Journal Article

Influence of Participation in High-Impact Sports during Adolescence and Adulthood on Bone Mineral Density in Middle-aged Men: A 27-Year Follow-up Study

Leen Van Langendonck, Johan Lefevre, Albrecht L. Claessens, Martine Thomis, Renaat Philippaerts, Katrien Delvaux, Roeland Lysens, Roland Renson, Bart Vanreusel, Bavo Vanden Eynde, Jan Dequeker and Gaston Beunen

in American Journal of Epidemiology

Published on behalf of Johns Hopkins Bloomberg School of Public Health

Volume 158, issue 6, pages 525-533
Published in print September 2003 | ISSN: 0002-9262
Published online September 2003 | e-ISSN: 1476-6256 | DOI: http://dx.doi.org/10.1093/aje/kwg170
Influence of Participation in High-Impact Sports during Adolescence and Adulthood on Bone Mineral Density in Middle-aged Men: A 27-Year Follow-up Study

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This study examined whether participation in high-impact sports during adolescence and adulthood contributes to bone health in males aged 40 years. Data were analyzed on 154 Belgian men aged 13 years at study onset in 1969 and aged 40 years at the end of the 27-year follow-up. In a second analysis, subjects were divided into three groups according to their sports participation history: participation during adolescence and adulthood in high-impact sports (HH; n = 18), participation during adolescence in high-impact sports and during adulthood in nonimpact sports or no sports (HN; n = 15), and participation during adolescence and adulthood in nonimpact sports or no sports (NN; n = 14). Body mass and impact loading during adulthood were significant predictors of total body bone mineral density (BMD) and lumbar spine BMD. Analysis of variance revealed significant differences for lumbar spine BMD between the HH (1.12 g/cm2) group and the HN (1.01 g/cm2) and NN (0.99 g/cm2) groups (F = 5.07, p = 0.01). Total body BMD was also higher in the HH group at age 40 years, but not significantly (F = 3.17, p = 0.0515). Covariance analyses for total body BMD and lumbar spine BMD, with body mass and time spent participating in sports as covariates, confirmed these results. Continued participation in impact sports is beneficial for the skeletal health of males aged 40 years.

Keywords: adolescence; bone density; densitometry, x-ray; exercise; follow-up studies; men; sports; Abbreviations: BMD, bone mineral density; DXA, dual-energy x-ray absorptiometry; HH, subjects participating during adolescence and adulthood in high-impact sports; HN, subjects participating during adolescence in high-impact sports and during adulthood in nonimpact sports or no sports; NN, subjects participating during adolescence and adulthood in nonimpact sports or no sports.

Journal Article.  6981 words. 

Subjects: Public Health and Epidemiology

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