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Erschienen in: Sports Medicine 3/2016

01.03.2016 | Systematic Review

The Effect of Swimming During Childhood and Adolescence on Bone Mineral Density: A Systematic Review and Meta-Analysis

verfasst von: Alejandro Gomez-Bruton, Jesús Montero-Marín, Alejandro González-Agüero, Javier García-Campayo, Luis A. Moreno, Jose A. Casajús, Germán Vicente-Rodríguez

Erschienen in: Sports Medicine | Ausgabe 3/2016

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Abstract

Background

The effects of swimming on bone mineral density (BMD) have been studied by several researchers, with inconsistent results.

Aim

This meta-analysis aims to determine whether systematic swimming training may influence BMD during childhood and adolescence.

Methods

A systematic search was performed in PubMed, SPORTDiscus and ClinicalTrials.gov from the earliest possible year to March 2015, with data extraction and quality assessment performed independently by two researchers following the PRISMA methodology. Swimmers were compared to sedentary controls and to athletes performing highly osteogenic sports. Therefore, a total of two meta-analyses were developed.

Results

Fourteen studies met the inclusion criteria and were included in the meta-analyses. Swimmers presented similar BMD values to sedentary controls and lower than other high-impact athletes. Femoral neck and lumbar spine BMD differences between swimmers and sedentary controls and between swimmers and athletes practicing osteogenic sports appeared to increase with age and favored the non-swimming groups. There were no differences by sex.

Conclusion

While swimming is associated with several health benefits, it does not appear to be an effective sport for improving BMD. Swimmers might be in need of additional osteogenic exercises for increasing BMD values.
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Literatur
1.
Zurück zum Zitat Compston JE, Papapoulos SE, Blanchard F. Report on osteoporosis in the European Community: current status and recommendations for the future. Working Party from European Union Member States. Osteoporos Int. 1998;8(6):531–4.CrossRefPubMed Compston JE, Papapoulos SE, Blanchard F. Report on osteoporosis in the European Community: current status and recommendations for the future. Working Party from European Union Member States. Osteoporos Int. 1998;8(6):531–4.CrossRefPubMed
2.
Zurück zum Zitat NIH Consensus Development Panel on Osteoporosis Prevention. Diagnosis, and therapy, March 7–29, 2000: highlights of the conference. South Med J. 2001;94(6):569–73. NIH Consensus Development Panel on Osteoporosis Prevention. Diagnosis, and therapy, March 7–29, 2000: highlights of the conference. South Med J. 2001;94(6):569–73.
3.
Zurück zum Zitat U.S. Department of Health and Human Services. Bone health and osteoporosis: a report of the surgeon general. U.S. Department of Health and Human Services, Office of the Surgeon General; 2004. U.S. Department of Health and Human Services. Bone health and osteoporosis: a report of the surgeon general. U.S. Department of Health and Human Services, Office of the Surgeon General; 2004.
5.
Zurück zum Zitat Bailey DA, McKay HA, Mirwald RL, et al. A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: the University of Saskatchewan bone mineral accrual study. J Bone Miner Res. 1999;14(10):1672–9.CrossRefPubMed Bailey DA, McKay HA, Mirwald RL, et al. A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: the University of Saskatchewan bone mineral accrual study. J Bone Miner Res. 1999;14(10):1672–9.CrossRefPubMed
6.
Zurück zum Zitat Rizzoli R, Bianchi ML, Garabedian M, et al. Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone. 2010;46(2):294–305.CrossRefPubMed Rizzoli R, Bianchi ML, Garabedian M, et al. Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone. 2010;46(2):294–305.CrossRefPubMed
7.
Zurück zum Zitat Hernandez CJ, Beaupre GS, Carter DR. A theoretical analysis of the relative influences of peak BMD, age-related bone loss and menopause on the development of osteoporosis. Osteoporos Int. 2003;14(10):843–7.CrossRefPubMed Hernandez CJ, Beaupre GS, Carter DR. A theoretical analysis of the relative influences of peak BMD, age-related bone loss and menopause on the development of osteoporosis. Osteoporos Int. 2003;14(10):843–7.CrossRefPubMed
8.
Zurück zum Zitat Marshall D, Johnell O, Wedel H. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ. 1996;312(7041):1254–9.PubMedCentralCrossRefPubMed Marshall D, Johnell O, Wedel H. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ. 1996;312(7041):1254–9.PubMedCentralCrossRefPubMed
9.
Zurück zum Zitat Gracia-Marco L, Rey-Lopez JP, Santaliestra-Pasias AM, et al. Sedentary behaviours and its association with bone mass in adolescents: the HELENA Cross-Sectional Study. BMC Public Health. 2012;12:971.PubMedCentralCrossRefPubMed Gracia-Marco L, Rey-Lopez JP, Santaliestra-Pasias AM, et al. Sedentary behaviours and its association with bone mass in adolescents: the HELENA Cross-Sectional Study. BMC Public Health. 2012;12:971.PubMedCentralCrossRefPubMed
10.
Zurück zum Zitat Hind K, Burrows M. Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlled trials. Bone. 2007;40(1):14–27.CrossRefPubMed Hind K, Burrows M. Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlled trials. Bone. 2007;40(1):14–27.CrossRefPubMed
11.
Zurück zum Zitat Kemper HC, Twisk JW, van Mechelen W, et al. A fifteen-year longitudinal study in young adults on the relation of physical activity and fitness with the development of the bone mass: the Amsterdam Growth and Health Longitudinal Study. Bone. 2000;27(6):847–53.CrossRefPubMed Kemper HC, Twisk JW, van Mechelen W, et al. A fifteen-year longitudinal study in young adults on the relation of physical activity and fitness with the development of the bone mass: the Amsterdam Growth and Health Longitudinal Study. Bone. 2000;27(6):847–53.CrossRefPubMed
13.
Zurück zum Zitat Gomez-Bruton A, Gonzalez-Aguero A, Gomez-Cabello A, et al. Is bone tissue really affected by swimming? A systematic review. PLoS One. 2013;8(8):e70119.PubMedCentralCrossRefPubMed Gomez-Bruton A, Gonzalez-Aguero A, Gomez-Cabello A, et al. Is bone tissue really affected by swimming? A systematic review. PLoS One. 2013;8(8):e70119.PubMedCentralCrossRefPubMed
14.
Zurück zum Zitat Lee EJ, Long KA, Risser WL, et al. Variations in bone status of contralateral and regional sites in young athletic women. Med Sci Sports Exerc. 1995;27(10):1354–61.CrossRefPubMed Lee EJ, Long KA, Risser WL, et al. Variations in bone status of contralateral and regional sites in young athletic women. Med Sci Sports Exerc. 1995;27(10):1354–61.CrossRefPubMed
15.
Zurück zum Zitat Creighton DL, Morgan AL, Boardley D, et al. Weight-bearing exercise and markers of bone turnover in female athletes. J Appl Physiol. 2001;90(2):565–70.PubMed Creighton DL, Morgan AL, Boardley D, et al. Weight-bearing exercise and markers of bone turnover in female athletes. J Appl Physiol. 2001;90(2):565–70.PubMed
16.
Zurück zum Zitat Fehling PC, Alekel L, Clasey J, et al. A comparison of bone mineral densities among female athletes in impact loading and active loading sports. Bone. 1995;17(3):205–10.CrossRefPubMed Fehling PC, Alekel L, Clasey J, et al. A comparison of bone mineral densities among female athletes in impact loading and active loading sports. Bone. 1995;17(3):205–10.CrossRefPubMed
17.
Zurück zum Zitat Orwoll ES, Ferar J, Oviatt SK, et al. The relationship of swimming exercise to bone mass in men and women. Arch Intern Med. 1989;149(10):2197–200.CrossRefPubMed Orwoll ES, Ferar J, Oviatt SK, et al. The relationship of swimming exercise to bone mass in men and women. Arch Intern Med. 1989;149(10):2197–200.CrossRefPubMed
18.
Zurück zum Zitat Saggese G, Baroncelli GI, Bertelloni S. Osteoporosis in children and adolescents: diagnosis, risk factors, and prevention. J Pediatr Endocrinol Metab. 2001;14(7):833–59.CrossRefPubMed Saggese G, Baroncelli GI, Bertelloni S. Osteoporosis in children and adolescents: diagnosis, risk factors, and prevention. J Pediatr Endocrinol Metab. 2001;14(7):833–59.CrossRefPubMed
19.
Zurück zum Zitat Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34.CrossRefPubMed Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34.CrossRefPubMed
20.
Zurück zum Zitat Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283(15):2008–12.CrossRefPubMed Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283(15):2008–12.CrossRefPubMed
21.
Zurück zum Zitat Grimston SK, Willows ND, Hanley DA. Mechanical loading regime and its relationship to bone mineral density in children. Med Sci Sports Exerc. 1993;25(11):1203–10.PubMed Grimston SK, Willows ND, Hanley DA. Mechanical loading regime and its relationship to bone mineral density in children. Med Sci Sports Exerc. 1993;25(11):1203–10.PubMed
22.
Zurück zum Zitat Nichols JF, Rauh MJ, Barrack MT, et al. Bone mineral density in female high school athletes: interactions of menstrual function and type of mechanical loading. Bone. 2007;41(3):371–7.CrossRefPubMed Nichols JF, Rauh MJ, Barrack MT, et al. Bone mineral density in female high school athletes: interactions of menstrual function and type of mechanical loading. Bone. 2007;41(3):371–7.CrossRefPubMed
23.
Zurück zum Zitat Weeks BK, Beck BR. The BPAQ: a bone-specific physical activity assessment instrument. Osteoporos Int. 2008;19(11):1567–77.CrossRefPubMed Weeks BK, Beck BR. The BPAQ: a bone-specific physical activity assessment instrument. Osteoporos Int. 2008;19(11):1567–77.CrossRefPubMed
24.
Zurück zum Zitat Tooth L, Ware R, Bain C, et al. Quality of reporting of observational longitudinal research. Am J Epidemiol. 2005;161(3):280–8.CrossRefPubMed Tooth L, Ware R, Bain C, et al. Quality of reporting of observational longitudinal research. Am J Epidemiol. 2005;161(3):280–8.CrossRefPubMed
25.
Zurück zum Zitat Hedges LV, Olkin I. Statistical methods for meta analysis. USA: Academic; 1985. Hedges LV, Olkin I. Statistical methods for meta analysis. USA: Academic; 1985.
26.
Zurück zum Zitat Cooper H, Hedges LV. The handbook of research synthesis. New York: Russell Sage Foundation; 1994. Cooper H, Hedges LV. The handbook of research synthesis. New York: Russell Sage Foundation; 1994.
27.
Zurück zum Zitat Higgins JP, Altman DG, Gotzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.PubMedCentralCrossRefPubMed Higgins JP, Altman DG, Gotzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.PubMedCentralCrossRefPubMed
28.
Zurück zum Zitat Borenstein M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis. West Sussex, UK: Wiley; 2009. Borenstein M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis. West Sussex, UK: Wiley; 2009.
30.
Zurück zum Zitat Cuijpers P, Geraedts AS, van Oppen P, et al. Interpersonal psychotherapy for depression: a meta-analysis. Am J Psychiatry. 2008;168(6):581–92.CrossRef Cuijpers P, Geraedts AS, van Oppen P, et al. Interpersonal psychotherapy for depression: a meta-analysis. Am J Psychiatry. 2008;168(6):581–92.CrossRef
31.
32.
Zurück zum Zitat Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56(2):455–63.CrossRefPubMed Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56(2):455–63.CrossRefPubMed
33.
Zurück zum Zitat Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50(4):1088–101.CrossRefPubMed Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50(4):1088–101.CrossRefPubMed
34.
Zurück zum Zitat Courteix D, Lespessailles E, Loiseau-Peres S, et al. Lean tissue mass is a better predictor of bone mineral content and density than body weight in prepubertal girls. Revue du Rhumatisme (English Edition). 1998;65(5):328–36. Courteix D, Lespessailles E, Loiseau-Peres S, et al. Lean tissue mass is a better predictor of bone mineral content and density than body weight in prepubertal girls. Revue du Rhumatisme (English Edition). 1998;65(5):328–36.
35.
Zurück zum Zitat Ferry B, Duclos M, Burt L, et al. Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. J Bone Miner Metab. 2011;29(3):342–51.CrossRefPubMed Ferry B, Duclos M, Burt L, et al. Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. J Bone Miner Metab. 2011;29(3):342–51.CrossRefPubMed
36.
Zurück zum Zitat Courteix D, Lespessailles E, Obert P, et al. Skull bone mass deficit in prepubertal highly-trained gymnast girls. Int J Sports Med. 1999;20(5):328–33.CrossRefPubMed Courteix D, Lespessailles E, Obert P, et al. Skull bone mass deficit in prepubertal highly-trained gymnast girls. Int J Sports Med. 1999;20(5):328–33.CrossRefPubMed
37.
Zurück zum Zitat Ferry B, Lespessailles E, Rochcongar P, et al. Bone health during late adolescence: effects of an 8-month training program on bone geometry in female athletes. Joint Bone Spine. 2013;80(1):57–63.CrossRefPubMed Ferry B, Lespessailles E, Rochcongar P, et al. Bone health during late adolescence: effects of an 8-month training program on bone geometry in female athletes. Joint Bone Spine. 2013;80(1):57–63.CrossRefPubMed
38.
Zurück zum Zitat Cassell C, Benedict M, Specker B. Bone mineral density in elite 7- to 9-yr-old female gymnasts and swimmers. Med Sci Sports Exerc. 1996;28(10):1243–6.CrossRefPubMed Cassell C, Benedict M, Specker B. Bone mineral density in elite 7- to 9-yr-old female gymnasts and swimmers. Med Sci Sports Exerc. 1996;28(10):1243–6.CrossRefPubMed
39.
Zurück zum Zitat Derman O, Cinemre A, Kanbur N, et al. Effect of swimming on bone metabolism in adolescents. Turk J Pediatr. 2008;50(2):149–54.PubMed Derman O, Cinemre A, Kanbur N, et al. Effect of swimming on bone metabolism in adolescents. Turk J Pediatr. 2008;50(2):149–54.PubMed
40.
Zurück zum Zitat Jürimäe J, Cicchella A, Tillmann V, et al. Effect of pubertal development and physical activity on plasma ghrelin concentration in boys. J Endocrinol Invest. 2009;32(1):18–22.CrossRefPubMed Jürimäe J, Cicchella A, Tillmann V, et al. Effect of pubertal development and physical activity on plasma ghrelin concentration in boys. J Endocrinol Invest. 2009;32(1):18–22.CrossRefPubMed
41.
Zurück zum Zitat Kearney KD. Comparison of bone mineral density in 10- to 13-year-old female gymnasts and swimmers. Eugene: Microform Publications, University of Oregon; 2000. Kearney KD. Comparison of bone mineral density in 10- to 13-year-old female gymnasts and swimmers. Eugene: Microform Publications, University of Oregon; 2000.
42.
Zurück zum Zitat Dias Quiterio AL, Carnero EA, Baptista FM, et al. Skeletal mass in adolescent male athletes and nonathletes: relationships with high-impact sports. J Strength Cond Res. 2011;25(12):3439–47.CrossRefPubMed Dias Quiterio AL, Carnero EA, Baptista FM, et al. Skeletal mass in adolescent male athletes and nonathletes: relationships with high-impact sports. J Strength Cond Res. 2011;25(12):3439–47.CrossRefPubMed
43.
Zurück zum Zitat Dlugolęcka B, Czeczelewski J, Raczyńska B. Bone mineral content and bone mineral density in female swimmers during the time of peak bone mass attainment. Biol Sport. 2011;28(1):69–74.CrossRef Dlugolęcka B, Czeczelewski J, Raczyńska B. Bone mineral content and bone mineral density in female swimmers during the time of peak bone mass attainment. Biol Sport. 2011;28(1):69–74.CrossRef
44.
Zurück zum Zitat Gruodytè R, Jurimae J, Cicchella A, et al. Adipocytokines and bone mineral density in adolescent female athletes. Acta Paediatr. 2010;99(12):1879–84.CrossRefPubMed Gruodytè R, Jurimae J, Cicchella A, et al. Adipocytokines and bone mineral density in adolescent female athletes. Acta Paediatr. 2010;99(12):1879–84.CrossRefPubMed
45.
Zurück zum Zitat Silva CC, Goldberg TB, Teixeira AS, et al. The impact of different types of physical activity on total and regional bone mineral density in young Brazilian athletes. J Sports Sci. 2011;29(3):227–34.CrossRefPubMed Silva CC, Goldberg TB, Teixeira AS, et al. The impact of different types of physical activity on total and regional bone mineral density in young Brazilian athletes. J Sports Sci. 2011;29(3):227–34.CrossRefPubMed
46.
Zurück zum Zitat Gómez-Bruton A, González-Agüero A, Gómez-Cabello A, et al. The effects of swimming training on bone tissue in adolescence. Scand J Med Sci Sports. 2014; Online Version of Record published before inclusion in an issue. Gómez-Bruton A, González-Agüero A, Gómez-Cabello A, et al. The effects of swimming training on bone tissue in adolescence. Scand J Med Sci Sports. 2014; Online Version of Record published before inclusion in an issue.
47.
Zurück zum Zitat Ubago-Guisado E, Gomez-Cabello A, Sanchez-Sanchez J, et al. Influence of different sports on bone mass in growing girls. J Sports Sci. 2015;21:1–9. Ubago-Guisado E, Gomez-Cabello A, Sanchez-Sanchez J, et al. Influence of different sports on bone mass in growing girls. J Sports Sci. 2015;21:1–9.
48.
Zurück zum Zitat Maïmoun L, Coste O, Philibert P, et al. Peripubertal female athletes in high-impact sports show improved bone mass acquisition and bone geometry. Metabolism. 2013;62(8):1088–98.CrossRefPubMed Maïmoun L, Coste O, Philibert P, et al. Peripubertal female athletes in high-impact sports show improved bone mass acquisition and bone geometry. Metabolism. 2013;62(8):1088–98.CrossRefPubMed
49.
Zurück zum Zitat Vicente-Rodriguez G, Ortega FB, Rey-Lopez JP, et al. Extracurricular physical activity participation modifies the association between high TV watching and low bone mass. Bone. 2009;45(5):925–30.CrossRefPubMed Vicente-Rodriguez G, Ortega FB, Rey-Lopez JP, et al. Extracurricular physical activity participation modifies the association between high TV watching and low bone mass. Bone. 2009;45(5):925–30.CrossRefPubMed
50.
Zurück zum Zitat Ferrari S, Rizzoli R, Slosman D, et al. Familial resemblance for bone mineral mass is expressed before puberty. J Clin Endocrinol Metab. 1998;83(2):358–61.PubMed Ferrari S, Rizzoli R, Slosman D, et al. Familial resemblance for bone mineral mass is expressed before puberty. J Clin Endocrinol Metab. 1998;83(2):358–61.PubMed
51.
52.
Zurück zum Zitat Melton LJ, Atkinson EJ, Cooper C, et al. Vertebral fractures predict subsequent fractures. Osteoporos Int. 1999;10(3):214–21.CrossRefPubMed Melton LJ, Atkinson EJ, Cooper C, et al. Vertebral fractures predict subsequent fractures. Osteoporos Int. 1999;10(3):214–21.CrossRefPubMed
53.
Zurück zum Zitat Ross PD, Davis JW, Epstein RS, et al. Pre-existing fractures and bone mass predict vertebral fracture incidence in women. Ann Intern Med. 1991;114(11):919–23.CrossRefPubMed Ross PD, Davis JW, Epstein RS, et al. Pre-existing fractures and bone mass predict vertebral fracture incidence in women. Ann Intern Med. 1991;114(11):919–23.CrossRefPubMed
54.
Zurück zum Zitat Malina RM. Physical activity and training: effects on stature and the adolescent growth spurt. Med Sci Sports Exerc. 1994;26(6):759–66.CrossRefPubMed Malina RM. Physical activity and training: effects on stature and the adolescent growth spurt. Med Sci Sports Exerc. 1994;26(6):759–66.CrossRefPubMed
55.
Zurück zum Zitat Baxter-Jones AD, Helms P, Baines-Preece J, et al. Menarche in intensively trained gymnasts, swimmers and tennis players. Ann Hum Biol. 1994;21(5):407–15.CrossRefPubMed Baxter-Jones AD, Helms P, Baines-Preece J, et al. Menarche in intensively trained gymnasts, swimmers and tennis players. Ann Hum Biol. 1994;21(5):407–15.CrossRefPubMed
56.
Zurück zum Zitat MacKelvie KJ, Khan KM, McKay HA. Is there a critical period for bone response to weight-bearing exercise in children and adolescents? A systematic review. Br J Sports Med. 2002;36(4):250–7 (discussion 7).PubMedCentralCrossRefPubMed MacKelvie KJ, Khan KM, McKay HA. Is there a critical period for bone response to weight-bearing exercise in children and adolescents? A systematic review. Br J Sports Med. 2002;36(4):250–7 (discussion 7).PubMedCentralCrossRefPubMed
57.
Zurück zum Zitat Vicente-Rodriguez G. How does exercise affect bone development during growth? Sports Med. 2006;36(7):561–9.CrossRefPubMed Vicente-Rodriguez G. How does exercise affect bone development during growth? Sports Med. 2006;36(7):561–9.CrossRefPubMed
58.
Zurück zum Zitat Rogol AD, Clark PA, Roemmich JN. Growth and pubertal development in children and adolescents: effects of diet and physical activity. Am J Clin Nutr. 2000;72(2 Suppl):521S–8S.PubMed Rogol AD, Clark PA, Roemmich JN. Growth and pubertal development in children and adolescents: effects of diet and physical activity. Am J Clin Nutr. 2000;72(2 Suppl):521S–8S.PubMed
59.
Zurück zum Zitat Bonjour JP, Theintz G, Buchs B, et al. Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab. 1991;73(3):555–63.CrossRefPubMed Bonjour JP, Theintz G, Buchs B, et al. Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab. 1991;73(3):555–63.CrossRefPubMed
60.
Zurück zum Zitat Theintz GE, Howald H, Weiss U, et al. Evidence for a reduction of growth potential in adolescent female gymnasts. J Pediatr. 1993;122(2):306–13.CrossRefPubMed Theintz GE, Howald H, Weiss U, et al. Evidence for a reduction of growth potential in adolescent female gymnasts. J Pediatr. 1993;122(2):306–13.CrossRefPubMed
61.
Zurück zum Zitat Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966;41(220):613–35.PubMedCentralCrossRefPubMed Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966;41(220):613–35.PubMedCentralCrossRefPubMed
62.
Zurück zum Zitat Leone M, Comtois AS. Validity and reliability of self-assessment of sexual maturity in elite adolescent athletes. J Sports Med Phys Fitness. 2007;47(3):361–5.PubMed Leone M, Comtois AS. Validity and reliability of self-assessment of sexual maturity in elite adolescent athletes. J Sports Med Phys Fitness. 2007;47(3):361–5.PubMed
63.
Zurück zum Zitat Ho-Pham LT, Nguyen UD, Nguyen TV. Association between lean mass, fat mass, and bone mineral density: a meta-analysis. J Clin Endocrinol Metab. 2014;99(1):30–8.CrossRefPubMed Ho-Pham LT, Nguyen UD, Nguyen TV. Association between lean mass, fat mass, and bone mineral density: a meta-analysis. J Clin Endocrinol Metab. 2014;99(1):30–8.CrossRefPubMed
Metadaten
Titel
The Effect of Swimming During Childhood and Adolescence on Bone Mineral Density: A Systematic Review and Meta-Analysis
verfasst von
Alejandro Gomez-Bruton
Jesús Montero-Marín
Alejandro González-Agüero
Javier García-Campayo
Luis A. Moreno
Jose A. Casajús
Germán Vicente-Rodríguez
Publikationsdatum
01.03.2016
Verlag
Springer International Publishing
Erschienen in
Sports Medicine / Ausgabe 3/2016
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-015-0427-3

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