Skip to main content
Top
Published in: Journal of the International Society of Sports Nutrition 1/2012

Open Access 01-12-2012 | Research article

Bone mineral density in elite adolescent female figure skaters

Authors: Kathy Prelack, Johanna Dwyer, Paula Ziegler, Joseph J Kehayias

Published in: Journal of the International Society of Sports Nutrition | Issue 1/2012

Login to get access

Abstract

Abstract

Elite adolescent figure skaters must accommodate both the physical demands of competitive training and the accelerated rate of bone growth that is associated with adolescence, in this sport that emphasizes leanness. Although, these athletes apparently have sufficient osteogenic stimuli to mitigate the effects of possible low energy availability on bone health, the extent or magnitude of bone accrual also varies with training effects, which differ among skater disciplines.

Purpose

We studied differences in total and regional bone mineral density in 36 nationally ranked skaters among 3 skater disciplines: single, pairs, and dancers.

Methods

Bone mineral density (BMD) of the total body and its regions was measured by dual energy x-ray absorptiometry (DXA). Values for total body, spine, pelvis and leg were entered into a statistical mixed regression model to identify the effect of skater discipline on bone mineralization while controlling for energy, vitamin D, and calcium intake.

Results

The skaters had a mean body mass index of 19.8 ± 2.1 and % fat mass of 19.2 ± 5.8. After controlling for dietary intakes of energy, calcium, and vitamin D, there was a significant relationship between skater discipline and BMD (p = 0.002), with single skaters having greater BMD in the total body, legs, and pelvis than ice dancers (p < 0.001). Pair skaters had greater pelvic BMD than ice dancers (p = 0.001).

Conclusions

Single and pair skaters have greater BMD than ice dancers. The osteogenic effect of physical training is most apparent in single skaters, particularly in the bone loading sites of the leg and pelvis.
Appendix
Available only for authorised users
Literature
1.
go back to reference Slemenda CW, Johnston CC: High intensity activities in young women: site specific bone mass effects among female figure skaters. Bone Miner. 1993, 20: 125-132. 10.1016/S0169-6009(08)80021-9.CrossRefPubMed Slemenda CW, Johnston CC: High intensity activities in young women: site specific bone mass effects among female figure skaters. Bone Miner. 1993, 20: 125-132. 10.1016/S0169-6009(08)80021-9.CrossRefPubMed
2.
go back to reference Oleson CV, Busconi BD, Baran DT: Bone density in competitive figure skaters. Arch Phys Med Rehabil. 2002, 83: 122-128. 10.1053/apmr.2002.26246.CrossRefPubMed Oleson CV, Busconi BD, Baran DT: Bone density in competitive figure skaters. Arch Phys Med Rehabil. 2002, 83: 122-128. 10.1053/apmr.2002.26246.CrossRefPubMed
3.
4.
go back to reference Ziegler PJ, Kannan S, Jonnalagadda SS, Krishnakumar A, Taksali SE, Nelson JA: Dietary intake, body image perceptions, and weight concerns of female US International Synchronized Figure Skating Teams. Int J Sport Nutr Exerc Metab. 2005, 15: 550-566.PubMed Ziegler PJ, Kannan S, Jonnalagadda SS, Krishnakumar A, Taksali SE, Nelson JA: Dietary intake, body image perceptions, and weight concerns of female US International Synchronized Figure Skating Teams. Int J Sport Nutr Exerc Metab. 2005, 15: 550-566.PubMed
5.
go back to reference Greydanus DE, Omar H, Pratt HD: The adolescent female athlete: current concepts and conundrums. Pediatr Clin North Am. 2010, 57: 697-718. 10.1016/j.pcl.2010.02.005.CrossRefPubMed Greydanus DE, Omar H, Pratt HD: The adolescent female athlete: current concepts and conundrums. Pediatr Clin North Am. 2010, 57: 697-718. 10.1016/j.pcl.2010.02.005.CrossRefPubMed
6.
go back to reference Johannsen N, Binkley T, Englert V, Neiderauer G, Specker B: Bone response to jumping is site-specific in children: a randomized trial. Bone. 2003, 33: 533-539. 10.1016/S8756-3282(03)00220-5.CrossRefPubMed Johannsen N, Binkley T, Englert V, Neiderauer G, Specker B: Bone response to jumping is site-specific in children: a randomized trial. Bone. 2003, 33: 533-539. 10.1016/S8756-3282(03)00220-5.CrossRefPubMed
7.
go back to reference Wright JD, Wang CY, Kennedy-Stephenson J: Dietary intake of ten key nutrients for public health, United States: 1999-2000. Adv Data. 2003, 334: 1-4.PubMed Wright JD, Wang CY, Kennedy-Stephenson J: Dietary intake of ten key nutrients for public health, United States: 1999-2000. Adv Data. 2003, 334: 1-4.PubMed
8.
go back to reference Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. J Am Diet Assoc. 2009, 109: 509-527.CrossRef Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. J Am Diet Assoc. 2009, 109: 509-527.CrossRef
10.
go back to reference Ziegler P, Hensley S, Roepke JB, Whitaker SH, Craig BW, Drewnowski A: Eating attitudes and energy intakes of female skaters. Med Sci Sports Exerc. 1998, 30: 583-586. 10.1097/00005768-199804000-00017.CrossRefPubMed Ziegler P, Hensley S, Roepke JB, Whitaker SH, Craig BW, Drewnowski A: Eating attitudes and energy intakes of female skaters. Med Sci Sports Exerc. 1998, 30: 583-586. 10.1097/00005768-199804000-00017.CrossRefPubMed
11.
go back to reference Ziegler P, Nelson JA, Barratt-Fornell A, Fiveash L, Drewnowski A: Energy and macronutrient intakes of elite figure skaters. J Am Diet Assoc. 2001, 101: 319-325. 10.1016/S0002-8223(01)00083-9.CrossRefPubMed Ziegler P, Nelson JA, Barratt-Fornell A, Fiveash L, Drewnowski A: Energy and macronutrient intakes of elite figure skaters. J Am Diet Assoc. 2001, 101: 319-325. 10.1016/S0002-8223(01)00083-9.CrossRefPubMed
12.
go back to reference Ziegler P, Sharp R, Hughes V, Evans W, Khoo CS: Nutritional status of teenage female competitive figure skaters. J Am Diet Assoc. 2002, 102: 374-379. 10.1016/S0002-8223(02)90086-6.CrossRefPubMed Ziegler P, Sharp R, Hughes V, Evans W, Khoo CS: Nutritional status of teenage female competitive figure skaters. J Am Diet Assoc. 2002, 102: 374-379. 10.1016/S0002-8223(02)90086-6.CrossRefPubMed
13.
go back to reference Kanis JA, Melton LJ, Christiansen C, Johnston CC, Khaltaev N: The diagnosis of osteoporosis. J Bone Miner Res. 1994, 9: 1137-1141.CrossRefPubMed Kanis JA, Melton LJ, Christiansen C, Johnston CC, Khaltaev N: The diagnosis of osteoporosis. J Bone Miner Res. 1994, 9: 1137-1141.CrossRefPubMed
14.
go back to reference Writing Group for the ISCD Position Development Conference: Diagnosis of osteoporosis in men, premenopausal women, and children. J Clin Densitom. 2004, 7: 17-26. 10.1385/JCD:7:1:17.CrossRef Writing Group for the ISCD Position Development Conference: Diagnosis of osteoporosis in men, premenopausal women, and children. J Clin Densitom. 2004, 7: 17-26. 10.1385/JCD:7:1:17.CrossRef
15.
go back to reference Nattiv A, Loucks AB, Manore MM, et al: American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc. 2007, 39: 1867-1882. 10.1249/mss.0b013e318149f111.CrossRefPubMed Nattiv A, Loucks AB, Manore MM, et al: American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc. 2007, 39: 1867-1882. 10.1249/mss.0b013e318149f111.CrossRefPubMed
16.
go back to reference Economos CD, Bortz SS, Nelson ME: Nutritional practices of elite athletes. practical recommendations. Sports Med. 1993, 16: 381-399. 10.2165/00007256-199316060-00004.CrossRefPubMed Economos CD, Bortz SS, Nelson ME: Nutritional practices of elite athletes. practical recommendations. Sports Med. 1993, 16: 381-399. 10.2165/00007256-199316060-00004.CrossRefPubMed
17.
go back to reference Greydanus DE, Patel DR: The female athlete. Before and beyond puberty. Pediatr Clin North Am. 2002, 49: 553-580. 10.1016/S0031-3955(02)00005-6. vi.CrossRefPubMed Greydanus DE, Patel DR: The female athlete. Before and beyond puberty. Pediatr Clin North Am. 2002, 49: 553-580. 10.1016/S0031-3955(02)00005-6. vi.CrossRefPubMed
18.
go back to reference Carbuhn AF, Fernandez TE, Bragg AF, Green JS, Crouse SF: Sport and training influence bone and body composition in women collegiate athletes. J Strength Cond Res. 2010, 24: 1710-1717. 10.1519/JSC.0b013e3181d09eb3.CrossRefPubMed Carbuhn AF, Fernandez TE, Bragg AF, Green JS, Crouse SF: Sport and training influence bone and body composition in women collegiate athletes. J Strength Cond Res. 2010, 24: 1710-1717. 10.1519/JSC.0b013e3181d09eb3.CrossRefPubMed
19.
go back to reference Hoch AZ, Pajewski NM, Moraski L, et al: Prevalence of the female athlete triad in high school athletes and sedentary students. Clin J Sport Med. 2009, 19: 421-428. 10.1097/JSM.0b013e3181b8c136.CrossRefPubMed Hoch AZ, Pajewski NM, Moraski L, et al: Prevalence of the female athlete triad in high school athletes and sedentary students. Clin J Sport Med. 2009, 19: 421-428. 10.1097/JSM.0b013e3181b8c136.CrossRefPubMed
20.
go back to reference Webster BL, Barr SI: Body composition analysis of female adolescent athletes: comparing six regression equations. Med Sci Sports Exerc. 1993, 25: 648-653.PubMed Webster BL, Barr SI: Body composition analysis of female adolescent athletes: comparing six regression equations. Med Sci Sports Exerc. 1993, 25: 648-653.PubMed
21.
go back to reference Moon JR, Eckerson JM, Tobkin SE, et al: Estimating body fat in NCAA Division I female athletes: a five-compartment model validation of laboratory methods. Eur J Appl Physiol. 2009, 105: 119-130. 10.1007/s00421-008-0881-9.CrossRefPubMed Moon JR, Eckerson JM, Tobkin SE, et al: Estimating body fat in NCAA Division I female athletes: a five-compartment model validation of laboratory methods. Eur J Appl Physiol. 2009, 105: 119-130. 10.1007/s00421-008-0881-9.CrossRefPubMed
22.
go back to reference Madsen KL, Adams WC, Van Loan MD: Effects of physical activity, body weight and composition, and muscular strength on bone density in young women. Med Sci Sports Exerc. 1998, 30: 114-120.CrossRefPubMed Madsen KL, Adams WC, Van Loan MD: Effects of physical activity, body weight and composition, and muscular strength on bone density in young women. Med Sci Sports Exerc. 1998, 30: 114-120.CrossRefPubMed
23.
go back to reference Sparling PB, Snow TK, Rosskopf LB, O'Donnell EM, Freedson PS, Byrnes WC: Bone mineral density and body composition of the United States Olympic women's field hockey team. Br J Sports Med. 1998, 32: 315-318. 10.1136/bjsm.32.4.315.CrossRefPubMed Sparling PB, Snow TK, Rosskopf LB, O'Donnell EM, Freedson PS, Byrnes WC: Bone mineral density and body composition of the United States Olympic women's field hockey team. Br J Sports Med. 1998, 32: 315-318. 10.1136/bjsm.32.4.315.CrossRefPubMed
24.
go back to reference Pettersson U, Nordstrom P, Alfredson H, Henriksson-Larsen K, Lorentzon R: Effect of high impact activity on bone mass and size in adolescent females: A comparative study between two different types of sports. Calcif Tissue Int. 2000, 67: 207-214. 10.1007/s002230001131.CrossRefPubMed Pettersson U, Nordstrom P, Alfredson H, Henriksson-Larsen K, Lorentzon R: Effect of high impact activity on bone mass and size in adolescent females: A comparative study between two different types of sports. Calcif Tissue Int. 2000, 67: 207-214. 10.1007/s002230001131.CrossRefPubMed
25.
go back to reference Soriano JM, Ioannidou E, Wang J, et al: Pencil-beam vs fan-beam dual-energy X-ray absorptiometry comparisons across four systems: body composition and bone mineral. J Clin Densitom. 2004, 7: 281-289. 10.1385/JCD:7:3:281.CrossRefPubMed Soriano JM, Ioannidou E, Wang J, et al: Pencil-beam vs fan-beam dual-energy X-ray absorptiometry comparisons across four systems: body composition and bone mineral. J Clin Densitom. 2004, 7: 281-289. 10.1385/JCD:7:3:281.CrossRefPubMed
Metadata
Title
Bone mineral density in elite adolescent female figure skaters
Authors
Kathy Prelack
Johanna Dwyer
Paula Ziegler
Joseph J Kehayias
Publication date
01-12-2012
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1550-2783-9-57

Other articles of this Issue 1/2012

Journal of the International Society of Sports Nutrition 1/2012 Go to the issue