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Impact of organized sports on risk of bone fracture among adolescents: ABCD - growth study

Grant number: 16/20377-0
Support type:Scholarships in Brazil - Master
Effective date (Start): April 01, 2017
Effective date (End): June 30, 2018
Field of knowledge:Health Sciences - Physical Education
Cooperation agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
Principal Investigator:Rômulo Araújo Fernandes
Grantee:Kyle Robinson Lynch
Home Institution: Instituto de Biociências (IB). Universidade Estadual Paulista (UNESP). Campus de Rio Claro. Rio Claro , SP, Brazil

Abstract

Introduction: Sports participation constitutes the most common manifestation of physical activity among adolescents. In fact, sports participation can promote cardiovascular, metabolic and bone benefits during pediatric ages. Regarding bone tissue, the osteogenic effect attributed to sport participation is based on the exposition of the bone matrix to mechanical loading creates a complicated situation, mainly because excessive mechanical load can cause bone injuries. Finally, public health campaigns are developed to promote sports participation among pediatric groups targeting health promotion, and the economic burden of injuries related to sports participation should be considered as well. Objective: To identify the impact of participation in organized sports on the occurrence of bone fractures among adolescents, taking into account the role of biological maturation and inflammation on this phenomenon, as well as to estimate the direct costs related to bone fracture in these adolescents. Methods: 12-months cohort study. The sample will be composed of at least 233 adolescents, age ranging from 12 to 17 years old. The occurrence of stress fracture and health care costs will be assessed monthly during the 12 months, while sport participation will be stratified as "no impact", "low impact" and "high impact". Body composition (bone density, body fatness and muscle mass) will be estimate by densitometry scanner and inflammation through blood test (12 hours fasting). Biological maturation will be estimated using anthropometric data. As potential confounders we will consider age, sex, resistance training, body composition variables and biological maturation. Expected findings: This research project aims to highlight the impact of biological maturation and inflammation on pediatric injuries related to sports participation, as well as to identify the burden of health care costs related to pediatric injuries. (AU)

Scientific publications (5)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
AGOSTINETE, RICARDO RIBEIRO; VLACHOPOULOS, DIMITRIS; WERNECK, ANDRE OLIVEIRA; MAILLANE-VANEGAS, SANTIAGO; LYNCH, KYLE ROBINSON; NAUGHTON, GERALDINE; FERNANDES, ROMULO ARAUJO. Bone accrual over 18 months of participation in different loading sports during adolescence. ARCHIVES OF OSTEOPOROSIS, v. 15, n. 1 APR 25 2020. Web of Science Citations: 0.
LUIZ-DE-MARCO, RAFAEL; GOBBO, LUIS ALBERTO; CASTOLDI, ROBSON CHACON; MAILLANE-VANEGAS, SANTIAGO; DA SILVA VENTURA FAUSTINO-DA-SILVA, YURI; EXUPERIO, ISABELA NETO; AGOSTINETE, RICARDO RIBEIRO; FERNANDES, ROMULO A. Impact of changes in fat mass and lean soft tissue on bone mineral density accrual in adolescents engaged in different sports: ABCD Growth Study. ARCHIVES OF OSTEOPOROSIS, v. 15, n. 1 FEB 23 2020. Web of Science Citations: 0.
LYNCH, KYLE R.; ANOKYE, NANA K.; VLACHOPOULOS, DIMITRIS; BARBIERI, FABIO A.; TURI-LYNCH, BRUNA C.; CODOGNO, JAMILE S.; AGOSTINETE, RICARDO R.; FERNANDES, ROMULO A. Impact of sports participation on incidence of bone traumatic fractures and health-care costs among adolescents: ABCD - Growth Study. PHYSICIAN AND SPORTSMEDICINE, NOV 2019. Web of Science Citations: 0.
LUIZ-DE-MARCO, RAFAEL; KEMPER, HAN; AGOSTINETE, RICARDO RIBEIRO; WERNECK, ANDRE OLIVEIRA; MAILLANE-VANEGAS, SANTIAGO; FAUSTINO-DA-SILVA, YURI DA SILVA; EXUPERIO, ISABELLA; FERNANDES, ROMULO ARAUJO. Sports participation and muscle mass affect sex-related differences in bone mineral density between male and female adolescents: A longitudinal study. São Paulo Medical Journal, v. 137, n. 1, p. 75-81, JAN-FEB 2019. Web of Science Citations: 0.
AGOSTINETE, RICARDO RIBEIRO; MAILLANE-VANEGAS, SANTIAGO; LYNCH, KYLE R.; TURI-LYNCH, BRUNA; COELHO-E-SILVA, MANUEL J.; CAMPOS, EDUARDO ZAPATERRA; CAYRES, SUZIANE UNGARI; FERNANDES, ROMULO ARAJUO. The Impact of Training Load on Bone Mineral Density of Adolescent Swimmers: A Structural Equation Modeling Approach. PEDIATRIC EXERCISE SCIENCE, v. 29, n. 4, SI, p. 520-528, NOV 2017. Web of Science Citations: 8.
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
LYNCH, Kyle Robinson. Impact of organized sports on risk of bone fracture among adolescents : ABCD – growth study. 2018. 34 f. Master's Dissertation - Universidade Estadual Paulista "Júlio de Mesquita Filho" Faculdade de Ciências e Tecnologia..

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