The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study

KANBUR, Nuray; AKGÜL, SİNEM; CİNEMRE, ŞÜKRÜ ALPAN; KARABULUT, Erdem; DERMAN, Orhan

The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study

Sinem AKGÜL, (Hacettepe Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Nuray KANBUR, (Hacettepe Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Şükrü Alpan CİNEMRE, (Hacettepe Üniversitesi, Spor Bilimleri ve Teknoloji Yüksek Okulu, Ankara, Türkiye)

Erdem KARABULUT, (Hacettepe Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Ankara, Türkiye)

Orhan DERMAN (Hacettepe Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

1 0

Yıl: 2015 Cilt: 45 Sayı: 4 Sayfa Aralığı: 827 - 832 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study

Öz:

Background/aim: Physical activity plays a key role in increasing and preserving bone mineral density (BMD). Effects on bonedevelopment associated with various nonweight-bearing sporting activities, such as swimming, are controversial. Different strokes usedin swimming may also present as another factor. The aim of this study was to evaluate the effect of swimming and type of stroke onBMD in competitive adolescent athletes. Materials and methods: Seventy-nine swimmers between the ages of 10 and 21 years participated in this study. BMD was measuredwith dual-energy X-ray absorptiometry at the lumbar vertebrae and left proximal femur. Daily calorie intake and calcium consumption,and measurements of calcium, phosphorus, alkaline phosphates, 25-hydroxyvitamin D (25(OH) D), and osteocalcin were evaluated. Results: Preliminary results revealed that the type of stroke had no effect on BMD (P = 0.79). Additionally competitive swimmers didnot have augmented bone mineral accretion, and in 13.9% of athletes low BMD was confirmed. Sixty percent of swimmers had eitherdeficient or insufficient 25(OH) D levels and a low mean calorie (P = 0.542) and calcium (P = 0.038) intake was observed. Conclusion: This was the first study to evaluate the effect of swimming stroke on BMD. Although no effect was statistically shown,further studies with a larger series may determine this effect.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Heaney R, Abrams S, Dawson-Hughes B, Looker A, Marcus R, Matkovic V, Weaver C. Peak bone mass. Osteoporos Int 2000; 11: 9851009.
2. Saggese G, Baroncelli G, Bertelloni S. Osteoporosis in children and adolescents: diagnosis, risk factors, and prevention. J Pediatr Endocrinol Metab 2001; 14: 833860.
3. Bianchi ML. Osteoporosis in children and adolescents. Bone 2007; 41: 486495.
4. Kanis J. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporos Int 1994; 4: 368381.
5. Rauch F, Plotkin H, DiMeglio L, Engelbert RH, Henderson RC, Munns C, Wenkert D, Zeitler P. Fracture prediction and the definition of osteoporosis in children and adolescents: the ISCD 2007 Pediatric Official Positions. J Clin Densitom 2008; 1: 2228.
6. Baim S, Leonard MB, Bianchi M-L, Hans DB, Kalkwarf HJ, Langman CB, Rauch F. Official positions of the International Society for Clinical Densitometry and executive summary of the 2007 ISCD Pediatric Position Development Conference. J Clin Densitom 2008; 11: 621.
7. Bachrach LK, Sills IN. Bone densitometry in children and adolescents. Pediatrics 2011; 127: 189194.
8. Fehling P, Alekel L, Clasey J, Rector A, Stillman R. A comparison of bone mineral densities among female athletes in impact loading and active loading sports. Bone 1995; 17: 205210.
9. Barbosa TM, Marinho DA, Costa MJ, Silva AJ. Biomechanics of Competitive Swimming Strokes. In: Vaclav Klika, editor. Biomechanics in Applications. Rijeka, Croatia: In Tech; 2011. pp. 367388.
10. Tanner JM. Growth at Adolescence. 2nd ed. Boston, MA, USA: Blackwell Sci; 1962.
11. Greulich WW, Pyle SI. Radiographic Atlas of Skeletal Development of the Hand and Wrist. Redwood, CA, USA: Stanford University Press; 1959.
12. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011; 96: 19111930.
13. Sanders R, Thow J, Fairweather M. Asymmetries in swimming: where do they come from? J Swimming Research 2011; 18: 111.
14. Maglischo EW. Swimming fastest. Champaign, IL, USA: Human Kinetics Publishers; 2003.
15. Cassell C, Benedict M, Specker B. Bone mineral density in elite 7- to 9-yr-old female gymnasts and swimmers. Med Sci Sports Exerc 1996; 28: 12431246.
16. Derman O, Cinemre A, Kanbur N, Doğan M, Kılıç M, Karaduman E. Effect of swimming on bone metabolism in adolescents. Turk J Pediatr 2008; 50: 149154.
17. Harumia Y TS, Satoru Y. The relationship between swimming exercise and bone density. A cohort study among middle aged women. Dokkyo J Med Sc 2000; 27: 105111.
18. Swissa-Sivan A, Simkin A, Leichter I, Nyska A, Nyska M, Statter M, Bivas A, Menczel J, Samueloff. Effect of swimming on bone growth and development in young rats. Bone and Miner 1989; 7: 91105.
19. Simkin A, Leichter I, Swissa A, Samueloff S. The effect of swimming activity on bone architecture in growing rats. J Biomech 1989; 22: 845851.
20. Bellew JW, Gehrig L. A comparison of bone mineral density in adolescent female swimmers, soccer players, and weight lifters. Pediatr Phys Ther 2006; 8: 1922.
21. Nichols JF, Palmer JE, Levy SS. Low bone mineral density in highly trained male master cyclists. Osteoporos Int 2003; 14: 644649.
22. 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: 507511.
23. Courteix D, Lespessailles E, Peres SL, Obert P, Germain P, Benhamou C. Effect of physical training on bone mineral density in prepubertal girls: a comparative study between impact-loading and non-impact-loading sports. Osteoporos Int 1998; 8: 152158.
24. Grimston SK, Willows ND, Hanley DA. Mechanical loading regime and its relationship to bone mineral density in children. Med Sci Sports Exerc 1993; 25: 12031210.
25. Risser WL, Lee EJ, LeBlanc A, Poindexter HB, Risser JM, Schneider V. Bone density in eumenorrheic female college athletes. Med Sci Sports Exerc 1990; 22: 570574.
26. Mazess RB, Whedon GD. Immobilization and bone. Calcif Tissue Int 1983; 35: 265267.
27. Gordon R: A Shorter Guide to Long Term Athlete Development. London, UK: Amateur Swimming Association; 2010.
28. Hatun S, Islam Ö, Cizmecioglu F, Kara B, Babaoglu K, Berk F, Gökalp AS. Subclinical vitamin D deficiency is increased in adolescent girls who wear concealing clothing. J Nutr 2005; 135: 218222.
29. Cromer B, Harel Z. Adolescents: at increased risk for osteoporosis? Clin Pediatr 2000; 39: 565574.

APA	AKGÜL S, KANBUR N, CİNEMRE Ş, KARABULUT E, DERMAN O (2015). The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. , 827 - 832.
Chicago	AKGÜL SİNEM,KANBUR Nuray,CİNEMRE ŞÜKRÜ ALPAN,KARABULUT Erdem,DERMAN Orhan The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. (2015): 827 - 832.
MLA	AKGÜL SİNEM,KANBUR Nuray,CİNEMRE ŞÜKRÜ ALPAN,KARABULUT Erdem,DERMAN Orhan The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. , 2015, ss.827 - 832.
AMA	AKGÜL S,KANBUR N,CİNEMRE Ş,KARABULUT E,DERMAN O The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. . 2015; 827 - 832.
Vancouver	AKGÜL S,KANBUR N,CİNEMRE Ş,KARABULUT E,DERMAN O The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. . 2015; 827 - 832.
IEEE	AKGÜL S,KANBUR N,CİNEMRE Ş,KARABULUT E,DERMAN O "The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study." , ss.827 - 832, 2015.
ISNAD	AKGÜL, SİNEM vd. "The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study". (2015), 827-832.

APA	AKGÜL S, KANBUR N, CİNEMRE Ş, KARABULUT E, DERMAN O (2015). The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. Turkish Journal of Medical Sciences, 45(4), 827 - 832.
Chicago	AKGÜL SİNEM,KANBUR Nuray,CİNEMRE ŞÜKRÜ ALPAN,KARABULUT Erdem,DERMAN Orhan The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. Turkish Journal of Medical Sciences 45, no.4 (2015): 827 - 832.
MLA	AKGÜL SİNEM,KANBUR Nuray,CİNEMRE ŞÜKRÜ ALPAN,KARABULUT Erdem,DERMAN Orhan The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. Turkish Journal of Medical Sciences, vol.45, no.4, 2015, ss.827 - 832.
AMA	AKGÜL S,KANBUR N,CİNEMRE Ş,KARABULUT E,DERMAN O The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. Turkish Journal of Medical Sciences. 2015; 45(4): 827 - 832.
Vancouver	AKGÜL S,KANBUR N,CİNEMRE Ş,KARABULUT E,DERMAN O The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study. Turkish Journal of Medical Sciences. 2015; 45(4): 827 - 832.
IEEE	AKGÜL S,KANBUR N,CİNEMRE Ş,KARABULUT E,DERMAN O "The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study." Turkish Journal of Medical Sciences, 45, ss.827 - 832, 2015.
ISNAD	AKGÜL, SİNEM vd. "The effect of swimming and type of stroke on bone metabolism in competitive adolescent swimmers: a pilot study". Turkish Journal of Medical Sciences 45/4 (2015), 827-832.