High bone mineral density in lifelong trained female team handball players and young elite football players.
Bone health
Bone turnover markers
Lifelong exercise training
Master athletes
Soccer
Static postural balance
Journal
European journal of applied physiology
ISSN: 1439-6327
Titre abrégé: Eur J Appl Physiol
Pays: Germany
ID NLM: 100954790
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
21
12
2020
accepted:
18
06
2021
pubmed:
26
6
2021
medline:
18
1
2022
entrez:
25
6
2021
Statut:
ppublish
Résumé
Low bone mineral density (BMD) and fractures are a major concern in the female population and preventative strategies are needed. Whether team sports participation may reduce age-related bone loss in elderly women is still uncertain. One hundred and thirty healthy, non-smoking women participated in this cross-sectional study, i.e., elderly (60-80 years) team handball players (EH, n = 35), elderly untrained controls (EC, n = 35), young (18-30 years) elite football players (YF, n = 30) and young untrained controls (YC, n = 30). A whole-body and two regional dual-energy X-ray absorptiometry (DXA) scans were performed to evaluate BMD and a blood sample was collected for measurement of bone turnover markers (BTMs). EH had higher BMD in all regions of the lumbar spine, except for L1, compared to EC (8-10%), and higher BMD in the femoral Ward's triangle (9%) and trochanter (7%) of the left leg. Furthermore, EH had higher mean leg BMD (8%) and whole-body BMD (5%) than EC. EH and YC had similar BMD in femoral trochanter, L1-L4 and mean leg despite an age difference of ~ 40 years. YF had higher BMD in all regions of the proximal femur (18-29%) and lumbar spine (12-16%) compared to YC, as well as higher mean leg BMD (20%) and whole-body BMD (13%). Sclerostin was 14% lower in EH compared to EC. YF showed higher PINP (98%), osteocalcin (57%), and CTX (83%) compared to YC. Lifelong team handball training and elite football training are associated with superior bone mineralization and changed bone turnover in elderly and young women.
Identifiants
pubmed: 34170397
doi: 10.1007/s00421-021-04755-9
pii: 10.1007/s00421-021-04755-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2825-2836Subventions
Organisme : Kulturministeriet
ID : FPK.2016-0039
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Almeida M, Laurent MR, Dubois V, Claessens F, O’Brien CA, Bouillon R, Vanderschueren D, Manolagas SC (2017) Estrogens and androgens in skeletal physiology and pathophysiology. Physiol Rev 97:135–187. https://doi.org/10.1152/physrev.00033.2015
doi: 10.1152/physrev.00033.2015
pubmed: 27807202
Ardawi MS, Rouzi AA, Qari MH (2012) Physical activity in relation to serum sclerostin, insulin-like growth factor-1, and bone turnover markers in healthy premenopausal women: a cross-sectional and a longitudinal study. J Clin Endocrinol Metab 97:3691–3699. https://doi.org/10.1210/jc.2011-3361
doi: 10.1210/jc.2011-3361
pubmed: 22865898
Bailey CA, Brooke-Wavell K (2008) Exercise for optimising peak bone mass in women. Proc Nutr Soc 67:9–18. https://doi.org/10.1017/S0029665108005971
doi: 10.1017/S0029665108005971
pubmed: 18234127
Boonen S, Laan RF, Barton IP, Watts NB (2005) Effect of osteoporosis treatments on risk of non-vertebral fractures: review and meta-analysis of intention-to-treat studies. Osteoporos Int 16:1291–1298. https://doi.org/10.1007/s00198-005-1945-x
doi: 10.1007/s00198-005-1945-x
pubmed: 15986101
Court-Brown CM, McQueen MM (2016) Global forum: fractures in the elderly. J Bone Jt Surg Am 98:e36. https://doi.org/10.2106/JBJS.15.00793
doi: 10.2106/JBJS.15.00793
dos Santos MR, Moro CM, Vosgerau DS (2014) Protocol for physical assessment in patients with fibromyalgia syndrome. Rev Bras Reumatol 54:117–123
doi: 10.1016/j.rbr.2014.03.006
Ferry B, Duclos M, Burt L, Therre P, Le Gall F, Jaffre C, Courteix D (2011) Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. J Bone Miner Metab 29:342–351. https://doi.org/10.1007/s00774-010-0226-8
doi: 10.1007/s00774-010-0226-8
pubmed: 20963459
Fredericson M, Chew K, Ngo J, Cleek T, Kiratli J, Cobb K (2007) Regional bone mineral density in male athletes: a comparison of soccer players, runners and controls. Br J Sports Med 41:664–668. https://doi.org/10.1136/bjsm.2006.030783
doi: 10.1136/bjsm.2006.030783
pubmed: 17473003
pmcid: 2465163
Hagman M, Helge EW, Hornstrup T, Fristrup B, Nielsen JJ, Jorgensen NR, Andersen JL, Helge JW, Krustrup P (2018) Bone mineral density in lifelong trained male football players compared with young and elderly untrained. Men J Sport Health Sci 7:159–168. https://doi.org/10.1016/j.jshs.2017.09.009
doi: 10.1016/j.jshs.2017.09.009
pubmed: 30356456
Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, Working LPAS, G, (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380:247–257. https://doi.org/10.1016/S0140-6736(12)60646-1
doi: 10.1016/S0140-6736(12)60646-1
pubmed: 22818937
Helge EW, Aagaard P, Jakobsen MD, Sundstrup E, Randers MB, Karlsson MK, Krustrup P (2010) Recreational football training decreases risk factors for bone fractures in untrained premenopausal women. Scand J Med Sci Sports 20(Suppl 1):31–39. https://doi.org/10.1111/j.1600-0838.2010.01107.x
doi: 10.1111/j.1600-0838.2010.01107.x
pubmed: 20210909
Helge EW, Andersen TR, Schmidt JF, Jorgensen NR, Hornstrup T, Krustrup P, Bangsbo J (2014) Recreational football improves bone mineral density and bone turnover marker profile in elderly men. Scand J Med Sci Sports 24(Suppl 1):98–104. https://doi.org/10.1111/sms.12239
doi: 10.1111/sms.12239
pubmed: 24903207
Holdsworth G, Roberts SJ, Ke HZ (2019) Novel actions of sclerostin on bone. J Mol Endocrinol 62:R167–R185. https://doi.org/10.1530/JME-18-0176
doi: 10.1530/JME-18-0176
pubmed: 30532996
Hornstrup T, Wikman JM, Fristrup B, Povoas S, Helge EW, Nielsen SH, Helge JW, Andersen JL, Nybo L, Krustrup P (2018) Fitness and health benefits of team handball training for young untrained women-a cross-disciplinary RCT on physiological adaptations and motivational aspects. J Sport Health Sci 7:139–148. https://doi.org/10.1016/j.jshs.2017.09.007
doi: 10.1016/j.jshs.2017.09.007
pubmed: 30356492
Ishikawa T, Sakuraba K (2009) Biochemical markers of bone turnover. New aspect. Bone metabolism movement in various sports and physical activities. Clin Calcium 19(8):1125–1131. PMID: 19638696
Jackman SR, Scott S, Randers MB, Orntoft C, Blackwell J, Zar A, Helge EW, Mohr M, Krustrup P (2013) Musculoskeletal health profile for elite female footballers versus untrained young women before and after 16 weeks of football training. J Sports Sci 31:1468–1474. https://doi.org/10.1080/02640414.2013.796066
doi: 10.1080/02640414.2013.796066
pubmed: 23829604
Jancova J (2008) Measuring the balance control system—review. Acta Med (hradec Kralove) 51:129–137. https://doi.org/10.14712/18059694.2017.14
doi: 10.14712/18059694.2017.14
Kanis JA, Cooper C, Rizzoli R, Reginster JY, Scientific Advisory Board of the European Society for C, Economic Aspects of O, the Committees of Scientific A, National Societies of the International Osteoporosis F (2019) European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 30:3–44. https://doi.org/10.1007/s00198-018-4704-5
doi: 10.1007/s00198-018-4704-5
pubmed: 30324412
Karinkanta S, Heinonen A, Sievanen H, Uusi-Rasi K, Kannus P (2005) Factors predicting dynamic balance and quality of life in home-dwelling elderly women. Gerontology 51:116–121. https://doi.org/10.1159/000082196
doi: 10.1159/000082196
pubmed: 15711078
Krustrup P, Parnell D (2020) Football as medicine: prescribing football for global health promotion. Taylor & Francis Group, Routledg
Krustrup P, Helge EW, Hansen PR, Aagaard P, Hagman M, Randers MB, de Sousa M, Mohr M (2018) Effects of recreational football on women’s fitness and health: adaptations and mechanisms. Eur J Appl Physiol 118:11–32. https://doi.org/10.1007/s00421-017-3733-7
doi: 10.1007/s00421-017-3733-7
pubmed: 29164325
Lippuner K, Johansson H, Kanis JA, Rizzoli R (2009) Remaining lifetime and absolute 10-year probabilities of osteoporotic fracture in Swiss men and women. Osteoporos Int 20:1131–1140. https://doi.org/10.1007/s00198-008-0779-8
doi: 10.1007/s00198-008-0779-8
pubmed: 18974918
Luo H, Newton RU, Ma’ayah F, Galvao DA, Taaffe DR (2018) Recreational soccer as sport medicine for middle-aged and older adults: a systematic review. BMJ Open Sport Exerc Med 4:e000336. https://doi.org/10.1136/bmjsem-2017-000336
doi: 10.1136/bmjsem-2017-000336
pubmed: 30112181
pmcid: 6089298
Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259. https://doi.org/10.1136/bmj.312.7041.1254
doi: 10.1136/bmj.312.7041.1254
pubmed: 8634613
pmcid: 2351094
Messina C, Maffi G, Vitale JA, Ulivieri FM, Guglielmi G, Sconfienza LM (2018) Diagnostic imaging of osteoporosis and sarcopenia: a narrative review quant imaging. Med Surg 8:86–99. https://doi.org/10.21037/qims.2018.01.01
doi: 10.21037/qims.2018.01.01
Missawi K, Zouch M, Chakroun Y, Chaari H, Tabka Z, Bouajina E (2016) Handball practice enhances bone mass in specific sites among prepubescent boys. J Clin Densitom 19:389–395. https://doi.org/10.1016/j.jocd.2016.04.008
doi: 10.1016/j.jocd.2016.04.008
pubmed: 27262750
Nana A, Slater GJ, Stewart AD, Burke LM (2015) Methodology review: using dual-energy X-ray absorptiometry (DXA) for the assessment of body composition in athletes and active people. Int J Sport Nutr Exerc Metab 25:198–215. https://doi.org/10.1123/ijsnem.2013-0228
doi: 10.1123/ijsnem.2013-0228
pubmed: 25029265
Nirody JA, Cheng KP, Parrish RM, Burghardt AJ, Majumdar S, Link TM, Kazakia GJ (2015) Spatial distribution of intracortical porosity varies across age and sex. Bone 75:88–95. https://doi.org/10.1016/j.bone.2015.02.006
doi: 10.1016/j.bone.2015.02.006
pubmed: 25701139
pmcid: 4454740
Pedersen BK, Saltin B (2015) Exercise as medicine—evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports 25(Suppl 3):1–72. https://doi.org/10.1111/sms.12581
doi: 10.1111/sms.12581
pubmed: 26606383
Povoas SCA, Castagna C, Resende C, Coelho EF, Silva P, Santos R, Pereira R, Krustrup P (2018) Effects of a short-term recreational team handball-based programme on physical fitness and cardiovascular and metabolic health of 33–55-year-old men: a pilot study. Biomed Res Int 2018:4109796. https://doi.org/10.1155/2018/4109796
doi: 10.1155/2018/4109796
pubmed: 30402476
pmcid: 6192137
Sarmento H, Manuel Clemente F, Marques A, Milanovic Z, David Harper L, Figueiredo A (2020) Recreational football is medicine against non-communicable diseases: a systematic review. Scand J Med Sci Sports 30:618–637. https://doi.org/10.1111/sms.13611
doi: 10.1111/sms.13611
pubmed: 31834941
Skoradal MB, Weihe P, Patursson P, Mortensen J, Connolly L, Krustrup P, Mohr M (2018) Football training improves metabolic and cardiovascular health status in 55- to 70-year-old women and men with prediabetes. Scand J Med Sci Sports 28(Suppl 1):42–51. https://doi.org/10.1111/sms.13081
doi: 10.1111/sms.13081
pubmed: 29718556
Sundstrup E, Jakobsen MD, Andersen JL, Randers MB, Petersen J, Suetta C, Aagaard P, Krustrup P (2010) Muscle function and postural balance in lifelong trained male footballers compared with sedentary elderly men and youngsters. Scand J Med Sci Sports 20(Suppl 1):90–97. https://doi.org/10.1111/j.1600-0838.2010.01092.x
doi: 10.1111/j.1600-0838.2010.01092.x
pubmed: 20210903
Taylor JB, Wright AA, Dischiavi SL, Townsend MA, Marmon AR (2017) Activity demands during multi-directional team sports: a systematic review. Sports Med 47:2533–2551. https://doi.org/10.1007/s40279-017-0772-5
doi: 10.1007/s40279-017-0772-5
pubmed: 28801751
Vasikaran S, Cooper C, Eastell R, Griesmacher A, Morris HA, Trenti T, Kanis JA (2011) International osteoporosis foundation and international federation of clinical chemistry and laboratory medicine position on bone marker standards in osteoporosis. Clin Chem Lab Med 49:1271–1274. https://doi.org/10.1515/CCLM.2011.602
doi: 10.1515/CCLM.2011.602
pubmed: 21605012
Vicente-Rodriguez G, Dorado C, Perez-Gomez J, Gonzalez-Henriquez JJ, Calbet JA (2004) Enhanced bone mass and physical fitness in young female handball players. Bone 35:1208–1215. https://doi.org/10.1016/j.bone.2004.06.012
doi: 10.1016/j.bone.2004.06.012
pubmed: 15542047
Wang Q, Seeman E (2008) Skeletal growth and peak bone strength. Best Pract Res Clin Endocrinol Metab 22:687–700. https://doi.org/10.1016/j.beem.2008.07.008
doi: 10.1016/j.beem.2008.07.008
pubmed: 19028352
Watson SL, Weeks BK, Weis LJ, Harding AT, Horan SA, Beck BR (2018) High-intensity resistance and impact training improves bone mineral density and physical function in postmenopausal women with osteopenia and osteoporosis: the LIFTMOR Randomized Controlled Trial. J Bone Miner Res 33:211–220. https://doi.org/10.1002/jbmr.3284
doi: 10.1002/jbmr.3284
pubmed: 28975661
Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, O’Karma M, Wallace TC, Zemel BS (2016) The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int 27:1281–1386. https://doi.org/10.1007/s00198-015-3440-3
doi: 10.1007/s00198-015-3440-3
pubmed: 26856587
pmcid: 26856587
Xu J, Lombardi G, Jiao W, Banfi G (2016) Effects of exercise on bone status in female subjects, from young girls to postmenopausal women: an overview of systematic reviews and meta-analyses. Sports Med 46:1165–1182. https://doi.org/10.1007/s40279-016-0494-0
doi: 10.1007/s40279-016-0494-0
pubmed: 26856338