Association between bone mineral density and skeletal morphometry: evidence from bone perimeters and diameters in college athletes
DOI:
https://doi.org/10.47197/retos.v71.114032Keywords:
Anthropometry, athletes, bone diameters, bone mineral density, DXAAbstract
Introduction: Bone mineralization is influenced by factors such as diet, physical activity, genetics and body composition.
Objective: The objective of this study was to relate bone mineral density (BMD) with skeletal morphometry (bone diameters and perimeters) in university athletes.
Methodology: A total of 275 athletes (111 men and 164 women) participated and underwent anthropometric, body composition and BMD measurements.
Results: In men, a high correlation was found between humerus diameter (r= .613; p= .000) and flexed arm circumference (r= .645; p= .000) with arm BMD. In women, correlations were moderate for humerus diameter (r= .427; p= .000), relaxed arm circumference (r= .538; p= .000), flexed arm (r= .582; p= .000) and forearm (r= .544; p= .000). In the leg region, men presented moderate correlations between BMD and thigh (r= .490; p= .000) and leg (r= .415; p= .000), circumference, while in women the most relevant correlation was observed between femur diameter and leg BMD (r= .432; p= .000).
Conclusions: It is concluded that greater bone diameter and greater muscle perimeters in the extremities may be associated with greater BMD.
References
Arazi, H., Eghbali, E., Saeedi, T., & Moghadam, R. (2016). The relationship of physical activity and an-thropometric and physiological characteristics to bone mineral density in postmenopausal women. Journal of Clinical Densitometry, 19(3), 382-388. https://doi.org/10.1016/j.jocd.2016.01.005
Barger-Lux, M. J., & Heaney, R. P. (2005). Calcium absorptive efficiency is positively related to body size. The Journal of Clinical Endocrinology & Metabolism, 90(9), 5118-5120.
https://doi.org/10.1210/jc.2005-0636
Beck, T. J., Ruff, C. B., & Bissessur, K. (1993). Age-related changes in female femoral neck geometry: implications for bone strength. Calcified tissue international, 53, S41-S46.
https://doi.org/10.1007/BF01673401
Beck, T. J., Ruff, C. B., Mourtada, F. A., Shaffer, R. A., Maxwell‐Williams, K., Kao, G. L., ... & Brodine, S. (1996). Dual‐energy X‐ray absorptiometry derived structural geometry for stress fracture pre-diction in male US Marine Corps recruits. Journal of Bone and Mineral Research, 11(5), 645-653.
https://doi.org/10.1002/jbmr.5650110512
Bristow, S. M., Gamble, G. D., Stewart, A., Horne, L., House, M. E., Aati, O., ... & Reid, I. R. (2014). Acute and 3-month effects of microcrystalline hydroxyapatite, calcium citrate and calcium carbonate on serum calcium and markers of bone turnover: a randomised controlled trial in postmeno-pausal women. British journal of nutrition, 112(10), 1611-1620.
https://doi.org/10.1017/S0007114514002785
Boivin, G., & Meunier, P. J. (2002). The degree of mineralization of bone tissue measured by computer-ized quantitative contact microradiography. Calcified tissue international, 70(6), 503.
https://doi.org/10.1007/s00223-001-2048-0
Chen, H., Liu, N., Xu, X., Qu, X., & Lu, E. (2013). Smoking, radiotherapy, diabetes and osteoporosis as risk factors for dental implant failure: a meta-analysis. PloS one, 8(8), e71955.
https://doi.org/10.1371/journal.pone.0071955
Cummings, S. R., Marcus, R., Palermo, L., Ensrud, K. E., & Genant, H. K. (1994). Does estimating volu-metric bone density of the femoral neck improve the prediction of hip fracture? A prospective study. Journal of bone and mineral research, 9(9), 1429-1432.
https://doi.org/10.1002/jbmr.5650090915
da Costa, L. F. G. R., Lugão, E. C., Dantas, K. B., de Souza Vale, R. G., Corey, M. T., de Melo, C. M., & Dantas, E. H. M. (2025). Functional autonomy, bone mineral density and risk of falls in older women with two distinct body composition profiles. Retos, 66, 274-284. https://doi.org/10.47197/retos.v66.111143
Martin Dantas, E. H., Moraes Ramos, A., Andrade Dantas, K. B., Gomes de Souza Vale, R., Rodrigues Scartoni, F., Lustosa de Figueiredo, D., … Gomes Ribeiro da Costa, L. F. (2025). Assessing body composition in older adults: comparing BMI, Calf circumference, and DXA. Retos, 67, 472–481. https://doi.org/10.47197/retos.v67.110167
Deng, G., Yin, L., Li, K., Hu, B., Cheng, X., Wang, L., ... & Cheng, X. (2021). Relationships between anthro-pometric adiposity indexes and bone mineral density in a cross-sectional Chinese study. The Spine Journal, 21(2), 332-342. https://doi.org/10.1016/j.spinee.2020.10.019
Espallargues, M., Estrada, M. D., Solà, M., Sampietro-Colom, L., Del Río, L., & Granados, A. (1999). Guía para la indicación de la densitometría ósea en la valoración del riesgo de fractura. Agència d'Avaluació de Tecnologia Mèdica, Barcelona, 2.
Esparza-Ros, F., Vaquero-Cristóbal, R., & Marfell-Jones, M. (2019). International standards for anthro-pometric assessment. International Society for the Advancement of Kinanthropometry (ISAK).
Fassio, A., Idolazzi, L., Rossini, M., Gatti, D., Adami, G., Giollo, A., & Viapiana, O. (2018). The obesity par-adox and osteoporosis. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 23, 293-302. https://doi.org/10.1007/s40519-018-0505-2
Frisancho, A. R. (1984). New standards of weight and body composition by frame size and height for assessment of nutritional status of adults and the elderly. The American journal of clinical nu-trition, 40(4), 808-819. https://doi.org/10.1093/ajcn/40.4.808
García, R. L., Carrasco, J. O. L., García, L. E. C., & Orocio, R. N. (2021). Relación entre composición cor-poral y densidad mineral ósea en jugadores de fútbol americano. Atena Journal of Sports Sci-ences, 3, 2-2.
Giladi, M., Milgrom, C., Simkin, A., Stein, M., Kashtan, H., Margulies, J., ... & Aharonson, Z. (1987). Stress fractures and tibial bone width. A risk factor. The Journal of Bone & Joint Surgery British Vol-ume, 69(2), 326-329. https://doi.org/10.1302/0301-620X.69B2.3818769
Guglielmi, G., Van Kuijk, C., Li, J., Meta, M. D., Scillitani, A., & Lang, T. F. (2006). Influence of anthropo-metric parameters and bone size on bone mineral density using volumetric quantitative com-puted tomography and dual X-ray absorptiometry at the hip. Acta Radiologica, 47(6), 574-580.
https://doi.org/10.1080/02841850600690363
Haapasalo, H., Kontulainen, S., Sievänen, H., Kannus, P., Järvinen, M., & Vuori, I. (2000). Exercise-induced bone gain is due to enlargement in bone size without a change in volumetric bone den-sity: a peripheral quantitative computed tomography study of the upper arms of male tennis players. Bone, 27(3), 351-357. https://doi.org/10.1016/S8756-3282(00)00331-8
Henry, Y. M., & Eastell, R. (2000). Ethnic and gender differences in bone mineral density and bone turnover in young adults: effect of bone size. Osteoporosis international, 11, 512-517.
https://doi.org/10.1007/s001980070094
Hernández-Davó, J. L., Loturco, I., Pereira, L. A., Cesari, R., Pratdesaba, J., Madruga-Parera, M., Sanz-Rivas, D., & Fernández-Fernández, J. (2021). Relationship between Sprint, Change of Direction, Jump, and Hexagon Test Performance in Young Tennis Players. Journal of Sports Science & Medicine, 20(2), 197-203. https://doi. org/10.52082/jssm.2021.197. https://doi.org/10.52082/jssm.2021.197
Luna-Villouta, P. F., Paredes-Arias, M., Vásquez-Gómez, J., Matus-Castillo, C., Flores-Rivera, C., Zapata-Lamana, R., & Vitoria, R. V. (2022). Determinantes de la masa ósea en tenistas jóvenes chilenos (Determinants of bone mass in young Chilean tennis players). Retos, 46, 1084-1092. https://doi.org/10.47197/retos.v46.93943
Kagawa, M., Binns, C. B., & Hills, A. P. (2007). Body composition and anthropometry in Japanese and Australian Caucasian males and Japanese females. Asia Pac J Clin Nutr, 16(Suppl 1), 31-36
Meybodi, H. A., Hemmat-Abadi, M., Heshmat, R., Homami, M. R., Madani, S., Ebrahimi, M., ... & Larijani, B. (2011). Association between anthropometric measures and bone mineral density: popula-tion-based study. Iranian Journal of Public Health, 40(2), 18.
Neglia, C., Argentiero, A., Chitano, G., Agnello, N., Ciccarese, R., Vigilanza, A., ... & Piscitelli, P. (2016). Diabetes and obesity as independent risk factors for osteoporosis: updated results from the ROIS/EMEROS registry in a population of five thousand post-menopausal women living in a re-gion characterized by heavy environmental pressure. International Journal of Environmental Research and Public Health, 13(11), 1067. https://doi.org/10.3390/ijerph13111067
Nicks, K. M., Amin, S., Atkinson, E. J., Riggs, B. L., Melton III, L. J., & Khosla, S. (2012). Relationship of age to bone microstructure independent of areal bone mineral density. Journal of Bone and Mineral Research, 27(3), 637-644. https://doi.org/10.1002/jbmr.1468
Nieves, J. W., Formica, C., Ruffing, J., Zion, M., Garrett, P., Lindsay, R., & Cosman, F. (2005). Males have larger skeletal size and bone mass than females, despite comparable body size. Journal of Bone and Mineral Research, 20(3), 529-535.size. Journal of Bone and Mineral Research., 20(3): 529-535, 2005. https://doi.org/10.1359/JBMR.041005
Ng, M. Y. M., Sham, P. C., Paterson, A. D., Chan, V., & Kung, A. W. C. (2006). Effect of environmental fac-tors and gender on the heritability of bone mineral density and bone size. Annals of human ge-netics, 70(4), 428-438. https://doi.org/10.1111/j.1469-1809.2005.00242.x
Ortega, J. A. F., Romero, D. M., & Cuartas, L. A. H. (2025). Efectos de dos tipos de entrenamiento en fuerza uno basado en la velocidad de ejecución y otro en% de 1RM sobre: la composición cor-poral, activación neuromuscular, y variables cinéticas y cinemáticas, en mujeres físicamente activas. Retos, 62, 979-989. https://doi.org/10.47197/retos.v62.108002
Palma Pulido, L. H., Cardona Castiblanco, J. F., Palma Pulido, A. Y., & Vélez Better, M. (2024). Entrena-miento de la fuerza sobre la mineralización ósea en futbolistas sub15, del Club Cor-tuluá. Retos, 54. https://doi.org/10.47197/retos.v54.97751
Pistoia, W., van Rietbergen, B., & Rüegsegger, P. (2003). Mechanical consequences of different scenar-ios for simulated bone atrophy and recovery in the distal radius. Bone, 33(6), 937-945.
https://doi.org/10.1016/j.bone.2003.06.003
Porthouse, J., Birks, Y. F., Torgerson, D. J., Cockayne, S., Puffer, S., & Watt, I. (2004). Risk factors for fracture in a UK population: a prospective cohort study. Qjm, 97(9), 569-574.
https://doi.org/10.1093/qjmed/hch097
OMS. Base de datos global sobre el índice de masa corporal (IMC). Disponible en: https://www.who.int/ [consultado: 26 de julio del 2023].
Reid, I. R., Ames, R., Mason, B., Reid, H. E., Bacon, C. J., Bolland, M. J., ... & Horne, A. (2008). Random-ized controlled trial of calcium supplementation in healthy, nonosteoporotic, older men. Archives of Internal Medicine, 168(20), 2276-2282. https://doi.org/10.1001/archinte.168.20.2276
Rivadeneira, F., Houwing‐Duistermaat, J. J., Beck, T. J., Janssen, J. A., Hofman, A., Pols, H. A., ... & Uitter-linden, A. G. (2004). The influence of an insulin‐like growth factor I gene promoter polymor-phism on hip bone geometry and the risk of nonvertebral fracture in the elderly: The Rotter-dam Study. Journal of bone and mineral research, 19(8), 1280-1290. https://doi.org/10.1359/JBMR.040405
S Abukhadir, S., Mohamed, N., & Mohamed, N. (2013). Pathogenesis of alcohol-induced osteoporosis and its treatment: a review. Current drug targets, 14(13), 1601-1610.
https://doi.org/10.2174/13894501113146660231
Seabra, A., Marques, E., Brito, J., Krustrup, P., Abreu, S., Oliveira, J., ... & Rebelo, A. (2012). Muscle strength and soccer practice as major determinants of bone mineral density in adoles-cents. Joint bone spine, 79(4), 403-408. https://doi.org/10.1016/j.jbspin.2011.09.003
Shapses, S. A., & Riedt, C. S. (2006). Bone, body weight, and weight reduction: what are the concerns?. The Journal of nutrition, 136(6), 1453-1456. https://doi.org/10.1093/jn/136.6.1453
Szulc, P., Uusi-Rasi, K., Claustrat, B., Marchand, F., Beck, T. J., & Delmas, P. D. (2004). Role of sex ster-oids in the regulation of bone morphology in men. The MINOS study. Osteoporosis Internation-al, 15, 909-917. https://doi.org/10.1007/s00198-004-1635-0
Szulc, P., Munoz, F., Duboeuf, F., Marchand, F., & Delmas, P. D. (2006). Low width of tubular bones is associated with increased risk of fragility fracture in elderly men-the MINOS study. Bone, 38(4), 595-602. https://doi.org/10.1016/j.bone.2005.09.004
Valdmanis, P. N., Kabashi, E., Dion, P. A., & Rouleau, G. A. (2008). ALS predisposition modifiers: knock NOX, who's there? SOD1 mice still are. European journal of human genetics: EJHG, 16(2), 140-142. https://doi.org/10.1038/sj.ejhg.5201961
Zaki, M. E. (2014). Effects of whole body vibration and resistance training on bone mineral density and anthropometry in obese postmenopausal women. Journal of osteoporosis, 2014.
https://doi.org/10.1155/2014/702589
Zebaze, R. M., Libanati, C., Austin, M., Ghasem-Zadeh, A., Hanley, D. A., Zanchetta, J. R., ... & Seeman, E. (2014). Differing effects of denosumab and alendronate on cortical and trabecular bone. Bone, 59, 173-179. https://doi.org/10.1016/j.bone.2013.11.016
Zwart, M., Azagra, R., Encabo, G., Aguye, A., Roca, G., Güell, S., ... & Diez-Perez, A. (2011). Measuring health-related quality of life in men with osteoporosis or osteoporotic fracture. BMC Public Health, 11, 1-8. https://doi.org/10.1186/1471-2458-11-775
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