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Published in: Sports Medicine 9/2006

01-09-2006 | Leading Article

Adaptive Skeletal Responses to Mechanical Loading during Adolescence

Authors: Dr David A. Greene, Geraldine A. Naughton

Published in: Sports Medicine | Issue 9/2006

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Abstract

Adolescence, defined as the period between puberty and maturity, provides a window of opportunity for positive skeletal adaptations to mechanical loading unlike any other period in life. Age-related bone loss highlights the importance of accumulating sufficient bone mass during formative years. Adolescents who regularly engage in weight-bearing mechanical loading appear advantaged in site-specific markers of bone mass. The positive influence of physical activity on bone mineral accrual during growth has been extensively studied; however, few studies have examined skeletal responses to mechanical loading during adolescence. Weight-bearing physical activity, particularly high-impact sports such as gymnastics, is recognised as being more osteogenic than weight-supported activities. Unilateral loading activities such as tennis or squash provide a direct comparison of skeletal response without sampling bias or genetic confounding. Intervention and longitudinal studies show evidence of positive skeletal adaptations; however, sustainability of skeletal advantages remains unclear. Limitations inherent with single-plane dual x-ray absorptiometry technology are well recognised. The integration of densitometric data with structural responses to mechanical loading using 3-dimensional imaging technologies such as peripheral quantitative computed tomography and magnetic resonance imaging appears vital to enhancing our understanding of adolescent musculoskeletal health.
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Metadata
Title
Adaptive Skeletal Responses to Mechanical Loading during Adolescence
Authors
Dr David A. Greene
Geraldine A. Naughton
Publication date
01-09-2006
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 9/2006
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.2165/00007256-200636090-00001

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