Investigating the impact of different loading modalities on bone quality among athletes in various sports
Abstract
The impact of different loading modalities on bone quality is a crucial area of study for understanding athletic performance and injury prevention. This research investigates how high-impact, low-impact, and resistance training activities influence Bone Mineral Density (BMD), cortical thickness, trabecular number, and stiffness index among athletes from various sports disciplines. A total of 152 athletes from different regions in China were assessed using advanced diagnostic techniques, including Dual-energy X-ray Absorptiometry (DXA), Quantitative Ultrasound (QUS), and Peripheral Quantitative Computed Tomography (pQCT). The study also examines the interaction between demographic factors, such as age and gender, and their effects on bone adaptation. Statistical analyses, including Analysis of Variance (ANOVA) and effect size calculations, were employed to quantify the impact of each loading modality. Results reveal that high-impact sports significantly enhance BMD and bone microarchitecture, showing the highest effect sizes among all groups. Resistance training also demonstrates positive, though less pronounced, outcomes, while low-impact activities contribute minimally to bone development. The findings emphasize the importance of loading intensity and modality for optimizing bone health, providing evidence-based recommendations for athletes, coaches, and healthcare professionals to design effective training programs that enhance skeletal strength and prevent injury.
References
1. Martín-Rodríguez, A., Belinchón-deMiguel, P., Rubio-Zarapuz, A., Tornero-Aguilera, J. F., Martínez-Guardado, I., Villanueva-Tobaldo, C. V., & Clemente-Suárez, V. J. (2024). Advances in Understanding the Interplay between Dietary Practices, Body Composition, and Sports Performance in Athletes. Nutrients, 16(4), 571.
2. Ajini, P. S., Sandhyamol, M. S., & Vasanthi, G. (2024). Women in professional sports: exploring medical and biological challenges in high-performance athletics. ж 11 жінки, спорт і суспільство в сучасному світі: матеріали, 29.
3. Brooke-Wavell, K., Skelton, D. A., Barker, K. L., Clark, E. M., De Biase, S., Arnold, S., ... & Leyland, S. (2022). Strong, steady and straight: UK consensus statement on physical activity and exercise for osteoporosis. British journal of sports medicine, 56(15), 837-846.
4. Jeffries, A. C., Marcora, S. M., Coutts, A. J., Wallace, L., McCall, A., & Impellizzeri, F. M. (2021). Development of a revised conceptual framework of physical training for use in research and practice. Sports Medicine, 1-16.
5. Hart, N. H., Newton, R. U., Tan, J., Rantalainen, T., Chivers, P., Siafarikas, A., & Nimphius, S. (2020). Biological basis of bone strength: anatomy, physiology and measurement. Journal of musculoskeletal & neuronal interactions, 20(3), 347.
6. Hart, N. H., Newton, R. U., Tan, J., Rantalainen, T., Chivers, P., Siafarikas, A., & Nimphius, S. (2020). Biological basis of bone strength: anatomy, physiology and measurement. Journal of musculoskeletal & neuronal interactions, 20(3), 347.
7. Patel, V. S., Judex, S., Rubin, J., & Rubin, C. T. (2020). Mechanisms of exercise effects on bone quantity and quality. In Principles of bone biology (pp. 1759-1784). Academic Press.
8. Portier, H., Benaitreau, D., & Pallu, S. (2020). Does physical exercise always improve bone quality in rats?. Life, 10(10), 217.
9. Abe, S. (2023). Exercise and Proximal Femur Bone Strength to Reduce Fall-Induced Hip Fracture.
10. Bezerra, A., Freitas, L., Maciel, L., & Fonseca, H. (2022). Bone Tissue Responsiveness To Mechanical Loading—Possible Long-Term Implications of Swimming on Bone Health and Bone Development. Current Osteoporosis Reports, 20(6), 453-468.
11. Forsyth, J. J., Rounds, A. D., & Zumwalt, M. (2023). Prevention and Management of Osteoporosis Through Exercise. In The Active Female: Health Issues throughout the Lifespan (pp. 273-288). Cham: Springer International Publishing.
12. Rondanelli, M., Faliva, M. A., Barrile, G. C., Cavioni, A., Mansueto, F., Mazzola, G., ... & Peroni, G. (2021). Nutrition, physical activity, and dietary supplementation to bone mineral density loss: a food pyramid. Nutrients, 14(1), 74.
13. Martiniakova, M., Babikova, M., Mondockova, V., Blahova, J., Kovacova, V., & Omelka, R. (2022). The role of macronutrients, micronutrients and flavonoid polyphenols in the prevention and treatment of osteoporosis. Nutrients, 14(3), 523.
14. Hsu, C., Krabak, B., Cunningham, B., & Borg-Stein, J. (2024). Swimming Anatomy and Lower Back Injuries in Competitive Swimmers: A Narrative Review. Sports health, 19417381231225213.
15. Giangregorio, L. M., & Ponzano, M. (2022). Exercise and physical activity in individuals at risk of fracture. Best Practice & Research Clinical Endocrinology & Metabolism, 36(2), 101613.
16. Indumathi Nallathambi, Padmaja Savaram, Sudhakar Sengan*, Meshal Alharbi, Samah Alshathri, Mohit Bajaj, Moustafa H. Aly and Walid El-Shafai, Impact of Fireworks Industry Safety Measures and Prevention Management System on Human Error Mitigation Using a Machine Learning Approach, Sensors, 2023, 23 (9), 4365; DOI:10.3390/s23094365.
17. Parkavi Krishnamoorthy, N. Satheesh, D. Sudha, Sudhakar Sengan, Meshal Alharbi, Denis A. Pustokhin, Irina V. Pustokhina, Roy Setiawan, Effective Scheduling of Multi-Load Automated Guided Vehicle in Spinning Mill: A Case Study, IEEE Access, 2023, DOI:10.1109/ACCESS.2023.3236843.
18. Ran Qian, Sudhakar Sengan, Sapna Juneja, English language teaching based on big data analytics in augmentative and alternative communication system, Springer-International Journal of Speech Technology, 2022, DOI:10.1007/s10772-022-09960-1.
19. Ngangbam Phalguni Singh, Shruti Suman, Thandaiah Prabu Ramachandran, Tripti Sharma, Selvakumar Raja, Rajasekar Rangasamy, Manikandan Parasuraman, Sudhakar Sengan, “Investigation on characteristics of Monte Carlo model of single electron transistor using Orthodox Theory”, Elsevier, Sustainable Energy Technologies and Assessments, Vol. 48, 2021, 101601, DOI:10.1016/j.seta.2021.101601.
20. Huidan Huang, Xiaosu Wang, Sudhakar Sengan, Thota Chandu, Emotional intelligence for board capital on technological innovation performance of high-tech enterprises, Elsevier, Aggression and Violent Behavior, 2021, 101633, DOI:10.1016/j.avb.2021.101633.
21. Sudhakar Sengan, Kailash Kumar, V. Subramaniyaswamy, Logesh Ravi, Cost-effective and efficient 3D human model creation and re-identification application for human digital twins, Multimedia Tools and Applications, 2021. DOI:10.1007/s11042-021-10842-y.
22. Prabhakaran Narayanan, Sudhakar Sengan*, Balasubramaniam Pudhupalayam Marimuthu, Ranjith Kumar Paulra, Novel Collision Detection and Avoidance System for Mid-vehicle Using Offset-Based Curvilinear Motion. Wireless Personal Communication, 2021. DOI:10.1007/s11277-021-08333-2.
23. Balajee Alphonse, Venkatesan Rajagopal, Sudhakar Sengan, Kousalya Kittusamy, Amudha Kandasamy, Rajendiran Periyasamy Modeling and multi-class classification of vibroarthographic signals via time domain curvilinear divergence random forest, J Ambient Intell Human Comput, 2021, DOI:10.1007/s12652-020-02869-0.
24. Omnia Saidani Neffati, Roy Setiawan, P Jayanthi, S Vanithamani, D K Sharma, R Regin, Devi Mani, Sudhakar Sengan*, An educational tool for enhanced mobile e-Learning for technical higher education using mobile devices for augmented reality, Microprocessors and Microsystems, Vol. 83, 2021, 104030, DOI:10.1016/j.micpro.2021.104030 .
25. Firas Tayseer Ayasrah, Nabeel S. Alsharafa, Sivaprakash S, Srinivasarao B, Sudhakar Sengan and Kumaran N, “Strategizing Low-Carbon Urban Planning through Environmental Impact Assessment by Artificial Intelligence-Driven Carbon Foot Print Forecasting”, Journal of Machine and Computing, Vol. 4, No. 04, 2024, doi: 10.53759/7669/jmc202404105.
26. Shaymaa Hussein Nowfal, Vijaya Bhaskar Sadu, Sudhakar Sengan*, Rajeshkumar G, Anjaneyulu Naik R, Sreekanth K, Genetic Algorithms for Optimized Selection of Biodegradable Polymers in Sustainable Manufacturing Processes, Journal of Machine and Computing, Vol. 4, No. 3, PP. 563-574, https://doi.org/10.53759/7669/jmc202404054.
27. Hayder M. A. Ghanimi, Sudhakar Sengan*, Vijaya Bhaskar Sadu, Parvinder Kaur, Manju Kaushik, Roobaea Alroobaea, Abdullah M. Baqasah, Majed Alsafyani & Pankaj Dadheech, An open-source MP + CNN + BiLSTM model-based hybrid model for recognizing sign language on smartphones. Int J Syst Assur Eng Manag (2024). https://doi.org/10.1007/s13198-024-02376-x
28. K. Bhavana Raj, Julian L. Webber, Divyapushpalakshmi Marimuthu, Abolfazl Mehbodniya, D. Stalin David, Rajasekar Rangasamy, Sudhakar Sengan, Equipment Planning for an Automated Production Line Using a Cloud System, Innovations in Computer Science and Engineering. ICICSE 2022. Lecture Notes in Networks and Systems, vol 565, pp 707–717, Springer, Singapore. DOI:10.1007/978-981-19-7455-7_57.
29. Hart, N. H., Newton, R. U., Tan, J., Rantalainen, T., Chivers, P., Siafarikas, A., & Nimphius, S. (2020). Biological basis of bone strength: anatomy, physiology and measurement. Journal of musculoskeletal & neuronal interactions, 20(3), 347.
30. Schoenfeld, B., Fisher, J., Grgic, J., Haun, C., Helms, E., Phillips, S., ... & Vigotsky, A. (2021). Resistance training recommendations to maximize muscle hypertrophy in an athletic population: Position stand of the IUSCA. International Journal of Strength and Conditioning, 1(1).
31. Khanna, A. (2023). Effect of resistance exercise on bone health of old aged individuals. Science & Sports, 38(4), 323-336.
32. Lambert, C., Beck, B. R., Harding, A. T., Watson, S. L., & Weeks, B. K. (2020). Regional changes in indices of bone strength of upper and lower limbs in response to high-intensity impact loading or high-intensity resistance training. Bone, 132, 115192.
33. Ashe, M. C., Dos Santos, I. K., Edwards, N. Y., Burnett, L. A., Barnes, R., Fleig, L., ... & Giangregorio, L. M. (2021). Physical activity and bone health in men: a systematic review and meta-analysis. Journal of Bone Metabolism, 28(1), 27.
34. Young, C. D. (2023). Seeking Common Ground: The Impacts of Racial Affinity Groups and Varsity Athletics on Sense of Belonging, Social Capital, and Identity Development in Independent Schools (Doctoral dissertation, Boston University).
Copyright (c) 2024 Ding Peng, Ming Zhang
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright on all articles published in this journal is retained by the author(s), while the author(s) grant the publisher as the original publisher to publish the article.
Articles published in this journal are licensed under a Creative Commons Attribution 4.0 International, which means they can be shared, adapted and distributed provided that the original published version is cited.