In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels
Summary Peripubertal artistic gymnasts display elevated areal bone mineral density at various bone sites, despite delayed menarche and a high frequency of menstrual disorders, factors that may compromise bone health. The concomitant improvement in femoral bone geometry and strength suggested that th...
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| creator | Maïmoun, L. Coste, O. Mariano-Goulart, D. Galtier, F. Mura, T. Philibert, P. Briot, K. Paris, F. Sultan, C. |
| description | Summary
Peripubertal artistic gymnasts display elevated areal bone mineral density at various bone sites, despite delayed menarche and a high frequency of menstrual disorders, factors that may compromise bone health. The concomitant improvement in femoral bone geometry and strength suggested that this type of physical activity might have favourable clinical impact.
Introduction
The purpose of this study is to evaluate the effect of artistic gymnastics (GYM) on areal bone mineral density (aBMD), femoral bone geometry and bone markers and its relationship with the osteoprotegerin (OPG)/rank-ligand (RANKL) system in peripubertal girls.
Methods
Forty-six girls (age 10–17.2 years) were recruited for this study: 23 elite athletes in the GYM group (training 12–30 h/week, age at start of training 5.3 years) and 23 age-matched (±6 months; leisure physical activity ≤ 3 h/week) controls (CON). The aBMD at whole body, total proximal femur, lumbar spine, mid-radius and skull was determined using dual-X-ray absorptiometry. Hip structural analysis (HSA software) was applied at the femur to evaluate cross-sectional area (CSA, cm
2
), cross-sectional moment of inertia (CSMI, cm
4
), and the section modulus (Z, cm
3
) and buckling ratio at neck, intertrochanteric region and shaft. Markers of bone turnover and OPG/RANKL levels were also analysed.
Results
GYM had higher (5.5–16.4%) non-adjusted aBMD and adjusted aBMD for age, fat-free soft tissue and fat mass at all bone sites, skull excepted and the difference increased with age. In the three femoral regions adjusted for body weight and height, CSA (12.5–18%), CSMI (14–18%), Z (15.5–18.6%) and mean cortical thickness (13.6–21%) were higher in GYM than CON, while the buckling ratio (21–27.1%) was lower. Bone markers decreased with age in both groups and GYM presented higher values than CON only in the postmenarchal period. A similar increase in RANKL with age without OPG variation was observed for both groups.
Conclusion
GYM is associated not only with an increase in aBMD but also an improvement in bone geometry associated with an increase in bone remodelling. These adaptations seem to be independent of the OPG/RANKL system. |
| doi_str_mv | 10.1007/s00198-011-1541-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_926903127</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2509157251</sourcerecordid><originalsourceid>FETCH-LOGICAL-c432t-aa7d64aa207eef66721215f8826b32b91cae5118d63c68e15405f08d950237613</originalsourceid><addsrcrecordid>eNqFkVFrFDEQx4Mo9qx-AF8kCOKLazNJNtk8lqK1eFgRBd-W7O7smbKbvSbZyn2MfuNmuasFQXxJMsxvZv6TPyEvgb0HxvRJZAxMVTCAAkqZj0dkBVKIghtVPiYrZoQujISfR-RZjFcs1xijn5IjDqI0SsOK3F54usXgtnODIdmBblwY4jtqQ3IxuZZudqO3yytSN27DdIMxJzGTzeSRjs5jyEGHPrq0o9Z3tMdxCvfABqcRU9jR3y79muZEbd9jm5zf0IhhHunl1_OTb6dfPq_pgDc4xOfkSW-HiC8O9zH58fHD97NPxfry_OLsdF20UvBUWKs7Ja3lTCP2SmkOHMq-qrhqBG8MtBZLgKpTolUV5v9hZc-qzpSMC61AHJO3-755qesZY6pHF1scButxmmNtuDJMANf_J5lkIKQSmXz9F3k1zcHnNTIkpCkrbTIEe6gNU4wB-3ob3GjDrgZWL77We1_r7Gu9-FovYl8dGs_NiN2finsjM_DmANjY2qEP1rcuPnBSZ5VyGc73XMwpv8HwoPDf0-8A5Te6_Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>903495879</pqid></control><display><type>article</type><title>In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Maïmoun, L. ; Coste, O. ; Mariano-Goulart, D. ; Galtier, F. ; Mura, T. ; Philibert, P. ; Briot, K. ; Paris, F. ; Sultan, C.</creator><creatorcontrib>Maïmoun, L. ; Coste, O. ; Mariano-Goulart, D. ; Galtier, F. ; Mura, T. ; Philibert, P. ; Briot, K. ; Paris, F. ; Sultan, C.</creatorcontrib><description>Summary
Peripubertal artistic gymnasts display elevated areal bone mineral density at various bone sites, despite delayed menarche and a high frequency of menstrual disorders, factors that may compromise bone health. The concomitant improvement in femoral bone geometry and strength suggested that this type of physical activity might have favourable clinical impact.
Introduction
The purpose of this study is to evaluate the effect of artistic gymnastics (GYM) on areal bone mineral density (aBMD), femoral bone geometry and bone markers and its relationship with the osteoprotegerin (OPG)/rank-ligand (RANKL) system in peripubertal girls.
Methods
Forty-six girls (age 10–17.2 years) were recruited for this study: 23 elite athletes in the GYM group (training 12–30 h/week, age at start of training 5.3 years) and 23 age-matched (±6 months; leisure physical activity ≤ 3 h/week) controls (CON). The aBMD at whole body, total proximal femur, lumbar spine, mid-radius and skull was determined using dual-X-ray absorptiometry. Hip structural analysis (HSA software) was applied at the femur to evaluate cross-sectional area (CSA, cm
2
), cross-sectional moment of inertia (CSMI, cm
4
), and the section modulus (Z, cm
3
) and buckling ratio at neck, intertrochanteric region and shaft. Markers of bone turnover and OPG/RANKL levels were also analysed.
Results
GYM had higher (5.5–16.4%) non-adjusted aBMD and adjusted aBMD for age, fat-free soft tissue and fat mass at all bone sites, skull excepted and the difference increased with age. In the three femoral regions adjusted for body weight and height, CSA (12.5–18%), CSMI (14–18%), Z (15.5–18.6%) and mean cortical thickness (13.6–21%) were higher in GYM than CON, while the buckling ratio (21–27.1%) was lower. Bone markers decreased with age in both groups and GYM presented higher values than CON only in the postmenarchal period. A similar increase in RANKL with age without OPG variation was observed for both groups.
Conclusion
GYM is associated not only with an increase in aBMD but also an improvement in bone geometry associated with an increase in bone remodelling. These adaptations seem to be independent of the OPG/RANKL system.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-011-1541-1</identifier><identifier>PMID: 21359671</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Absorptiometry, Photon ; Adaptations ; Adolescent ; Biological and medical sciences ; Bone density ; Bone Density - physiology ; Bone mass ; Bone mineral density ; Bone Remodeling - physiology ; Bone remodelling ; Bone turnover ; Child ; Computer programs ; Cross-Sectional Studies ; Diseases of the osteoarticular system ; Endocrinology ; Fat-free ; Female ; Femur ; Femur - anatomy & histology ; Femur - diagnostic imaging ; Fundamental and applied biological sciences. Psychology ; Girls ; Gymnastics ; Gymnastics - physiology ; Hip ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lumbar Vertebrae - diagnostic imaging ; Medical sciences ; Medicine ; Medicine & Public Health ; Menarche ; Menstruation ; Original Article ; Orthopedics ; Osteoarticular system. Muscles ; Osteoporosis ; Osteoporosis. Osteomalacia. Paget disease ; Osteoprotegerin ; Osteoprotegerin - blood ; Osteoprotegerin - metabolism ; Physical activity ; Physical training ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radius - diagnostic imaging ; RANK Ligand - blood ; RANK Ligand - metabolism ; Rheumatology ; Risk factors ; Skeleton and joints ; Skull ; Soft tissues ; software ; Spine (lumbar) ; TRANCE protein ; Vertebrates: osteoarticular system, musculoskeletal system</subject><ispartof>Osteoporosis international, 2011-12, Vol.22 (12), p.3055-3066</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-aa7d64aa207eef66721215f8826b32b91cae5118d63c68e15405f08d950237613</citedby><cites>FETCH-LOGICAL-c432t-aa7d64aa207eef66721215f8826b32b91cae5118d63c68e15405f08d950237613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00198-011-1541-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-011-1541-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24790449$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21359671$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maïmoun, L.</creatorcontrib><creatorcontrib>Coste, O.</creatorcontrib><creatorcontrib>Mariano-Goulart, D.</creatorcontrib><creatorcontrib>Galtier, F.</creatorcontrib><creatorcontrib>Mura, T.</creatorcontrib><creatorcontrib>Philibert, P.</creatorcontrib><creatorcontrib>Briot, K.</creatorcontrib><creatorcontrib>Paris, F.</creatorcontrib><creatorcontrib>Sultan, C.</creatorcontrib><title>In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary
Peripubertal artistic gymnasts display elevated areal bone mineral density at various bone sites, despite delayed menarche and a high frequency of menstrual disorders, factors that may compromise bone health. The concomitant improvement in femoral bone geometry and strength suggested that this type of physical activity might have favourable clinical impact.
Introduction
The purpose of this study is to evaluate the effect of artistic gymnastics (GYM) on areal bone mineral density (aBMD), femoral bone geometry and bone markers and its relationship with the osteoprotegerin (OPG)/rank-ligand (RANKL) system in peripubertal girls.
Methods
Forty-six girls (age 10–17.2 years) were recruited for this study: 23 elite athletes in the GYM group (training 12–30 h/week, age at start of training 5.3 years) and 23 age-matched (±6 months; leisure physical activity ≤ 3 h/week) controls (CON). The aBMD at whole body, total proximal femur, lumbar spine, mid-radius and skull was determined using dual-X-ray absorptiometry. Hip structural analysis (HSA software) was applied at the femur to evaluate cross-sectional area (CSA, cm
2
), cross-sectional moment of inertia (CSMI, cm
4
), and the section modulus (Z, cm
3
) and buckling ratio at neck, intertrochanteric region and shaft. Markers of bone turnover and OPG/RANKL levels were also analysed.
Results
GYM had higher (5.5–16.4%) non-adjusted aBMD and adjusted aBMD for age, fat-free soft tissue and fat mass at all bone sites, skull excepted and the difference increased with age. In the three femoral regions adjusted for body weight and height, CSA (12.5–18%), CSMI (14–18%), Z (15.5–18.6%) and mean cortical thickness (13.6–21%) were higher in GYM than CON, while the buckling ratio (21–27.1%) was lower. Bone markers decreased with age in both groups and GYM presented higher values than CON only in the postmenarchal period. A similar increase in RANKL with age without OPG variation was observed for both groups.
Conclusion
GYM is associated not only with an increase in aBMD but also an improvement in bone geometry associated with an increase in bone remodelling. These adaptations seem to be independent of the OPG/RANKL system.</description><subject>Absorptiometry, Photon</subject><subject>Adaptations</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Bone density</subject><subject>Bone Density - physiology</subject><subject>Bone mass</subject><subject>Bone mineral density</subject><subject>Bone Remodeling - physiology</subject><subject>Bone remodelling</subject><subject>Bone turnover</subject><subject>Child</subject><subject>Computer programs</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Endocrinology</subject><subject>Fat-free</subject><subject>Female</subject><subject>Femur</subject><subject>Femur - anatomy & histology</subject><subject>Femur - diagnostic imaging</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Girls</subject><subject>Gymnastics</subject><subject>Gymnastics - physiology</subject><subject>Hip</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menarche</subject><subject>Menstruation</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Osteoporosis</subject><subject>Osteoporosis. Osteomalacia. Paget disease</subject><subject>Osteoprotegerin</subject><subject>Osteoprotegerin - blood</subject><subject>Osteoprotegerin - metabolism</subject><subject>Physical activity</subject><subject>Physical training</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radius - diagnostic imaging</subject><subject>RANK Ligand - blood</subject><subject>RANK Ligand - metabolism</subject><subject>Rheumatology</subject><subject>Risk factors</subject><subject>Skeleton and joints</subject><subject>Skull</subject><subject>Soft tissues</subject><subject>software</subject><subject>Spine (lumbar)</subject><subject>TRANCE protein</subject><subject>Vertebrates: osteoarticular system, musculoskeletal system</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkVFrFDEQx4Mo9qx-AF8kCOKLazNJNtk8lqK1eFgRBd-W7O7smbKbvSbZyn2MfuNmuasFQXxJMsxvZv6TPyEvgb0HxvRJZAxMVTCAAkqZj0dkBVKIghtVPiYrZoQujISfR-RZjFcs1xijn5IjDqI0SsOK3F54usXgtnODIdmBblwY4jtqQ3IxuZZudqO3yytSN27DdIMxJzGTzeSRjs5jyEGHPrq0o9Z3tMdxCvfABqcRU9jR3y79muZEbd9jm5zf0IhhHunl1_OTb6dfPq_pgDc4xOfkSW-HiC8O9zH58fHD97NPxfry_OLsdF20UvBUWKs7Ja3lTCP2SmkOHMq-qrhqBG8MtBZLgKpTolUV5v9hZc-qzpSMC61AHJO3-755qesZY6pHF1scButxmmNtuDJMANf_J5lkIKQSmXz9F3k1zcHnNTIkpCkrbTIEe6gNU4wB-3ob3GjDrgZWL77We1_r7Gu9-FovYl8dGs_NiN2finsjM_DmANjY2qEP1rcuPnBSZ5VyGc73XMwpv8HwoPDf0-8A5Te6_Q</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Maïmoun, L.</creator><creator>Coste, O.</creator><creator>Mariano-Goulart, D.</creator><creator>Galtier, F.</creator><creator>Mura, T.</creator><creator>Philibert, P.</creator><creator>Briot, K.</creator><creator>Paris, F.</creator><creator>Sultan, C.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels</title><author>Maïmoun, L. ; Coste, O. ; Mariano-Goulart, D. ; Galtier, F. ; Mura, T. ; Philibert, P. ; Briot, K. ; Paris, F. ; Sultan, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-aa7d64aa207eef66721215f8826b32b91cae5118d63c68e15405f08d950237613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Absorptiometry, Photon</topic><topic>Adaptations</topic><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Bone density</topic><topic>Bone Density - physiology</topic><topic>Bone mass</topic><topic>Bone mineral density</topic><topic>Bone Remodeling - physiology</topic><topic>Bone remodelling</topic><topic>Bone turnover</topic><topic>Child</topic><topic>Computer programs</topic><topic>Cross-Sectional Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Endocrinology</topic><topic>Fat-free</topic><topic>Female</topic><topic>Femur</topic><topic>Femur - anatomy & histology</topic><topic>Femur - diagnostic imaging</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Girls</topic><topic>Gymnastics</topic><topic>Gymnastics - physiology</topic><topic>Hip</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menarche</topic><topic>Menstruation</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoarticular system. Muscles</topic><topic>Osteoporosis</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Osteoprotegerin</topic><topic>Osteoprotegerin - blood</topic><topic>Osteoprotegerin - metabolism</topic><topic>Physical activity</topic><topic>Physical training</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radius - diagnostic imaging</topic><topic>RANK Ligand - blood</topic><topic>RANK Ligand - metabolism</topic><topic>Rheumatology</topic><topic>Risk factors</topic><topic>Skeleton and joints</topic><topic>Skull</topic><topic>Soft tissues</topic><topic>software</topic><topic>Spine (lumbar)</topic><topic>TRANCE protein</topic><topic>Vertebrates: osteoarticular system, musculoskeletal system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maïmoun, L.</creatorcontrib><creatorcontrib>Coste, O.</creatorcontrib><creatorcontrib>Mariano-Goulart, D.</creatorcontrib><creatorcontrib>Galtier, F.</creatorcontrib><creatorcontrib>Mura, T.</creatorcontrib><creatorcontrib>Philibert, P.</creatorcontrib><creatorcontrib>Briot, K.</creatorcontrib><creatorcontrib>Paris, F.</creatorcontrib><creatorcontrib>Sultan, C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maïmoun, L.</au><au>Coste, O.</au><au>Mariano-Goulart, D.</au><au>Galtier, F.</au><au>Mura, T.</au><au>Philibert, P.</au><au>Briot, K.</au><au>Paris, F.</au><au>Sultan, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>22</volume><issue>12</issue><spage>3055</spage><epage>3066</epage><pages>3055-3066</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary
Peripubertal artistic gymnasts display elevated areal bone mineral density at various bone sites, despite delayed menarche and a high frequency of menstrual disorders, factors that may compromise bone health. The concomitant improvement in femoral bone geometry and strength suggested that this type of physical activity might have favourable clinical impact.
Introduction
The purpose of this study is to evaluate the effect of artistic gymnastics (GYM) on areal bone mineral density (aBMD), femoral bone geometry and bone markers and its relationship with the osteoprotegerin (OPG)/rank-ligand (RANKL) system in peripubertal girls.
Methods
Forty-six girls (age 10–17.2 years) were recruited for this study: 23 elite athletes in the GYM group (training 12–30 h/week, age at start of training 5.3 years) and 23 age-matched (±6 months; leisure physical activity ≤ 3 h/week) controls (CON). The aBMD at whole body, total proximal femur, lumbar spine, mid-radius and skull was determined using dual-X-ray absorptiometry. Hip structural analysis (HSA software) was applied at the femur to evaluate cross-sectional area (CSA, cm
2
), cross-sectional moment of inertia (CSMI, cm
4
), and the section modulus (Z, cm
3
) and buckling ratio at neck, intertrochanteric region and shaft. Markers of bone turnover and OPG/RANKL levels were also analysed.
Results
GYM had higher (5.5–16.4%) non-adjusted aBMD and adjusted aBMD for age, fat-free soft tissue and fat mass at all bone sites, skull excepted and the difference increased with age. In the three femoral regions adjusted for body weight and height, CSA (12.5–18%), CSMI (14–18%), Z (15.5–18.6%) and mean cortical thickness (13.6–21%) were higher in GYM than CON, while the buckling ratio (21–27.1%) was lower. Bone markers decreased with age in both groups and GYM presented higher values than CON only in the postmenarchal period. A similar increase in RANKL with age without OPG variation was observed for both groups.
Conclusion
GYM is associated not only with an increase in aBMD but also an improvement in bone geometry associated with an increase in bone remodelling. These adaptations seem to be independent of the OPG/RANKL system.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>21359671</pmid><doi>10.1007/s00198-011-1541-1</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0937-941X |
| ispartof | Osteoporosis international, 2011-12, Vol.22 (12), p.3055-3066 |
| issn | 0937-941X 1433-2965 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_926903127 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Absorptiometry, Photon Adaptations Adolescent Biological and medical sciences Bone density Bone Density - physiology Bone mass Bone mineral density Bone Remodeling - physiology Bone remodelling Bone turnover Child Computer programs Cross-Sectional Studies Diseases of the osteoarticular system Endocrinology Fat-free Female Femur Femur - anatomy & histology Femur - diagnostic imaging Fundamental and applied biological sciences. Psychology Girls Gymnastics Gymnastics - physiology Hip Humans Investigative techniques, diagnostic techniques (general aspects) Lumbar Vertebrae - diagnostic imaging Medical sciences Medicine Medicine & Public Health Menarche Menstruation Original Article Orthopedics Osteoarticular system. Muscles Osteoporosis Osteoporosis. Osteomalacia. Paget disease Osteoprotegerin Osteoprotegerin - blood Osteoprotegerin - metabolism Physical activity Physical training Radiodiagnosis. Nmr imagery. Nmr spectrometry Radius - diagnostic imaging RANK Ligand - blood RANK Ligand - metabolism Rheumatology Risk factors Skeleton and joints Skull Soft tissues software Spine (lumbar) TRANCE protein Vertebrates: osteoarticular system, musculoskeletal system |
| title | In peripubertal girls, artistic gymnastics improves areal bone mineral density and femoral bone geometry without affecting serum OPG/RANKL levels |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T18%3A43%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=In%20peripubertal%20girls,%20artistic%20gymnastics%20improves%20areal%20bone%20mineral%20density%20and%20femoral%20bone%20geometry%20without%20affecting%20serum%20OPG/RANKL%20levels&rft.jtitle=Osteoporosis%20international&rft.au=Ma%C3%AFmoun,%20L.&rft.date=2011-12-01&rft.volume=22&rft.issue=12&rft.spage=3055&rft.epage=3066&rft.pages=3055-3066&rft.issn=0937-941X&rft.eissn=1433-2965&rft_id=info:doi/10.1007/s00198-011-1541-1&rft_dat=%3Cproquest_cross%3E2509157251%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=903495879&rft_id=info:pmid/21359671&rfr_iscdi=true |