Journal of Clinical Densitometry
Volume 10, Issue 1 , Pages 65-75 , January 2007

Bone Geometry, Density, and Strength Indices of the Distal Radius Reflect Loading via Childhood Gymnastic Activity

  • Jodi N. Dowthwaite

      Affiliations

    • Department of Orthopedic Surgery, State University of New York Upstate Medical University, Syracuse, NY
    • Corresponding Author InformationAddress correspondence to: Jodi N. Dowthwaite, PhD, Department of Orthopedic Surgery, State University of New York Upstate Medical University, 550 Harrison Street, Suite 128, Syracuse, NY 13202.
  • ,
  • Portia P.E. Flowers

      Affiliations

    • Department of Biomedical and Chemical Engineering, Syracuse University, Syracuse, NY
  • ,
  • Joseph A. Spadaro

      Affiliations

    • Department of Orthopedic Surgery, State University of New York Upstate Medical University, Syracuse, NY
  • ,
  • Tamara A. Scerpella

      Affiliations

    • Department of Orthopedic Surgery, State University of New York Upstate Medical University, Syracuse, NY

Received 5 September 2006 ,Revised 13 October 2006 ,Accepted 13 October 2006.

References 

  1. Haapasalo H, Kontulainen S, Sievänen H, Kannus P, Jarvinen M, Vuori I. Exercise-induced bone gain is due to enlargement in bone size without a change in volumetric bone density: a peripheral quantitative computed tomography study of the upper arms of male tennis players. Bone. 2000;27:351–357
  2. Duncan CS, Blimkie CJR, Kemp A, et al. Mid-femur geometry and biomechanical properties in 15- to 18-yr-old female athletes. Med Sci Sports Exerc. 2002;34:673–681
  3. Heinonen A, Sievänen H, Kannus P, Oja P, Vuori I. Site-specific skeletal response to long-term weight training seems to be attributable to principal loading modality: a pQCT study of female weightlifters. Calcif Tissue Int. 2002;70:469–474
  4. Kontulainen S, Sievänen H, Kannus P, Pasanen M, Vuori I. Effect of long-term impact-loading on mass, size, and estimated strength of humerus and radius of female racquet-sports players: a peripheral quantitative computed tomography study between young and old starters and controls. J Bone Miner Res. 2003;18:352–359
  5. Ducher G, Prouteau S, Courteix D, Benhamou C-L. Cortical and trabecular bone at the forearm show different adaptation patterns in response to tennis playing. J Clin Densitom. 2004;7:399–405
  6. Nikander R, Sievänen H, Heinonen A, Kannus P. Femoral neck structure in adult female athletes subjected to different loading modalities. J Bone Miner Res. 2005;20:520–528
  7. Nikander R, Sievänen H, Uusi-Rasi K, Heinonen A, Kannus P. Loading modalities and bone structures at nonweight-bearing upper extremity and weight-bearing lower extremity: a pQCT study of adult female athletes. Bone. 2006;39(4):886–894
  8. Dyson K, Blimkie CJR, Davison KS, Webber CE, Adachi JD. Gymnastic training and bone density in pre-adolescent females. Med Sci Sports Exerc. 1997;29:443–450
  9. Faulkner RA, Forwood MR, Beck TJ, Mafukidze JC, Russell K, Wallace W. Strength indices of the proximal femur and shaft in prepubertal female gymnasts. Med Sci Sports Exerc. 2003;35:513–518
  10. Nanyan P, Prouteau S, Jaffre C, Benhamou L, Courteix D. Thicker radial cortex in physically active prepubertal girls compared to controls. Int J Sports Med. 2005;26:110–115
  11. Ward KA, Roberts SA, Adams JE, Mughal MZ. Bone geometry and density in the skeleton of pre-pubertal gymnasts and school children. Bone. 2005;36:1012–1018
  12. Bass SL, Saxon L, Daly RM, et al. The effect of mechanical loading on the size and shape of bone in pre-, peri-, and post-pubertal girls: a study in tennis players. J Bone Miner Res. 2002;17:2274–2280
  13. Sievänen H, Kannus P, Nieminen V, Heinonen A, Oja P, Vuori I. Estimation of various mechanical characteristics of human bones using dual energy x-ray absorptiometry: methodology and precision. Bone. 1996;18:17S–27S
  14. Cole JH, Scerpella TA, van der Meulen MCH. Fan-beam densitometry of the growing skeleton: are we measuring what we think we are?. J Clin Densitom. 2005;8:57–64
  15. Dowthwaite JN, DiStefano JG, Ploutz-Snyder RJ, Kanaley JA, Scerpella TA. Maturation and activity-related differences in bone mineral density: tanner I vs. tanner II and gymnasts vs. non-gymnasts. Bone. 2006;39(4):895–900
  16. Scerpella TA, Davenport M, Morganti CM, Kanaley JA, Johnson LM. Dose related association of impact activity and bone mineral density in pre-pubertal girls. Calcif Tissue Int. 2003;72:24–31
  17. Gero N, Cole J, Kanaley J, van der Meulen J, Scerpella T. Increased bone accrual in premenarcheal gymnasts: a longitudinal study. Ped Exerc Sci. 2005;17:43–55
  18. Nurmi-Lawton JA, Baxter-Jones AS, Mirwald RL, et al. Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res. 2004;19:314–322
  19. Bass S, Pearce G, Bradney M, et al. Exercise before puberty may confer residual benefits in bone density in adulthood: studies in active prepubertal and retired female gymnasts. J Bone Miner Res. 1998;13:500–507
  20. Kudlac J, Nichols DL, Sanborn CF, DiMarco NM. Impact of detraining on bone loss in former collegiate female gymnasts. Calcif Tissue Int. 2004;75:482–487
  21. Rauch F, Schönau E. Peripheral quantitative computed tomography of the distal radius in young subjects- new reference data and interpretation of results. J Musculoskelet Neuronal Interact. 2005;5(2):119–126
  22. Schoenau E, Neu CM, Rauch F, Manz F. Gender-specific pubertal changes in volumetric cortical bone mineral density at the proximal radius. Bone. 2002;31:110–113
  23. Petit MA, Beck TJ, Kontulainen SA. Examining the developing bone: what do we measure and how do we do it?. J Musculoskelet Neuronal Interact. 2005;5:213–224
  24. Rauch F, Neu C, Manz F, Schoenau E. The development of metaphyseal cortex—implications for distal radius fractures during growth. J Bone Miner Res. 2001;16:1547–1555
  25. Ruff C. Growth tracking of femoral and humeral strength from infancy through late adolescence. Acta Paediatr. 2005;94:1030–1037
  26. Schoenau E, Neu CM, Rauch F, Manz F. The development of bone strength at the proximal radius during childhood and adolescence. J Clin Endocrinol Metab. 2001;86:613–618
  27. Fournier P-E, Rizzoli R, Slosman D-O, Theintz G, Bonjour J-P. “Asynchrony” between the rates of standing height gain and bone mass accumulation during puberty. Osteoporos Int. 1997;7:525–532
  28. McKay HA, Bailey DA, Mirwald RL, Davison KS, Faulkner RA. Peak bone mineral accrual and age at menarche in adolescent girls: a 6-year longitudinal study. J Pediatr. 1998;133:682–687
  29. Rauch F, Bailey DA, Baxter-Jones A, Mirwald R, Faulkner R. The 'muscle-bone unit' during the pubertal growth spurt. Bone. 2004;34:771–775
  30. MacDonald H, Kontulainen S, Petit M, Janssen P, McKay H. Bone strength and its determinants in pre- and early pubertal boys and girls. Bone. 2006;39(3):598–608
  31. Bass SL. The structural adaptations of cortical bone to loading during different stages of maturation. J Musculoskelet Neuronal Interact. 2003;3:345–347
  32. Khosla S, Riggs BL, Atkinson EJ, et al. Effects of sex and age on bone microstructure at the ultradistal radius: a population-based noninvasive in vivo assessment. J Bone Miner Res. 2006;21:124–131

PII: S1094-6950(06)00294-0

doi: 10.1016/j.jocd.2006.10.003

Journal of Clinical Densitometry
Volume 10, Issue 1 , Pages 65-75 , January 2007