Abstract
The purpose of this study was to investigate the association between total and regional body fat to BMD and BMC among university athletes. Cross-sectional study with 167 university athletes (18–35 years). BMD, BMC, body fat total and android, gynoid, arms and legs, and lean tissue mass were obtained using dual X-ray absorptiometry. In male athletes, BMC presented a direct association with total body fat (β = 0.134, CI 0.606, 2.092), android (β = 1.065, CI = 0.394, 1.735), gynoid (β = 0.059, CI 26, 0.092), arms (β = 1.259, CI = 0.531, 1.988), and legs (β = 0.041, CI 0.017, 0.564). In female athletes, there was a direct association between BMC and total fat (β = 1708, CI 0.585, 2.831), android (β = 1.315, CI 0.488, 2.151), gynoid (β = 0.069, CI 0.026, 0.112), arms (β = 0.996, CI 0.022, 1.971), and legs (β = 0.031, CI 0.004, 0.059). Concluded BMD had no association with total and regional body fat in athletes of both genders. It is concluded that total and regional body fat contributed directly to BMC, but not to BMD in athletes.
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Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, 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
Kim JH, Choi HJ, Ku EJ, Hong AR, Kim KM, Kim SW, Shin CS (2016) Regional body fat depots differently affect bone microarchitecture in postmenopausal Korean women. Osteoporos Int 27:1161–1168. https://doi.org/10.1007/s00198-015-3329-1
Clarke B (2008) Normal bone anatomy and physiology. Clin J Am Soc Nephrol 3:131–139. https://doi.org/10.2215/CJN.04151206
American Bone Health. Glossary – American Bone Health. Disponível em: https://americanbonehealth.org/glossary/. Acesso em: 27 agosto. 2020
Bazzocchi A et al (2016) DXA: technical aspects and application. Eur J Radiol 85(8):1481–1492
Genaro PS, Pereira GA, Pinheiro MM, Szejnfeld VL, Martini LA (2010) Influence of body composition on bone mass in postmenopausal osteoporotic women. Arch Gerontol Geriatr 51:295–298. https://doi.org/10.1016/j.archger.2009.12.006
Hetherington-Rauth M, Bea JW, Blew RM, Funk JL, Lee VR, Varadi TC, Going SB (2018) Effect of cardiometabolic risk factors on the relationship between adiposity and bone mass in girls. Int J Obes 42:1185–1194. https://doi.org/10.1038/s41366-018-0134-x
Taes YE, Lapauw B, Vanbillemont G, Bogaert V, De Bacquer D, Zmierczak H, Kaufman JM (2009) Fat mass is negatively associated with cortical bone size in young healthy male siblings. J Clin Endocrinol Metab 94:2325–2331. https://doi.org/10.1210/jc.2008-2501
López-Gómez JJ, Castrillón J (2016) Pérez; de luis román, Daniel a. impact of obesity on bone metabolism. Endocrinol Nutr (English Edition) 63:551–559
Scott D et al (2016) Associations of sarcopenic obesity and dynapenic obesity with bone mineral density and incident fractures over 5–10 years in community-dwelling older adults. Calcif Tissue Int 99:30–42
Bermeo S, Gunaratnam K, Duque G (2014) Fat and bone interactions. Curr Osteoporos Rep 12:235–242. https://doi.org/10.1007/s11914-014-0199-y
Gilsanz V, Chalfant J, Mo AO, Lee DC, Dorey FJ, Mittelman SD (2009) Reciprocal relations of subcutaneous and visceral fat to bone structure and strength. J Clin Endocrinol Metab 94:3387–3393. https://doi.org/10.1210/jc.2008-2422
Singhal V, Maffazioli GDN, Cano Sokoloff N, Ackerman KE, Lee H, Gupta N, Misra M (2015) Regional fat depots and their relationship to bone density and microarchitecture in young oligo-amenorrheic athletes. Bone 77:83–90. https://doi.org/10.1016/j.bone.2015.04.005
Rosen CJ, Bouxsein ML (2016) Mechanisms of disease: is osteoporosis the obesity of bone? Nat Rev Rheumatol 2:35. https://doi.org/10.1038/ncprheum0070
Ackland TR, Lohman TG, Sundgot-Borgen J, Maughan RJ, Meyer NL, Stewart AD, Müller W (2012) Current status of body composition assessment in sport: review and position statement on behalf of the ad hoc research working group on body composition health and performance, under the auspices of the I.O.C. Medical Commission. Sports Med 42:227–249. https://doi.org/10.2165/11597140-000000000-00000
Andreoli A, Monteleone M, Van Loan M, Promenzio L, Tarantino U, De Lorenzo A (2011) Effects of different sports on bone density and muscle mass in highly trained athletes. Med Sci Sports Exerc 33:507–511. https://doi.org/10.1097/00005768-200104000-00001
McArdle WD, Katch FI, Katch VL (1991) Exercise physiology. Med Sci Sports Exerc 23:1403
Sarkis KS, de Medeiros PM, Szejnfeld VL, Martini LA (2012) High bone density and bone health. Endocrinol Nutr (Engl Ed) 59:207–214. https://doi.org/10.1016/j.endonu.2011.10.010
Naganathan V, Sambrook P (2003) Gender differences in volumetric bone density: a study of opposite-sex twins. Osteoporos Int 14:564–569
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Erlbaum, Hillsdale
Ge Healthcare (2006) World Osteoporosis Congress of the International Osteoporosis Foundation, Toronto, Canada, June. GE Medical Systems Lunar, Madison
Nevill AM, Holder RL, Maffulli N, Cheng JC, Leung SS, Lee WT, Lau JT (2002) Adjusting bone mass for differences in projected bone area and other confounding variables: an allometric perspective. J Bone Miner Res 17:703–708. https://doi.org/10.1359/jbmr.2002.17.4.703
Kosar SN (2016) Associations of lean and fat mass measures with whole body bone mineral content and bone mineral density in female adolescent weightlifters and swimmers. Turk J Pediatr 58:79–85. https://doi.org/10.24953/turkjped.2016.01.011
Giordano A, Galderisi U, Marino IR (2007) From the laboratory bench to the patient’s bedside: an update on clinical trials with mesenchymal stem cells. J Cell Physiol 211:27–35. https://doi.org/10.1002/jcp.20959
Sheu Y, Cauley JA (2011) The role of bone marrow and visceral fat on bone metabolism. Curr Osteoporos Rep 9:67–75. https://doi.org/10.1007/s11914-011-0051-6
Mazić S, Lazović B, DJelić M, Suzić-Lazić J, Aćimović T, Brkić P (2004) Body composition assessment in athletes: a systematic review. Med Pregl 67:255–260. https://doi.org/10.2298/mpns1408255m
Kameda T, Mano H, Yuasa T (1997) Estrogen inhibits bone resorption by directly inducing apoptosis of the bone-resorbing osteoclasts. J Exp Med 186:489–495. https://doi.org/10.1084/jem.186.4.489
Freitas PMSS, Rosa MG, Gomes AM, Wahrlich V, Di Luca DG, da Cruz Filho RA, Yokoo EM (2016) Central and peripheral fat body mass have a protective effect on osteopenia or osteoporosis in adults and elderly? Osteoporos Int 27:1659–1663. https://doi.org/10.1007/s00198-015-3414-5
Zillikens MC, Uitterlinden AG, van Leeuwen JP, Berends AL, Henneman P, van Dijk KW, Rivadeneira F (2010) The role of body mass index, insulin, and adiponectin in the relation between fat distribution and bone mineral density. Calcif Tissue Int 86:116–125. https://doi.org/10.1007/s00223-009-9319-6
Taaffe DR, Marcus R (1999) Regional and total body bone mineral density in elite collegiate male swimmers. J Sports Med Phys Fitness 39:154–159
Trexler ET, Smith-Ryan AE, Mann JB, Ivey PA, Hirsch KR, Mock MG (2017) Longitudinal body composition changes in NCAA Division I college football players. J Strength Cond Res 31:1–8. https://doi.org/10.1519/jsc.0000000000001486
Khan K, McKay H, Kannus P, Wark J, Bailey D, Bennell K (2001). Physical activity and bone health. Human Kinetics, USA, pp 87–97
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
Lukaski HC (2009) Evaluation of body composition: why and how? Mediterr J Nutr Metab 2:1–10. https://doi.org/10.1007/s12349-009-004
Tavoian D et al (2019) Changes in DXA-derived lean mass and MRI-derived cross-sectional area of the thigh are modestly associated. Sci Rep 9:1–9
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The study was prepared by PCM, TRL, MSM, and DASS, and data were collected and analyzed by PCM, TRL, and MSM; the interpretation of the data and the preparation of the manuscript were performed by PCM, TRL, and MSM. All authors have approved the final version of the article.
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Martins, P.C., de Lima, T.R., Moraes, M.S. et al. Association between total and regional body fat to bone parameters of university athletes. Sport Sci Health 17, 423–430 (2021). https://doi.org/10.1007/s11332-020-00716-5
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DOI: https://doi.org/10.1007/s11332-020-00716-5