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Bone density, body composition and menstrual history of sedentary female former gymnasts, aged 20–32 years

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Abstract

Few studies have examined the effects of retirement from sports involving regular, high impact and weight bearing activity on bone mass. This cross-sectional study compared total body and regional areal bone mineral density (aBMD, g/cm2) within female former gymnasts and women who had never participated in structured sport or exercise, and explored relations between aBMD of these former gymnasts and their duration of retirement. Eighteen sedentary female former gymnasts (GYM) and 18 sedentary controls (CON) were recruited. GYM displayed a broad range of duration of retirement (3–12 years) and a wide age range (20–32 years). GYM and CON were paired individually to match for age, body mass and stature. GYM had commenced training at least 3 years pre-menarche and had trained post-menarche for 2 or more years. They had trained continuously for 5–12 years and had retired between age 14 and 22 years. Measurements of aBMD and body composition were made using dual energy X-ray absorptiometry (DXA). Group mean values of physical and skeletal characteristics were compared using paired t-tests. Linear regression was used to explore possible relations of aBMD within GYM to duration of retirement. GYM displayed a higher aBMD than CON at all measurement sites, which ranged in magnitude from 6% for the total body (P=0.004), to 11% for the total femur (P=0.006). Elevations of aBMD within GYM equated to T-scores ranging from +0.8 (arms) to +1.7 (legs). There were no differences in body composition or age of menarche between groups, although 11 of 18 GYM reported a history of irregular menses. There was no significant decline of aBMD with increasing duration of retirement in GYM. The results suggested that an elevated bone mass in female former gymnasts was retained during early adulthood, in spite of a cessation of training for up to 12 years.

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References

  1. Dyson K, Blimkie CJ, Davison S, Webber CE, Adachi JD (1997) Gymnastic training and bone density in pre-adolescent females. Med Sci Sports Exerc 29:443–450

    CAS  PubMed  Google Scholar 

  2. Bass S, Pearce G, Bradney M, Hendrich E, Delmas PD, Harding A, Seeman E (1998) Exercise before puberty may confer residual benefits in bone density in adulthood: studies in active pre-pubertal and retired female gymnasts. J Bone Miner Res 13:500–507

    CAS  PubMed  Google Scholar 

  3. Nichols-Richardson SM. O’Connor PJ, Shapses SA, Lewis RD (1999) Longitudinal bone mineral density changes in female child artistic gymnasts. J Bone Miner Res 14:994–1002

    PubMed  Google Scholar 

  4. Laing EM, Massoni JA, Nickols-Richardson SM, Modelsky CM, O’Connor PJ, Lewis RD (2002) A prospective study of bone mass and body composition in female adolescent gymnasts. J Pediatr 141:211–216

    PubMed  Google Scholar 

  5. Zanker CL, Gannon L, Cooke CB, Gee KL, Oldroyd B, Truscott JG (2003) Differences in bone density, body composition, physical activity and diet between child gymnasts and untrained children aged 7–8 years. J Bone Miner Res 18:1043–1050

    CAS  PubMed  Google Scholar 

  6. Bradney M, Pearce G, Naughton G, Sullivan C, Bass S, Beck T, Carlson J, Seeman E (1998) Moderate exercise during growth in pre-pubertal boys: changes in bone mass, size, volumetric density and bone strength: a controlled prospective study. J Bone Miner Res 13:1814–1821

    CAS  PubMed  Google Scholar 

  7. McKay HA, Petit MA, Schutz RW, Prior JC, Barr SI, Khan KM (2000) Augmented trochanteric bone mineral density after modified physical education classes. J Pediatr 136:156–162

    CAS  PubMed  Google Scholar 

  8. Fuchs RK, Bauer JJ, Snow CM (2001) Jumping improves hip and lumbar spine bone mass in pre-pubescent children: a randomized controlled trial. J Bone Miner Res 16:148–156

    CAS  PubMed  Google Scholar 

  9. Frost HM (1999) Why do bone strength and ‘mass’ in aging adults become unresponsive to vigorous exercise? Insights of the Utah paradigm. J Bone Miner Res 17:90–97

    CAS  Google Scholar 

  10. Winters KM, Snow CM (2000) Detraining reverses positive effects of exercise on the musculoskeletal system in premenopausal women. J Bone Miner Res 15:2495–2503

    CAS  PubMed  Google Scholar 

  11. Warren MP, Stiehl AL (1999) Exercise and female adolescents: effects on the reproductive and skeletal systems. J Am Med Women’s Assoc 54:115–120

    Google Scholar 

  12. Weaver CM (2002) Adolescence: the period of dramatic bone growth. Endocrine 17:43–48

    CAS  Google Scholar 

  13. Kontulainen S, Kannus P, Haapasalo H, Heinonen A, Seivanen H, Oja P, Vuori I (1999) Changes in bone mineral content with decreased training in competitive young adult tennis players and controls: a prospective 4 year follow-up. Med Sci Sports Exerc 31:646–652

    CAS  PubMed  Google Scholar 

  14. Kontulainen S, Kannus P, Haapasalo H, Seivanen H, Pasanen M, Heinonen A, Oja P, Vuori I (1999) Good maintenance of exercise-induced bone gain with decreased training of female tennis and squash players: a prospective 5 year follow-up study of young and old starters and controls. J Bone Miner Res 16:195–201

    Google Scholar 

  15. Lindholm C, Hagnefeldt K, Ringertz H (1995) Bone mineral content of young female former gymnasts. Acta Paediatr 84:1109–1112

    CAS  PubMed  Google Scholar 

  16. Kirchner EM, Lewis RD, O’Connor PJ (1996) Effect of past gymnastics participation on adult bone mass. J Appl Physiol 80:226–232

    CAS  PubMed  Google Scholar 

  17. Physical Activity Task Force (1995). More people more active more often—physical activity in England a consultation paper. Department of Health, London

  18. Mazess RB, Barden HS (1991) Bone density in pre-menopausal women: effects of age, dietary intake, physical activity, smoking and birth control pills. Am J Clin Nutr 53:132–142

    Google Scholar 

  19. Prior JC, Kirkland L, Joseph L, Kreiger N, Murray TM, Hanley DA, Adachi JD, Vigna YM, Berger C, Blondeau L, Jackson SA, Tenehouse A (2001) Oral contraceptive use and bone mineral density in pre-menopausal women: cross-sectional, population-based data from the Canadian Multicentre Osteoporosis Study. CAMJ 165:1023–1029

    CAS  Google Scholar 

  20. Kanis JA, Melton U, Christiansen C, Johnston CC, Khaltaev N (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141

    CAS  PubMed  Google Scholar 

  21. Kirchner EM, Lewis RD, O’Connor PJ (1995) Bone mineral density and dietary intake of female college gymnasts. Med Sci Sports Exerc 27:543–549

    CAS  PubMed  Google Scholar 

  22. Snow CM, Rosen CJ, Robinson TL (2000) Serum IGF-1 is higher in gymnasts than runners and predicts bone and lean mass. Med Sci Sports Exerc 32:1902–1907

    CAS  PubMed  Google Scholar 

  23. Proctor KL, Adams WC, Shaffrath JD, Van Loan MD (2002) Upper-limb bone mineral density of female collegiate gymnasts versus controls. Med Sci Sports Exerc 34:1830–1835

    PubMed  Google Scholar 

  24. Helge EW, Kanstrup IL (2002) Bone density in female elite gymnasts: impact of muscle strength and sex hormones. Med Sci Sports Exerc 34:174–180

    PubMed  Google Scholar 

  25. Frost HM (1990) Structural adaptations to mechanical usage. Re-defining Wolff’s Law. Anat Rec 226:403–422

    CAS  PubMed  Google Scholar 

  26. Nichols DL, Sanborn CF, Bonnick SL, Gench B, DiMarco N (1995) Relationship of regional body composition to bone mineral density in college females. Med Sci Sports Exerc 27:178–182

    CAS  PubMed  Google Scholar 

  27. McNitt-Gray JL (1993) Kinetics of the lower extremities during drop landings from 3 different heights. J Biomech 26:1037–1046

    CAS  PubMed  Google Scholar 

  28. Lima F, De Falco V, Baima J, Carazzato JG, Pereira RMR (2001) Effect of impact load and active load on bone metabolism and body composition of adolescent athletes. Med Sci Sports Exerc 33:1318–1323

    CAS  PubMed  Google Scholar 

  29. Fassler AC, Bonjour JP (1995) Osteoporosis as a pediatric problem. Pediatr Nutr 42:811–821

    Google Scholar 

  30. Zanker CL, Swaine IL (1998) Bone turnover in amenorrhoeic and eumenorrhoeic women distance runners. Scand J Med Sci Sports 8:20–26

    CAS  PubMed  Google Scholar 

  31. Micklesfield LK, Lambert EV, Fataar AB, Noakes TD, Myburgh KH (1995) Bone mineral density in mature, pre-menopausal ultramarathon runners. Med Sci Sports Exerc 27:688–696

    CAS  PubMed  Google Scholar 

  32. Moen SM, Sanborn CF, DiMarco NM, Gench B, Bonnick SL, Keizer HA, Menheere PP (1998) Lumbar bone mineral density in adolescent female runners. J Sports Med Phys Fit 38:234–239

    CAS  Google Scholar 

  33. Bass S, Pearce G, Young N, Seeman E (1994) Bone mass during growth: the effects of exercise. Exercise and mineral accrual. Acta Univ Carol 40:3–6

    CAS  PubMed  Google Scholar 

  34. Warren MP, Brooks-Gunn J, Fox RP, Holderness CC, Hyle EP, Hamilton WG (2002) Osteopenia in exercise-associated amenorrhea using ballet dancers as a model: a longitudinal study. J Clin Endocrinol Metab 87:3162–3168

    CAS  PubMed  Google Scholar 

  35. Anai T, Miyazaki F, Tomiyasu T, Matsuo T (2001) Risk of irregular menstrual cycles and low peak bone mass during early adulthood associated with age at menarche. Pediatr Int 43:483–488

    CAS  PubMed  Google Scholar 

  36. Khan K, McKay HA, Haapasalo H, Bennell KL, Forwood MR, Kannus P, Wark JD (2000) Does childhood and adolescence provide a unique opportunity for exercise to strengthen the skeleton? J Sci Med Sport 3:150–164

    CAS  PubMed  Google Scholar 

  37. Petit MA, McKay HA, MacKelvie KJ, Heinonen A, Khan KM, Beck TJ (2002) A randomized school-based jumping intervention confers site and maturity-specific benefits on bone structural properties in girls: a hip structural analysis study. J Bone Miner Res 17:363–372

    CAS  PubMed  Google Scholar 

  38. Vuori I, Heinonen A, Sievanen H, Kannus P, Oja P (1994) Effects of unilateral strength training and detraining on bone mineral density and content in young women: a study of mechanical loading and deloading on human bones. Calcif Tissue Int 55:59–67

    CAS  PubMed  Google Scholar 

  39. Marcus R, Drinkwater BL, Dalsky GP, Dufek J, Raab D, Slemenda C, Snow-Harter C (1992) Osteoporosis and exercise in women. Med Sci Sports Exerc 24: S301–307

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Leisure and Sport Studies, Leeds Metropolitan University, Beckett Park Campus, Leeds, LS6 3QS, UK

    C. L. Zanker, C. Osborne & C. B. Cooke

  2. Centre for Bone and Body Composition Research, School of Healthcare Studies, University of Leeds, Leeds, UK

    B. Oldroyd & J. G. Truscott

Authors
  1. C. L. Zanker
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  2. C. Osborne
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  3. C. B. Cooke
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  4. B. Oldroyd
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  5. J. G. Truscott
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Correspondence to C. L. Zanker.

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Zanker, C.L., Osborne, C., Cooke, C.B. et al. Bone density, body composition and menstrual history of sedentary female former gymnasts, aged 20–32 years. Osteoporos Int 15, 145–154 (2004). https://doi.org/10.1007/s00198-003-1524-y

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  • DOI: https://doi.org/10.1007/s00198-003-1524-y

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