Abstract
The aim of our study was to compare long distance runners to body mass index (BMI)- and age-matched healthy controls with respect to bone parameters at all relevant loaded and nonloaded skeletal sites. Furthermore, we assessed the effect of running volume on bone parameters. Twenty elite male runners (21.1 km<1:15 h; volume >75 km/week/year) participated in the study (RG), 11 age- and BMI-matched male subjects (28±5 years) served as nontraining controls (CG). Subjects with any medication or illness affecting bone metabolism or with a family history of osteoporosis were not included. Bone parameters at various sites (total body, lumbar spine, femoral neck/hip, calcaneus) were measured by dual energy X-ray (DXA), quantitative computed tomography and quantitative ultrasound. Body composition was assessed via DXA and bioimpedance analysis; nutritional parameters were determined by 5-day dietary protocols. Training variables were assessed by questionnaires. Compared with nontraining controls runners had significantly higher BMD at all loaded sites (calcaneus, lower limbs, femoral neck, pelvis, and trabecular lumbar spine). BMD at nonloaded sites (ribs, upper limbs, and skull) was slightly but not significantly higher in the runners. We observed a low (r=0.30), nonsignificant association between training volume (km/week/year) and trabecular BMD of the femoral neck, which disappeared after adjusting for age, BMI, and body fat in this group of highly trained male runners. The effect of long distance running per se on bone parameters is not deleterious.
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References
Aloia JF, Cohn SH, Bab T, et al (1978) Skeletal mass and body composition in marathon runners. Metabolism 27:1793–1796
Ashizawa N, Nonaka K, Michikami S, Mizuki T, Amagai H, Tokuyama K, Suzuki M (1999) Tomographical description of tennis-loaded radius: reciprocal relation between bone size and volumetric BMD. J Appl Physiol 86:1347–1351
Bennell KL, Malcolm SA, Khan KM, Thomas SA, Reid SJ, Brukner PD, Ebeling PR, Wark JD (1997) Bone mass and bone turnover in power athletes, endurance athletes, and controls: a 12-month longitudinal study. Bone 20:477–484
Bilanin JE, Blanchard MS, Russek-Cohen E (1989) Lower vertebral bone density in male long distance runners. Med Sci Sports Exerc 21:66–70
Blair SN, Dowda M, Pate RR, Kronenfeld J, Howe HG Jr., Parker G, Blair A, Fridinger F (1991) Reliability of long-term recall of participation in physical activity by middle-aged men and women. Am J Epidemiol 133:266–275
Brahm H, Strom H, Piehl-Aulin K, Mallmin H, Ljunghall S (1997) Bone metabolism in endurance trained athletes: a comparison to population-based controls based on DXA, SXA, quantitative ultrasound, and biochemical markers. Calcif Tissue Int 61:448–454
Chae AE, Platen P, Antz R, Kühlmorgen J, Allolio B, Lehmann H, Schuhmann S, Kannenberg J (1994) Knochendichte bei Leistungssportler/innen aus verschiedenen Sportarten im Vergleich zu Sportstudent/innen und untrainierten Kontrollpersonen. In: Liesen H, Weiß M, Baum M (eds) Regulations- und Repaimechanismen. Springer, Paderborn, Germany
Clarkson PM, Hayes EM (1995) Exercise and mineral status of athletes: calcium, magnesium, phosphorus, and iron. Med Sci Sports Exerc 27:831–843
Dalen N, Olsson KE (1974) Bone mineral content and physical activity. Acta Orthop Scand 45:170–174
Douchi T, Kuwahata R, Matsuo T, Uto H, Oki TYN (2003) Relative contribution of lean and fat mass component to bone mineral density in males. J Bone Miner Metab 21:17–21
Goodpaster BH, Costill DL, Trappe SW, Hughes GM (1996) The relationship of sustained exercise training and bone mineral density in aging male runners. Scand J Med Sci Sports 6:216–221
Greene DA, Naughton GA, Briody JN, Kemp A, Woodhead H, Farpour-Lambert N (2004) Musculoskeletal health in elite male adolescent middle-distance runners. J Sci Med Sport 7:373–383
Haapasalo H, Kontulainen S, Sievanen H, Kannus P, Jarvinen M, Vuori I (2000) Exercise-induced bone gain is due to enlargement in bone size without a change in volumetric bone density: a peripheral quantitative computed tomography study of the upper arms of male tennis players. Bone 27:351–357
Haapasalo H, Sievanen H, Kannus P, Heinonen A, Oja P, Vuori I (1996) Dimensions and estimated mechanical characteristics of the humerus after long-term tennis loading. J Bone Miner Res 11:864–872
Hamdy RC, Anderson JS, Whalen KE, Harvill LM (1994) Regional differences in bone density of young men involved in different exercises. Med Sci Sports Exerc 26:884–888
Hetland ML, Haarbo J, Christiansen C (1993) Low bone mass and high bone turnover in male long distance runners. J Clin Endocrinol Metab 77:770–775
Hetland ML, Haarbo J, Christiansen C, Larsen T (1993) Running induces menstrual disturbances but bone mass is unaffected, except in amenorrheic women. Am J Med 95:53–60
Kalender WA, Felsenberg D, Louis O, Lopez P, Klotz E, Osteaux M, Fraga J (1989) Reference values for trabecular and cortical vertebral bone density in single and dual-energy quantitative computed tomography. Eur J Rad 9:75–80
Kalender WA, Klotz E, Süss C (1987) Vertebral bone mineral analysis: an integrated approach with CT. Radiology 164:419–423
Kang Y (2003) 3D Quantitative Computed Tomography (QCT) of the proximal femur. Doctoral-Thesis Institute of Medical Physics. Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, pp 99
Kemmler W (2000) Körperliche Belastung und Osteoporose - Einfluss eines intensiven 9-monatigen körperlichen Trainings auf Knochendichte, Gesamtkalzium und Wirbelkörperbreite bei Frauen mit unterschiedlichem Belastungsniveau in der Vergangenheit. Osteologie 9:114–123
Kemmler W, Engelke K, Lauber D, Weineck J, Hensen J, Kalender WA (2003) The Erlangen Fitness Osteoporosis Prevention Study (EFOPS) - a controlled exercise trial in early postmenopausal women with low bone density: First year results. Arch Phys Med Rehabil 84:673–683
Kemmler W, Weineck J, Kalender WA, Engelke K (2004) The effect of habitual physical activity, nonathletic exercise, muscle strength, and VO2max on bone parameters is rather low in early osteopenic postmenopausal women. J Muskuloskel Neuron Interact 4:325–334
Lane NE, Bloch DA, Jones HH, Marshall WH, Wood PD, Fries JF (1986) Long-distance running, bone density and osteoarthritis. JAMA 255:1147–1151
MacDougall JD, Webber CE, Martin J (1992) Relationship among running mileage, bone density, and serum testosterone in male runners. J Appl Physiol 73:1165–1170
Michel BA, Lane NE, Björkengren A, Bloch DA, Fries JF (1992) Impact of Running on Lumbar Bone Density: a 5-year longitudinal study. Journal of Rheumatology 19:1759–1763
Morel J, Combe B, Francisco J, Bernard J (2001) Bone mineral density of 704 amateur sportsmen involved in different physical activities. Osteoporos Int 12:152–157
Mussolino ME, Looker AC, Orwoll ES (2001) Jogging and bone mineral density in men: results from NHANES III. Am J Public Health 91:1056–1059
Nevill AM, Holder RL, Stewart AD (2003) Modeling elite male athletes’ peripheral bone mass, assessed using regional dual x-ray absorptiometry. Bone 32:62–68
Nilsson BE, Westlin NE (1971) Bone density in athletes. Clin Orthop 77:179–182
Standing committee on the Scientific Evaluation of Dietary Reference Intakes IoM (1997) Dietary reference intakes:calcium, phosphorus,magnesium, Vitamin D, and flouride. Academic Press, Washington D.C
Stewart AD, Hannan J (2000) Total and regional bone density in male runners, cyclists, and controls. Med Sci Sports Exerc 32:1373–1377
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The study was funded by the Bundesinstitut für Sportwissenschaften, Bonn, Germany (VF 0407/01/28/2002–2004)
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Kemmler, W., Engelke, K., Baumann, H. et al. Bone status in elite male runners. Eur J Appl Physiol 96, 78–85 (2006). https://doi.org/10.1007/s00421-005-0060-1
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DOI: https://doi.org/10.1007/s00421-005-0060-1