Alejandro Gómez-Bruton1, Alejandro González-Agüero2, Angel Matute-Llorente3, Cristina Julián4, Gabriel Lozano-Berges5, Alba Gómez-Cabello6, Nuria Garatachea7, Jose A Casajús8, German Vicente-Rodríguez9. 1. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON); Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Huesca, Spain(∗). 2. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Huesca, Spain(†). 3. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain(‡). 4. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Huesca, Spain(§). 5. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Huesca, Spain(¶). 6. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Centro Universitario de la Defensa, Zaragoza, Spain(#). 7. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Huesca, Spain(∗∗). 8. GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Huesca, Spain(††). 9. GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERON), Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Faculty of Health and Sport Sciences (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Spain(‡‡). Electronic address: gervicen@unizar.es.
Abstract
BACKGROUND: Swimming has no effect on bone mass or structure. Therefore, adolescent swimmers present similar bone strength values when compared to normo-active controls, and lower values when compared to weight-bearing athletes. It thus seems necessary to try to improve bone structure and strength of adolescent swimmers through a weight-bearing intervention in order to reduce the risk of suffering osteoporosis later in life. OBJECTIVE: To evaluate the effects of a 6-month whole body vibration (WBV) intervention on bone strength and structure of adolescent swimmers. DESIGN: Randomized controlled trial. SETTING: Research center. PARTICIPANTS: A total of 51 swimmers (14.4 ± 2.0 years) participated in the study. METHODS:Swimmers were randomly allocated into 2 groups: 20 swimmers (9 females) who only performed their swimming training, and 31 swimmers (15 females) whoperformed their swimming training and received a WBV intervention (3.6-11.6 g) 3 times per week during 6 months (VIB). OUTCOME MEASUREMENTS: Peripheral quantitative computed tomography was performed in the nondominant tibia of all swimmers at 4%, 38%, and 66% of the tibia length before and after the intervention. RESULTS: No differences between groups in any bone structure variable were found at pre- or postintervention. Both groups presented similar improvements in time, and no group by time interactions were found, suggesting that the WBV intervention was not intense enough to achieve positive changes in bone strength or structure. CONCLUSION: WBV, at the chosen intensities and durations, had no effect on adolescent swimmers' bone strength or structure. Future studies should test other weight-bearing interventions aiming to improve bone strength and structure of adolescent swimmers. LEVEL OF EVIDENCE: II.
RCT Entities:
BACKGROUND: Swimming has no effect on bone mass or structure. Therefore, adolescent swimmers present similar bone strength values when compared to normo-active controls, and lower values when compared to weight-bearing athletes. It thus seems necessary to try to improve bone structure and strength of adolescent swimmers through a weight-bearing intervention in order to reduce the risk of suffering osteoporosis later in life. OBJECTIVE: To evaluate the effects of a 6-month whole body vibration (WBV) intervention on bone strength and structure of adolescent swimmers. DESIGN: Randomized controlled trial. SETTING: Research center. PARTICIPANTS: A total of 51 swimmers (14.4 ± 2.0 years) participated in the study. METHODS: Swimmers were randomly allocated into 2 groups: 20 swimmers (9 females) who only performed their swimming training, and 31 swimmers (15 females) who performed their swimming training and received a WBV intervention (3.6-11.6 g) 3 times per week during 6 months (VIB). OUTCOME MEASUREMENTS: Peripheral quantitative computed tomography was performed in the nondominant tibia of all swimmers at 4%, 38%, and 66% of the tibia length before and after the intervention. RESULTS: No differences between groups in any bone structure variable were found at pre- or postintervention. Both groups presented similar improvements in time, and no group by time interactions were found, suggesting that the WBV intervention was not intense enough to achieve positive changes in bone strength or structure. CONCLUSION: WBV, at the chosen intensities and durations, had no effect on adolescent swimmers' bone strength or structure. Future studies should test other weight-bearing interventions aiming to improve bone strength and structure of adolescent swimmers. LEVEL OF EVIDENCE: II.
Authors: Alejandro Gómez-Bruton; Jorge Marín-Puyalto; Borja Muñiz-Pardos; Gabriel Lozano-Berges; Cristina Cadenas-Sanchez; Angel Matute-Llorente; Alba Gómez-Cabello; Luis A Moreno; Alex Gonzalez-Agüero; Jose A Casajus; Germán Vicente-Rodríguez Journal: Sports Health Date: 2020-05-22 Impact factor: 3.843