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Association of Energy, Macronutrients, and Fiber Intakes with Bone Health in Adolescent Athletes
Abstract
This study investigated the association between energy and macronutrient intake and bone health in 63 adolescents of both sexes who participated in volleyball, track and field, or swimming. Bone mineral content (BMC) and density (BMD) of the total body less head (TBLH), lumbar spine (L1-L4), and femoral neck were assessed using DXA. Bone geometry parameters, including cross-sectional area (CSA), cross-sectional moment of inertia (CSMI), and section modulus, were estimated. Nutritional intake was evaluated through 24-h dietary recalls. Multiple linear regression was performed adjusting for sex, maturity, body mass index, sports discipline, and total moderate-to-vigorous physical activity (Model 1), with further adjustments for calcium intake (Model 2) and total energy intake (Model 3). Energy, protein, and total as well as fractional lipid intake (particularly monounsaturated and polyunsaturated fatty acids) were predictors of BMD at TBLH, L1-L4, and femoral neck. These associations persisted in Model 2 but were attenuated in Model 3. Total lipid intake remained a predictor of BMC at TBLH and L1-L4 across all models, whereas energy and protein intakes were associated with BMC at L1-L4 in Models 1 and 2. Femoral neck BMC was associated with energy, protein, and total lipid only in Model 2. Both CSA and CSMI showed positive associations with total lipid intake, and CSA was associated with energy and protein intakes. No significant associations were found between carbohydrate or fiber and bone parameters. This study highlights energy, protein, and lipid intake as important factors in bone health among adolescent athletes.
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Cites
Cohen, J. (1992) · Current Directions in Psychological Science · doi:10.1111/1467-8721.ep10768783 · Cited by 5,870
Dietary Reference Intakes for Calcium and Vitamin D
(2011) · National Academies Press eBooks · doi:10.17226/13050 · Cited by 2,551
for the IOF-IFCC Bone Marker Standards Working Group, Vasikaran, S., Eastell, R., Bruyère, O., Foldes, A. J., Garnero, P., Griesmacher, A., McClung, M., Morris, H. A., Silverman, S., et al. (2011) · Osteoporosis International · doi:10.1007/s00198-010-1501-1 · Cited by 1,212
Heaney, R. P., Abrams, S., Dawson-Hughes, B., Looker, A., Looker, A., Marcus, R., Matkovic, V., & Weaver, C. (2001) · Osteoporosis International · doi:10.1007/s001980070020 · Cited by 1,192
Mountjoy, M., Ackerman, K. E., Bailey, D. M., Burke, L. M., Constantini, N., Hackney, A. C., Heikura, I. A., Melin, A., Pensgaard, A. M., Stellingwerff, T., et al. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2023-106994 · Cited by 974
Calcium Accretion in Girls and Boys During Puberty: A Longitudinal Analysis
Bailey, D. A., Martin, A. D., McKay, H. A., Whiting, S., & Mirwald, R. (2000) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.2000.15.11.2245 · Cited by 444
Reprodutibilidade e validade do Questionário Internacional de Atividade Física em adolescentes
Guedes, D. P., Lopes, C. C., & Guedes, J. E. R. P. (2005) · Revista Brasileira de Medicina do Esporte · doi:10.1590/s1517-86922005000200011 · Cited by 306
Methods for Assessing Bone Quality: A Review
Donnelly, E. (2011) · Clinical Orthopaedics & Related Research · doi:10.1007/s11999-010-1702-0 · Cited by 300
Shepherd, J. A., Schousboe, J. T., Broy, S. B., Engelke, K., & Leslie, W. D. (2015) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2015.06.013 · Cited by 281
Influence of Sports Participation on Bone Health in the Young Athlete: A Review of the Literature
Tenforde, A. S., & Fredericson, M. (2011) · PM&R · doi:10.1016/j.pmrj.2011.05.019 · Cited by 279
Diet, Gut Microbiome, and Bone Health
Weaver, C. M. (2015) · Current Osteoporosis Reports · doi:10.1007/s11914-015-0257-0 · Cited by 260
Energy Availability in Athletics: Health, Performance, and Physique
Melin, A. K., Heikura, I. A., Tenforde, A., & Mountjoy, M. (2019) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2018-0201 · Cited by 258
Non-digestible oligosaccharides and calcium absorption in girls with adequate calcium intakes
Griffin, I. J., Davila, P., & Abrams, S. A. (2002) · British Journal Of Nutrition · doi:10.1079/bjnbjn/2002536 · Cited by 258
Högström, M., Nordström, P., & Nordström, A. (2007) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/85.3.803 · Cited by 203
Non-digestible oligosaccharides and calcium absorption in girls with adequate calcium intakes
Griffin, I. J., Davila, P., & Abrams, S. A. (2002) · British Journal Of Nutrition · doi:10.1079/bjn/2002536 · Cited by 203
Villareal, D. T., Fontana, L., Das, S. K., Redman, L., Smith, S. R., Saltzman, E., Bales, C., Rochon, J., Pieper, C., Huang, M., et al. (2016) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.2701 · Cited by 191 · cited 3×
“This shift in marrow composition can impair the osteogenic differentiation potential of mesenchymal stem cells, thereby attenuating bone formation [13, 14].”
Interventions to Improve Adolescent Nutrition: A Systematic Review and Meta-Analysis
Salam, R. A., Hooda, M., Das, J. K., Arshad, A., Lassi, Z. S., Middleton, P., & Bhutta, Z. A. (2016) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.06.022 · Cited by 176
Factors influencing peak bone mass gain
Zhu, X., & Zheng, H. (2021) · Frontiers of Medicine · doi:10.1007/s11684-020-0748-y · Cited by 160
The Impact of Diet and Physical Activity on Bone Health in Children and Adolescents
Proia, P., Amato, A., Drid, P., Korovljev, D., Vasto, S., & Baldassano, S. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.704647 · Cited by 160
Nutrition and athlete bone health
Sale, C., & Elliott-Sale, K. J. (2019) · Sports Medicine · doi:10.1007/s40279-019-01161-2 · Cited by 127
The Bone Metabolic Response to Exercise and Nutrition
Dolan, E., Varley, I., Ackerman, K. E., Pereira, R. M. R., Elliott-Sale, K. J., & Sale, C. (2019) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000215 · Cited by 102
Rondanelli, M., Faliva, M. A., Barrile, G. C., Cavioni, A., Mansueto, F., Mazzola, G., Oberto, L., Patelli, Z., Pirola, M., Tartara, A., et al. (2021) · Nutrients · doi:10.3390/nu14010074 · Cited by 102
García, J. M. L., Roncero‐Martín, R., Morán, J. M., Pedrera-Canal, M., Aliaga, I. J., Leal-Hernández, O., Rico‐Martín, S., & Canal-Macías, M. L. (2018) · PLoS ONE · doi:10.1371/journal.pone.0190539 · Cited by 80
Does relative energy deficiency in sport (REDs) syndrome exist?
Jeukendrup, A. E., Areta, J. L., Van Genechten, L., Langan-Evans, C., Pedlar, C. R., Rodas, G., Sale, C., & Walsh, N. P. (2024) · Sports Medicine · doi:10.1007/s40279-024-02108-y · Cited by 69
Hammond, K. M., Sale, C., Fraser, W., Tang, J., Shepherd, S. O., Strauss, J. A., Close, G. L., Cocks, M., Louis, J., Pugh, J., et al. (2019) · The Journal of Physiology · doi:10.1113/jp278209 · Cited by 68
Investigating the Role of Polyunsaturated Fatty Acids in Bone Development Using Animal Models
Lau, B. Y. Y., Cohen, D., Ward, W. E., & David, W. L. (2013) · Molecules · doi:10.3390/molecules181114203 · Cited by 65
Obesidade e maturação sexual precoce em escolares de Florianópolis - SC
Adami, F., & de Vasconcelos, F. D. A. G. (2008) · Revista Brasileira de Epidemiologia · doi:10.1590/s1415-790x2008000400004 · Cited by 54
The Impact of Sport Participation on Bone Mass and Geometry in Male Adolescents
VLACHOPOULOS, D., BARKER, A. R., WILLIAMS, C. A., ARNGRíMSSON, S. A., KNAPP, K. M., METCALF, B. S., FATOUROS, I. G., MORENO, L. A., & GRACIA-MARCO, L. (2017) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001091 · Cited by 50
Aplicação das Dietary Reference Intakes na avaliação da ingestão de nutrientes para indivíduos
Marchioni, D. M. L., Slater, B., & Fisberg, R. M. (2004) · Revista de Nutrição · doi:10.1590/s1415-52732004000200007 · Cited by 42
Chevalley, T., Bonjour, J., van Rietbergen, B., Ferrari, S., & Rizzoli, R. (2014) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.2247 · Cited by 32
Not Salt But Sugar As Aetiological In Osteoporosis: A Review.
DiNicolantonio, J. J., Mehta, V., Zaman, S. B., & O’Keefe, J. H. (2018) · Europe PMC (PubMed Central) · Cited by 28
Cervo, M. M., Scott, D. S., Seibel, M. J., Cumming, R. G., Naganathan, V., Blyth, F., Couteur, D. G. L., Handelsman, D. J., Ribeiro, R. V., Waite, L. M., et al. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.10.010 · Cited by 27
Bone accrual over 18 months of participation in different loading sports during adolescence
Agostinete, R. R., Vlachopoulos, D., Werneck, A. O., Maillane-Vanegas, S., Lynch, K. R., Naughton, G. A., & Fernandes, R. A. (2020) · Archives of Osteoporosis · doi:10.1007/s11657-020-00727-2 · Cited by 26
Self-citationNew Insights into Calorie Restriction Induced Bone Loss
Liu, L., & Rosen, C. J. (2023) · Endocrinology and Metabolism · doi:10.3803/enm.2023.1673 · Cited by 25
Performance Nutrition for the Adolescent Athlete: A Realistic Approach
Berg, E. K. (2019) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000744 · Cited by 25
The effects of popular diets on bone health in the past decade: a narrative review
Peng, Y., Zhong, Z., Huang, C., & Wang, W. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1287140 · Cited by 23
Gehman, S., Ackerman, K. E., Caksa, S., Rudolph, S., Hughes, J. M., Garrahan, M., Tenforde, A. S., Bouxsein, M., & Popp, K. L. (2022) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2021-0323 · Cited by 21
Fang, Z.-B., Wang, G., Cai, G.-Z., Zhang, P.-X., Liu, D., Chu, S.-F., Li, H.-L., & Zhao, H.-X. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1033195 · Cited by 16
The positive association of total protein intake with femoral neck strength (KNHANES IV)
Kim, B., Lee, S. H., Isales, C. M., Koh, J., & Hamrick, M. W. (2018) · Osteoporosis International · doi:10.1007/s00198-018-4451-7 · Cited by 13
Ma, O., Dutta, A., Bliss, D. W., Nakatsu, C. H., Weaver, C. M., & Whisner, C. M. (2024) · Calcified Tissue International · doi:10.1007/s00223-024-01201-8 · Cited by 10
Wei, J., Zhang, Y., Yuan, Y., Li, M., Zhai, B., & Chen, J. (2024) · Nutrients · doi:10.3390/nu16060758 · Cited by 4
Research works printed but not linked: 1
- Guyton AC, Hall JE (2017) Tratado de Fisiologia Médica, 13a edn. Elsevier, Rio de Janeiro
Cited by
Lv, P., Bai, J., Li, L., Zhang, C. X., Wei, S., & Chang, J. (2026) · Science Progress · doi:10.1177/00368504261426436
Remodeling of the heel bone in athletes depending on genetic profile
Рыбалкина, Д. Х., Ibrayeva, L., & Sheveleva, N. (2026) · Journal of Physical Education and Sport · doi:10.7752/jpes.2026.04066
Metadata
- Authors
- Miranda, C. C., de Araújo Pinto, A., de Lima, T. R., Bim, M. A., Fernandes, R. A., & Pelegrini, A.
- Affiliations
- Universidade do Estado de Santa Catarina (BR)
- ORCID
- Venue
- Calcified Tissue International
- Published
- 2025-09-05
- Volume
- 116
- Issue
- 1
- Pages
- 118-118
- ISSN
- 0171-967X (ISSN-L)
- 1432-0827
- OpenAlex
- W4414007743
- Semantic Scholar
- 24a2fbed5a43e4cca2b4236e777488a24251f687
- Cited by
- 2
- References
- 40
- Citations by year
- 2026: 2
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springernature.com/gp/researchers/text-and-data-mining (tdm)
- www.springernature.com/gp/researchers/text-and-data-mining (vor)
- Locations
- Calcified Tissue International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (405759/2021-5)
- Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina (2023TR000330)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Keywords
- bone health, youth athletes, energy intake, macronutrient intake, protein intake, dietary fat intake, monounsaturated fatty acids, polyunsaturated fatty acids, bone mineral content, bone mineral density, bone geometry, cross-sectional area, cross-sectional moment of inertia, section modulus, femoral neck, lumbar spine, dietary fiber, calcium intake
- MeSH terms
- Nutrients, Adolescent, Bone and Bones, Energy Intake, Dietary Fiber, Female, Femur Neck, Humans, Male, Absorptiometry, Photon, Bone Density, Athletes
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