Skip to main content

Advertisement

Log in

Young male soccer players exhibit additional bone mineral acquisition during the peripubertal period: 1-year longitudinal study

  • Original Article
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

The aim of this study was to determine whether soccer could have different bone benefits in prepubescent and pubescent boys. We investigated 76 boys aged 10 to 13 years during a 1-year study. All boys were prepubescent at the beginning of the study (T0); pubescent status was determined by a complete 24-h urine hormonal assay of FSH-LH, with LH ≤ 0.31 IU/24 h and FSH ≤ 2.19 IU/24 h corresponding to prepubescent Tanner stage I and with 0.31 < LH < 0.95 IU/24 h and 1.57 < FSH < 3.77 IU/24 h corresponding to pubescent Tanner stage II. At the end of the study (T1), 35 boys remained prepubescent (22 soccer players (F1) and 13 controls (C1)), and 41 boys had entered puberty (26 soccer players (F2) and 15 controls (C2)). Soccer players completed 2 to 5 h of training plus one competition game per week during the school year, and controls only had physical education at school. Bone mineral content (BMC) was measured at T0 and T1 by DPX in the lumbar spine, total hip, and whole body (WB) for a comparison between soccer players and controls. At T0, no BMC difference was found between F1 and C1, but BMC was higher in F2 than C2 in WB and weight-bearing sites. At T1, BMC was higher in WB and weight-bearing sites in both F1 and F2 compared to their respective controls. Between T0 and T1, soccer induced a BMC gain at weight-bearing sites in both F1 and F2 compared to C1 and C2, respectively. The soccer-related bone gain was greater in WB and weight-bearing (the lumbar spine, total hip, and supporting leg) and non-weight-bearing bones (dominant arm and nondominant arm) in boys who became pubescent than in boys who remained prepubescent. In conclusion, 1-year study in young male soccer players demonstrates that the process of bone accretion at the very early phase of puberty is more intensely stimulated by the combination of physical exercise and sexual impregnation than by one of these factors alone.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Alfredson H, Nordstrom P, Lorentzon R (1996) Total and regional bone mass in female soccer players. Calcif Tissue Int 59:438–442

    CAS  PubMed  Google Scholar 

  2. Bonjour JP, Theintz G, Buchs B et al (1991) Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab 73:555–563

    Article  CAS  PubMed  Google Scholar 

  3. Borer KT (2005) Physical activity in the prevention and amelioration of osteoporosis in women: interaction of mechanical, hormonal and dietary factors. Sports Med 35:779–830

    Article  PubMed  Google Scholar 

  4. Bratteby LE, Sandhagen B, Lotborn M et al (1997) Daily energy expenditure and physical activity assessed by an activity diary in 374 randomly selected 15-year-old adolescents. Eur J Clin Nutr 51:592–600

    Article  CAS  PubMed  Google Scholar 

  5. Calbet JA, Dorado C, Diaz-Herrera P et al (2001) High femoral bone mineral content and density in male football (soccer) players. Med Sci Sports Exerc 33:1682–1687

    Article  CAS  PubMed  Google Scholar 

  6. Constantini NW, Warren MP (1994) Special problems of the female athlete. Baillieres Clin Rheumatol 8:199–219

    Article  CAS  PubMed  Google Scholar 

  7. Courteix D, Lespessailles E, Peres SL et al (1998) Effect of physical training on bone mineral density in prepubertal girls: a comparative study between impact-loading and non-impact-loading sports. Osteoporos Int 8:152–158

    Article  CAS  PubMed  Google Scholar 

  8. Courteix D, Lespessailles E, Jaffre C et al (1999) Bone material acquisition and somatic development in highly trained girl gymnasts. Acta Paediatr 88:803–808

    Article  CAS  PubMed  Google Scholar 

  9. Courteix D, Lespessailles E, Obert P et al (1999) Skull bone mass deficit in prepubertal highly-trained gymnast girls. Int J Sports Med 20:328–333

    Article  CAS  PubMed  Google Scholar 

  10. Dowthwaite JN, Distefano JG, Ploutz-Snyder RJ et al (2006) Maturity and activity-related differences in bone mineral density: Tanner I vs. II and gymnasts vs. non-gymnasts. Bone 39:895–900

    Article  PubMed  Google Scholar 

  11. Dyson K, Blimkie CJ, Davison KS et al (1997) Gymnastic training and bone density in pre-adolescent females. Med Sci Sports Exerc 29:443–450

    Article  CAS  PubMed  Google Scholar 

  12. Egan E, Reilly T, Giacomoni M et al (2006) Bone mineral density among female sports participants. Bone 38:227–233

    Article  PubMed  Google Scholar 

  13. Fardelonne P, Sebert JL, Bouraya M et al (1991) Evaluation de la teneur en calcium du régime alimentaire par autoquestionnaire fréquentiel. Rev Rhum 58:99–103

    Google Scholar 

  14. Ferry B, Lespessailles E, Rochcongar P et al (2013) Bone health during late adolescence: effects of an 8-month training program on bone geometry in female athletes. Joint Bone Spine 80(1):57–63

    Article  PubMed  Google Scholar 

  15. Glastre C, Braillon P, David L et al (1990) Measurement of bone mineral content of the lumbar spine by dual energy x-ray absorptiometry in normal children: correlations with growth parameters. J Clin Endocrinol Metab 70:1330–1333

    Article  CAS  PubMed  Google Scholar 

  16. Gunter KB, Almstedt HC, Janz KF (2012) Physical activity in childhood may be the key to optimizing lifespan skeletal health. Exerc Sport Sci Rev 40:13–21

    Article  PubMed Central  PubMed  Google Scholar 

  17. Haapasalo H, Kannus P, Sievanen H et al (1998) Effect of long-term unilateral activity on bone mineral density of female junior tennis players. J Bone Miner Res 13:310–319

    Article  CAS  PubMed  Google Scholar 

  18. Heinonen A, Sievanen H, Kannus P et al (2000) High-impact exercise and bones of growing girls: a 9-month controlled trial. Osteoporos Int 11:1010–1017

    Article  CAS  PubMed  Google Scholar 

  19. Janz KF, Gilmore JM, Burns TL et al (2006) Physical activity augments bone mineral accrual in young children: the Iowa Bone Development study. J Pediatr 148:793–799

    Article  PubMed  Google Scholar 

  20. Laing EM, Massoni JA, Nickols-Richardson SM et al (2002) A prospective study of bone mass and body composition in female adolescent gymnasts. J Pediatr 141:211–216

    Article  PubMed  Google Scholar 

  21. Leger LA, Mercier D, Gadoury C et al (1988) The multistage 20 m shuttle run test for aerobic fitness. J Sports Sci 6:93–101

    Article  CAS  PubMed  Google Scholar 

  22. Lehtonen-Veromaa M, Mottonen T, Svedstrom E et al (2000) Physical activity and bone mineral acquisition in peripubertal girls. Scand J Med Sci Sports 10:236–243

    Article  CAS  PubMed  Google Scholar 

  23. Linden C, Ahlborg H, Gardsell P et al (2007) Exercise, bone mass and bone size in prepubertal boys: one-year data from the pediatric osteoporosis prevention study. Scand J Med Sci Sports 17:340–347

    CAS  PubMed  Google Scholar 

  24. Mackelvie KJ, McKay HA, Khan KM et al (2001) A school-based exercise intervention augments bone mineral accrual in early pubertal girls. J Pediatr 139:501–508

    Article  CAS  PubMed  Google Scholar 

  25. McKay HA, MacLean L, Petit M et al (2005) “Bounce at the Bell”: a novel program of short bouts of exercise improves proximal femur bone mass in early pubertal children. Br J Sports Med 39:521–526

    Article  CAS  PubMed  Google Scholar 

  26. Morel Y, La Selve H, Chatelain P et al (1985) Value of the assay of urinary gonadotropins in pediatric endocrinology. Arch Fr Pediatr 42(Suppl 1):579–585

    PubMed  Google Scholar 

  27. Morris FL, Naughton GA, Gibbs JL et al (1997) Prospective ten-month exercise intervention in premenarcheal girls: positive effects on bone and lean mass. J Bone Miner Res 12:1453–1462

    Article  CAS  PubMed  Google Scholar 

  28. Nebigh A, Rebai H, Elloumi M et al (2009) Bone mineral density of young boy soccer players at different pubertal stages relationships with hormonal concentration. Joint Bone Spine 76:63–69

    Article  PubMed  Google Scholar 

  29. Nickols-Richardson SM, Modlesky CM, O'Connor PJ et al (2000) Premenarcheal gymnasts possess higher bone mineral density than controls. Med Sci Sports Exerc 32:63–69

    Article  CAS  PubMed  Google Scholar 

  30. Nikander R, Sievanen H, Uusi-Rasi K et al (2006) Loading modalities and bone structures at nonweight-bearing upper extremity and weight-bearing lower extremity: a pQCT study of adult female athletes. Bone 39:886–894

    Article  PubMed  Google Scholar 

  31. Saggese G, Baroncelli GI, Bertelloni S (2002) Puberty and bone development. Best Pract Res Clin Endocrinol Metab 16:53–64

    Article  CAS  PubMed  Google Scholar 

  32. Scerpella TA, Davenport M, Morganti CM et al (2003) Dose related association of impact activity and bone mineral density in pre-pubertal girls. Calcif Tissue Int 72:24–31

    Article  CAS  PubMed  Google Scholar 

  33. Seabra A, Marques E, Brito J et al (2012) Muscle strength and soccer practice as major determinants of bone mineral density in adolescents. Joint Bone Spine 79:403–408

    Article  PubMed  Google Scholar 

  34. Slemenda CW, Reister TK, Hui SL et al (1994) Influences on skeletal mineralization in children and adolescents: evidence for varying effects of sexual maturation and physical activity. J Pediatr 125:201–207

    Article  CAS  PubMed  Google Scholar 

  35. Tenforde AS, Fredericson M (2011) Influence of sports participation on bone health in the youth athlete. A review of the literature. PM R 3:861–867

    Article  PubMed  Google Scholar 

  36. Valdimarsson O, Linden C, Johnell O et al (2006) Daily physical education in the school curriculum in prepubertal girls during 1 year is followed by an increase in bone mineral accrual and bone width—data from the prospective controlled Malmo pediatric osteoporosis prevention study. Calcif Tissue Int 78:65–71

    Article  CAS  PubMed  Google Scholar 

  37. Vicente-Rodriguez G, Jimenez-Ramirez J, Ara I et al (2003) Enhanced bone mass and physical fitness in prepubescent footballers. Bone 33:853–859

    Article  CAS  PubMed  Google Scholar 

  38. Vicente-Rodriguez G, Ara I, Perez-Gomez J et al (2004) High femoral bone mineral density accretion in prepubertal soccer players. Med Sci Sports Exerc 36:1789–1795

    Article  PubMed  Google Scholar 

  39. Wang QJ, Suominen H, Nicholson PH et al (2005) Influence of physical activity and maturation status on bone mass and geometry in early pubertal girls. Scand J Med Sci Sports 15:100–106

    Article  CAS  PubMed  Google Scholar 

  40. Zouch M, Jaffre C, Thomas T et al (2008) Long-term soccer practice increases bone mineral content gain in prepubescent boys. Joint Bone Spine 75:41–49

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors are very grateful to the soccer players and control boys who enthusiastically participated in this study. This study was supported by the St-Etienne Hospitals Clinical Research Council and the St-Etienne Bone Tissue Biology Laboratory (INSERM, Research Unit UMR 1059).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohamed Zouch.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zouch, M., Vico, L., Frere, D. et al. Young male soccer players exhibit additional bone mineral acquisition during the peripubertal period: 1-year longitudinal study. Eur J Pediatr 173, 53–61 (2014). https://doi.org/10.1007/s00431-013-2115-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00431-013-2115-3

Keywords

Navigation