The Impact of Training Load on Bone Mineral Density of Adolescent Swimmers: A Structural Equation Modeling Approach

2017 ◽  
Vol 29 (4) ◽  
pp. 520-528 ◽  
Author(s):  
Ricardo Ribeiro Agostinete ◽  
Santiago Maillane-Vanegas ◽  
Kyle R. Lynch ◽  
Bruna Turi-Lynch ◽  
Manuel J. Coelho-e-Silva ◽  
...  

Purpose:To investigate the mediating effect of muscle mass on the relationship between training load and bone density in adolescent swimmers.Methods:A cross-sectional study involving 87 control and 22 swimmers aged 10–19 years (overall sample:n = 109). Swimmers had a minimum of 1 year of competition in regional and national championships, and control adolescents reported 1 year without any organized sport. Bone density was the main outcome (dual-energy X-ray absorptiometry), which was measured in upper limbs, lower limbs, spine, and whole body. Monthly training load was the independent variable, while the mediation effect of lean soft tissue was assessed. Maturity offset, age, inflammation, and vitamin D intake were treated as covariates.Results:Swimmers had lower bone density than controls; there was a significant and positive relationship between training load and muscle mass. In boys, training load presented a negative correlation with bone density in lower limbs [r = −.293; 95% confidence interval (CI), −.553 to −.034]. In girls, training load was negatively related to bone mineral density in lower limbs (r = .563; 95% CI, −.770 to −.356) and whole body (r = −.409; 95% CI, −.609 to −.209).Conclusion:Training load had a negative relationship on bone density of swimmers of both sexes, independently of the positive effect of lean soft tissue on bone density.

PEDIATRICS ◽  
1990 ◽  
Vol 86 (3) ◽  
pp. 440-447 ◽  
Author(s):  
Laura K. Bachrach ◽  
David Guido ◽  
Debra Katzman ◽  
Iris F. Litt ◽  
Robert Marcus

Osteoporosis develops in women with chronic anorexia nervosa. To determine whether bone mass is reduced in younger patients as well, bone density was studied in a group of adolescent patients with anorexia nervosa. With single- and dual-photon absorptiometry, a comparison was made of bone mineral density of midradius, lumbar spine, and whole body in 18 girls (12 to 20 years of age) with anorexia nervosa and 25 healthy control subjects of comparable age. Patients had significantly lower lumbar vertebral bone density than did control subjects (0.830 ± 0.140 vs 1.054 ± 0.139 g/cm2) and significantly lower whole body bone mass (0.700 ± 0.130 vs 0.955 ± 0.130 g/cm2). Midradius bone density was not significantly reduced. Of 18 patients, 12 had bone density greater than 2 standard deviations less than normal values for age. The diagnosis of anorexia nervosa had been made less than 1 year earlier for half of these girls. Body mass index correlated significantly with bone mass in girls who were not anorexic (P < .05, .005, and .0001 for lumbar, radius, and whole body, respectively). Bone mineral correlated significantly with body mass index in patients with anorexia nervosa as well. In addition, age at onset and duration of anorexia nervosa, but not calcium intake, activity level, or duration of amenorrhea correlated significantly with bone mineral density. It was concluded that important deficits of bone mass occur as a frequent and often early complication of anorexia nervosa in adolescence. Whole body is considerably more sensitive than midradius bone density as a measure of cortical bone loss in this illness. Low body mass index is an important predictor of this reduction in bone mass.


2020 ◽  
Vol 10 (23) ◽  
pp. 8469
Author(s):  
Jung Chul Lee ◽  
Chong Hoon Lee ◽  
Dong Wha Chung ◽  
Hee Joo Lee ◽  
Jae Yong Park

Dual-energy X-ray absorptiometry (DEXA) provides a reliable and accurate measurement of bone density and bone mineral composition. This research examined the composition and bone density (bone mineral composition and bone mineral density; BMD) of the whole body and selected body parts using DEXA. The participants were 240 healthy adult men and women who were divided into three groups based on age. The total BMD of women amounted to an average of 1.14 g/cm2 for those aged 20–39 years, 1.14 g/cm2 for those aged 40–59 years, and 0.98 g/cm2 for those aged 60–73 years. For men, the average BMD was 1.25 g/cm2 for those aged 20–39 years, 1.20 g/cm2 for those aged 40–59 years, and 1.17 g g/cm2 for those aged 60–73 years. The decrease in age-specific BMD was shown to have a correlation with both age and body mass index, and it is determined that exercising on a regular basis can prevent a reduction in BMD by maintaining appropriate muscle mass.


Author(s):  
Jung Chul Lee ◽  
Hee-Joo Lee ◽  
Jaeyong Park

Dual energy X-ray absorptiometry (DEXA) measuring tool is a reliable and accurate technology to measure bone density and bone mineral composition. This research examined the composition and bone density (bone mineral composition and bone mineral density) of the whole body and representative body parts using DEXA. The participants were 240 healthy adult men and women who were divided into three groups based on age. The total bone mineral density (BMD) of women amounted to an average of 1.14 g/㎠ in Group A, 1.14 g/㎠ in Group B, and 0.98 g/㎠ in Group C. For men, the average BMD was 1.25 g/㎠ in Group A, 1.20 g/㎠ in Group B, and 1.17 g/㎠ in Group C. As a result, the reduction of age-specific BMD was shown to have a correlation with aging and body mass index(BMI), and it is determined that exercising on a regular basis can prevent reduction in BMD by maintaining appropriate muscle mass.


1998 ◽  
Vol 15 (4) ◽  
pp. 345-356
Author(s):  
Manny Felix ◽  
Jeff McCubbin ◽  
Janet Shaw

Many women with mild to moderate mental retardation (MMR) exhibit low levels of physical activity, muscle strength, and muscle mass, which place these individuals at risk for osteoporosis. Bone mineral density (BMD), the primary index of osteoporosis, of the femoral neck and the whole body was measured in premenopausal women with (M age = 28.14 ± 8.43) and without (M age = 29.64 ± 10.86) mental retardation (MMR and NMR, respectively). Multivariate analyses revealed no differences (p > .05) between groups (MMR = 16, NMR = 16) for BMD values. Significant differences existed (p < .05) between groups on body composition and muscle strength variables. In the MMR group, significant positive relationships (p < .05) were found between lean muscle mass and both femoral neck (r = .74) and whole body (r = .81) BMD. Unaccounted lifestyle factors may have contributed to nonsignificant BMD values between groups.


2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Madhu N. Rao ◽  
Morris Schambelan ◽  
Viva W. Tai ◽  
Donald I. Abrams ◽  
Hootan Khatami ◽  
...  

HIV-infected individuals are at risk for decreased bone mineral density (BMD). The known risk factors for bone loss do not fully explain the increased risk in this population. There is emerging evidence that leptin, a hormone secreted by adipocytes, plays an important role in bone metabolism. Several studies have assessed the relationship between leptin and bone density in healthy adults, but there are few such studies in HIV-infected individuals. Furthermore, HIV infected individuals on antiretroviral therapy are at increased risk for altered fat distribution, which may impact the relationship between leptin and BMD. In a cross-sectional analysis of data in 107 HIV-infected men, we determined whether serum leptin levels were associated with whole-body BMD and bone mineral content measured by dual-energy X-ray absorptiometry (DEXA), after adjusting for confounders including body fat distribution. We found an inverse association between leptin and bone density in those with peripheral lipoatrophy, defined objectively as <3 kg appendicular fat by DEXA, but no such relationship was seen in those with >3 kg appendicular fat. This result suggests that fat distribution may modify the relationship between leptin and bone density.


1996 ◽  
Vol 89 (8) ◽  
pp. 457-461 ◽  
Author(s):  
D J Torgerson ◽  
C Donaldson ◽  
D M Reid

Bone mineral density measurements have been criticized on the grounds that they are not a worth-while screening tool. In this paper we argue that bone mineral measurements can be an efficient diagnostic tool even if they are not of proven value for screening. There is complex relationship between the costs of a measurement, the intervention and the predictive value of the test all of which must be accounted for when assessing the value of a bone density measurement. For bone density measurements to be used for screening, a wider evaluation needs to be undertaken compared with that for their use as a diagnostic tool. We address some common objections, for example, that low compliance with screening would undermine efficiency, and show that these are not relevant. Evaluations of screening need to address issues that are likely to affect efficiency.


2020 ◽  
pp. 026010602097524
Author(s):  
Darren G Candow ◽  
Philip D Chilibeck ◽  
Julianne Gordon ◽  
Emelie Vogt ◽  
Tim Landeryou ◽  
...  

Background: The combination of creatine supplementation and resistance training (10–12 weeks) has been shown to increase bone mineral content and reduce a urinary indicator of bone resorption in older males compared with placebo. However, the longer-term effects (12 months) of creatine and resistance training on bone mineral density and bone geometric properties in older males is unknown. Aim: To assess the effects of 12 months of creatine supplementation and supervised, whole-body resistance training on bone mineral density, bone geometric properties, muscle accretion, and strength in older males. Methods: Participants were randomized to supplement with creatine ( n = 18, 49–69 years, 0.1 g·kg-1·d-1) or placebo ( n = 20, 49–67 years, 0.1 g·kg-1·d-1) during 12 months of supervised, whole-body resistance training. Results: After 12 months of training, both groups experienced similar changes in bone mineral density and geometry, bone speed of sound, lean tissue and fat mass, muscle thickness, and muscle strength. There was a trend ( p = 0.061) for creatine to increase the section modulus of the narrow part of the femoral neck, an indicator of bone bending strength, compared with placebo. Adverse events did not differ between creatine and placebo. Conclusions: Twelve months of creatine supplementation and supervised, whole-body resistance training had no greater effect on measures of bone, muscle, or strength in older males compared with placebo.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 457
Author(s):  
Filipe Manuel Clemente ◽  
Rodrigo Ramirez-Campillo ◽  
Hugo Sarmento ◽  
Daniel Castillo ◽  
Javier Raya-González ◽  
...  

This systematic review with meta-analysis was conducted to assess the effects of small-sided games (SSG)-based training programs on bone mineral density (BMD) in untrained adults. The data sources utilized were Cochrane, Embase, Medline (PubMed), Scopus, SPORTDiscus, and Web of Science. The study eligibility criteria were: (i) untrained adults (>18 years old) of any sex, with or without a noncommunicable disease; (ii) SSG-based programs with a minimum duration of four weeks and no restrictions regarding frequency (number of sessions per week); (iii) passive or active control groups; (iv) pre-post values of BMD; (v) only randomized controlled trials; and (vi) only original and full-text studies written in English. The database search initially yielded 374 titles. From those, nine articles were eligible for the systematic review and meta-analysis. The age of included population varied from a minimum of 20 and a maximum of 71 years old. Non-significant differences between SSG and passive and active control groups on total BMD (ES = 0.14; p = 0.405 and ES = 0.28; p = 0.05, respectively). Meanwhile, significant differences in favor of SSGs vs. passive and control groups were detected, evidencing an improvement of BMD in lower limbs of the adult population for both sexes (ES = 0.26; p = 0.05 and ES = 0.28; p = 0.156, respectively). As conclusions, SSGs can be used as a non-pharmacological alternative to increase the BMD in the lower limbs despite having no significant impact on total body BMD. Careful generalization should be done of the level of heterogeneity.


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