values (p < 0.05). CONCLUSION Adolescent females engaged in handball training for at least one year present higher bone mass contents than those who are engaged in soccer training, which, in turn, present higher bone mass contents than non-athletes. These results might be used by physicians and healthcare providers to justify the choice of a particular sport to enhance bone mass gain in female adolescents.
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Affiliation(s)
- Ulysses Fagundes
- Department of Physiology, Federal University of São Paulo, Brazil
| | - Rodrigo Luiz Vancini
- Center of Physical Education and Sports, Federal University of Espírito Santo, Brazil
| | - Aldo Seffrin
- Department of Physiology, Federal University of São Paulo, Brazil
| | | | | | - Thomas Rosemann
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Beat Knechtle
- Institute of Primary Care, University of Zurich, Zurich, Switzerland; Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland.
| | | | - Claudio Andre Barbosa de Lira
- Human and Exercise Physiology Division, Faculty of Physical Education and Dance, Federal University of Goiás, Brazil
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Ramos SA, Massuça LM, Volossovitch A, Ferreira AP, Fragoso I. Morphological and Fitness Attributes of Young Male Portuguese Basketball Players: Normative Values According to Chronological Age and Years From Peak Height Velocity. Front Sports Act Living 2021; 3:629453. [PMID: 34179772 PMCID: PMC8222820 DOI: 10.3389/fspor.2021.629453] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Accepted: 04/16/2021] [Indexed: 12/12/2022] Open
Abstract
The aims of the present study were: (i) to describe the structural and functional attributes of young male Portuguese basketball players aged 12-16 years and (ii) to generate normative data according to chronological age and years from peak height velocity. A total of 281 male Portuguese young basketball players between the ages of 12 and 16 years were assessed in this study. Chronological age, maturity parameters (maturity offset and predicted age at peak height velocity), morphological (body mass, height, and skinfolds and length), and fitness (sprint, change of direction ability, jump, and upper body strength) attributes were measured. Descriptive statistics were determined for the age and maturity status, and the 10th, 25th, 50th, 75th, and 90th percentiles were chosen as reference values. Descriptive and normative values of the players' morphological and fitness attributes, stratified by age and maturity status, are provided. The normative values of age at peak height velocity (category YAPHV = 0) showed that regional basketball players presented average values (50th percentile) of 169.8 cm for height, 173.3 cm for arm span, 55.6 kg for body mass, 3.34 s for the 20-m speed test, 10.31 s for the T-test, 4.75 m for the 2-kg medicine ball throw, 66.9 kg for the combined right and left handgrip strength, and 30.1 and 35.9 cm for jump height in the countermovement jump (CMJ) and CMJ with arm swing, respectively. In conclusion, these results may be helpful to quantify and control an athlete's performance over time and to adjust strength and conditioning programs to biological demands.
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Affiliation(s)
- Sérgio Antunes Ramos
- CIDEFES, Faculty of Physical Education and Sport, Lusófona University, Lisbon, Portugal
| | - Luis Miguel Massuça
- CIDEFES, Faculty of Physical Education and Sport, Lusófona University, Lisbon, Portugal.,CIPER, Faculdade de Motricidade Humana, SpertLab, Universidade de Lisboa, Lisbon, Portugal.,ICPOL, Higher Institute of Police Sciences and Homeland Security, Lisbon, Portugal
| | - Anna Volossovitch
- CIPER, Faculdade de Motricidade Humana, SpertLab, Universidade de Lisboa, Lisbon, Portugal
| | - António Paulo Ferreira
- CIPER, Faculdade de Motricidade Humana, SpertLab, Universidade de Lisboa, Lisbon, Portugal
| | - Isabel Fragoso
- CIPER, Faculdade de Motricidade Humana, SpertLab, Universidade de Lisboa, Lisbon, Portugal
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