Handball practice on bone health of female adolescents: evaluation of an eight-month competitive period

Authors

DOI:

https://doi.org/10.12820/Rbafs.24e0075

Keywords:

Sport, Adolescent, DXA, Bone density, Longitudinal study

Abstract

A strategy to prevent bone loss diseases (i.e., osteoporosis) would be to enhance the increase of bone mass during childhood and adolescence. The purpose of this study was to compare bone mineral density (BMD) and bone mineral content (BMC) between female adolescent handball players and peers who did not play (control group), and to assess the changes in BMD and BMC after eight-months of competitive period. Fifty-eight female adolescents (12–17 years old) were allocated into two groups: handball players (HG: n = 27) and control group (CG: n = 31). BMC and BMD were measured using dual-energy X-ray absorptiometry, and z-scores were calculated. Sexual maturity, menarche, peak height velocity (PHV), sun exposure and calcium intake were assessed. At baseline, the handball players showed greater BMC and BMD than control group (p < 0.05). These differences between groups disappeared after adjusting for weight, BMI, menarche and lean soft tissue. After competitive period, significant time-effects for BMC and BMD of total TBLH and lumbar spine (p < 0.01) were observed in the handball players. HG increased BMC and BMD of total body and lumbar spine after eight-month. The Z-score analysis showed significant group effects with greater BMD of total body, lumbar spine, femur and hip than control group.  The results showed that after eight-month competitive handball period, there was an increase in BMD of total body for handball players.

Downloads

Download data is not yet available.

References

Frost HM, Schonau E. The "muscle-bone unit" in children and adolescents: a 2000 overview. J Pediatr Endocrinol Metab. 2000;13(6):571-90.

Matkovic V, Jelic T, Wardlaw GM, Ilich JZ, Goel PK, Wright JK, et al. Timing of peak bone mass in caucasian females and its implication for the prevention of osteoporosis. Inference from a cross-sectional model. J Clin Invest. 1994;93(2):799-808.

Bailey CA, Brooke-Wavell K. Exercise for optimising peak bone mass in women. Proc Nutr Soc. 2008;67(1):9-18.

Krahenbühl T, Goncalves EM, Costa ET, Barros-Filho AA. Factors that influence bone mass of healthy children and adolescents measured by quantitative ultrasound at the hand phalanges: a systematic review. Rev Paul Pediatr. 2014;32(3):266-72.

Andreoli A, Monteleone M, Van Loan M, Promenzio L, Tarantino U, De Lorenzo A. Effects of different sports on bone density and muscle mass in highly trained athletes. Med Sci Sports Exerc. 2001;33(4):507-11.

Alfredson H, Nordström P, Pietilä T, Lorentzon R. Long-term loading and regional bone mass of the arm in female volleyball players. Calcif Tissue Int. 1998;62(4):303-8.

Cornwall MW. Biomechanics of noncontractile tissue. A review. Phys Ther. 1984;64(12):869-1873.

Tenforde AS, Fredericson M. Influence of sports participation on bone health in the young athlete: a review of the literature. PM&R. 2011;3(9):861-7.

Silva CC, Goldberg TB, Teixeira AS, Dalmas JC. The impact of different types of physical activity on total and regional bone mineral density in young Brazilian athletes. J Sports Sci. 2011;29(3):227-34.

Ubago-Guisado E, Gomez-Cabello A, Sanchez-Sanchez J, García-Unanue J, Gallardo L. Influence of different sports on bone mass in growing girls. J Sports Sci. 2015;33(16):1710-8.

Maimoun L, Sultan C. Effects of physical activity on bone remodeling. Metab Clin Exp. 2011;60(3):373-88.

Maimoun L, Coste O, Philibert P, Briot K, Mura T, Galtier F, et al. Peripubertal female athletes in high-impact sports show improved bone mass acquisition and bone geometry. Metabolism. 2013;62(8):1088-98.

Burt LA, Ducher G, Naughton GA, Courteix D, Greene DA. Gymnastics participation is associated with skeletal benefits in the distal forearm: a 6-month study using peripheral quantitative computed tomography. J Musculoskelet Neuronal Interact. 2013;13(4):395-404.

Heinonen A, Sievänen H, Kannus P, Oja P, Pasanen M, Vuori I. High-impact exercise and bones of growing girls: a 9-month controlled trial. Osteoporos Int. 2000;11(12):1010-7.

Vicente-Rodriguez G, Dorado C, Perez-Gomez J, Gonzalez-Henriquez JJ, Calbet JAL. Enhanced bone mass and physical fitness in young female handball players. Bone. 2014;35(5):1208-15.

Mrabet Bahri D, Selmi A, Abdelkefi M, Mbarek M, Sahli H, Sellami S. Study of bone mineral density in adolescent handball players: a study of 20 cases. Tunis Med. 2013;91(11):633-7.

Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969;44(235):291-303.

Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Developmentof a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7.

Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc.2002;34(4):689-94.

Theintz G, Buchs B, Rizzoli R, Slosman D, Clavien H, Sizonenko PC, Bonjour JP. Longitudinal monitoring of bone mass accumulation in healthy adolescents: evidence for a marked reduction after 16 years of age at the levels of lumbar spine and femoral neck in female subjects. J Clin Endocrinol Metab. 1992;75(4):1060-5.

Bacharach LK, Gordon CM. Bone densitometry in children and adolescents. Pediatrics. 2016;138(4):e20162398.

Krahenbuhl T, Gonçalves EM, Guimarães RDF, Guerra-Júnior G, Barros-Filho ADA. Competitive swimming and handball participation have a positive influence on bone parameters as assessed by phalangeal quantitative ultrasound in female adolescents. Pediatr Exerc Sci. 2016;28(3):423-30.

Krahenbühl T, Borges JH, Barros Filho ADA, Guerra-Junior G, Gonçalves EM. Assessment of bone mineral density in young female handball players. Rev Bras Cineantropom Desempenho Hum. 2018; 20(1):102-13.

Boshnjaku A, Dimauro I, Krasniqi E, Grazioli E, Tschan H, Migliaccio S, et al. Effect of sport training on forearm bone sites in female handball and soccer players. J Sports Med Phys Fitness. 2016;56(12):1503-10

Crabtree NJ, Arabi A, Bachrach LK, Fewtrell M, Fuleihan GEH, Kecskemethy HH, et al. Dual-energy X-ray absorptiometry interpretation and reporting in children and adolescents: the revised 2013 ISCD Pediatric Official Positions. J Clin Densitom. 2014;17(2):225-42.

Behringer M, Gruetzner S, McCourt M, Mester J. Effects of weight-bearing activities on bone mineral content and density in children and adolescents: A meta-analysis. J Bone Miner Res. 2014;29(2):467-78.

Ferry B, Duclos M, Burt L, Therre P, Le Gall F, Jaffré C, et al. Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. J Bone Miner Metab. 2011;29(3):342-51.

Mesquita WG, Fonseca RMC, França NM. Influência do voleibol na densidade mineral óssea de adolescentes do sexo feminino. Rev Bras Med Esp. 2008;14:500-3.

Ferry B, Lespessailles E, Rochcongar P, Duclos M, Courteix D. Bone health during late adolescence: effects of an 8-month training program on bone geometry in female athletes. Joint Bone Spine. 2013;80(1):57-63.

Lynch KR, Kemper HC, Turi-Lynch B, Agostinete RR, Ito IH, Luiz-De-Marco R, Rodrigues-Junior MA, Fernandes RA. 2016 Impact sports and bone fractures among adolescents. J Sports Sci. 2017;35(24), 2421-6.

Downloads

Published

2019-09-26

How to Cite

1.
Krahenbühl T, Borges JH, Guerra-Júnior G, Barros Filho A de A, Gonçalves EM. Handball practice on bone health of female adolescents: evaluation of an eight-month competitive period. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2019 Sep. 26 [cited 2024 Jul. 3];24:1-8. Available from: https://rbafs.org.br/RBAFS/article/view/13965

Issue

Section

Original Articles