Department of Orthopedics, University of Colorado School of Medicine, 13123 E. 16th Ave, B060, Aurora, CO, 80045, USA.
Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.
Curr Osteoporos Rep. 2023 Aug;21(4):447-458. doi: 10.1007/s11914-023-00796-5. Epub 2023 Jun 8.
The aim of this review is to discuss the most recent published scientific evidence regarding bone health in the pediatric athlete.
Pediatric athletes commonly suffer from overuse injuries to the physes and apophyses, as well as bone stress injuries, for which magnetic resonance imaging grading of the severity of injuries may be useful in guiding return to sport. Adolescent athletes, particularly those who train indoors and during the winter season, are at risk for vitamin D deficiency, which has important implications for bone mineral density. However, the relationship between vitamin D status and traumatic fracture risk is still unclear. While the female athlete triad is a well-established condition, the current work has led to the recognition of parallel pathophysiology in male athletes, referred to as the male athlete triad. Recent evidence suggests that transdermal 17β-estradiol treatment in amenorrhoeic female athletes is an effective adjunctive treatment to improve bone mineral density in treatment of the female athlete triad. Young athletes are at risk for musculoskeletal injuries unique to the growing skeleton. Optimizing nutritional intake, particularly related to adequate vitamin D intake and prevention of the athlete triad, is critical to optimize bone health in the young athlete.
本文旨在讨论有关儿科运动员骨骼健康的最新科学证据。
儿科运动员经常遭受骺板和副骨的过度使用损伤，以及骨骼应力性损伤，磁共振成像（MRI）对损伤严重程度的分级可能有助于指导运动员重返运动。青少年运动员，尤其是在室内和冬季训练的运动员，存在维生素 D 缺乏的风险，这对骨矿物质密度有重要影响。然而，维生素 D 状态与创伤性骨折风险之间的关系尚不清楚。虽然女性运动员三联征是一种已确立的疾病，但目前的研究结果表明，男性运动员也存在类似的病理生理学改变，称为男性运动员三联征。最近的证据表明，经皮 17β-雌二醇治疗闭经的女性运动员是一种有效的辅助治疗方法，可改善女性运动员三联征的骨矿物质密度。年轻运动员存在与生长骨骼相关的独特肌肉骨骼损伤风险。优化营养摄入，特别是与充足的维生素 D 摄入和预防运动员三联征相关的摄入，对于优化年轻运动员的骨骼健康至关重要。
