RISK FACTORS OF OSTEOPOROTIC FRACTURES IN MASTER ATHLETES

  • E. Tenyaeva Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation https://orcid.org/0000-0003-1266-9644 teniaeva@mail.ru
  • E. Turova Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation; First Moscow State Medical University named after I.M. Sechenov (Sechenov University), Moscow, Russian Federation https://orcid.org/0000-0002-4397-3270 aturova55@gmail.com
  • A. Golovach Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation https://orcid.org/0000-0002-4811-9110 diesel1200@yandex.ru
  • V. Badtieva Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation; First Moscow State Medical University named after I.M. Sechenov (Sechenov University), Moscow, Russian Federation https://orcid.org/0000-0003-4291-679X maratik2@yandex.ru
  • I. Artikulova Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation https://orcid.org/0000-0001-8599-1429 artikulova@list.ru
Keywords: master athletes, athletes, 25OHD, testosterone, body mass index, osteoporosis, fractures, static load, dynamic load

Abstract

Aim. The aim of the study was to explore the indicators of bone metabolism in master athletes depending on the type of physical activity, as well as their relationship with probability of osteoporotic fractures. Materials and methods. 50 master athletes aged from 51 to 82 years (mean age – 67 years) participated in the study. The following data were gathered: anthropometric parameters, biochemical parameters, hormonal profile, mineral metabolism parameters, the frequency of vertebral fractures, femoral neck fractures and radial bone fractures. Out of all examined master athletes, 11 persons (22%) had radial bone fractures, femoral neck fractures or vertebral fractures that occurred after their professional sports career. Results. The results of the study confirmed a predominantly low level of vitamin D in the vast majority of subjects (96% of master athletes had vitamin D deficiency). Statistical analysis showed a significant positive correlation of vitamin D level with static loads and a negative correlation with dynamic loads. There was a significant positive effect of testosterone and vitamin D levels on reducing the risk of osteoporotic fractures in master athletes. Conclusion. Vitamin D level in master athletes depended on the nature of sport: an increase in the intensity of static loads according to J. Mitchell increased the probability of increasing 25OHD level, and vice versa for dynamic loads. Thus, it was found that master athletes previously engaged in martial arts or weightlifting were characterized by a lower probability of osteoporotic fractures compared to athletes from cyclic and speed-strength sport due to higher levels of vitamin D, testosterone and higher muscle mass.

Author Biographies

E. Tenyaeva , Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation

Candidate of Medical Sciences, Leading Researcher of the Department of Sports Medicine and Clinical Pharmacology, Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Moscow Department of Health. 105120, Moscow

E. Turova , Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation; First Moscow State Medical University named after I.M. Sechenov (Sechenov University), Moscow, Russian Federation

Doctor of Medical Sciences, Professor, Deputy Director for Research, Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Moscow Department of Health. 105120, Moscow; Professor of the Department of Restorative Medicine, Rehabilitation and Balneology, First Moscow State Medical University named after M.V. THEM. Sechenov of the Ministry of Health of Russia (Sechenov University). 119048, Moscow

A. Golovach , Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation

Candidate of Medical Sciences, Senior Researcher of the Department of Sports Medicine and Clinical Pharmacology, Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Moscow Department of Health. 105120, Moscow

V. Badtieva , Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation; First Moscow State Medical University named after I.M. Sechenov (Sechenov University), Moscow, Russian Federation

Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Head of Branch No. 1, Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Moscow Department of Health. 105120, Moscow; Professor of the Department of Restorative Medicine, Rehabilitation and Balneology, First Moscow State Medical University named after M.V. THEM. Sechenov of the Ministry of Health of Russia (Sechenov University). 119048, Moscow

I. Artikulova , Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of Health, Moscow, Russian Federation

Candidate of Medical Sciences, Senior Researcher of the Department of Sports Medicine and Clinical Pharmacology, Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Moscow Department of Health. 105120, Moscow

References

References on translit

Published
2021-06-09
How to Cite
Tenyaeva, E., Turova, E., Golovach, A., Badtieva, V., & Artikulova, I. (2021). RISK FACTORS OF OSTEOPOROTIC FRACTURES IN MASTER ATHLETES. Human. Sport. Medicine, 21(1), 177-182. https://doi.org/10.14529/hsm210122
Section
Rehabilitation and sports medicine