Abstract
The purpose of this study was to examine the bone mineral densities (BMD) of female junior and senior football (soccer) players with different training regimens and histories, female former football players, and their respective controls. Active junior (age 13–17 years,n=62) and senior (age 18–28 years,n=34) players, representing three teams with different levels of performance and training, were compared reciprocally and with matched controls (n=90). Former players (age 34–84 years,n=25) who had ended their careers on average 9.7 years previously and their matched controls (n=57) were also studied. Body composition and total body, lumbar spine and proximal femur BMD were measured with dual-energy X-ray absorptiometry. Former players and their controls were asked in a questionnaire to specify their current level of physical activity. In a control for differences in age, weight and body mass index, football players had significantly greater BMD than controls at all sites measured. This difference appeared to be site-specific, with greater differences in BMD at the proximal femur sites (10.5–11.1%) than at the lumbar spine (4.8%) or for the total body (3.5%). Further, differences were greater for senior than for junior players. However, no BMD differences were found between teams representing different levels of performance and training. Female former football players had retained their proximal femur and total-body BMD advantage over controls. In conclusion, training in female football, which is an impact-loading activity, has a site-specific, positive effect on bone formation that is not increased over a certain level of physical activity. The BMD advantage attained appears to be preserved to some extent after the termination of the athlete's active career, which may have a positive effect on future fracture risk.
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References
Aloia JF, Cohn SH, Babu T, Abesamis C, Kalici N, Ellis K. Skeletal mass and body composition in marathon runners. Metabolism 1978;27:1793–6.
Nilsson BE, Westlin NE. Bone density in athletes. Clin Orthop 1971;77:177–82.
Huddleston AL, Rockwell D, Kulund DN. Bone mass in lifetime tennis athletes. JAMA 1980;224:1107–9.
Heinonen A, Oja P, Kannus P, Sievänen H, Mänttäri A, Vouri I. Bone mineral density of female athletes in different sports. Bone Miner 1993;23:1–14.
Karlssson MK, Johnell O, Obrant KJ. Bone mineral density in professional ballet dancers. Bone Miner 1993;21:163–9.
Grimston SK, Willows ND, Hanley DA. Mechanical loading regime and its relationship to bone mineral density in children. Med Sci Sports Exerc 1993;25:1203–10.
Heinonen A, Oja P, Kannus P, et al. Bone mineral density in female athletes representing sports with different loading characteristics of the skeleton. Bone 1995;17:197–203.
Fehling PC, Alekel L, Clasey J, Rector A, Stillman RJ. A comparison of bone mineral densities among female athletes in impact loading and active sports. Bone 1995;17:205–10.
Hetland ML, Harrbo J, Christiansen C. Low bone mass and high bone turnover in male long distance runners. J Clin Endocrinol Metab 1993;77:770–5.
Robinson TL, Snow-Harter C, Taaffe DR, Gillis D, Shaw J, Marcus R. Gymnasts exhibit higher bone mass than runners despite similar prevalence of amenorrhea and oligomenorrhea. J Bone Miner Res 1995;10:26–35.
Karlssson MK, Johnell O, Obrant KJ. Is bone mineral density advantage maintained long-term in previous weight lifters? Calcif Tissue Int 1995;57:325–8.
Grimby G, Wilhelmsen L, Björntorp P, Saltin B, Tibblin G. Habitual physical activity: aerobic power and blood lipids. In: Pernow B, Saltin B, editors. Muscle metabolism during exercise. New York: Plenum Press, 1971:469–81.
Mazess RB, Barden HS, Bisek JP, Hansson J. Dual-energy X-ray absorptiometry for total-body and regional bone mineral and soft tissue composition. Am J Clin Nutr 1990;51:1106–12.
Burdett RG. Forces predicted at the ankle during running. Med Sci Sports Exerc 1992;14:308.
Payne AH. A comparison of the ground forces in race walking with those in normal walking and running. In: Asmussen E, Jorgensen K, editors. Biomechanics VI-A. Baltimore: University Park Press, 1978:293.
Lanyon LE, Rubin CT, Baust G. Modulation of bone loss during calcium insufficiency by controlled dynamic loading. Calcif Tissue Int 1986;38:209–16.
Lanyon LE. The success and failure of the adaptive response to functional load-bearing in adverting bone fracture. Bone 1992;13:S17–21.
Slemenda CW, Johnston CC. High intensity activities in young women: site specific bone mass effects among female figure skaters. Bone Minera 1993;20:125–32.
Obrant KJ, Karlsson MK, Hasserius R. Bone mineral density in skeletal areas unaffected by muscular activity in athletes. Proceedings, International Bone Meeting, Perth, February 1995:91.
Granheden H, Jonsson R, Keller T, Hansson T. Short and long term effects of vigorous physical activity on bone mineral in the human spine. In: Granheden H. Extreme spinal loadings: effects on the vertebral bone mineral content and strength, and risks for future low back pain in man [thesis]. Göteborg, Sweden, 1988.
Gärdsell P, Johnell O, Nilsson BE. The predictive value of bone loss for fragility fractures in women. Calcif Tissue Int 1990;49:90–4.
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Düppe, H., Gärdsell, P., Johnell, O. et al. Bone mineral density in female junior, senior and former football players. Osteoporosis Int 6, 437–441 (1996). https://doi.org/10.1007/BF01629575
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DOI: https://doi.org/10.1007/BF01629575