Effect of Sportive Activity on Bone Mineral Density during Adolescence

Sayar, Yavuz; Arıkan, Fatma; Taşar, Medine Aysin; Dallar, Yıldız

doi:10.5152/tftrd.2015.81905

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…However, vitamin D supplementation in people with sufficient vitamin D levels has no effect on BMD and does not reduce the fracture risk [12,13]. 1 3 In healthy children and adolescents, regular intense physical activity increases bone quality and strength in adulthood [14,15]. Therefore, ambulatory children with osteoporosis should perform an exercise with a low risk of falls and bodily contact if feasible [16,17].…”

Section: Conservative Measuresmentioning

confidence: 99%

Osteoporosis in children and adolescents: how to treat and monitor?

et al. 2022

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Osteoporosis is a condition of increased bone fragility associated with fractures. Apart from primary genetic osteoporotic conditions, secondary osteoporosis in children is being increasingly recognized. As a result, there is growing interest in its prevention and treatment. Important goals of care are to prevent fractures, increase bone mass and trabecular and cortical thickness, reshape vertebral fractures, prevent (or correct) skeletal deformities, and improve mobility, independence, and quality of life. Secondary pediatric osteoporosis is often of multifactorial origin since affected children frequently have more than one acquired factor that is detrimental to bone health. Typical conditions causing osteoporosis are leukemias, progressive muscle or neurological disorders, as well as chronic inflammatory conditions and their treatment. Management of children with osteoporosis involves a multidisciplinary team involving pediatric experts from different subspecialties. With regard to prevention and early intervention, it is important to provide optimal management of any underlying systemic conditions including avoidance, or dose-reduction, of osteotoxic medications. Basic supporting life-style measures, such as appropriate nutrition, including adequate calcium intake and vitamin D, and physical activity are recommended, where possible. When pediatric treatment criteria for osteoporosis are met, antiresorptive drugs constitute the first pharmacological line treatment.Conclusion: This clinical review focuses on the prevention, treatment, and follow-up of children with, or at risk of developing, osteoporosis and the transition from pediatric to adult care. What is Known:• Osteoporosis and associated fractures can cause significant morbidity and reduce the quality of life.• The developing skeleton has huge potential for recovery and reshaping, thus early detection of fractures, assessment of recovery potential, and treatment of children with osteoporosis can prevent future fractures, deformities, and scoliosis, improve function and mobility, and reduce pain. What is New: • Osteoporosis in children and adolescents requires a multidisciplinary approach with a thorough assessment of recovery potential, and indication for therapy should be personalized. • Although bisphosphonates still represent the drug most commonly used to increase bone mass, improve mobility, and reduce pain and recurrence of fractures, new agents are being developed and could be beneficial in children with specific conditions.

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Section: Conservative Measuresmentioning

confidence: 99%

Osteoporosis in children and adolescents: how to treat and monitor?

et al. 2022

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Effects of Judo Training on Bones: A Systematic Literature Review

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et al. 2019

Journal of Strength and Conditioning Research

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The aim of this study was to provide a systematic literature review on the osteogenic effects of judo (PROSPERO: CRD42016041803). The online search was conducted according to the inclusion criteria: observational studies and clinical/interventional trials in English from inception to June 2016; bone health, mineral density (BMD), diameters, impact force and turnover markers (BTM) outcomes. Thirty-four studies were included and graded for their methodological quality ("fair" quality: 79.4%). The most used assessment method (44.1%) was X-ray absorptiometry. A positive association between judo and bone health/status emerged. Findings support site-specific BMD accrual in children, adolescents, adult athletes, and in pre- and post-menopausal women practitioners. BTM revealed a hypermetabolic status in high-level judo athletes. The osteogenic stimuli of judo seem to protect athletes from alterations in bone metabolic balance due to weight loss cycling. Sexual dimorphism was found between judoka in bone diameters and mass, and significant differences in bone breadths emerged between elite and non-elite judoka. The fall techniques reduced bone impact force and velocity respect 'natural' fall. Further longitudinal, cross-sectional and interventional researches are required. This paper provides useful information on bone for health sport scientists, coaches, and practitioners, stimulating future research lines on judo. In particular, coaches and physical trainers should consider to introduce judo fall techniques in their training plans to prevent fall-related injuries, especially relevant in the older population. Conversely, coaches are urged to carefully control weight cycling dietary habits of their athletes, which can produce serious metabolic responses on bones.

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Effect of Sportive Activity on Bone Mineral Density during Adolescence

Cited by 2 publications

References 17 publications

Osteoporosis in children and adolescents: how to treat and monitor?

Osteoporosis in children and adolescents: how to treat and monitor?

Effects of Judo Training on Bones: A Systematic Literature Review

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