Literature DB >> 15647813

Bone loss and fracture risk after reduced physical activity.

Anna Nordström1, Caroline Karlsson, Fredrik Nyquist, Tommy Olsson, Peter Nordström, Magnus Karlsson.   

Abstract

UNLABELLED: Former male young athletes partially lost benefits in BMD (g/cm2) with cessation of exercise, but, despite this, had a higher BMD 4 years after cessation of career than a control group. A higher BMD might contribute to the lower incidence of fragility fractures found in former older athletes > or =60 years of age compared with a control group.
INTRODUCTION: Physical activity increases peak bone mass and may prevent osteoporosis if a residual high BMD is retained into old age.
MATERIALS AND METHODS: BMD was measured by DXA in 97 male young athletes 21.0 +/- 4.5 years of age (SD) and 48 controls 22.4 +/- 6.3 years of age, with measurements repeated 5 years later, when 55 of the athletes had retired from sports. In a second, older cohort, fracture incidence was recorded in 400 former older athletes and 800 controls > or =60 years of age.
RESULTS: At baseline, the young athletes had higher BMD than controls in total body (mean difference, 0.08 g/cm2), spine (mean difference, 0.10 g/cm2), femoral neck (mean difference, 0.13 g/cm2), and arms (mean difference, 0.05 g/cm2; all p < 0.001). During the follow-up period, the young athletes who retired lost more BMD than the still active athletes at the femoral neck (mean difference, 0.07 g/cm2; p = 0.001) and gained less BMD at the total body (mean difference, 0.03 g/cm2; p = 0.004). Nevertheless, BMD was still higher in the retired young athletes (mean difference, 0.06-0.08 g/cm2) than in the controls in the total body, femoral neck, and arms (all p < 0.05). In the older cohort, there were fewer former athletes > or =60 of age than controls with fragility fractures (2.0% versus 4.2%; p < 0.05) and distal radius fractures (0.75% versus 2.5%; p < 0.05).
CONCLUSIONS: Although exercise-induced BMD benefits are reduced after retirement from sports, former male older athletes have fewer fractures than matched controls.

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Mesh:

Year:  2004        PMID: 15647813     DOI: 10.1359/JBMR.041012

Source DB:  PubMed          Journal:  J Bone Miner Res        ISSN: 0884-0431            Impact factor:   6.741


  41 in total

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2.  Former college artistic gymnasts maintain higher BMD: a nine-year follow-up.

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4.  Targeted exercises against hip fragility.

Authors:  R Nikander; P Kannus; P Dastidar; M Hannula; L Harrison; T Cervinka; N G Narra; R Aktour; T Arola; H Eskola; S Soimakallio; A Heinonen; J Hyttinen; H Sievänen
Journal:  Osteoporos Int       Date:  2008-11-11       Impact factor: 4.507

5.  Cortical microstructure and estimated bone strength in young amenorrheic athletes, eumenorrheic athletes and non-athletes.

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Review 6.  Bone health and the female athlete triad in adolescent athletes.

Authors:  Kathryn E Ackerman; Madhusmita Misra
Journal:  Phys Sportsmed       Date:  2011-02       Impact factor: 2.241

7.  Exercise characteristics influence femoral cross-sectional geometry: a magnetic resonance imaging study in elite female athletes.

Authors:  A Honda; M Matsumoto; T Kato; Y Umemura
Journal:  Osteoporos Int       Date:  2014-10-17       Impact factor: 4.507

8.  Bone mass following physical activity in young years: a mean 39-year prospective controlled study in men.

Authors:  M Tveit; B E Rosengren; J-Å Nilsson; H G Ahlborg; M K Karlsson
Journal:  Osteoporos Int       Date:  2012-07-18       Impact factor: 4.507

9.  Lifetime sport and leisure activity participation is associated with greater bone size, quality and strength in older men.

Authors:  R M Daly; S L Bass
Journal:  Osteoporos Int       Date:  2006-05-06       Impact factor: 4.507

Review 10.  Bone density and young athletic women. An update.

Authors:  David L Nichols; Charlotte F Sanborn; Eve V Essery
Journal:  Sports Med       Date:  2007       Impact factor: 11.136

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