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Bone Health in Former Artistic Gymnasts Aged 45 Years and Over: Case-Control Comparison with Controls and Reference
Patrícia Arruda de Albuquerque Farinatti1, Cinthia Sousa1, Rodrigo Zacca2,3,4,5
1Graduate Program in Exercise and Sport Sciences, University of Rio de Janeiro State, Rio de Janeiro 20550-900, Brazil.
Early artistic gymnastics participation significantly boosts bone mineral density, reducing osteoporosis risk in adults over 45. These skeletal benefits persist long-term, offering lasting protection against bone loss.
Area of Science:
- Exercise Science
- Bone Physiology
- Gerontology
Background:
- Peak bone mass in youth is critical for preventing osteoporosis later in life.
- Artistic gymnastics (AG) is known for its bone-building potential.
- Long-term skeletal effects of AG in adults over 45 are not well understood.
Purpose of the Study:
- To compare bone mineral density (BMD) and osteopenia/osteoporosis prevalence in former artistic gymnasts and controls.
- To investigate the enduring skeletal benefits of early-life AG participation in adults.
- To assess the impact of AG on bone health in individuals aged 45 and older.
Main Methods:
- A case-control study involving 65 former gymnasts and 91 age-matched controls.
- Bone mineral density (BMD) assessed using dual-energy X-ray absorptiometry (DXA).
- Recorded physical activity during youth (PA-Youth) and the past decade (PA-10), comparing results with large Brazilian and Portuguese reference cohorts.
Main Results:
- Former gymnasts exhibited significantly higher femoral Z-scores (4-6 times greater) compared to controls.
- Osteopenia/osteoporosis prevalence was markedly lower in former gymnasts (3% males, 36% females) versus controls (16% males, 52% females).
- Gymnasts showed superior whole-body and femoral mineralization compared to reference populations, with no osteoporosis cases observed.
Conclusions:
- Early-life participation in artistic gymnastics is linked to lasting skeletal advantages in adults over 45.
- Higher bone mineralization and reduced prevalence of osteopenia/osteoporosis are key long-term benefits.
- The protective effect on bone health may be less pronounced in older females, potentially due to postmenopausal bone loss.
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