Biomedical Engineering Reference
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training mileage did not show
difference in BMD as compared to
control group.
Greene et
al. 20
♀, 161.7, 18.71.5, 6hr/wk
for >2yr
Runner showed higher BMD and
BMC in distal tibia, densitometric
measurement performed only in
distal tibia.
SS
Egan et al. 19
♀, 21.52.6 yr, 20.23,
8.43.4h/wk for 6.02.1yr
All sports groups had higher BMD
values than did the controls. Runners
showed a higher BMD only in legs
and proximal femur, but lower than
rugby athletes.
SS
Fredericson
et al. 21
♂, 24.23.2 yr, 20.31.3,
70mile/wk for at least 1yr
Soccer player was higher in BMD of
the skeleton at all sites measured.
Runners only showed higher BMD in
calcaneus than control group.
SS
Brahm et al. 3 ♀&♂, 32yr, 22, 7h/wk for
12yr
Runners were significantly higher in
total body, legs, femoral neck,
trochanter wards triangle and
calcaneus BMD than control group.
Stewart &
Hannan 24
Runners showed higher total body
and legs BMD.
♂, 27.66.1yr, 21.91.3,
8.72.7h/week, club level
runners
Duncan
et al. 22
♀, 17.61.4 yr, 21.31.6,
8.41.2 h/wk for 6.21.7 yr,
high school level athlete
Runner were significantly higher in
total body, lumbar spine, femoral
neck and leg BMD as compared to
BMI-matched control group
Kemmler
et al. 23
Runners were higher in total body
BMD, legs, pelvis, femoral neck,
calcaneus BMD as compared to the
BMI (20.7) matched control group
♂, 26.65.5yr, 20.9,
9.252h/wk for 8.9 yr
Note: a , subjects were divided into three groups (NR, runners with normal BMD; LR, runners with
low BMD, C, control group); b , runners were divided into five groups according to their training
mileage per week, BMI value was not matched among groups that control group showed the
highest value; , runners were comprehensively lower than control group in total body and local
bone; =, no significant difference was shown between runners and control group; SS , runners
showed site-specific increment in BMD; , runners showed higher BMD in total body as well as in
local bone.
Table 1. Summary of cross-sectional studies of BMD in adolescent or young adult distance
runners
2.1.2 Results of human studies: Bone metabolism status in distance runners
As mentioned above, ERT conferred no clear benefits to bone health. An important inquiry
is whether endurance running influences the physiology ( e.g. exercise-induced acidosis) or
causes related abnormalities in hormonal homeostasis ( e.g. menstrual disorders in females
or lower testosterone in males) that negatively affect the bone.
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