The DOI matches its Crossref record; 21 of the 22 references it cites were found in a registry or an index.
Changes in Bone Mineral Content in Male Athletes: Mechanisms of Action and Intervention Effects
Abstract
Objectives To determine changes in bone mineral content (BMC) in male athletes, to examine the mechanisms of changes, and to evaluate the effects of intervention. Design Dual-energy x-ray absorptiometry (DEXA) tests were administered over a 2-year period, and calcium loss during training was determined by analysis of sweat and urine. Calcium supplementation was administered during year 2. SETTING--A midsouth university. Participants Eleven members of a college Division I-A basketball team. Intervention Based on observed calcium loss, athletes received differential levels of calcium supplementation. Intervention commenced the week prior to the fall training season and continued through postseason play. MAIN OUTCOME MEASURE--Changes in BMC. Results Total body BMC decreased 3.8% from preseason to midseason of year 1 (mean decrease, 133.4 g, P = .02), increased nonsignificantly by 1.1% (mean increase, 35.3 g, P = .22) during the offseason, but decreased an additional 3.3% during summer months when practices resumed (mean decrease, 113.1 g, P = .01). Dermal calcium loss averaged 247 mg [corrected] per training session. From preseason to late summer, there was an overall decrease of 6.1% in total BMC and a 10.5% decrease in BMC of the legs. Calcium supplementation was associated with significant increases in BMC and lean body mass. Conclusions Bone loss is calcium related and exercise is positively related to BMC provided that calcium intake is sufficient to offset dermal loss.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Some initial studies seemed to indicate a conservation of sweat trace mineral concentrations with heat acclimation (Chinevere et al. 2008; Hoshi et al. 2002; Klesges et al. 1996) and even throughout the course of a single bout of exercise (DeRuisseau et al. 2002; Montain et al. 2007; Waller and Haymes 1996).”
From Physiological mechanisms determining eccrine sweat composition (2020) · cites this paper as Klesges et al. 1996
Citations
Cites
Matkovic, V., Fontana, D., Tominac, Č., Goel, P., & Chesnut, C. H. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/52.5.878 · Cited by 463
Scrimshaw, N. S., & Murray, E. B. (1988) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/48.4.1142 · Cited by 430
Low Bone Density Is an Etiologic Factor for Stress Fractures in Athletes
Myburgh, K. H., Hutchins, J., Fataar, A. B., Hough, S. F., & Noakes, T. D. (1990) · Annals of Internal Medicine · doi:10.7326/0003-4819-113-10-754 · Cited by 425
Use of dual-energy x-ray absorptiometry in body-composition studies: not yet a “gold standard”
Roubenoff, R., Kehayias, J. J., Dawson‐Hughes, B., & Heymsfield, S. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/58.5.589 · Cited by 369
Neuromuscular Disease in Primary Hyperparathyroidism
Patten, B. M., BILEZIKIAN, J. P., MALLETTE, L. E., PRINCE, A., ENGEL, W. K., & AURBACH, G. D. (1974) · Annals of Internal Medicine · doi:10.7326/0003-4819-80-2-182 · Cited by 269
A 1-y walking program and increased dietary calcium in postmenopausal women: effects on bone
Nelson, M. E., Fisher, E. C., Dilmanian, F., Dallal, G., & Evans, W. (1991) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/53.5.1304 · Cited by 253
Can vigorous exercise play a role in osteoporosis prevention? A review
Gutin, B., & Kasper, M. J. (1992) · Osteoporosis International · doi:10.1007/bf01623838 · Cited by 239
Stress Fractures of the Femoral Shaft in Athletes—More Common Than Expected
Johnson, A. W., Weiss, C. B., & Wheeler, D. L. (1994) · The American Journal of Sports Medicine · doi:10.1177/036354659402200216 · Cited by 225
Detection of small changes in body composition by dual-energy x-ray absorptiometry
Going, S., Massett, M. P., Hall, M., Bare, L., Root, P. A., Williams, D., & Lohman, T. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/57.6.845 · Cited by 210
Low bone mass and high bone turnover in male long distance runners
Hetland, M. L., Haarbo, J., & Christiansen, C. (1993) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.77.3.8370698 · Cited by 190
Cited by
Sorted by citations
Non-invasive wearable electrochemical sensors: a review
Bandodkar, A. J., & Wang, J. (2014) · Trends in Biotechnology · doi:10.1016/j.tibtech.2014.04.005 · Cited by 1,247
Physiology of sweat gland function: The roles of sweating and sweat composition in human health
Baker, L. B. (2019) · Temperature · doi:10.1080/23328940.2019.1632145 · Cited by 732
Lappe, J. M., Cullen, D. M., Haynatzki, G. R., Recker, R. R., Ahlf, R. L., & Thompson, K. L. (2008) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.080102 · Cited by 490
Leisure-Time Physical Activity and Ischemic Stroke Risk
Sacco, R. L., Gan, R., Boden-Albala, B. M., Lin, I., Kargman, D. E., Hauser, W. A., Shea, S., & Paik, M. C. (1998) · Stroke · doi:10.1161/01.str.29.2.380 · Cited by 389
Nordin, B. E. C. (1997) · Nutrition · doi:10.1016/s0899-9007(97)83011-0 · Cited by 370
Metadata
- Authors
- Klesges, R. C.
- Affiliations
- University of Memphis (US)
- Corresponding author
- Klesges, Robert C.
- ORCID
- Klesges, Robert C.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1996-07-17
- Volume
- 276
- Issue
- 3
- Pages
- 226
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2043167036
- Cited by
- 157
- References
- 22
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 8 · 2020: 8 · 2019: 4 · 2018: 3 · 2017: 11 · 2016: 3 · 2015: 6 · 2014: 8 · 2013: 3 · 2012: 2
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Vitamin D Research Studies
- Keywords
- bone mineral content, male athletes, basketball players, calcium loss, urinary calcium, calcium supplementation, exercise and bone, bone loss, lean body mass, seasonal variation
- MeSH terms
- Adolescent, Adult, Body Composition, Calcium, Calcium Carbonate, Calcium, Dietary, Humans, Male, Prospective Studies, Sports, Sweat, Vitamin D, Exercise, Absorptiometry, Photon, Bone Density
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review