Subscribe to RSS
DOI: 10.1055/s-2003-45257
© Georg Thieme Verlag Stuttgart · New York
Competitive Season of Triathlon Does not Alter Bone Metabolism and Bone Mineral Status in Male Triathletes
Publication History
Accepted after revision: June 30, 2003
Publication Date:
15 April 2004 (online)
Abstract
This longitudinal study evaluated the effects of a triathlon season on bone metabolism and hormonal status. Seven male competitive triathletes (mean age 19.3 years, range 18 - 20) with 5.0 ± 0.3 years of competition experience were tested twice during the season: at the beginning of training and 32 weeks later. Total and regional bone mineral density (BMD) was determined by dual-energy X-ray absorptiometry, while bone turnover was evaluated by specific biochemical markers: bone-specific alkaline phosphatase (B-ALP), osteocalcin, and urinary type I collagen C-telopeptide. In addition, sexual, calciotropic and somatotropic hormones were also analyzed. After 32 weeks, a BMD increase was found at the lumbar spine (1.9 %; p = 0.031) and skull (3.1 %; p = 0.048), while no variation was observed for total body or at the proximal femur. The B-ALP level decreased (-23.2 %; p = 0.031), but no variation was found for the other bone markers. 1.25 (OH)2D3, IGF-1 and the bioavailability IGF-1 index (IGF-1/IGFBP-3) increased by 18.3 % (p = 0.047), 29 % (p = 0.048), 33 % (p = 0.011), respectively, while PTH, testosterone, IGFBP-3 and cortisol concentrations were unchanged. In conclusion, the triathlon season had a moderately favourable effect on BMD, although a slowing down of bone formation activity was observed. No variation in hormonal levels was observed that could have limited the effects of exercise on bone tissue.
Key words
Bone metabolism - physical activity - triathletes - DXA
References
- 1 Armstrong D W, Shakir K MM, Drake AJ. Dual X-ray absorptiometry total body bone mineral content and bone mineral density in 18- to 22- year-old Caucasian men. Bone. 2000; 27 835-839
- 2 Bachrach L, Hastie T, Wang M, Narasimhan B, Marcus R. Bone mineral acquisition in healthy Asian, Hispanic, Black and Caucasian youth: a longitudinal study. J Clin Endocrinol Metab. 1999; 84 4702-4712
- 3 Bagi C D, DeLeon E, Brommage R, Adams S, Rosen D, Sommer A. Systemic administration of rhIGF-1 or rhIGF-1/IGFBP-3 increases cortical bone and lean mass in ovariectomized rats. Bone. 1995; 16 263S-269S
- 4 Bell N H, Godsen R N, Henry D P, Shary J, Epstein S. The effects of muscle-building exercise on vitamin D and mineral metabolism. J Bone Miner Res. 1988; 3 369-373
- 5 Bennell K L, Malcolm S A, Khan K M, Thomas S A, Reid S J, Bruner P D, Ebeling P R, Wark J D. Bone mass and bone turnover in power athletes, endurance athletes, and controls: a 12-month longitudinal study. Bone. 1997; 20 477-484
- 6 Bilamin J E, Blanchard M S, Russek-Cohen E. Lower vertebral bone density in male long distance runners. Med Sci Sports Exerc. 1989; 21 66-70
- 7 Brahm H, Ström H, Piehl-Aulin K, Mallmin H, Ljunghall S. Bone metabolism in endurance trained athletes: a comparison to population-based controls based on DXA, SXA, quantitative ultrasound, and biochemical markers. Calcif Tissue Int. 1997; 61 448-454
- 8 Canalis E. Growth factors, bone metabolism, and metabolic bone diseases. Endocrinology. 1996; 6 89-94
- 9 Cann C E, Martin M C, Genant H K, Jaffe R B. Decreased spinal mineral content in amenorrheic women. JAMA. 1984; 251 626-629
- 10 Cappozzo J E. Force actions in human trunk during running. J Sports Med. 1983; 23 14-22
- 11 Casez J P, Fisher S, Stüssi E, Stalder H, Gerber A, Delmas P D, Colombo J P, Jaeger P. Bone mass at lumbar spine and tibia in young males - impact of physical fitness, exercise, and anthropometric parameters: a prospective study in a cohort of military recruits. Bone. 1995; 17 211-219
- 12 Creighton D L, Morgan A L, Boardley D, Brolinson G. Weight-bearing exercise and markers of bone turnover in female athletes. J Appl Physiol. 2001; 90 565-570
- 13 Fardellone P, Sebert J L, Bouraya M, Bonidan O, Leclerq G, Doutrellot C, Bellony R, Dubreuil A. Assessment of calcium content in food diets by self-evaluation. Rev Rhum [Ed Fr]. 1991; 58 99-103
- 14 Fehling P C, Alekel L, Clasey J, Rector A, Stillman R J. A comparison of bone mineral densities among female athletes in impact loading and active loading sports. Bone. 1995; 17 205-210
- 15 Frost H M. Vital biomechanics: Proposed general concepts for skeletal adaptations to mechanical usage. Calcif Tissue Int. 1988; 42 145-156
- 16 Garnero P, Gineyts E, Riou J P, Delmas P D. Assessment of bone resorption with a new marker of collagen degradation in patients with metabolic bone disease. J Clin Endocrinol Metab. 1994; 70 1330-1333
- 17 Grimmston S, Willows N D, Hanley D A. Mechanical loading regime and its relationship to bone mineral density in children. Med Sci Sports Exerc. 1993; 25 1203-1210
- 18 Heatland M L, Haardo J, Christiansen C. Low bone mass and high bone turnover in male long distance runners. J Clin Endocrinol Metab. 1993; 77 770-775
- 19 Kontulainen S, Kannus P, Haapasalo H, Heinonen A, Sievänen H, Oja P, Vuori I. Changes in bone mineral content with decreased training in competitive young adult tennis players and controls: a prospective 4 yr follow-up. Med Sci Sports Exerc. 1997; 31 646-652
- 20 Koziris L P, Hickson R C, Chatterton R T, Groseth R T, Christie J M, Goldflies D G, Unterman T G. Serum levels of total and free IGF1 and IGFBP3 are increased and maintained in long-term training. J Appl Physiol. 1999; 86 1436-1442
- 21 Lucia A, Chicharro J L, Perez M, Serratosa L, Bandres F, Legido J C. Reproductive function in male endurance athletes: sperm analysis and hormonal profile. J Appl Physiol. 1996; 81 2627-2636
- 22 MacClanahan B S, Ward K D, Vukadinovich C, Klesges R C, Chitwood L, Kinzey S J, Brown S, Frate D. Bone mineral density in triathletes over a competitive season. J Sport Sci. 2002; 20 463-469
- 23 Matsumoto T, Nakagawa S, Nishida S, Hirota R. Bone density and bone metabolic markers in active collegiate athletes: in long-distance runners, judoists and swimmers. Int J Sports Med. 1997; 18 408-412
- 24 Morel J, Combe B, Francisco J, Bernard J. Bone mineral density of 704 amateur sportsmen involved in different physical activities. Osteoporos Int. 2001; 12 152-157
- 25 National Institutes of Health Consensus Conference . Optimal calcium intake. NIH Consensus Development Panel on Optimal Calcium Intake. JAMA. 1994; 272 1942-1948
- 26 Nilsson J, Thorstensson A. Ground reaction forces at different speeds of human walking and running. Acta Physiol Scan. 1989; 136 217-227
- 27 Roelen C AM, deVries W R, Koppeschaar H PF, Vervoon C, Thijssin J HH, Blankenstein M A. Plasma insulin-like growth factor-I and high affinity growth hormone binding protein levels increase after two weeks of strenuous physical training. Int J Sports Med. 1997; 18 238-241
- 28 Thorsen K, Kristoffersson A, Hultdin J, Lorentzon R. Effects of moderate endurance exercise on calcium, parathyroid hormones and markers of bone metabolism in young women. Calcif Tissue Int. 1997; 60 16-20
- 29 Wheeler G D, Singh M, Pierce W D, Epling W F, Cumming D C. Endurance training decreases serum testosterone levels in men without change in luteinizing hormone pulsatile release. J Clin Endocrinol Metab. 1991; 72 422-425
- 30 Zittermann A, Sabatschus O, Jantzen S, Platen P, Danz A, Dimitriou T, Scheld K, Klein K, Stehle P. Exercise-trained young men have higher calcium absorption rates and plasma calcitriol levels compared with age-matched sedentary controls. Calcif Tissue Int. 2000; 60 332-337
L. Maïmoun
Centre Propara · Parc Euromedecine
263, rue du Caducée · 34195 Montpellier · France
Phone: +33 467 046704
Fax: +33 467 046876
Email: laurent.maimoun@oreka.fr