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Can I build back bone density without drugs?Bone health management for athletes -
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is supported by the VA Eastern Colorado Geriatric Research, Education, and Clinical Center GRECC , as well as R01 HL Swanson PI, grant from NHLBI.
Department of Orthopedics, University of Colorado School of Medicine, E. Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA. Department of Medicine-Endocrinology, Diabetes, and Metabolism, University of Colorado School of Medicine, Aurora, CO, USA.
You can also search for this author in PubMed Google Scholar. Correspondence to Aubrey Armento. There were no human or animal participants directly involved in this narrative review. Informed consent was not indicated for this narrative review.
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Download PDF. Abstract Purpose of Review The aim of this review is to discuss the most recent published scientific evidence regarding bone health in the pediatric athlete.
Recent Findings Pediatric athletes commonly suffer from overuse injuries to the physes and apophyses, as well as bone stress injuries, for which magnetic resonance imaging grading of the severity of injuries may be useful in guiding return to sport. Summary Young athletes are at risk for musculoskeletal injuries unique to the growing skeleton.
Strategies to Promote Bone Health in Female Athletes Chapter © Bone Health Considerations for the Adolescent Female Athlete Article 26 April Parallels with the Female Athlete Triad in Male Athletes Article 26 October Use our pre-submission checklist Avoid common mistakes on your manuscript.
Introduction In , Methods We conducted a literature review in the PubMed database including only English language articles published from to present, using the following terms: bone, pediatric, adolescent, athlete, sport.
Discussion Bone Injuries in Young Athletes A summary of key relevant studies on this topic area can be found in Table 1. Table 1 Summary of recent key studies on bone injuries in young athletes Full size table. Table 2 Summary of key studies on vitamin D in young athletes Full size table. Full size image.
Conclusion When approaching the pediatric athlete, clinicians and researchers should consider the unique attributes of the growing skeleton and how this relates to musculoskeletal injury incidence and risk. References Youth sports facts: participation rates.
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Article CAS PubMed PubMed Central Google Scholar Yang G, Lee WYW, Hung ALH, Tang MF, Li X, Kong APS, et al. However, there is no definitive consensus on how they should be used in athletes and as a result their use is often restricted to either research studies or in specialist bone centres 5. It is generally accepted that vitamin D plays a key role for the athlete in order to prevent stress fractures and muscle injury 6.
The role of vitamin D supplementation and athletic performance has been debated extensively in the medical literature, however there is a lack of robust evidence to support widespread routine use 7. Vitamin D measurement in asymptomatic patients is not routinely advised by NICE but may be considered in patients with significant risk factors for low BMD.
Calcium supplementation is also not routinely recommended in the athlete and generally should only be considered if dietary intake is less than mg daily or less than mg a day in those with diagnoses osteoporosis 8. Dual energy x-ray absorptiometry DEXA measures the amount of bone mineral per unit area of volume of bone tissue and is the main imaging modality used in the UK to assess BMD 9.
Standard protocols measure the lumbar spine BMD to monitor treatment and hip BMD to predict fracture risk. The BMD is widely measured using the T-score which is the amount of standard deviations the BMD is of a patient compared to a year old healthy adult of the same sex.
However, it is important to remember that in young athletes the Z-score should also be considered in order to compare scores against a healthy person of the same age and sex where we would expect the BMD to be higher These scores are not validated for use in younger patients.
The decision on when and how to return to training is a key part of the rehabilitation process after a bone stress response. The following factors should be considered 12 :.
The bones response to loading is thought to saturate quickly so shorter sessions — spaced out with an interval of hours, are thought to be more effective than single longer sessions It is also recommended that the direction of loading and exercises should be varied and include rest periods, to help load the bone in multiple directions 14 and maximise the response.
Once athletes return to training, a programme of loading three times a week is thought to be enough to encourage positive adaption and improve bone mechanical and structural properties Head of Medical Services and Lead Physiotherapist British Athletics Futures Program Physiotherapist at The Centre for Health and Human Performance CHHP.
Rheumatology Department University College London Hospitals NHS Foundation Trust, London, United Kingdom. The views and opinions expressed on this site are solely those of the original authors.
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Between Recovery nutrition strategies practices Fat-burning exercises the Bone health management for athletes haelth your games, your body uses and manageent vital nutrients, which can ultimately Bons a toll on your bone health. Bone health management for athletes, taking the time to optimize your nutrition, calcium intake, and overall strength helps you stay on top of your sport for the long haul. Our orthopedic specialists diagnose common and serious sports-related injuries and tailor your treatment specifically to you, which gets you back in the game quickly and efficiently. Your bones are growing, living organisms that constantly break down and rebuild themselves. This keeps your bones strong and dense, which protects them from injuries. What is athpetes Bone is constantly in the Bone health management for athletes of remodeling, breaking aghletes and Aghletes reforming. Healtj is Boosting immune system bone disease that leads to less bone heaalth as well as poor bone quality. The major problem with osteoporosis is an increased risk of weak bones that are more likely to break fracture. Aging is associated with the development of osteoporosis. This kind of bone loss is called primary osteoporosis, and it is more common in women after menopause. Secondary osteoporosis, due to an underlying disease or medication, can occur in men and women equally at any age.
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