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1 Growth Factor Division,
Effects of long-term tennis loading on
volumetric bone mineral density (vBMD) and geometric
properties of playing-arm radius were examined. Paired forearms of 16 tennis players (10 women) and 12 healthy controls (7 women), aged
18-24 yr, were scanned at mid and distal site by using peripheral
quantitative computerized tomography. Tomographic data at midradius
showed that tennis playing led to a slight decrease in cortical vBMD
(
0.8% vs. nonplaying arm, P < 0.05) and increase both in periosteal and endocoritcal bone area
(+15.2% for periosteal bone, P < 0.001; and +18.8% for endocortical bone,
P < 0.001). These data suggest that,
together with an increase in cortical thickness (+6.4%,
P < 0.01), cortical drift toward
periosteal direction resulted in improvement of mechanical characteristics of the playing-arm midradius. Enlargement of periosteal bone area was also observed at distal radius (+6.8%,
P < 0.01), and the relative
side-to-side difference in periosteal bone area was inversely related
to that in trabecular vBMD (r =
0.53, P < 0.05). We conclude
that an improvement of mechanical properties of young adult bone in
response to long-term exercise is related to geometric adaptation but
less to changes in vBMD.
exercise; peripheral quantitiative tomography; cortical drift; volumetric bone mineral density
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