1. The effect of 12-month participation in osteogenic and non-osteogenic sports on bone development in adolescent male athletes. The PRO-BONE study
- Author
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José Castro Piñero, Luis Gracia-Marco, Jonatan R. Ruiz, Karen M. Knapp, Craig A. Williams, Peter Krustrup, Esther Ubago-Guisado, Dimitris Vlachopoulos, Luis A. Moreno, Francisco B. Ortega, Brad S. Metcalf, and Alan R. Barker
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Bone development ,Football ,030209 endocrinology & metabolism ,Physical Therapy, Sports Therapy and Rehabilitation ,03 medical and health sciences ,Absorptiometry, Photon ,0302 clinical medicine ,Bone Density ,Soccer ,Journal Article ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Swimming ,Bone Development ,biology ,business.industry ,Athletes ,Soccer/physiology ,Cycling ,030229 sport sciences ,Bicycling/physiology ,16. Peace & justice ,biology.organism_classification ,Bone stiffness ,Skeleton (computer programming) ,Adolescence ,Bicycling ,Bone mass ,Quantitative ultrasound ,Swimming/physiology ,Physical therapy ,Lean body mass ,Bone mineral content ,business ,human activities - Abstract
OBJECTIVES: Research investigating the longitudinal effects of the most popular sports on bone development in adolescent males is scarce. The aim is to investigate the effect of 12-month participation in osteogenic and non-osteogenic sports on bone development.DESIGN: A 12-month study was conducted in adolescent males involved in football, swimming and cycling and compared with an active control group.METHODS: 116 adolescent males (13.1±0.1years at baseline): 37 footballers, 37 swimmers, 28 cyclists and 14 active controls were followed for 12 months. Bone mineral content (BMC) was measured by dual-energy X-ray absorptiometry, and bone stiffness was measured by quantitative ultrasound. Bone outcomes at 12 months were adjusted for baseline bone status, age, height, lean mass and moderate to vigorous physical activity.RESULTS: Footballers had higher improvement in adjusted BMC at the total body, total hip, shaft, Ward's triangle, legs and bone stiffness compared to cyclists (6.3-8.0%). Footballers had significantly higher adjusted BMC at total body, shaft and legs compared to swimmers (5.4-5.6%). There was no significant difference between swimmers and cyclists for any bone outcomes. Swimming and cycling participation resulted in non-significant lower bone development at most sites of the skeleton compared to controls (-4.3 to -0.6%).CONCLUSIONS: Football participation induces significantly greater improvements in BMC and bone stiffness over 12 months compared to cycling and swimming.CLINICAL TRIAL REGISTRATION: ISRCTN17982776.
- Published
- 2018
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