Competitive season of triathlon does not alter bone metabolism and bone mineral status in male triathletes
Abstract
This longitudinal study evaluated the effects of a triathlon season on bone metabolism and hormonal status. Seven male competitive triathletes (mean age 19.3 years, range 18 - 20) with 5.0 +/- 0.3 years of competition experience were tested twice during the season: at the beginning of training and 32 weeks later. Total and regional bone mineral density (BMD) was determined by dual-energy X-ray absorptiometry, while bone turnover was evaluated by specific biochemical markers: bone-specific alkaline phosphatase (B-ALP), osteocalcin, and urinary type I collagen C-telopeptide. In addition, sexual, calciotropic and somatotropic hormones were also analyzed. After 32 weeks, a BMD increase was found at the lumbar spine (1.9 %; p = 0.031) and skull (3.1 %; p = 0.048), while no variation was observed for total body or at the proximal femur. The B-ALP level decreased (-23.2 %; p = 0.031), but no variation was found for the other bone markers. 1.25 (OH) (2)D3, IGF-1 and the bioavailability IGF-1 index (IGF-1/IGFBP-3) increased by 18.3 % (p = 0.047), 29 % (p = 0.048), 33 % (p = 0.011), respectively, while PTH, testosterone, IGFBP-3 and cortisol concentrations were unchanged. In conclusion, the triathlon season had a moderately favourable effect on BMD, although a slowing down of bone formation activity was observed. No variation in hormonal levels was observed that could have limited the effects of exercise on bone tissue.
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The acute decline in plasma calcium concentrations following a single bout of exercise appears transient, given prolonged periods of training do not modulate plasma calcium levels.
“Despite an acute decline in plasma calcium concentrations following a single bout of exercise [[272], [273], [274]], this appears transient given prolonged periods of training do not modulate plasma calcium levels [[275], [276], [277]]”
From Nutritional Considerations for the Vegan Athlete (2023) · cites this paper as [275]
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Barry, D. W., & Kohrt, W. M. (2007) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.071203 · Cited by 111 · see citing works
Effect of Physical Activity on Calcium Homeostasis and Calciotropic Hormones: A Review
Maı̈moun, L., & Sultan, C. (2009) · Calcified Tissue International · doi:10.1007/s00223-009-9277-z · Cited by 109 · see citing works
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 94 · see citing works
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Milanese, C., Cavedon, V., Corradini, G., De Vita, F., & Zancanaro, C. (2015) · Journal of Sports Sciences · doi:10.1080/02640414.2015.1022573 · Cited by 92 · see citing works
Eliakim, A., & Nemet, D. (2010) · Medicine and sport science/Medicine and sport · doi:10.1159/000321977 · Cited by 77 · see citing works
Lombardi, G., Lanteri, P., Colombini, A., & Banfi, G. (2012) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2011-0614 · Cited by 66 · see citing works
The Impact of Triathlon Training and Racing on Athletes’ General Health
Vleck, V. E., Millet, G. P., & Alves, F. B. (2014) · Sports Medicine · doi:10.1007/s40279-014-0244-0 · Cited by 59 · see citing works
Roberts, H. M., Law, R., & Thom, J. M. (2019) · European Journal of Applied Physiology · doi:10.1007/s00421-019-04232-4 · Cited by 57 · see citing works
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Lombardi, G., Lanteri, P., Graziani, R., Colombini, A., Banfi, G., & Corsetti, R. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042077 · Cited by 52 · see citing works
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Jürimäe, J., Purge, P., Jürimäe, T., & von Duvillard, S. P. (2006) · European Journal of Applied Physiology · doi:10.1007/s00421-006-0158-0 · Cited by 42 · see citing works
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Nebigh, A., Rebai, H., Elloumi, M., Bahlous, A. H. S., Zouch, M., Zaouali, M., Alexandre, C., Sellami, S., & Tabka, Z. (2008) · Joint Bone Spine · doi:10.1016/j.jbspin.2008.03.002 · Cited by 38 · see citing works
Lombardi, G., Corsetti, R., Lanteri, P., Grasso, D., Vianello, E., Marazzi, M. G., Graziani, R., Colombini, A., Galliera, E., Romanelli, M. M. C., et al. (2013) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.12080 · Cited by 35 · see citing works
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Sagiv, M., Chen, Y., Amir, R., & Nir, Y. (2007) · European Review of Aging and Physical Activity · doi:10.1007/s11556-007-0022-1 · Cited by 27 · see citing works
The Endocrine Response to Exercise and Training in Young Athletes
Eliakim, A., & Nemet, D. (2013) · Pediatric Exercise Science · doi:10.1123/pes.25.4.605 · Cited by 22 · see citing works
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Igf-I and fgf-2 responses to wingate anaerobic test in older men.
Amir, R., Ben‐Sira, D., & Sagiv, M. (2007) · PubMed Central · Cited by 19 · see citing works
A cross‐sectional study of osteocalcin and body fat measures among obese adolescents
Lenders, C. M., Lee, P., Feldman, H. A., Wilson, D. M., Abrams, S. H., Gitelman, S. E., Klish, W. J., Wertz, M. S., Taylor, G. A., Alongi, R. T., et al. (2013) · Obesity · doi:10.1002/oby.20131 · Cited by 16 · see citing works
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Nobarı, H., Mainer-Pardos, E., Adsuar, J. C., Franco-García, J. M., Rojo-Ramos, J., Cossio‐Bolaños, M., Urzua-Alul, L., & Pérez‐Gómez, J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.702454 · Cited by 14 · see citing works
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Sato, T., Sakuraba, K., Tsuchiya, Y., Maruyama, S., & Ochi, E. (2017) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001987 · Cited by 4 · see citing works
The effects of a 226-km ironman triathlon race on bone turnover in amateur male triathletes
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Hypoleptinaemia in extreme body mass models: The case of international rugby players
Bréban, S., Chappard, C., Jaffré, C., & Benhamou, C. L. (2010) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2009.11.003 · Cited by 3 · see citing works
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Effect of aerobic exercises on markers of bone metabolism in middle-aged women
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Alp, A. (2015) · Exposure and Health · doi:10.1007/978-94-007-7745-3_22-1 · Cited by 1 · see citing works
Nebigh, A., Rebai, H., Elloumi, M., Bahlous, A. H. S., Zouch, M., Zaouali, M., Alexandre, C., Sellami, S., & Tabka, Z. (2008) · Revue du Rhumatisme · doi:10.1016/j.rhum.2008.03.010 · Cited by 1 · see citing works
Bone-Specific Alkaline Phosphatase and Exercise
Alp, A. (2017) · Biomarkers in disease · doi:10.1007/978-94-007-7693-7_22 · Cited by 1 · see citing works
The utility of resting levels of IGF-I and IGFBP-3 as markers of training status in elite athletes
Bischler, T. K. (2007) · Open ULeth Scholarship (OPUS) (University of Lethbridge)
Huang, T., Chang, M., Chen, K.-T., Sandy, S., & Yang, R. (2011) · InTech eBooks · doi:10.5772/23093
Jesús, D., Campo, R., Ángel, J., Arias, R., & Díaz, J. F. J. (2015)
Ostéoporose et activité physique
Depiesse, F., & Cayrac, C. (2009) · Elsevier eBooks · doi:10.1016/b978-2-294-70215-0.00008-9
Hormonal Regulation of the Positive and Negative Effects of Exercise on Bone
Duff, W., & Chilibeck, P. (2020) · Contemporary Endocrinology · doi:10.1007/978-3-030-33376-8_14
Ostéoporose et activité physique
Depiesse, F., & Cayrac, C. (2016) · Elsevier eBooks · doi:10.1016/b978-2-294-74464-8.00008-5
Fujita, S., Nagato, S., Sakuraba, K., Wakamatsu, K., & Kubota, A. (2020) · Gazzetta Medica Italiana Archivio per le Scienze Mediche · doi:10.23736/s0393-3660.19.04084-1
Bone health and high-performace athletes
Stewart, K. L. (2020) · Queensland University of Technology · doi:10.5204/thesis.eprints.203100
Bone Mineral Content Distribution in Response to Long-term Training of Elite Rowers
Mourtakos, S., Kavouras, S. A., VASILIOU, S., Soultanakis, H. N., Bardis, C. N., Sidossis, L. S., & Τέντα, Ρ. (2023) · In Vivo · doi:10.21873/invivo.13119
Changes of bone turnover markers and testosterone in Japanese male endurance runners: a pilot study
Hatsukari, A., & Torii, S. (2023) · Journal of Bone and Mineral Metabolism · doi:10.1007/s00774-023-01459-2
Júnior, H. C. H. (2023) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Eskandarifard, E., Kargarfard, M., Oliveira, R. F. S., Afsanepurak, S. A., Nobarı, H., & Figueiredo, A. J. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.11.731548
Peculiarities of the bone remodeling cycle in professional sports activities (literature review)
Игоревна, Н. К., Vykhodets, I. Т., Абрамова, Т. Ф., & Михайловна, Н. Т. (2026) · Russian Osteopathic Journal · doi:10.32885/2220-0975-2026-2-157-168
Lin, P.-Y., Su, O. Y., Wu, W., Lee, R., Yao, T.-K., & Yeh, K. (2026) · Medicina · doi:10.3390/medicina62101894
- Authors
- Maı̈moun, L., Galy, O., Manetta, J., Coste, O., Péruchon, E., Micallef, J., Mariano‐Goulart, D., Couret, I., Sultan, C., & Rossi, M.
- Affiliations
- Université des Antilles et de la Guyane (GP)
- Hôpital Lapeyronie (FR)
- Inserm (FR)
- Venue
- International Journal of Sports Medicine
- Publisher
- Georg Thieme Verlag KG
- Published
- 2004-04
- Volume
- 25
- Issue
- 3
- Pages
- 230-234
- ISSN
- 0172-4622 (ISSN-L)
- 1439-3964
- OpenAlex
- W32222468
- Cited by
- 64
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 4
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Sports Medicine (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 › Growth Hormone and Insulin-like Growth Factors
- Keywords
- triathlon, bone mineral density, bone metabolism, bone turnover markers, bone-specific alkaline phosphatase, osteocalcin, insulin-like growth factor I, 1,25-dihydroxyvitamin D3, parathyroid hormone, testosterone, cortisol, exercise and bone, male athletes
- MeSH terms
- Adolescent, Adult, Alkaline Phosphatase, Bicycling, Bone and Bones, Collagen, Enzyme-Linked Immunosorbent Assay, Exercise Test, Hormones, Humans, Longitudinal Studies, Male, Peptides, Running, Swimming, Absorptiometry, Photon, Bone Density, Osteocalcin, Bone Remodeling, Statistics, Nonparametric, Collagen Type I
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