Bone Health in Young Athletes: a Narrative Review of the Recent Literature.

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Osteoporosis Reports Pub Date : 2023-08-01 Epub Date: 2023-06-08 DOI:10.1007/s11914-023-00796-5
Aubrey Armento, Marc Heronemus, Daniel Truong, Christine Swanson
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引用次数: 0

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. Adolescent athletes, particularly those who train indoors and during the winter season, are at risk for vitamin D deficiency, which has important implications for bone mineral density. However, the relationship between vitamin D status and traumatic fracture risk is still unclear. While the female athlete triad is a well-established condition, the current work has led to the recognition of parallel pathophysiology in male athletes, referred to as the male athlete triad. Recent evidence suggests that transdermal 17β-estradiol treatment in amenorrhoeic female athletes is an effective adjunctive treatment to improve bone mineral density in treatment of the female athlete triad. Young athletes are at risk for musculoskeletal injuries unique to the growing skeleton. Optimizing nutritional intake, particularly related to adequate vitamin D intake and prevention of the athlete triad, is critical to optimize bone health in the young athlete.

Abstract Image

年轻运动员的骨骼健康:近期文献的叙述性回顾。
综述目的:本综述的目的是讨论最新发表的关于儿童运动员骨骼健康的科学证据。最近的研究结果:儿童运动员通常会遭受过度使用的身体和中风损伤,以及骨应力损伤,对损伤严重程度的磁共振成像分级可能有助于指导他们重返运动。青少年运动员,特别是那些在室内和冬季训练的运动员,有维生素D缺乏的风险,这对骨密度有重要影响。然而,维生素D状态与创伤性骨折风险之间的关系尚不清楚。虽然女性运动员三联征是一种公认的疾病,但目前的工作已经使人们认识到男性运动员的平行病理生理学,即男性运动员三联征。最近的证据表明,经皮17β-雌二醇治疗闭经的女运动员是一种有效的辅助治疗方法,可以改善女运动员三合会的骨密度。年轻运动员面临着肌肉骨骼损伤的风险,这是骨骼发育过程中特有的。优化营养摄入,特别是与充足的维生素D摄入和预防运动员三联征有关,对于优化年轻运动员的骨骼健康至关重要。
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来源期刊
Current Osteoporosis Reports
Current Osteoporosis Reports Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
8.80
自引率
2.30%
发文量
44
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of osteoporosis. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as current and future therapeutics, epidemiology and pathophysiology, and evaluation and management. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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