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Growth and Development in Gymnastics

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Gymnastics Medicine

Abstract

A combination of long training hours and a bias toward a prepubescent physique in gymnasts often equates to insufficient caloric intake and an increased incidence of delayed pubertal growth and development. This chapter examines normal pubertal development, explores the normal and pathologic divergences from this path experienced by many gymnasts, and outlines nutritional requirements to sustain healthy growth and development for a gymnast. This chapter also discusses energy needs, macronutrient requirements, vitamin essentials, and consequences of insufficient intake.

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References

  1. Soliman AT, De Sanctis V, Elalaily R, Bedair S. Advances in pubertal growth and factors influencing it: can we increase pubertal growth? Indian J Endocrinol Metab. 2014;18:S53–62.

    Article  Google Scholar 

  2. Baxter-Jones A, Maffulli N, Helms P. Low injury rates in elite athletes. Arch Dis Child. 1993;68(1):130–2.

    Article  CAS  Google Scholar 

  3. Hawkins D, Metheny J. Overuse injuries in youth sports: biomechanical considerations. Med Sci Sports Exerc. 2001;33(10):1701–7.

    Article  CAS  Google Scholar 

  4. Deligeoroglou E, Tsimaris P. Menstrual disturbances in puberty. Best Pract Res Clin Obstet Gynaecol. 2010;24(2):157–71.

    Article  Google Scholar 

  5. Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969;44(235):291–303.

    Article  CAS  Google Scholar 

  6. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child. 1970;45(239):13–23.

    Article  CAS  Google Scholar 

  7. Johnson TR, Moore WM, Jeffries JE. Adolescent developmental stages. In: Children are different: developmental physiology. 2nd ed. Columbus: Ross Laboratories a Division of Abbott Laboratories; 1978. p. 25–9.

    Google Scholar 

  8. Bass S, Pearce G, Bradney M, Hendrich E, Delmas PD, Harding A, Seeman E. Exercise before puberty may confer residual benefits in bone density in adulthood: studies in active prepubertal and retired female gymnasts. J Bone Miner Res. 1998;13:500–7.

    Article  CAS  Google Scholar 

  9. Yingling VR, Xiang Y, Raphan T, Schaffler MB, Koser K, Malique R. The effect of a short-term delay of puberty on trabecular bone mass and structure in female rats: a texture-based and histomorphometric analysis. Bone. 2007;40(2):419–24.

    Article  Google Scholar 

  10. Zhu J, Chan YM. Adult consequences of self-limited delayed puberty. Pediatrics. 2017;139(6):e20163177.

    Article  Google Scholar 

  11. Chemaitilly W, Escobar O, Witchel SF. Endocrinology. In: Zitelli BJ, McIntire SC, Nowalk AJ, editors. Zitelli and Davis’ atlas of pediatric physical diagnosis. 6th ed. Philadelphia: Elsevier Saunders; 2012. p. 373–5.

    Google Scholar 

  12. Qamra SR, Mehta S, Deodhar SD. A mixed-longitudinal study on the pattern of pubertal growth: relationship to socioeconomic status and caloric-intake--IV. Indian Pediatr. 1991;28(2):147–56.

    CAS  PubMed  Google Scholar 

  13. Proos L, Gustafsson J. Is early puberty triggered by catch-up growth following undernutrition? Int J Environ Res Public Health. 2012;9(5):1791–809.

    Article  Google Scholar 

  14. Herman-Giddens ME, Slora EJ, Wasserman RC, Bourdony CJ, Bhapkar MV, Koch GG, et al. Secondary sexual characteristics and menses in young girls seen in office practice: a study from the Pediatric Research in Office Settings network. Pediatrics. 1997;99(4):505–12.

    Article  CAS  Google Scholar 

  15. Kaplowitz PB, Oberfield SE. Reexamination of the age limit for defining when puberty is precocious in girls in the United States: implications for evaluation and treatment. Drug and Therapeutics and Executive Committees of the Lawson Wilkins Pediatric Endocrine Society. Pediatrics. 1999;104(4 Pt 1):936–41.

    Article  CAS  Google Scholar 

  16. Biro FM, Greenspan LC, Galvez MP. Puberty in girls of the 21st century. J Pediatr Adolesc Gynecol. 2012;25(5):289–94.

    Article  Google Scholar 

  17. Tokatly Latzer I, Kidron-Levy H, Stein D, Levy AE, Yosef G, Ziv-Baran T, et al. Predicting menstrual recovery in adolescents with anorexia nervosa using body fat percent estimated by bioimpedance analysis. J Adolesc Health. 2019;64(4):454–60.

    Article  Google Scholar 

  18. Lee JM, Wasserman R, Kaciroti N, Gebremariam A, Steffes J, Dowshen S, et al. Timing of puberty in overweight versus obese boys. Pediatrics. 2016;137(2):e20150164.

    Article  Google Scholar 

  19. Fenichel P. Delayed puberty. Endocr Dev. 2012;22:138–59.

    Article  Google Scholar 

  20. Georgopoulos NA, Theodoropoulou A, Roupas NA, Rottstein L, Tsekouras A, Mylonas P, et al. Growth velocity and final height in elite female rhythmic and artistic gymnasts. Hormones (Athens). 2012;11(1):61–9.

    Article  Google Scholar 

  21. Weimann E, Witzel C, Schwidergall S, Bohles HJ. Peripubertal perturbations in elite gymnasts caused by sport specific training regimes and inadequate nutritional intake. Int J Sports Med. 2000;21(3):210–5.

    Article  CAS  Google Scholar 

  22. Caine D, Lewis R, O’Connor P, Howe W, Bass S. Does gymnastics training inhibit growth of females? Clin J Sport Med. 2001;11(4):260–70.

    Article  CAS  Google Scholar 

  23. Georgopoulos NA, Roupas ND, Theodoropoulou A, Tsekouras A, Vagenakis AG, Markou KB. The influence of intensive physical training on growth and pubertal development in athletes. Ann N Y Acad Sci. 2010;1205:39–44.

    Article  Google Scholar 

  24. Georgopoulos NA, Theodoropoulou A, Leglise M, Vagenakis AG, Markou KB. Growth and skeletal maturation in male and female artistic gymnasts. J Clin Endocrinol Metab. 2004;89(9):4377–82.

    Article  CAS  Google Scholar 

  25. Malina RM, Baxter-Jones AD, Armstrong N, Beunen GP, Caine D, Daly RM, et al. Role of intensive training in the growth and maturation of artistic gymnasts. Sports Med. 2013;43(9):783–802.

    Article  Google Scholar 

  26. Thomas M, Claessens AL, Leferve J, Philippaerts R, Beunen GP, Malina RM. Adolescent growth spurts in female gymnasts. J Pediatr. 2005;146(2):239–44.

    Article  Google Scholar 

  27. Daly RM, Caine D, Bass SL, Pieter W, Broekhoff J. Growth of highly versus moderately trained competitive female artistic gymnasts. Med Sci Sports Exerc. 2005;37(6):1053–60.

    PubMed  Google Scholar 

  28. Theodoropoulou A, Markou KB, Vagenakis GA, Benardot D, Leglise M, Kourounis G, et al. Delayed but normally progressed puberty is more pronounced in artistic compared with rhythmic elite gymnasts due to the intensity of training. J Clin Endocrinol Metab. 2005;90(11):6022–7.

    Article  CAS  Google Scholar 

  29. Bass S, Bradney M, Pearce G, Hendrich E, Inge K, Stuckey S, et al. Short stature and delayed puberty in gymnasts: influence of selection bias on leg length and the duration of training on trunk length. J Pediatr. 2000;136(2):149–55.

    Article  CAS  Google Scholar 

  30. Soric M, Misigoj-Durakovic M, Pedisic Z. Dietary intake and body composition of prepubescent female aesthetic athletes. Int J Sport Nutr Exerc Metab. 2008;18(3):343–54.

    Article  CAS  Google Scholar 

  31. Deutz RC, Benardot D, Martin DE, Cody MM. Relationship between energy deficits and body composition in elite female gymnasts and runners. Med Sci Sports Exerc. 2000;32(3):659–68.

    Article  CAS  Google Scholar 

  32. Jonnalagadda SS, Benardot D, Dill MN. Assessment of under-reporting of energy intake by elite female gymnast. Int J Sport Nutr Exerc Metab. 2000;10(3):315–25.

    Article  CAS  Google Scholar 

  33. Mountjoy M, Sundgot-Borgen JK, Burke LM, Ackerman KE, Blauwet C, Constantini N, et al. IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med. 2018;52(11):687–97.

    Article  Google Scholar 

  34. Sundgot-Borgen J, Garthe I, Meyer N. Energy needs and weight management for gymnasts. In: Caine DJ, Russel K, Lim L, editors. Handbook of sports medicine and science, gymnastics. Hoboken: Wiley-Blackwell; 2013.

    Google Scholar 

  35. Harris JA, Benedict FG. A biometric study of human basal metabolism. Proc Natl Acad Sci U S A. 1918;4(12):370–3.

    Article  CAS  Google Scholar 

  36. Stellingwerff T, Boit MK, Res PT, International Association of Athletics Federations. Nutritional strategies to optimize training and racing in middle-distance athletes. J Sports Sci. 2007;25 Suppl 1:S17–28.

    Article  Google Scholar 

  37. Fogelholm GM, Kukkonen-Harjula TK, Taipale SA, Sievanen HT, Oja P, Vuori IM. Resting metabolic rate and energy intake in female gymnasts, figure-skaters and soccer players. Int J Sports Med. 1995;16(8):551–6.

    Article  CAS  Google Scholar 

  38. Jonnalagadda SS, Bernadot D, Nelson M. Energy and nutrient intakes of the United States National Women’s Artistic Gymnastics Team. Int J Sport Nutr. 1998;8(4):331–44.

    Article  CAS  Google Scholar 

  39. Areta JL, Burke LM, Ross ML, Camera DM, West DW, Broad EM, et al. Timing and distribution of protein ingestion during prolonged recovery from resistance exercise alters myofibrillar protein synthesis. J Physiol. 2013;591(9):2319–31.

    Article  CAS  Google Scholar 

  40. Moore DR, Areta J, Coffey VG, Stellingwerff T, Phillips SM, Burke LM, et al. Daytime pattern of post-exercise protein intake affects whole-body protein turnover in resistance-trained males. Nutr Metab (Lond). 2012;9(1):91.

    Article  CAS  Google Scholar 

  41. Batatinha HA, da Costa CE, de Franca E, Dias IR, Ladeira AP, Rodrigues B, et al. Carbohydrate use and reduction in number of balance beam falls: implications for mental and physical fatigue. J Int Soc Sports Nutr. 2013;10:32.

    Article  CAS  Google Scholar 

  42. Paoli A, Grimaldi K, D’Agostino D, Cenci L, Moro T, Bianco A, et al. Ketogenic diet does not affect strength performance in elite artistic gymnasts. J Int Soc Sports Nutr. 2012;9(1):34.

    Article  CAS  Google Scholar 

  43. Parolin ML, Chesley A, Matsos MP, Spriet LL, Jones NL, Heigenhauser GJ. Regulation of skeletal muscle glycogen phosphorylase and PDH during maximal intermittent exercise. Am J Phys. 1999;277(5):E890–900.

    CAS  Google Scholar 

  44. Constantini NW, Eliakim A, Zigel L, Yaaron M, Falk B. Iron status of highly active adolescents: evidence of depleted iron stores in gymnasts. Int J Sport Nutr Exerc Metab. 2000;10(1):62–70.

    Article  CAS  Google Scholar 

  45. Institute of Medicine. Dietary reference intakes for calcium and vitamin D. Washington, DC: National Academy Press; 2010.

    Google Scholar 

  46. Institute of Medicine. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Washington, DC: National Academies Press; 2001.

    Google Scholar 

  47. Owens DJ, Allison R, Close GL. Vitamin D and the athlete: current perspectives and new challenges. Sports Med. 2018;48(Suppl 1):3–16.

    Article  Google Scholar 

  48. Lovell G. Vitamin D status of females in an elite gymnastics program. Clin J Sport Med. 2008;18(2):159–61.

    Article  Google Scholar 

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Correspondence to Lauren Klein Ritchie .

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Ritchie, L.K., Ronshaugen, N., Sygo, J. (2020). Growth and Development in Gymnastics. In: Sweeney, E. (eds) Gymnastics Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-26288-4_4

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  • DOI: https://doi.org/10.1007/978-3-030-26288-4_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26287-7

  • Online ISBN: 978-3-030-26288-4

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