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Bone Abstracts (2016) 5 P264 | DOI: 10.1530/boneabs.5.P264

Muscle, physical activity and bone

UK popular sports and hip differences on bone outcomes in adolescent male athletes: The PRO-BONE study

Dimitris Vlachopoulos1, Alan Barker1, Craig Williams1, Karen Knapp1, Brad Metcalf1, Sigurbjörn Arngrímsson2, Ioannis Fatouros3 & Luis Gracia-Marco1

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1University of Exeter, Exeter, UK; 2University of Iceland, Reykjavik, Iceland; 3University of Thessaly, Trikala, Greece.


Sports specific training may have different impact on bone outcomes, and adolescence is a key period to optimize bone health. The aim was to examine hip differences on bone outcomes between osteogenic (football) and non-osteogenic (swimming and cycling) sports in adolescent males.

One hundred twenty one males (13.1±0.1 years) volunteered to partake in this study that received ethics approval from the UK National Research Ethics Service. Participants included: 41 swimmers, 37 footballers, 29 cyclists and 14 age matched controls. Participants in the sport groups had engaged in sport-specific training for ≥3 hours/week for the last 3 years, while those in the control group did not engaged in these sports ≥3 hours/week. Bone mineral density (BMD) and bone mineral content (BMC) were determined at the hip sites using dual energy X-ray absorptiometry. Hip structural analysis software was used to obtain bone geometry parameters at the femoral neck. Results were adjusted for age, height, lean mass, calcium intake and physical activity.

Footballers had significantly higher BMD and BMC at total hip (10–23%), trochanter (13–20%), shaft (10–20%) and Ward’s triangle (13–28%) sites compared to all the other groups. Footballers’ BMD was also higher at femoral neck compared to the control group (19%). Footballers showed higher cross-sectional area compared to all the groups (9–19%), cross-sectional moment of inertia compared to controls (17%) and section modulus compared to cyclists (11%) and controls (21%). Hip strength index (HSI) was significantly higher in cyclists compared to controls (29%) and in footballers compared to swimmers (21%) and controls (38%). All results above were significant at P<0.05.

Adolescent male footballers have an enhanced osseous hip structure compared to the other groups at a clinically relevant site such as the hip. In addition, cyclists also had significantly higher HSI than controls.

Volume 5

43rd Annual European Calcified Tissue Society Congress

Rome, Italy
14 May 2016 - 17 May 2016

European Calcified Tissue Society 

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