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Bone Mineral Density in Weight-Bearing and Nonweight-Bearing Female Athletes

Kathleen M. Rourke, Jean Bowering, Pirkko Turkki, Philip J. Buckenmeyer, F. Deavor Thomas, Betsy A. Keller, and Gary A. Sforzo

Bone mineral density (BMD) development and maintenance is enhanced with weight-bearing exercise, while bed rest and zero gravity results in BMD loss. The purpose of this study is to determine if BMD is significantly different in female athletes engaged in weight-bearing versus nonweight-bearing sports. Six BMD sites and anthropometric measurements were assessed at 3 equal intervals utilizing 2-way ANOVA’s. Controlling for body-weight, differences in BMD were investigated utilizing ANCOVA. Pearson and Spearman Rank Correlations were utilized to investigate interrelationships between anthropometric, VO2max, and BMD measurements. Swimmers were taller and heavier with greater percent, body fat. BMD was significantly different between runners and swimmers only at the distal, which was higher for swimmers at 6 months. There was no difference in radial BMD when utilizing ANCOVA, with weight serving as the covariate. Swimming does not appear to be a contraindicated activity for BMD accrual and maintenance.

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Bone Turnover Markers and Osteokines in Adolescent Female Athletes of High- and Low-Impact Sports Compared With Nonathletic Controls

Steven Kottaras, Joshua Stoikos, Brandon J. McKinlay, Izabella A. Ludwa, Andrea R. Josse, Bareket Falk, and Panagiota Klentrou

how they compare with nonathletic controls. The purpose of the present study was to examine potential differences in resting concentrations of BTMs and osteokines reflecting bone formation and resorption between adolescent female athletes of low-impact (swimmers) and high-impact (soccer) sports

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Initial, Continued, and Sustained Motivation in Adolescent Female Athletes: A Season-Long Analysis

Maureen R. Weiss and Kirsten M. Frazer

Research on motivation to participate in physical activity has typically been characterized by an assessment of reasons for involvement at a single point in time. This study examined motives for participating, self-perceptions (perceived success, perceived basketball competence, perceived peer acceptance), and enjoyment several times during a sport season relative to player status (Le., amount of playing time). Female basketball players (N = 141) completed measures of participation motivation, perceptions of physical competence and peer acceptance, success, and enjoyment at preseason, midseason, and end of season. Players were classified as starters, primary substitutes, or secondary substitutes by their coaches based on extent of actual playing time. All athletes were similar in their reasons for participating; these included mastery, friends, team atmosphere, and fitness. However, starters and primary substitutes were higher than secondary substitutes in perceptions of success, basketball competence, peer acceptance, and enjoyment at midseason, and starters were higher than primary and secondary substitutes on perceived basketball competence at end of season. These results suggest that positive self-perceptions and affect experienced in the physical domain are related to players ’ opportunities to demonstrate competence in salient achievement areas.

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Coaching Behaviors, Motivational Climate, and Psychosocial Outcomes among Female Adolescent Athletes

Maureen R. Weiss, Anthony J. Amorose, and Anna Marie Wilko

Based on Harter’s (12,13) competence motivation theory, this study examined the relationship of coaches’ performance feedback and motivational climate with female athletes’ perceived competence, enjoyment, and intrinsic motivation. Female adolescent soccer players (N = 141) completed measures of relevant constructs toward the latter part of their season. Canonical correlation analysis revealed that athletes’ perceptions of greater positive and informational feedback given by coaches in response to successful performance attempts, greater emphasis placed on a mastery climate, and less emphasis placed on a performance climate, were significantly related to greater ability perceptions, enjoyment, and intrinsic motivation. Exploratory analyses also showed that the relationship between feedback and the psychosocial outcomes may vary as a function of the perceived motivational climate. Overall, these results suggest that coaching feedback and motivational climate are important contributors to explaining adolescent females’ continued motivation to participate in sport.

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Maturation and Exercise Training in Children

Sharon Ann Plowman

This paper describes the effects of exercise training on the somatic, skeletal, and sexual maturation of children. Young athletes of both sexes grow at the same rate and to the same extent as young nonathletes. However, there is evidence that the pubertal development of young female athletes may be delayed. Menarche is more consistently late than either thelarche or pubarche. Genetic and environmental factors are explored in an attempt to determine causative mechanisms. Longitudinal training data are needed for both boys and girls on a variety of physical and hormonal variables. Until such data are available, it is recommended that all children engage in regular physical activity but that maturational progress be monitored in those involved in strenuous competitive training.

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Endocrinology and Metabolism

Alon Eliakim

Introduction:

Competitive female athletes restrict energy intake and increase exercise energy expenditure frequently resulting in ovarian suppression. The purpose of this study was to determine the impact of ovarian suppression and energy deficit on swimming performance (400-m swim velocity).

Methods:

Menstrual status was determined by circulating estradiol (E2) and progesterone (P4) in ten junior elite female swimmers (15-17 yr). The athletes were categorized as cyclic (CYC) or ovarian-suppressed (OVS). They were evaluated every 2 weeks for metabolic hormones, bioenergetic parameters, and sport performance during the 12-week season.

Results:

CYC and OVS athletes were similar (p > .05) in age (CYC = 16.2 ± 1.8 yr, OVS = 17 ± 1.7 yr), body mass index (CYC = 21 ± 0.4 kg·m, OVS = 25 ± 0.8 kg·m), and gynecological age (CYC = 2.6 ± 1.1 yr, OVS = 2.8 ± 1.5 yr). OVS had suppressed P4 (p < .001) and E2 (p = .002) across the season. Total triiodothyronine (TT3) and insulin-like growth factor (IGF-1) were lower in OVS (TT3: CYC = 1.6 ± 0.2 nmol·L, OVS = 1.4 ± 0.1 nmol·L, p < .001; IGF-1: CYC = 243 ± 1 μg·mL, OVS = 214 μg·mL p < .001) than CYC at week 12. Energy intake (p < .001) and energy availability (p < .001) were significantly lower in OVS versus CYC. OVS exhibited a 9.8% decline in Δ400-m swim velocity compared with an 8.2% improvement in CYC at week 12.

Conclusions:

Ovarian steroids (P4 and E2), metabolic hormones (TT3 and IGF-1), and energy status markers (EA and EI) were highly correlated with sport performance. This study illustrates that when exercise training occurs in the presence of ovarian suppression with evidence for energy conservation (i.e., reduced TT3), it is associated with poor sport performance. These data from junior elite female athletes support the need for dietary periodization to help optimize energy intake for appropriate training adaptation and maximal sport performance

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Adipocytokine and Ghrelin Responses to Acute Exercise and Sport Training in Children During Growth and Maturation

Jaak Jürimäe

Physical exercise is known to regulate energy balance. Important to this regulatory system is the existence of several peptides that communicate the status of body energy stores to the brain and are related to the body fatness including leptin, adiponectin and ghrelin. These hormones assist in regulating energy balance as well as somatic and pubertal growth in children. It appears that rather few studies have investigated the responses of leptin, adiponectin and ghrelin to acute exercise and these studies have demonstrated no changes in these peptides as a result of exercise. Leptin levels are decreased and may remain unchanged advancing from prepuberty to pubertal maturation in young male and female athletes. A limited number of studies indicate that adiponectin levels are not different between prepubertal and pubertal athletes and untrained controls. However, in certain circumstances circulating adiponectin could be increased in young athletes after onset of puberty as a result of heavily increased energy expenditure. Ghrelin levels are elevated in young sportsmen. However, pubertal onset decreases ghrelin levels in boys and girls even in the presence of chronically elevated energy expenditure as seen in young athletes. Ghrelin may also be used as an indicator of energy imbalance across the menstrual cycle in adolescent athletes. There are no studies with high-molecular-weight adiponectin and only very few studies with acylated ghrelin responses to acute exercise and chronic training have been performed in young athletes. Since these forms of adiponectin and ghrelin have been thought to be bioactive forms, further studies with these specific forms of adiponectin and ghrelin are needed. In conclusion, further studies should be conducted to investigate the response of these hormones to acute and chronic negative energy balance to better understand their role in regulating energy balance during growth and maturation in young athletes.

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Associations of Serum Irisin and Fibroblast Growth Factor-21 Levels With Bone Mineral Characteristics in Eumenorrheic Adolescent Athletes With Different Training Activity Patterns

Jaak Jürimäe, Liina Remmel, Anna-Liisa Tamm, Priit Purge, Katre Maasalu, and Vallo Tillmann

, to unfavorable bone mineral accrual in adolescent female athletes ( 11 , 23 ) as seen in patients with anorexia nervosa ( 24 ). The effect of athletic activity and energy balance on bone mineral accrual is mostly studied using markers of bone formation, such as osteocalcin, and bone resorption, such

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A Multivariable Analysis to Evaluate the Presence or Absence of Gender Differences in Baseline ImPACT Composite Scores and Symptom Severity Ratings in Student-Athletes Ages 12–18 Years

Theodore C. Hannah, Oranicha Jumreornvong, Naoum F. Marayati, Zachary Spiera, Muhammad Ali, Adam Y. Li, John R. Durbin, Nick Dreher, Alex Gometz, Mark Lovell, and Tanvir Choudhri

history. However, the effect size of this difference is still low, suggesting that it may not be clinically relevant at baseline. Of clinical importance, however, concussed female athletes have been shown to experience protracted recovery to baseline of visual motor scores compared with their male

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Are Young Female Basketball Players Adequately Prepared for a Force–Velocity Jumping and Sprinting Assessment?

Jessica Rial-Vázquez, Iván Nine, María Rúa-Alonso, Juan Fariñas, Roberto Fernández-Seoane, Pedro Jiménez-Reyes, Miguel Fernández-del-Olmo, and Eliseo Iglesias-Soler

an amateur team, and reveals practical information for the evaluation of sport teams in formative stages. From a practical point of view, our results suggest that practitioners can expect acceptable reliability of the horizontal FV profile for young female athletes. Due to the potential association