Bone health among indoor female athletes and associated factors; a cross-sectional study

Res Sports Med. 2020 Jul-Sep;28(3):314-323. doi: 10.1080/15438627.2019.1696344. Epub 2019 Nov 25.

Abstract

This study aimed to compare the bone-mineral-density (BMD), vitamin-D (25(OH)D), serum-calcium and serum-phosphorus levels between female athletes engaged in weight-bearing and non-weight-bearing-sport, and to evaluate possible associations among studied variables. Study involved top-level female athletes (age: 16.9 ± 4.4 years) involved in non-weight-bearing- (swimming; n = 14)), and weight-bearing-sport (artistic gymnastic; n = 17). The variables included the BMD of left femoral neck (measured by dual-energy X-ray absorptiometry), 25-hydroxyvitamin D levels (25(OH)D), body height, body mass, body-mass-index, serum-phosphorus, and serum-calcium levels. Sufficiency for 25(OH)D (>75 nmol/L) was observed in 32.3% of the studied athletes (43% and 23% for swimmers and gymnasts, respectively). The studied athletes had appropriate BMD, with higher BMD in gymnasts compared to swimmers (1.24 ± 0.11 and 0.85 ± 0.09 g/cm2; t-test: 10.26, p < 0.01). Serum-phosphorus was higher in gymnasts (1.46 ± 0.17 and 1.27 ± 1.36 mmol/L, t-test: 2.78, p < 0.01. Serum-phosphorus levels were lower in athletes with 25(OH)D sufficiency (t-test: 2.31, p = 0.03). The 25(OH)D was not correlated to BMD (Pearson's r = -0.18, -0.14, -0.28, all p > 0.05, for total sample, gymnasts and swimmers, respectively). Although 25(OH)D was not correlated with BMD, in further investigations other assays of vitamin-D status (i.e. the bioavailability of the vitamin-D) should be included.

Keywords: 25-hydroxyvitamin D; Bone mass; calcium; correlation; non-weight bearing sports; phosphorus; weight bearing sports.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Athletes*
  • Bone Density*
  • Calcium / metabolism*
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Phosphorus / metabolism*
  • Sports / classification
  • Vitamin D / analogs & derivatives*
  • Vitamin D / metabolism
  • Weight-Bearing*
  • Young Adult

Substances

  • Vitamin D
  • Phosphorus
  • 25-hydroxyvitamin D
  • Calcium