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Erschienen in: Sports Medicine 2/2015

01.02.2015 | Systematic Review

Prevalence of Low Bone Mineral Density in Female Dancers

verfasst von: Tânia Amorim, Matthew Wyon, José Maia, José Carlos Machado, Franklim Marques, George S. Metsios, Andreas D. Flouris, Yiannis Koutedakis

Erschienen in: Sports Medicine | Ausgabe 2/2015

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Abstract

Background and Objective

While some authors report that dancers have reduced bone mineral density (BMD) and increased risk of osteoporosis, others have stressed the positive effects of dance training on developing healthy BMD. Given the existing controversy, the aim of this systematic review was to examine the best evidence-based information available in relation to female dancers.

Methods

Four databases (Web of Science, PubMed, EBSCO, Scopus) and two dance science journals (Journal of Dance Medicine and Science and Medical Problems of Performing Artists) were searched for relevant material using the keywords “dance”, “ballet”, “BMD”, “bone density”, “osteoporosis” and “female athlete triad syndrome”. A total of 257 abstracts were screened using selected inclusion (studies involving bone measurements in dancers) and exclusion (editorials, opinion papers, chapters in books, narrative reviews and non-English language papers) criteria according to PRISMA guidelines. Following the above screening, a total of 108 abstracts were identified as potentially relevant. After the exclusion of conference proceedings, review papers, studies focusing only in male dancers and studies in which dancers’ information were combined with other athletes, the eligible papers were subsequently assessed using the GRADE system and grouped according to: (1) prevalence of low BMD and associated factors, (2) incidence of low BMD and risk factors, (3) prevention/treatment of low BMD in dancers, and (4) other studies.

Results

Of the 257 abstracts that were initially screened, only 35 studies were finally considered. Only one of these 35 was of high quality, while the remaining 34 were of relatively low quality. Seven studies reported prevalence of low BMD and associated factors, 10 reported associated factors with no prevalence data, while one reported prevalence with no associated factors data. One study cited risk factors, while another one elaborated on the treatment of low BMD in dancers. The remaining 15 studies were classified as “other studies”.

Conclusions

It remains unclear whether low BMD is prevalent in female dancers. The present review highlights the need for high-quality BMD research in this area.
Literatur
1.
Zurück zum Zitat Cummings SR, Black DM, Nevitt MC, et al. Bone density at various sites for prediction of hip fractures: the study of Osteoporotic Fractures Research Group. Lancet. 1993;341:72–5.PubMedCrossRef Cummings SR, Black DM, Nevitt MC, et al. Bone density at various sites for prediction of hip fractures: the study of Osteoporotic Fractures Research Group. Lancet. 1993;341:72–5.PubMedCrossRef
2.
Zurück zum Zitat Melton LJ, Atkinson EJ, O’Fallon WM, et al. Long-term fracture prediction by bone mineral assessed at different skeletal sites. J Bone Miner Res. 1993;8:1227–33.PubMedCrossRef Melton LJ, Atkinson EJ, O’Fallon WM, et al. Long-term fracture prediction by bone mineral assessed at different skeletal sites. J Bone Miner Res. 1993;8:1227–33.PubMedCrossRef
3.
Zurück zum Zitat Krall EA, Dawson-Hughes B. Heritable and life-style determinants of bone mineral density. J Bone Miner Res. 1993;8:1–9.PubMedCrossRef Krall EA, Dawson-Hughes B. Heritable and life-style determinants of bone mineral density. J Bone Miner Res. 1993;8:1–9.PubMedCrossRef
4.
Zurück zum Zitat Naganathan V, Macgregor A, Snieder H, et al. Gender differences in the genetic factors responsible for variation in bone density and ultrasound. J Bone Miner Res. 2002;17:725–33.PubMedCrossRef Naganathan V, Macgregor A, Snieder H, et al. Gender differences in the genetic factors responsible for variation in bone density and ultrasound. J Bone Miner Res. 2002;17:725–33.PubMedCrossRef
5.
Zurück zum Zitat Guadalupe-Grau A, Fuentes T, Guerra B, et al. Exercise and bone mass in adults. Sports Med. 2009;39(6):439–68.PubMedCrossRef Guadalupe-Grau A, Fuentes T, Guerra B, et al. Exercise and bone mass in adults. Sports Med. 2009;39(6):439–68.PubMedCrossRef
6.
Zurück zum Zitat Nurmi-Lawton JA, Baxter-Jones AD, Mirwald RL, et al. Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res. 2004;9(2):314–22. Nurmi-Lawton JA, Baxter-Jones AD, Mirwald RL, et al. Evidence of sustained skeletal benefits from impact-loading exercise in young females: a 3-year longitudinal study. J Bone Miner Res. 2004;9(2):314–22.
7.
Zurück zum Zitat Vicente-Rodríguez G. How does exercise affect bone development during growth? Sports Med. 2006;36(7):561–9.PubMedCrossRef Vicente-Rodríguez G. How does exercise affect bone development during growth? Sports Med. 2006;36(7):561–9.PubMedCrossRef
8.
Zurück zum Zitat Wallace BA, Cumming RG. Systematic review of randomized trials of the effect of exercise on bone mass in pre- and postmenopausal women. Calcif Tissue Int. 2000;67:10–8.PubMedCrossRef Wallace BA, Cumming RG. Systematic review of randomized trials of the effect of exercise on bone mass in pre- and postmenopausal women. Calcif Tissue Int. 2000;67:10–8.PubMedCrossRef
9.
Zurück zum Zitat Snow-Harter C, Bouxsein ML, Lewis BT, et al. Effects of resistance and endurance exercise on bone mineral status of young women: a randomized exercise intervention trial. J Bone Miner Res. 2009;7(7):761–9.CrossRef Snow-Harter C, Bouxsein ML, Lewis BT, et al. Effects of resistance and endurance exercise on bone mineral status of young women: a randomized exercise intervention trial. J Bone Miner Res. 2009;7(7):761–9.CrossRef
10.
Zurück zum Zitat Greene DA, Naughton GA. Adaptive skeletal responses to mechanical loading during adolescence. Sports Med. 2006;36(9):723–32.PubMedCrossRef Greene DA, Naughton GA. Adaptive skeletal responses to mechanical loading during adolescence. Sports Med. 2006;36(9):723–32.PubMedCrossRef
11.
Zurück zum Zitat Calbet JAL, Moysi JS, Dorado C, et al. Bone mineral content and density in professional tennis players. Calcif Tissue Int. 1998;62:491–6.PubMedCrossRef Calbet JAL, Moysi JS, Dorado C, et al. Bone mineral content and density in professional tennis players. Calcif Tissue Int. 1998;62:491–6.PubMedCrossRef
12.
Zurück zum Zitat Castelo-Branco C, Reina F, Montivero AD, et al. Influence of high-intensity training and of dietetic and anthropometric factors on menstrual cycle disorders in ballet dancers. Gynecol Endocrinol. 2006;22(1):31–5.PubMedCrossRef Castelo-Branco C, Reina F, Montivero AD, et al. Influence of high-intensity training and of dietetic and anthropometric factors on menstrual cycle disorders in ballet dancers. Gynecol Endocrinol. 2006;22(1):31–5.PubMedCrossRef
13.
Zurück zum Zitat Vescovi JD, Jamal SA, De Souza MJ. Strategies to reverse bone loss in women with functional hypothalamic amenorrhea: a systematic review of the literature. Osteoporos Int. 2008;19:465–78.PubMedCrossRef Vescovi JD, Jamal SA, De Souza MJ. Strategies to reverse bone loss in women with functional hypothalamic amenorrhea: a systematic review of the literature. Osteoporos Int. 2008;19:465–78.PubMedCrossRef
14.
Zurück zum Zitat Nattiv A, Loucks A, Manore M. The female athlete triad. Med Sci Sports Exerc. 2007;39(10):1867–82.PubMedCrossRef Nattiv A, Loucks A, Manore M. The female athlete triad. Med Sci Sports Exerc. 2007;39(10):1867–82.PubMedCrossRef
15.
Zurück zum Zitat Koutedakis Y, Jamurtas A. The dancer as a performing athlete: physiological considerations. Sports Med. 2004;34(10):651–61.PubMedCrossRef Koutedakis Y, Jamurtas A. The dancer as a performing athlete: physiological considerations. Sports Med. 2004;34(10):651–61.PubMedCrossRef
16.
Zurück zum Zitat Valentino R, Savastano S, Tommaselli A, et al. The influence of intense ballet training on trabecular bone mass, hormone status, and gonadotropin structure in young women. J Clin Endocrinol Metab. 2001;86:4674–8.PubMedCrossRef Valentino R, Savastano S, Tommaselli A, et al. The influence of intense ballet training on trabecular bone mass, hormone status, and gonadotropin structure in young women. J Clin Endocrinol Metab. 2001;86:4674–8.PubMedCrossRef
18.
Zurück zum Zitat Dolyle-Lucas AF, Akers JD, Davy BM. Energetic efficiency, menstrual irregularity, and bone mineral density in elite professional female ballet dancers. J Dance Med Sci. 2010;14(4):146–54. Dolyle-Lucas AF, Akers JD, Davy BM. Energetic efficiency, menstrual irregularity, and bone mineral density in elite professional female ballet dancers. J Dance Med Sci. 2010;14(4):146–54.
19.
Zurück zum Zitat Armann S, Wells C, Cheung S, et al. Bone mass, menstrual abnormalities, dietary intake, and body composition in classical ballerinas. Kinesiol Med Dance. 1990;13(1):1–15. Armann S, Wells C, Cheung S, et al. Bone mass, menstrual abnormalities, dietary intake, and body composition in classical ballerinas. Kinesiol Med Dance. 1990;13(1):1–15.
20.
Zurück zum Zitat Warren MP, Brooks-Gunn J, Fox RP, et al. Lack of bone accretion and amenorrhea: evidence for a relative osteopenia in weight-bearing bones. J Clin Endocrinol Metab. 1991;72(4):847–53.PubMedCrossRef Warren MP, Brooks-Gunn J, Fox RP, et al. Lack of bone accretion and amenorrhea: evidence for a relative osteopenia in weight-bearing bones. J Clin Endocrinol Metab. 1991;72(4):847–53.PubMedCrossRef
21.
Zurück zum Zitat Pearce G, Bass S, Young N, et al. Does weight-bearing exercise protect against the effects of exercise-induced oligomenorrhea on bone density? Osteoporosis Int. 1996;6:448–52.CrossRef Pearce G, Bass S, Young N, et al. Does weight-bearing exercise protect against the effects of exercise-induced oligomenorrhea on bone density? Osteoporosis Int. 1996;6:448–52.CrossRef
22.
Zurück zum Zitat Burckhardt P, Wynn E, Krieg MA, et al. The effects of nutrition, puberty and dancing on bone density in adolescent ballet dancers. J Dance Med Sci. 2011;15(2):51–60.PubMed Burckhardt P, Wynn E, Krieg MA, et al. The effects of nutrition, puberty and dancing on bone density in adolescent ballet dancers. J Dance Med Sci. 2011;15(2):51–60.PubMed
24.
Zurück zum Zitat Litchtenbelt WD, Fogelholm M, Otteenheijm R, et al. Physical activity, body composition and bone density in ballet dancers. Br J Nutr. 1995;74:439–51.CrossRef Litchtenbelt WD, Fogelholm M, Otteenheijm R, et al. Physical activity, body composition and bone density in ballet dancers. Br J Nutr. 1995;74:439–51.CrossRef
25.
Zurück zum Zitat Khan KM, Green RM, Saul A, et al. Retired elite female ballet dancers and nonathletic controls have similar bone mineral density at weightbearing sites. J Bone Miner Res. 1996;11(10):1566–74.PubMedCrossRef Khan KM, Green RM, Saul A, et al. Retired elite female ballet dancers and nonathletic controls have similar bone mineral density at weightbearing sites. J Bone Miner Res. 1996;11(10):1566–74.PubMedCrossRef
26.
Zurück zum Zitat To W, Wong M. Does oligomenorrhea/amenorrhea and underweight imply athlete female trial syndrome in young female dancers? Eur J Sport Sci. 2011;11(5):335–40.CrossRef To W, Wong M. Does oligomenorrhea/amenorrhea and underweight imply athlete female trial syndrome in young female dancers? Eur J Sport Sci. 2011;11(5):335–40.CrossRef
27.
Zurück zum Zitat Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol. 1995;48(1):9–18.PubMedCrossRef Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol. 1995;48(1):9–18.PubMedCrossRef
28.
Zurück zum Zitat Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 1998;336:924–6.CrossRef Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 1998;336:924–6.CrossRef
29.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff T, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Plos Med. 2009;6(7):1–6.CrossRef Moher D, Liberati A, Tetzlaff T, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Plos Med. 2009;6(7):1–6.CrossRef
30.
Zurück zum Zitat Hoch AZ, Papanek P, Szabo A, et al. Association between the female athlete triad and endothelial dysfunction in dancers. Clin J Sport Med. 2011;21(2):119–25.PubMedCentralPubMedCrossRef Hoch AZ, Papanek P, Szabo A, et al. Association between the female athlete triad and endothelial dysfunction in dancers. Clin J Sport Med. 2011;21(2):119–25.PubMedCentralPubMedCrossRef
31.
Zurück zum Zitat World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporosis Int. 1994;4:368–381. World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporosis Int. 1994;4:368–381.
32.
Zurück zum Zitat Yang LC, Lan Y, Hu J, et al. Relatively high bone mineral density in Chinese adolescent dancers despite lower energy intake and menstrual disorder. Biomed Environ Sci. 2010;23:130–6.PubMedCrossRef Yang LC, Lan Y, Hu J, et al. Relatively high bone mineral density in Chinese adolescent dancers despite lower energy intake and menstrual disorder. Biomed Environ Sci. 2010;23:130–6.PubMedCrossRef
33.
Zurück zum Zitat Yannakoulia M, Keramopoulos A, Matalas A. Bone mineral density in young active dancers: the case of dancers. Int J Sport Nutr Exerc Metab. 2004;14:285–97.PubMed Yannakoulia M, Keramopoulos A, Matalas A. Bone mineral density in young active dancers: the case of dancers. Int J Sport Nutr Exerc Metab. 2004;14:285–97.PubMed
34.
Zurück zum Zitat Karlsson MK, Johnell O, Obrant KJ. Bone mineral density in professional ballet dancers. Bone Miner. 1993;21:163–9.PubMedCrossRef Karlsson MK, Johnell O, Obrant KJ. Bone mineral density in professional ballet dancers. Bone Miner. 1993;21:163–9.PubMedCrossRef
35.
Zurück zum Zitat Bass S, Pearce G, Young N, et al. Bone mass during growth: the effects of exercise. Exercise and mineral accrual. Acta Univ Carol Med (Praha). 1994;40(1–4):3–6. Bass S, Pearce G, Young N, et al. Bone mass during growth: the effects of exercise. Exercise and mineral accrual. Acta Univ Carol Med (Praha). 1994;40(1–4):3–6.
36.
Zurück zum Zitat To WWK, Wong MWN, Lam IYM. Bone mineral density differences between adolescent dancers and non-exercising adolescent females. J Pediatr Adolesc Gynecol. 2005;18:337–42.PubMedCrossRef To WWK, Wong MWN, Lam IYM. Bone mineral density differences between adolescent dancers and non-exercising adolescent females. J Pediatr Adolesc Gynecol. 2005;18:337–42.PubMedCrossRef
37.
Zurück zum Zitat Kaufman BA, Warren MP, Dominguez JE, et al. Bone density and amenorrhea in ballet dancers are related to a decreased resting metabolic rate and lower leptin levels. J Clin Endocrinol Metab. 2002;87:2777–83.PubMedCrossRef Kaufman BA, Warren MP, Dominguez JE, et al. Bone density and amenorrhea in ballet dancers are related to a decreased resting metabolic rate and lower leptin levels. J Clin Endocrinol Metab. 2002;87:2777–83.PubMedCrossRef
38.
Zurück zum Zitat Quintas ME, Ortega RM, López-Sobaler AM, et al. Influence of dietetic and anthropometric factors and of the type of sport practiced on bone density in different groups of women. Eur J Clin Nutr. 2003;57(Suppl 1):S58–62.PubMedCrossRef Quintas ME, Ortega RM, López-Sobaler AM, et al. Influence of dietetic and anthropometric factors and of the type of sport practiced on bone density in different groups of women. Eur J Clin Nutr. 2003;57(Suppl 1):S58–62.PubMedCrossRef
39.
Zurück zum Zitat Young N, Formica C, Szmukler G, et al. Bone density at weight-bearing and non weight-bearing sites in ballet dancers: the effects of exercise, hypogonadism, and body weight. J Clin Endocrinol Metab. 1994;78(2):449–54.PubMed Young N, Formica C, Szmukler G, et al. Bone density at weight-bearing and non weight-bearing sites in ballet dancers: the effects of exercise, hypogonadism, and body weight. J Clin Endocrinol Metab. 1994;78(2):449–54.PubMed
40.
Zurück zum Zitat Warren MP, Brooks-Gunn J, Fox RP, et al. Osteopenia in exercise-associated amenorrhea using ballet dancers as a model: a longitudinal study. J Clin Endocrinol Metab. 2002;87:3162–8.PubMedCrossRef Warren MP, Brooks-Gunn J, Fox RP, et al. Osteopenia in exercise-associated amenorrhea using ballet dancers as a model: a longitudinal study. J Clin Endocrinol Metab. 2002;87:3162–8.PubMedCrossRef
41.
Zurück zum Zitat Warren MP, Brooks-Gunn J, Fox RP, et al. Persistent osteopenia in ballet dancers with amenorrhea and delayed menarche despite hormonal therapy: a longitudinal study. Fertil Steril. 2003;80(2):398–404.PubMedCrossRef Warren MP, Brooks-Gunn J, Fox RP, et al. Persistent osteopenia in ballet dancers with amenorrhea and delayed menarche despite hormonal therapy: a longitudinal study. Fertil Steril. 2003;80(2):398–404.PubMedCrossRef
42.
Zurück zum Zitat Wolman RL, Faulmann L, Clark P, et al. Different training patterns and bone mineral density of the femoral shaft in elite, female athletes. Ann Rheum Dis. 1991;50:487–9.PubMedCentralPubMedCrossRef Wolman RL, Faulmann L, Clark P, et al. Different training patterns and bone mineral density of the femoral shaft in elite, female athletes. Ann Rheum Dis. 1991;50:487–9.PubMedCentralPubMedCrossRef
43.
Zurück zum Zitat Frederick L, Hawkins ST. A comparison of knowledge and attitudes, dietary practices, and bone densities of postmenopausal women, female college athletes, and nonathletic college women. J Am Diet Assoc. 1992;93(3):299–305. Frederick L, Hawkins ST. A comparison of knowledge and attitudes, dietary practices, and bone densities of postmenopausal women, female college athletes, and nonathletic college women. J Am Diet Assoc. 1992;93(3):299–305.
44.
Zurück zum Zitat Munoz M, Piedra C, Barrios V, et al. Changes in bone density and bone markets in rhythmic gymnasts and ballet dancers: implications for puberty and leptin levels. Eur J Endocrinol. 2004;151:491–6.PubMedCrossRef Munoz M, Piedra C, Barrios V, et al. Changes in bone density and bone markets in rhythmic gymnasts and ballet dancers: implications for puberty and leptin levels. Eur J Endocrinol. 2004;151:491–6.PubMedCrossRef
45.
Zurück zum Zitat Hinrichs T, Chae EH, Lehmann R, et al. Bone mineral density in athletes of different disciplines: a cross-sectional study. Open Sports Sci J. 2010;3:129–33.CrossRef Hinrichs T, Chae EH, Lehmann R, et al. Bone mineral density in athletes of different disciplines: a cross-sectional study. Open Sports Sci J. 2010;3:129–33.CrossRef
46.
Zurück zum Zitat Friesen KJ, Rozenek R, Clippinger K, et al. Bone mineral density and body composition of collegiate modern dancers. J Dance Med Sci. 2011;15(1):31–6.PubMed Friesen KJ, Rozenek R, Clippinger K, et al. Bone mineral density and body composition of collegiate modern dancers. J Dance Med Sci. 2011;15(1):31–6.PubMed
47.
Zurück zum Zitat Kilicarslan A, Isildak M, Guven GS, et al. The influence of ballet training on bone mass in Turkish ballet dancers. Endocrinologist. 2007;17(2):85–8.CrossRef Kilicarslan A, Isildak M, Guven GS, et al. The influence of ballet training on bone mass in Turkish ballet dancers. Endocrinologist. 2007;17(2):85–8.CrossRef
48.
Zurück zum Zitat Cuesta A, Revilla M, Villa LF, et al. Total and regional bone mineral content in Spanish professional ballet dancers. Calcif Tissue. 1996;58:150–4.CrossRef Cuesta A, Revilla M, Villa LF, et al. Total and regional bone mineral content in Spanish professional ballet dancers. Calcif Tissue. 1996;58:150–4.CrossRef
49.
Zurück zum Zitat Foldes A, Danziger A, Constantini N, et al. Reduced ultrasound velocity in tibial bone of young ballet dancers. Int J Sports Med. 1997;18(4):296–9.PubMedCrossRef Foldes A, Danziger A, Constantini N, et al. Reduced ultrasound velocity in tibial bone of young ballet dancers. Int J Sports Med. 1997;18(4):296–9.PubMedCrossRef
51.
Zurück zum Zitat Bennell K, Khan K, Matthews B, et al. Activity-associated differences in bone mineral are evident before puberty: a cross-sectional study of 130 female novice dancers and controls. Pediatr Exerc Sci. 2000;12:371–81. Bennell K, Khan K, Matthews B, et al. Activity-associated differences in bone mineral are evident before puberty: a cross-sectional study of 130 female novice dancers and controls. Pediatr Exerc Sci. 2000;12:371–81.
52.
Zurück zum Zitat Matthews BL, Bennell KL, Mckay HA, et al. Dancing for bone health: a 3-year longitudinal study of bone mineral accrual across puberty in female non-elite dancers and controls. Osteoporos Int. 2006;17:1043–54.PubMedCrossRef Matthews BL, Bennell KL, Mckay HA, et al. Dancing for bone health: a 3-year longitudinal study of bone mineral accrual across puberty in female non-elite dancers and controls. Osteoporos Int. 2006;17:1043–54.PubMedCrossRef
53.
Zurück zum Zitat Yang LC, Lan Y, Hu J, et al. Correlation of serum leptin level with bone mineral density and bone turnover markers in Chinese adolescent dancers. Biomed Environ Sci. 2009;22:369–73.PubMedCrossRef Yang LC, Lan Y, Hu J, et al. Correlation of serum leptin level with bone mineral density and bone turnover markers in Chinese adolescent dancers. Biomed Environ Sci. 2009;22:369–73.PubMedCrossRef
54.
Zurück zum Zitat Oral A, Tarakçi D, Disci R. Calcaneal quantitative ultrasound measurements in young male and female professional ballet dancers. J Strength Cond Res. 2006;20(3):572–8.PubMed Oral A, Tarakçi D, Disci R. Calcaneal quantitative ultrasound measurements in young male and female professional ballet dancers. J Strength Cond Res. 2006;20(3):572–8.PubMed
55.
Zurück zum Zitat Myburgh KH, Hutchins J, Fataar AB, et al. Low bone density is an etiologic factor for stress factors in athletes. Ann Intern Med. 1990;113:754–9.PubMedCrossRef Myburgh KH, Hutchins J, Fataar AB, et al. Low bone density is an etiologic factor for stress factors in athletes. Ann Intern Med. 1990;113:754–9.PubMedCrossRef
56.
Zurück zum Zitat Lauder TD, Dixit S, Pezzin LE, et al. The relation between stress fractures and bone mineral density: evidence from active-duty army women. Arch Phys Med Rehabil. 2000;81(1):73–9.PubMedCrossRef Lauder TD, Dixit S, Pezzin LE, et al. The relation between stress fractures and bone mineral density: evidence from active-duty army women. Arch Phys Med Rehabil. 2000;81(1):73–9.PubMedCrossRef
57.
Zurück zum Zitat Keen AD, Drinkwater BL. Irreversible bone loss in former amenorrheic athletes. Osteoporos Int. 1997;7:311–5.PubMedCrossRef Keen AD, Drinkwater BL. Irreversible bone loss in former amenorrheic athletes. Osteoporos Int. 1997;7:311–5.PubMedCrossRef
58.
Zurück zum Zitat Engelke K, Adams JE, Armbrecht G, et al. Clinical use of quantitative computed tomography and peripheral quantitative computed tomography in the management of osteoporosis in adults: the 2007 ISCD official positions. J Clin Densitom. 2008;11(1):123–62.PubMedCrossRef Engelke K, Adams JE, Armbrecht G, et al. Clinical use of quantitative computed tomography and peripheral quantitative computed tomography in the management of osteoporosis in adults: the 2007 ISCD official positions. J Clin Densitom. 2008;11(1):123–62.PubMedCrossRef
59.
Zurück zum Zitat Bailey DA. The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med. 1997;18:S191–4.PubMedCrossRef Bailey DA. The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med. 1997;18:S191–4.PubMedCrossRef
60.
Zurück zum Zitat Baxter-Jones ADG, Faulkner RA, Forwood MR, et al. Bone mineral accrual from 8 to 30 years of age: an estimation of peak bone mass. J Bone Miner Res. 2011;26(8):1729–39.PubMedCrossRef Baxter-Jones ADG, Faulkner RA, Forwood MR, et al. Bone mineral accrual from 8 to 30 years of age: an estimation of peak bone mass. J Bone Miner Res. 2011;26(8):1729–39.PubMedCrossRef
62.
Zurück zum Zitat Specker BL, Schoenau E. Quantitative bone analysis in children: current methods and recommendations. J Pediatr. 2005;146:726–31.PubMedCrossRef Specker BL, Schoenau E. Quantitative bone analysis in children: current methods and recommendations. J Pediatr. 2005;146:726–31.PubMedCrossRef
63.
Zurück zum Zitat Maimoun L, Sultan C. Effects of physical activity on bone remodeling. Metabolism. 2011;60(3):373–88.PubMedCrossRef Maimoun L, Sultan C. Effects of physical activity on bone remodeling. Metabolism. 2011;60(3):373–88.PubMedCrossRef
64.
Zurück zum Zitat Ausili E, Rigante D, Salvaggio E, et al. Determinants of bone mineral density, bone mineral content, and body composition in a cohort of healthy children: influence of sex, puberty, and physical activity. Rheumatol Int. 2011;32(9):2737–43.PubMedCrossRef Ausili E, Rigante D, Salvaggio E, et al. Determinants of bone mineral density, bone mineral content, and body composition in a cohort of healthy children: influence of sex, puberty, and physical activity. Rheumatol Int. 2011;32(9):2737–43.PubMedCrossRef
65.
Zurück zum Zitat Pollitzer WS, Anderson JJ. Ethnic and genetic differences in bone mass: a review with hereditary vs. environmental perspective. Am J Clin Nutr. 1989;50:1244–59.PubMed Pollitzer WS, Anderson JJ. Ethnic and genetic differences in bone mass: a review with hereditary vs. environmental perspective. Am J Clin Nutr. 1989;50:1244–59.PubMed
66.
Zurück zum Zitat Bachrach LK, Hastie T, Wang MC, et al. Bone mineral acquisition in healthy Asian, Hispanic, black, and Caucasian youth: a longitudinal study. J Clin Endocrinol Metab. 1999;84:4702–12.PubMed Bachrach LK, Hastie T, Wang MC, et al. Bone mineral acquisition in healthy Asian, Hispanic, black, and Caucasian youth: a longitudinal study. J Clin Endocrinol Metab. 1999;84:4702–12.PubMed
69.
Zurück zum Zitat Koutedakis Y, Sharp NC. Thigh-muscles strength training, dance exercise, dynamometry, and anthropometry in professional ballerinas. J Strength Cond Res. 2004;18(4):714–8.PubMed Koutedakis Y, Sharp NC. Thigh-muscles strength training, dance exercise, dynamometry, and anthropometry in professional ballerinas. J Strength Cond Res. 2004;18(4):714–8.PubMed
70.
Zurück zum Zitat Twitchett T, Angioi M, Koutedakis Y, et al. Video analysis of classical ballet performance. J Dance Med Sci. 2009;13(4):124–8.PubMed Twitchett T, Angioi M, Koutedakis Y, et al. Video analysis of classical ballet performance. J Dance Med Sci. 2009;13(4):124–8.PubMed
71.
Zurück zum Zitat Koutedakis Y, Hukam H, Metsios G, et al. The effects of three months of aerobic and strength training on selected performance- and fitness-related parameters in modern dance students. J Strength Cond Res. 2007;21(3):808–12.PubMed Koutedakis Y, Hukam H, Metsios G, et al. The effects of three months of aerobic and strength training on selected performance- and fitness-related parameters in modern dance students. J Strength Cond Res. 2007;21(3):808–12.PubMed
72.
Zurück zum Zitat Allen N, Nevill AM, Brooks JH, et al. Ballet injuries: injury incidence and severity over 1 year. J Orthop Sports Phys Ther. 2012;42(9):780–90.CrossRef Allen N, Nevill AM, Brooks JH, et al. Ballet injuries: injury incidence and severity over 1 year. J Orthop Sports Phys Ther. 2012;42(9):780–90.CrossRef
73.
Zurück zum Zitat Allen N, Nevill AM, Brooks JH, et al. The effect of a comprehensive injury audit program on injury incidence in ballet: a 3-year prospective study. Clin J Sport Med. 2013;23(5):373–8.PubMedCrossRef Allen N, Nevill AM, Brooks JH, et al. The effect of a comprehensive injury audit program on injury incidence in ballet: a 3-year prospective study. Clin J Sport Med. 2013;23(5):373–8.PubMedCrossRef
74.
Zurück zum Zitat Koutedakis Y, Khalouha M, Pacy PJ, et al. Thigh peak torques and lower-body injuries in dancers. J Dance Med Sci. 1997;1(1):12–5. Koutedakis Y, Khalouha M, Pacy PJ, et al. Thigh peak torques and lower-body injuries in dancers. J Dance Med Sci. 1997;1(1):12–5.
75.
Zurück zum Zitat Koutedakis Y, Dick F, Pacy PJ. Health and fitness in professional dancers. Med Probl Perform Art. 1997;12(1):23–7. Koutedakis Y, Dick F, Pacy PJ. Health and fitness in professional dancers. Med Probl Perform Art. 1997;12(1):23–7.
76.
Zurück zum Zitat Khan KM, Bennel KL, Hopper JL, et al. Self-reported ballet classes undertaken at age 10-12 years and hip bone mineral density in later life. Osteoporosis Int. 1998;8:165–73.CrossRef Khan KM, Bennel KL, Hopper JL, et al. Self-reported ballet classes undertaken at age 10-12 years and hip bone mineral density in later life. Osteoporosis Int. 1998;8:165–73.CrossRef
Metadaten
Titel
Prevalence of Low Bone Mineral Density in Female Dancers
verfasst von
Tânia Amorim
Matthew Wyon
José Maia
José Carlos Machado
Franklim Marques
George S. Metsios
Andreas D. Flouris
Yiannis Koutedakis
Publikationsdatum
01.02.2015
Verlag
Springer International Publishing
Erschienen in
Sports Medicine / Ausgabe 2/2015
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-014-0268-5

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