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

Bone Health in Young Athletes: a Narrative Review of the Recent Literature.
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DOI:
10.1007/s11914-023-00796-5
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发表时间:
2023-08
影响因子:
4.3
通讯作者:
--
中科院分区:
医学2区
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--
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本综述的目的是讨论最新发表的关于儿科运动员骨骼健康的科学证据。儿科运动员通常遭受过度使用损伤的骺板和骨突,以及骨应力损伤,磁共振成像分级的损伤的严重程度可能是有用的,在指导返回运动。青少年运动员,特别是那些在室内和冬季训练的运动员,有缺乏维生素D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仍不清楚。虽然女运动员三联征是一个公认的条件,目前的工作已经导致承认平行的病理生理学在男运动员,被称为男运动员三联征。最近的证据表明,17β-雌二醇透皮治疗闭经女运动员是治疗女运动员三联征的一种有效的改善骨密度的治疗方法。年轻的运动员面临着骨骼生长所特有的肌肉骨骼损伤的风险。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相关的营养摄入,对于优化年轻运动员的骨骼健康至关重要。
The aim of this review is to discuss the most recent published scientific evidence regarding bone health in the pediatric athlete. 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.
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