Recreational Football and Bone Health: A Systematic Review and Meta-analysis.
Journal
Sports medicine (Auckland, N.Z.)
ISSN: 1179-2035
Titre abrégé: Sports Med
Pays: New Zealand
ID NLM: 8412297
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
accepted:
06
06
2022
pubmed:
20
7
2022
medline:
29
11
2022
entrez:
19
7
2022
Statut:
ppublish
Résumé
Recreational football is an intense, versatile form of exercise with multiple high- and odd-impact actions. Recreational football is therefore hypothesized to be suitable for bone modeling and bone health. The aim of the present systematic review and meta-analysis was to evaluate the effects of recreational football on bone mineral density (BMD), bone mineral content (BMC) and bone turnover markers (BTM). Systematic review and meta-analysis. MEDLINE, PubMed, SPORTDiscus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Google Scholar were searched prior to September 2021. A manual database search was also performed using the following key terms, either singly or in combination: recreational football/soccer, street football/soccer, recreational small-sided games, effect, influence, impact, bone turnover markers, bone mineral density, bone turnover marker, bone health, osteogenesis, CTX, osteocalcin, P1NP. Randomised and matched controlled trials with participants allocated to a recreational football group or any other type of training intervention or passive control group were included. The primary outcome measures were total BMD, lower limb BMD, total BMC, lower limb BMC, osteocalcin, procollagen type 1N-terminal propeptide (P1NP) and collagen type 1 cross-linked C-telopeptide (CTX). A total of 17 papers met the inclusion criteria and were included. Comprehensive Meta-analysis V.2 software (Biostat, Englewood, New Jersey, USA) was used for the meta-analyses. Agreement between the two reviewers was assessed using RoB2 tool and k statistics for full-text screening and rating of relevance and risk of bias. The k agreement rate between reviewers was k = 0.92. The football interventions included were based on studies having a duration of 12-64 weeks with one 5-year follow-up study and with a training frequency of 1-3 sessions/wk. Training sessions were 45-60 min sessions of 3v3 - 7v7 small-sided games. The subjects covered an age span from 9 to 73 years. Five studies examined recreational football effects in females, nine studies in males and three studies included both sexes. Recreational football training produced a statistically significant effect (mean difference = 0.02 g/cm In conclusion, recreational football training regimes lasting 12-64 weeks have a large osteogenic impact on bone turnover markers in comparison with no-exercise controls as well as exercise controls, and beneficial effects on lower limb BMD compared to no-exercise controls. Short and medium duration recreational football interventions have negligible effects on whole-body BMD and BMC (total and lower limb), with magnitudes similar to those of other exercise modes.
Sections du résumé
BACKGROUND
Recreational football is an intense, versatile form of exercise with multiple high- and odd-impact actions. Recreational football is therefore hypothesized to be suitable for bone modeling and bone health.
OBJECTIVE
The aim of the present systematic review and meta-analysis was to evaluate the effects of recreational football on bone mineral density (BMD), bone mineral content (BMC) and bone turnover markers (BTM).
DESIGN
Systematic review and meta-analysis.
DATA SOURCES
MEDLINE, PubMed, SPORTDiscus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Google Scholar were searched prior to September 2021. A manual database search was also performed using the following key terms, either singly or in combination: recreational football/soccer, street football/soccer, recreational small-sided games, effect, influence, impact, bone turnover markers, bone mineral density, bone turnover marker, bone health, osteogenesis, CTX, osteocalcin, P1NP.
ELIGIBILITY CRITERIA FOR SELECTING STUDIES
Randomised and matched controlled trials with participants allocated to a recreational football group or any other type of training intervention or passive control group were included. The primary outcome measures were total BMD, lower limb BMD, total BMC, lower limb BMC, osteocalcin, procollagen type 1N-terminal propeptide (P1NP) and collagen type 1 cross-linked C-telopeptide (CTX). A total of 17 papers met the inclusion criteria and were included.
STATISTICAL ANALYSIS
Comprehensive Meta-analysis V.2 software (Biostat, Englewood, New Jersey, USA) was used for the meta-analyses.
RISK OF BIAS
Agreement between the two reviewers was assessed using RoB2 tool and k statistics for full-text screening and rating of relevance and risk of bias. The k agreement rate between reviewers was k = 0.92.
RESULTS
The football interventions included were based on studies having a duration of 12-64 weeks with one 5-year follow-up study and with a training frequency of 1-3 sessions/wk. Training sessions were 45-60 min sessions of 3v3 - 7v7 small-sided games. The subjects covered an age span from 9 to 73 years. Five studies examined recreational football effects in females, nine studies in males and three studies included both sexes. Recreational football training produced a statistically significant effect (mean difference = 0.02 g/cm
CONCLUSION
In conclusion, recreational football training regimes lasting 12-64 weeks have a large osteogenic impact on bone turnover markers in comparison with no-exercise controls as well as exercise controls, and beneficial effects on lower limb BMD compared to no-exercise controls. Short and medium duration recreational football interventions have negligible effects on whole-body BMD and BMC (total and lower limb), with magnitudes similar to those of other exercise modes.
Identifiants
pubmed: 35852769
doi: 10.1007/s40279-022-01726-8
pii: 10.1007/s40279-022-01726-8
doi:
Substances chimiques
Osteocalcin
104982-03-8
Types de publication
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3021-3037Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
Références
Reginster J-Y, Burlet N. Osteoporosis: a still increasing prevalence. Bone. 2006;38(2):4–9.
Kinsella K, He W. US Census Bureau, international population reports. Washington: US Census Bureau; 2009.
Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population-health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105.
pubmed: 20577058
pmcid: 3404815
Cauley JA. Public health impact of osteoporosis. J Gerontol Ser A Biomed Sci Med Sci. 2013;68(10):1243–51.
Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J, et al. Osteoporosis in the European Union: medical management, epidemiology and economic burden. Arch Osteoporos. 2013;8(1–2):136.
pubmed: 24113837
pmcid: 3880487
Svedbom A, Hernlund E, Ivergård M, Compston J, Cooper C, Stenmark J, et al. Osteoporosis in the European Union: a compendium of country-specific reports. Arch Osteoporos. 2013;8(1):1–218.
Boonen S, Laan RF, Barton IP, Watts NB. Effect of osteoporosis treatments on risk of non-vertebral fractures: review and meta-analysis of intention-to-treat studies. Osteoporos Int. 2005;16(10):1291–8.
pubmed: 15986101
Nguyen TV, Blangero J, Eisman J. Genetic epidemiological approaches to the search for osteoporosis genes. J Bone Miner Res. 2000;15(3):392–401.
pubmed: 10750553
Weaver C, Gordon C, Janz K, Kalkwarf H, Lappe JM, Lewis R, et al. The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int. 2016;27(4):1281–386.
pubmed: 26856587
pmcid: 4791473
Bandela V, Munagapati B, Karnati RKR, Venkata GRS, Nidudhur SR. Osteoporosis: its prosthodontic considerations-a review. J Clin Diagn Res JCDR. 2015;9(12):ZE01.
pubmed: 26816999
Moreira LDF, Oliveira MLD, Lirani-Galvão AP, Marin-Mio RV, Santos RND, Lazaretti-Castro M. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. Arquivos Brasileiros de Endocrinologia & Metabologia. 2014;58(5):514–22.
Turner CH, Robling AG. Designing exercise regimens to increase bone strength. Exerc Sport Sci Rev. 2003;31(1):45–50.
pubmed: 12562170
Gomez-Cabello A, Ara I, González-Agüero A, Casajus J, Vicente-Rodriguez G. Effects of training on bone mass in older adults. Sports Med. 2012;42(4):301–25.
pubmed: 22376192
Randers MB, Nielsen JJ, Krustrup BR, Sundstrup E, Jakobsen MD, Nybo L, et al. Positive performance and health effects of a football training program over 12 weeks can be maintained over a 1-year period with reduced training frequency. Scand J Med Sci Sports. 2010;20:80–9.
pubmed: 20210904
Benkovský L, Mikulič M, Gregora P, Peráček P. The effectiveness of sports training younger pupils in football. Studia sportiva. 2016;10(1):117–28.
Mohr M, Krustrup P, Bangsbo J. Match performance of high-standard soccer players with special reference to development of fatigue. J Sports Sci. 2003;21(7):519–28.
pubmed: 12848386
Krustrup P, Hansen PR, Andersen LJ, Jakobsen MD, Sundstrup E, Randers MB, et al. Long-term musculoskeletal and cardiac health effects of recreational football and running for premenopausal women. Scand J Med Sci Sports. 2010;20:58–71.
pubmed: 20546545
Dolan E, Varley I, Ackerman KE, Pereira RMR, Elliott-Sale KJ, Sale C. The bone metabolic response to exercise and nutrition. Exerc Sport Sci Rev. 2020;48(2):49–58.
pubmed: 31913188
Bangsbo J, Hansen PR, Dvorak J, Krustrup P. Recreational football for disease prevention and treatment in untrained men: a narrative review examining cardiovascular health, lipid profile, body composition, muscle strength and functional capacity. Br J Sports Med. 2015;49(9):568–76.
pubmed: 25878072
Krustrup P, Krustrup BR. Football is medicine: it is time for patients to play! : BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine; 2018.
Krustrup P, Nielsen JJ, Krustrup BR, Christensen JF, Pedersen H, Randers MB, et al. Recreational soccer is an effective health-promoting activity for untrained men. Br J Sports Med. 2009;43(11):825–31.
pubmed: 19098116
Milanović Z, Pantelić S, Čović N, Sporiš G, Krustrup P. Is recreational soccer effective for improving VO2max? A systematic review and meta-analysis. Sports Med. 2015;45(9):1339–53.
pubmed: 26210229
pmcid: 4536283
Oja P, Titze S, Kokko S, Kujala UM, Heinonen A, Kelly P, et al. Health benefits of different sport disciplines for adults: systematic review of observational and intervention studies with meta-analysis. Br J Sports Med. 2015;49(7):434–40.
pubmed: 25568330
Milanović Z, Pantelić S, Čović N, Sporiš G, Mohr M, Krustrup P. Broad-spectrum physical fitness benefits of recreational football: a systematic review and meta-analysis. Br J Sports Med. 2018;53:926–39.
pubmed: 29371223
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;29(372): n71.
Furlan AD, Pennick V, Bombardier C, van Tulder M. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine. 2009;34(18):1929–41.
pubmed: 19680101
Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;28(366): l4898.
Bartolucci AA. Describing and interpreting the methodological and statistical techniques in meta-analyses. Biochemia medica: Biochemia medica. 2009;19(2):127–36.
Hopkins W, Marshall S, Batterham A, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41(1):3.
pubmed: 19092709
Ryan R, Hill S. How to GRADE the quality of the evidence. Cochrane consumers and communication group. 2016.
Barene S, Krustrup P, Brekke OL, Holtermann A. Soccer and Zumba as health-promoting activities among female hospital employees: a 40-weeks cluster randomised intervention study. J Sports Sci. 2014;32(16):1539–49.
pubmed: 24720526
Barene S, Krustrup P, Jackman S, Brekke O, Holtermann A. Do soccer and Z umba exercise improve fitness and indicators of health among female hospital employees? A 12-week RCT. Scand J Med Sci Sports. 2014;24(6):990–9.
pubmed: 24151956
Helge EW, Andersen TR, Schmidt JF, Jørgensen NR, Hornstrup T, Krustrup P, et al. Recreational football improves bone mineral density and bone turnover marker profile in elderly men. Scand J Med Sci Sports. 2014;24:98–104.
pubmed: 24903207
Helge EW, Randers MB, Hornstrup T, Nielsen JJ, Blackwell J, Jackman SR, et al. Street football is a feasible health-enhancing activity for homeless men: Biochemical bone marker profile and balance improved. Scand J Med Sci Sports. 2014;24:122–9.
pubmed: 24944136
Mohr M, Helge EW, Petersen LF, Lindenskov A, Weihe P, Mortensen J, et al. Effects of soccer vs swim training on bone formation in sedentary middle-aged women. Eur J Appl Physiol. 2015;115(12):2671–9.
pubmed: 26255288
Skoradal MB, Helge EW, Jørgensen NR, Mortensen J, Weihe P, Krustrup P, et al. Osteogenic impact of football training in 55-to 70-year-old women and men with prediabetes. Scand J Med Sci Sports. 2018;28:52–60.
pubmed: 30047579
Uth J, Hornstrup T, Christensen JF, Christensen KB, Jørgensen NR, Helge EW, et al. Football training in men with prostate cancer undergoing androgen deprivation therapy: activity profile and short-term skeletal and postural balance adaptations. Eur J Appl Physiol. 2016;116(3):471–80.
pubmed: 26620651
Uth J, Hornstrup T, Christensen JF, Christensen KB, Jørgensen NR, Schmidt JF, et al. Efficacy of recreational football on bone health, body composition, and physical functioning in men with prostate cancer undergoing androgen deprivation therapy: 32-week follow-up of the FC prostate randomised controlled trial. Osteoporos Int. 2016;27(4):1507–18.
pubmed: 26572756
Krustrup P, Randers MB, Andersen LJ, Jackman SR, Bangsbo J, Hansen PR. Soccer improves fitness and attenuates cardiovascular risk factors in hypertensive men. Med Sci Sports Exerc. 2013;45(3):553–61.
pubmed: 23059865
Larsen MN, Nielsen CM, Helge EW, Madsen M, Manniche V, Hansen L, et al. Positive effects on bone mineralisation and muscular fitness after 10 months of intense school-based physical training for children aged 8–10 years: the FIT FIRST randomised controlled trial. Br J Sports Med. 2018;52(4):254–60.
pubmed: 27297443
Andersen TR, Schmidt JF, Thomassen M, Hornstrup T, Frandsen U, Randers MB, et al. A preliminary study: effects of football training on glucose control, body composition, and performance in men with type 2 diabetes. Scand J Med Sci Sports. 2014;24:43–56.
pubmed: 24903461
de Sousa MV, Fukui R, Krustrup P, Pereira R, Silva P, Rodrigues A, et al. Positive effects of football on fitness, lipid profile, and insulin resistance in Brazilian patients with type 2 diabetes. Scand J Med Sci Sports. 2014;24:57–65.
pubmed: 24944132
Helge EW, Aagaard P, Jakobsen MD, Sundstrup E, Randers MB, Karlsson MK, et al. Recreational football training decreases risk factors for bone fractures in untrained premenopausal women. Scand J Med Sci Sports. 2010;20:31–9.
pubmed: 20210909
Uth J, Fristrup B, Haahr R, Brasso K, Helge JW, Rørth M, et al. Football training over 5 years is associated with preserved femoral bone mineral density in men with prostate cancer. Scand J Med Sci Sports. 2018;28:61–73.
pubmed: 30001572
Nikander R, Sievänen H, Heinonen A, Daly RM, Uusi-Rasi K, Kannus P. Targeted exercise against osteoporosis: a systematic review and meta-analysis for optimising bone strength throughout life. BMC Med. 2010;8(1):47.
pubmed: 20663158
pmcid: 2918523
Hagman M, Helge EW, Hornstrup T, Fristrup B, Nielsen JJ, Jørgensen NR, et al. Bone mineral density in lifelong trained male football players compared with young and elderly untrained men. J Sport Health Sci. 2018;7(2):159–68.
pubmed: 30356456
Manolagas SC. Birth and death of bone cells: basic regulatory mechanisms and implications for the pathogenesis and treatment of osteoporosis. Endocr Rev. 2000;21(2):115–37.
pubmed: 10782361
Järvinen TL, Kannus P, Sievänen H, Jolma P, Heinonen A, Järvinen M. Randomized controlled study of effects of sudden impact loading on rat femur. J Bone Miner Res. 1998;13(9):1475–82.
pubmed: 9738521
Kopiczko A. Bone mineral density in old age: the influence of age at menarche, menopause status and habitual past and present physical activity. Arch Med Sci AMS. 2020;16(3):657–65.
pubmed: 32399115
Wang Q, Nicholson PH, Suuriniemi M, Lyytikäinen A, Helkala E, Alen M, et al. Relationship of sex hormones to bone geometric properties and mineral density in early pubertal girls. J Clin Endocrinol Metab. 2004;89(4):1698–703.
pubmed: 15070933
Heidari B, Muhammadi A, Javadian Y, Bijani A, Hosseini R, Babaei M. Associated factors of bone mineral density and osteoporosis in elderly males. Int J Endocrinol Metab. 2016;15(1): e39662-e.
Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR. Physical activity and bone health. Med Sci Sports Exerc. 2004;36(11):1985–96.
pubmed: 15514517
Milanović Z, Rađa A, Erceg M, Trajković N, Stojanović E, Lešnik B, et al. Reproducibility of internal and external training load during recreational small-sided football games. Res Q Exerc Sport. 2020;5:1–6.
Jackman SR, Scott S, Randers MB, Ørntoft C, Blackwell J, Zar A, et al. Musculoskeletal health profile for elite female footballers versus untrained young women before and after 16 weeks of football training. J Sports Sci. 2013;31(13):1468–74.
pubmed: 23829604