Osteoporosis International

, Volume 8, Issue 2, pp 152–158 | Cite as

Effect of physical training on bone mineral density in prepubertal girls: A comparative study between impact-loading and non-impact-loading sports

  • D. Courteix
  • E. Lespessailles
  • S. Loiseau Peres
  • P. Obert
  • P. Germain
  • C. L. Benhamou
Original Article

Abstract

Physical activity is known to have an anabolic effect on bone tissue. It has been shown to increase the bone mineral density (BMD) in young adults, as well as in teenagers. But there is little information about the effect of intensive physical activity in childhood, particularly at the prepubertal stage. To examine the influence of an early intensive physical training on BMD, we have studied a group of elite prepubertal girls, at the starting phase of their peak bone mass acquisition. Subjects were engaged either in sport requiring significant impact loading on the skeleton, or in sport without impact loading. Forty-one healthy prepubertal girls took part in this study. The sport group consisted of 10 swimmers (10.5±1.4 years old) and 18 gymnasts (10.4±1.3 years old), who had performed 3 years of high-level sport training (8–12 h per week for swimmers, 10–15 h per week for gymnasts). Thirteen girls (10.7±1 years old) doing less than 3 h per week of physical activity served as a control group. BMD measurements were done using dual-energy X-ray absorptiometry. There was no statistical significant difference between groups as regards age, body height and weight, and body composition. There was no statistical significant difference between swimmers and controls for all the BMD measurements. Mean BMD in gymnasts was statistically higher than in the control group for mid-radius (+15.5%,p<0.001), distal radius (+33%,p<0.001), L2–4 vertebrae (+11%,p<0.05), femoral neck (+15%,p<0.001) and Ward’s triangle (+15%,p<0.01). Moreover, in gymnasts, BMD at radius, trochanter and femoral neck was above normative values. We conclude that physical activity in childhood could be an important factor in bone mineral acquisition in prepubertal girls, but only if the sport can induce bone strains during a long-term program: gymnastics has such characteristics, unlike swimming. Such acquisition could provide protection against risks of osteoporosis in later life, but this remains debatable.

Keywords

Bone mineral density Bone strain Maturation Physical exercise Prepubertal age 

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References

  1. 1.
    Black-Sander R, Laporte RE, Sashin D, Kuller LH, Sternglass E, Cauley JA, Link MM. Determinants of bone mass in menopause. Prev Med 1982;11:269–80.CrossRefGoogle Scholar
  2. 2.
    Oyster N, Morton M, Linnell S. Physical activity and osteoporosis in postmenopausal women. Med Sci Sports Exerc 198416:44–50.PubMedGoogle Scholar
  3. 3.
    Mazess RB, Whedon GD. Immobilization and bone. Calcif Tissue Int 1983;35:26–57.Google Scholar
  4. 4.
    Smith EL, Gilligan C. Physical activity effects on bone metabolism. Calcif Tissue Int 1991;(Suppl)49:S50–4.PubMedCrossRefGoogle Scholar
  5. 5.
    Nilsson BE, Westlin NE. Bone density in athletes. Clin Orthop 1971;77:179–82.PubMedGoogle Scholar
  6. 6.
    Teegarden D, Proulx WR, Kern M, Sedlock D, Weaver CM, Johnston C, Lyle RM. Previous physical activity relates to bone mineral measures in young women. Med Sci Sports Exerc 1996;28:105–13.PubMedCrossRefGoogle Scholar
  7. 7.
    Steinberg ME, Trueta J. Effects of activity on bone growth and development in the rat. Clin. Orthop 1981;156:52–60.PubMedGoogle Scholar
  8. 8.
    Woo SL, Kuei SC, Amiel D, Gomez M, Hayes WC, White F, Akeson W. The effect of physical training on the properties of long bone: a study of Wolff’s Law. J Bone Joint Surg Am 1981;63:780–5.PubMedGoogle Scholar
  9. 9.
    Suominen H. Bone mineral density and long term exercise: an overview of cross-sectional athlete studies. Sports Med 1993;16:316–30.PubMedGoogle Scholar
  10. 10.
    Forwood MR, Burr DB. Physical activity and bone mass: exercises in futility? Bone Miner 1993;21:891–12.CrossRefGoogle Scholar
  11. 11.
    Theintz G, Buchs B, Rizzoli R, Slosman D, Clavien H, Sizonenko PC, Bonjour JP. Longitudinal monitoring of bone mass accumulation on healthy adolescents: evidence for a marked reduction after 16 years of age at the levels of lumbar spine and femoral neck in female subjects. J. Clin Endocrinol Metab 1992;75:1060–5.PubMedCrossRefGoogle Scholar
  12. 12.
    Blimkie CJR, Rice S, Webber CE, Martin J, Levy D, Parker D. Bone density, physical activity, fitness, anthropometry, gynaecologic, endocrine and nutrition status in adolescent girls. In: Coudert J, Van Praagh E, editors. Children and exercise XVI. Paris: Masson, 1992:201–3.Google Scholar
  13. 13.
    Cooper C, Cawley M, Bhalla A, Egger P, Ring F, Morton L, Barker D. Childhood growth, physical activity, and peak bone mass in women. J Bone Miner Res 1995;10:940–7.PubMedGoogle Scholar
  14. 14.
    Slemenda CW, Reister TK, Hui SL, Miller JZ, Christian JC, Johnston CC Jr. Influences on skeletal mineralization in children and adolescents: evidence for varying effects of sexual maturation and physical activity. J Pediatr 1994;125:201–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Slemenda CW, Miller JZ, Hui SL., Reister TK, Johnston CC Jr. Role of physical activity in the development of skeletal mass in children. J Bone Miner Res 1991;6:1227–33.PubMedGoogle Scholar
  16. 16.
    Greulich WW, Pyle SI. Radiographics atlas of skeletal development of hand and wrist. 2nd ed. Stanford University Press, 1959.Google Scholar
  17. 17.
    Peppler WW, Mazess RB. Total body bone mineral and lean body mass by dual-photon absorptiometry. I. Theory and measurement procedure. Calcif Tissue Int 1981;33:353–9.PubMedCrossRefGoogle Scholar
  18. 18.
    Haarbo J, Gotfredsen A, Hassager C, Christiansen C. Validation of body composition by dual energy X-ray absorptiometry (DEXA). Clin Physiol 1991;11:331–41.PubMedGoogle Scholar
  19. 19.
    Marshall W.A, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child 1969;44:291–303.PubMedCrossRefGoogle Scholar
  20. 20.
    Fardellone P, Sebert JL, Bouraya M, Bonidan O, Leclercq G, Doutrellot C, Bellony R, Dubreuil A. Evaluation de la teneur en calcium du régime alimentaire par autoquestionnaire fréquentiel. Rev Rhum 1991;58:99–103.PubMedGoogle Scholar
  21. 21.
    Pacifici R, Rupich R, Vered I, Fischer KC, Griffin M, Susman N, Avioli LV. Dual energy radiography (DER): a preliminary comparative study. Calcif Tissue Int 1988;43:189–91.PubMedCrossRefGoogle Scholar
  22. 22.
    Braillon P, Duboeuf F, Meary MF, Barret P, Delmas PD, Meunier PJ. Mesure du contenu minéral osseux par radiographie digitale quantitative. Presse Med 1989;18:1062–5.PubMedGoogle Scholar
  23. 23.
    Grimston SK, Willows ND, Hanley DA. Mechanical loading regime and its relationship to bone mineral density in children. Med Sci Sports Exerc 1993;25:12.3–1210.Google Scholar
  24. 24.
    Katzman DK, Bachrach Lk, Carte DR, Marcus R. Clinical and antropometric correlates of bone mineral acquisition in healthy adolescent girls. J Clin Endocrinol Metab 1991;73:1332–9.PubMedCrossRefGoogle Scholar
  25. 25.
    National Research Council. Recommended dietary allowances. 10th ed. Washington, DC: National Academy Press; 1989:174–83.Google Scholar
  26. 26.
    Welton DC, Kemper HCG, Post GB, Van Mechelen W, Twisk J, Teule GJ. Weight-bearing activity during youth is a more important factor for peak bone mass than calcium intake. J Bone Miner Res 1994;9:1089–96.CrossRefGoogle Scholar
  27. 27.
    Lloyd T, Martel JK, Rollings N, Andon MB, Kulin H, Demers LM, Eggli DF, Kieselhorst K, Chinchilli VM. The effect of calcium supplementation and Tanner stage on bone density, content and area in teenage women. Osteoporos Int 1996;6:276–83.PubMedCrossRefGoogle Scholar
  28. 28.
    Zanchetta JR, Plotkin H, Alvarez Filgueira L. Bone mass in children: normative values for the 2–20-year old population. Bone 1995;16(Suppl):S393–9.Google Scholar
  29. 29.
    Swissa-Sivan A, Simkin A, Leichter I, Nyska A, Nyska M, Statter M, Bivas A, Menczel J, Samueloff J. Effect of swimming on bone growth and development in young rats. Bone Miner 1989;7:91–105.PubMedCrossRefGoogle Scholar
  30. 30.
    Simkin A, Leichter I, Swissa A, Samueloff S. The effect of swimming activity on bone architecture in growing rats. J Biomech 1989;22:845–51.PubMedCrossRefGoogle Scholar
  31. 31.
    Bourrin S, Ghaemmaghami F, Vico L., Chappard D, Gharib C, Alexandre C. Effect of five-week swimming program on rat bone: a histomorphometric study. Calcif Tissue Int 1992;51:137–42.PubMedCrossRefGoogle Scholar
  32. 32.
    Taaffe DR, Snow-Harter C, Connolly DA, Robinson TL, Brown MD, Marcus R. Differential effects of swimming versus weight-bearing activity on bone mineral status of eumenorrheic athletes. J Bone Miner Res 1995;10:586–93.PubMedGoogle Scholar
  33. 33.
    Orwoll ES, Ferar J, Oviatt SK., Huntington K, McClung MR. Swimming exercise and bone mass. In: Christiansen C, Johansen JS, Riis BJ, editors. Osteoporosis. Viborg: Norhaven, 1987:49–48.Google Scholar
  34. 34.
    Davee AM, Rosen CJ, Adler A. Exercise patterns and trabecular bone density in college women. J Bone Miner Res 1990;5:245–50.PubMedGoogle Scholar
  35. 35.
    Claessens AL, Vandun P, Beunen G, Veer FM, Lefevre J, Stijnen V, Maes H. Bone density in world-class female gymnasts. J Sports Sci 1990;8:167.Google Scholar
  36. 36.
    Taylor A, Konrad PT, Norman ME, Harcke T. Total body bone mineral density in young children: influence of head bone mineral density. J Bone Miner Res 1997;12:652–5.PubMedCrossRefGoogle Scholar
  37. 37.
    Rice S, Blimkie CJR, Webber CE, Levy D, Martin J, Parker D, Gordon CL. Correlates and determinants of bone mineral content and density in healthy adolescent girls. Can J Physiol Pharmacol 1993;71:923–30.PubMedGoogle Scholar
  38. 38.
    Young N, Formica C, Szmukler G, Seeman E. Bone density at weight-bearing and non-weight-bearing sites in ballet dancers: the effects of exercise, hypogonadism, and body weight. J Clin Endocrinol Metab 1994;78:449–54.PubMedCrossRefGoogle Scholar
  39. 39.
    Sandler RB, Cauley JA, Hom DL, Sashin D, Kriska AM. The effects of walking on the cross sectional dimensions of the radius in postmenopausal women. Calcif Tissue Int 1987;41:65–9.PubMedCrossRefGoogle Scholar
  40. 40.
    Huddleston AL, Rockwell D, Kulund DS, Harrison RB. Bone mass in lifetime tennis athletes. JAMA 1980;244:1107–9.PubMedCrossRefGoogle Scholar
  41. 41.
    Frost HM. A new direction for osteoporosis research: a review and proposal. Bone 1991;12:429–37.PubMedCrossRefGoogle Scholar

Copyright information

© European Foundation for Osteoporosis and the National Osteoporosis Foundation 1998

Authors and Affiliations

  • D. Courteix
    • 1
    • 2
  • E. Lespessailles
    • 2
  • S. Loiseau Peres
    • 2
  • P. Obert
    • 1
  • P. Germain
    • 1
  • C. L. Benhamou
    • 2
  1. 1.Laboratoire de la Performance MotriceUniversité d’OrléansOrleansFrance
  2. 2.Centre Hospitalier Régional Orléans La SourceInstitut de Prévention et de Recherche sur l’OstéoporoseFrance

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