Vasconcelos Bárbara, Gorla José Irineu, Sá Karina Santos Guedes de, Corredeira Rui, Bastos Tânia
Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, 4099-002 Porto, Portugal.
Department of Adapted Physical Activity Studies, Faculty of Physical Education, State University of Campinas, Barão Geraldo 13083-859, Brazil.
Healthcare (Basel). 2025 Jul 9;13(14):1658. doi: 10.3390/healthcare13141658.
: Sport plays an important role in the health promotion of people with cerebral palsy (CP). However, risk factors may impair sport performance and health in non-ambulatory athletes. Therefore, the aim of the present study was to explore body composition and bone health in a group of world-class Boccia players with CP. : Five BC2-class players with CP, aged 15-42 years old, were assessed using Dual-Energy X-Ray Absorptiometry (DXA) for body composition and bone mineral density (BMD) and content (BMC). The fat mass index (kg/m) was used to define obesity, and the BMD Z-score used to analyze bone health. A preliminary indicator of sarcopenia was considered using the appendicular lean mass index. : Players 1 and 3 exhibited similar body compositions (obesity class 1 and BMD Z-score are below the expected range for age). Player 5 exhibited multiple health-related risk factors. The results regarding youth players (Player 2 and Player 4) should be analyzed with caution. : Overall, due to Boccia's specific characteristics, players may benefit from close monitoring by multidisciplinary teams and supplementary strategies (e.g., strength training, individualized diet plans) to promote quality of life and performance. However, further research is needed to confirm the data, since these preliminary findings do not allow for broader generalizations.
体育在促进脑瘫（CP）患者的健康方面发挥着重要作用。然而，风险因素可能会损害非行走运动员的运动表现和健康。因此，本研究的目的是探讨一组世界级脑瘫博克球运动员的身体成分和骨骼健康状况。
对5名年龄在15至42岁之间的BC2级脑瘫博克球运动员进行了双能X线吸收法（DXA）评估，以测定身体成分、骨矿物质密度（BMD）和骨矿物质含量（BMC）。采用脂肪质量指数（kg/m）来定义肥胖，并用BMD Z评分来分析骨骼健康状况。使用四肢瘦体重指数作为肌肉减少症的初步指标。
运动员1和运动员3表现出相似的身体成分（肥胖1级，BMD Z评分低于年龄预期范围）。运动员5表现出多种与健康相关的风险因素。对于年轻运动员（运动员2和运动员4）的结果应谨慎分析。
总体而言，由于博克球的特殊特点，运动员可能会受益于多学科团队的密切监测和补充策略（如力量训练、个性化饮食计划），以提高生活质量和运动表现。然而，由于这些初步研究结果不允许进行更广泛的概括，因此需要进一步研究来证实这些数据。
