Quantitative ultrasound of the tibia and radius in prepubertal and early-pubertal female athletes

Arch Pediatr Adolesc Med. 2003 Feb;157(2):139-43. doi: 10.1001/archpedi.157.2.139.

Abstract

Background: Physical exercise during childhood has been shown to enhance bone mineral density, thus reducing the risk of osteoporosis.

Objective: To examine bone properties, as measured by quantitative ultrasound, in prepubertal and early-pubertal female athletes engaged in impact and nonimpact sports.

Design: Survey.

Setting: General community.

Participants: Twenty-five acrobatic gymnasts, 21 swimmers, and 21 control subjects. Athletes had been training for at least 1(1/2) years.

Main outcome measure: Bone speed of sound (bilateral) at the distal radius and the midtibia.

Results: Gymnasts were significantly shorter and lighter than swimmers and control girls (P<.001) but had a body mass index similar to that of swimmers. Adiposity was lower in athletes than in controls. Speed of sound did not correlate with measures of body size. Higher mean +/- SD radial speed of sound values (nondominant side) were observed in gymnasts (3764 +/- 104 m/s; P =.045) than in swimmers and control girls (3732 +/- 99 and 3721 +/- 83 m/s, respectively). Mean +/- SD tibial speed of sound values (nondominant side) were similar in gymnasts and swimmers (3629 +/- 87 and 3619 +/- 78 m/s, respectively) and higher in the athletic groups than in the control group (3516 +/- 127 m/s; P<.001). In all 3 groups, no differences were observed between dominant and nondominant sides in the radii or tibias.

Conclusions: Physical exercise, impact and nonimpact, is related to enhanced bone properties, as measured by quantitative ultrasound. Longitudinal studies using various modes of bone evaluation are necessary to determine the long-term effect of various types of exercise on bone properties.

Publication types

  • Comparative Study

MeSH terms

  • Anthropometry
  • Bone Density / physiology*
  • Child
  • Exercise / physiology
  • Female
  • Gymnastics / physiology*
  • Humans
  • Osteoporosis / physiopathology
  • Radius / diagnostic imaging*
  • Radius / physiology
  • Swimming / physiology*
  • Tibia / diagnostic imaging*
  • Tibia / physiology
  • Ultrasonography / methods