© 2003 BMJ Publishing Group Ltd. & British Association of Sport and Exercise Medicine
LEADER
Cartilage development
Effect of physical activity on cartilage development in healthy kids
1 Menzies Centre for Population Health Research
2 University of Melbourne
3 Monash University, Melbourne, Australia
Correspondence to:
Correspondence to:
Associate Professor Cicuttini, 3rd Floor, 553 St Kilda Rd, Melbourne, Vic 3001, Australia;
flavia.cicuttini@med.monash.edu.au
Current evidence supports a prescription of vigorous physical activity for optimum joint development in children
Keywords: physical activity; exercise; cartilage; joints; development
| The first 150 words of the full text of this article appear below. |
Physical activity in childhood has many health benefits. In the musculoskeletal area, physical activity leads to substantial gains in bone mass, at least some of which are maintained into later life.1 The most opportune time for intervention appears to be the prepubertal and early pubertal years.14 However, much less is known about joint development. Recently, advances in magnetic resonance imaging have allowed an accurate in vivo assessment of hyaline cartilage in joints. Most studies have been of the knee, but methods for hip and hand assessment have also been validated. Magnetic resonance imaging is accurate and highly reproducible with coefficients of variation of 23%.5,6
Development of articular hyaline cartilage in the knee appears to be a very dynamic process.6 Physical activity has been shown to be associated with cartilage development both cross sectionally and longitudinally in randomly selected healthy children without knee pain or injury.5,6 Cross sectionally, physical
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