Vitamin D status and musculoskeletal health in adolescent male ballet dancers a pilot study

Journal article

Ducher, Gaele, Kukuljan, Sonja, Hill, B., Garnham, Andrew P., Nowson, Carol A., Kimlin, M. G. and Cook, Jill. (2011). Vitamin D status and musculoskeletal health in adolescent male ballet dancers a pilot study. Journal of Dance Medicine and Science. 15(3), pp. 99 - 107.
AuthorsDucher, Gaele, Kukuljan, Sonja, Hill, B., Garnham, Andrew P., Nowson, Carol A., Kimlin, M. G. and Cook, Jill
Abstract

Adequate vitamin D levels during growth are critical to ensuring optimal bone development. Vitamin D synthesis requires sun exposure; thus, athletes engaged in indoor activities such as ballet dancing may be at relatively high risk of vitamin D insufficiency. The objective of this study was to investigate the prevalence of low vitamin D levels in young male ballet dancers and its impact on musculoskeletal health. Eighteen male ballet dancers, aged 10 to 19 years and training for at least 6 hours per week, were recruited from the Australian Ballet School, Melbourne, Australia. Serum 25( OH )D and intact PTH were measured in winter ( July ) from a non-fasting blood sample. Pubertal stage was determined using self- assessed Tanner criteria. Body composition and areal bone mineral density ( aBMD ) at the whole body and lumbar spine were measured using dual-energy x-ray absorptiometry ( DXA ). Injury history and physical activity levels were assessed by questionnaire. Blood samples were obtained from 16 participants. Serum 25( OH )D levels ranged from 20.8 to 94.3 nmol/L, with a group mean of 50.5 nmol/L. Two participants ( 12.5% ) showed vitamin D deficiency [serum 25( OH )D level < 25 nmol/L], seven dancers ( 44% ) had vitamin D insufficiency ( 25 to 50 nmol/L ), and the remaining seven dancers ( 44% ) had normal levels ( > 50 nmol/L ). No relationship was found between vitamin D status, PTH levels, body composition, and aBMD. The most commonly reported injuries were muscle tears and back pain. The average number of injuries reported by each dancer was 1.9 ± 0.4 ( range: 0 to 5 ). There was no difference in the frequency of reported injuries between subjects with vitamin D deficiency or insufficiency ( 2.1 ± 0.6 injuries ) and those with normal vitamin D levels ( 1.4 ± 0.6 injuries ). This pilot study showed that more than half of highly-trained young male ballet dancers presented with low levels of vitamin D in winter. Further investigations in larger samples of adolescent athletes are needed to determine if this could negatively impact bone growth and place them at higher risk for musculoskeletal injuries.

Year2011
JournalJournal of Dance Medicine and Science
Journal citation15 (3), pp. 99 - 107
PublisherJ.Michael Ryan Publishing Inc.
ISSN1089-313X
Scopus EID2-s2.0-84858783714
Web address (URL)http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=66361324&site=ehost-live&scope=site
Page range99 - 107
Publisher's version
File Access Level
Controlled
Place of publicationUnited States
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Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography
Burt, Lauren, Ducher, Gaele, Naughton, Geraldine, Courteix, Daniel and Greene, David. (2013). Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography. The Journal of Musculoskeletal and Neuronal Interactions.
Effect of exercise on the skeletal muscle proteome in patients with type 2 diabetes
Hussey, Sophie E., Sharoff, Carrie G., Garnham, Andrew, Yi, Zhengping, Bowen, Benjamin P., Mandarino, Lawrence J. and Hargreaves, Mark. (2013). Effect of exercise on the skeletal muscle proteome in patients with type 2 diabetes. Medicine and Science in Sports and Exercise. 45(6), pp. 1069 - 1076. https://doi.org/10.1249/MSS.0b013e3182814917
Preexercise aminoacidemia and muscle protein synthesis after resistance exercise
Burke, Louise, Hawley, John, Ross, M, Moore, Daniel, Phillips, S, Slater, G, Stellingwerff, T, Tipton, K, Garnham, A and Coffey, Vernon. (2012). Preexercise aminoacidemia and muscle protein synthesis after resistance exercise. Medicine and Science in Sports and Exercise. 44(10), pp. 1968 - 1977. https://doi.org/10.1249/MSS.0b013e31825d28fa
Mechanical loading with or without weight-bearing activity : Influence on bone strength index in elite female adolescent athletes engaged in water polo, gymnastics, and track-and-field
Greene, David, Naughton, Geraldine, Bradshaw, Elizabeth, Moresi, Mark and Ducher, Gaele. (2012). Mechanical loading with or without weight-bearing activity : Influence on bone strength index in elite female adolescent athletes engaged in water polo, gymnastics, and track-and-field. Journal of Bone and Mineral Metabolism. 30(5), pp. 580 - 587. https://doi.org/10.1007/s00774-012-0360-6
Early inflammatory and myogenic responses to resistance exercise in the elderly
Mathers, Jessica L., Farnfield, Michelle M., Garnham, Andrew P., Caldow, Marissa K., Cameron-Smith, David and Peake, Jonathan M.. (2012). Early inflammatory and myogenic responses to resistance exercise in the elderly. Muscle & Nerve. 46(3), pp. 407 - 412. https://doi.org/10.1002/mus.23317
Evaluation of the MAIIA dipstick test to detect recombinant human erythropoietin in plasma
Ashenden, Michael, Sharpe, Ken, Garnham, Andrew and Gore, Christopher J.. (2012). Evaluation of the MAIIA dipstick test to detect recombinant human erythropoietin in plasma. Journal of Pharmaceutical and Biomedical Analysis. 67-68, pp. 123 - 128. https://doi.org/10.1016/j.jpba.2012.04.025
Activation of mTOR signalling in young and old human skeletal muscle in response to combined resistance exercise and whey protein ingestion
Farnfield, Michelle M., Breen, Leigh, Carey, Kate A., Garnham, Andrew and Cameron-Smith, David. (2012). Activation of mTOR signalling in young and old human skeletal muscle in response to combined resistance exercise and whey protein ingestion. Applied Physiology, Nutrition and Metabolism. 37(1), pp. 21 - 30. https://doi.org/10.1139/H11-132
Low muscle glycogen concentration does not suppress the anabolic response to resistance exercise
Camera, Donny, West, D, Burd, N, Phillips, S, Garnham, A, Hawley, John and Coffey, Vernon. (2012). Low muscle glycogen concentration does not suppress the anabolic response to resistance exercise. Journal of Applied Physiology. 113(2), pp. 206 - 214. https://doi.org/10.1152/japplphysiol.00395.2012
Nutrient provision increases signalling and protein synthesis in human skeletal muscle after repeated sprints
Coffey, Vernon, Moore, Daniel, Burd, N, Rerecich, T, Stellingwerff, T, Garnham, A, Phillips, S and Hawley, John. (2011). Nutrient provision increases signalling and protein synthesis in human skeletal muscle after repeated sprints. European Journal of Applied Physiology. 111(7), pp. 1473 - 1483. https://doi.org/10.1007/s00421-010-1768-0
Impact of resistance exercise training on interleukin-6 and JAK/STAT in young men
Trenerry, Marissa K., Della Gatta, Paul A., Larsen, Amy E., Garnham, Andrew P. and Cameron-Smith, David. (2011). Impact of resistance exercise training on interleukin-6 and JAK/STAT in young men. Muscle & Nerve. 43(3), pp. 385 - 392. https://doi.org/10.1002/mus.21875
Impact of resistance exercise training on interleukin-6 and JAK/STAT in young men
Trenerry, Melissa K., Della Gatta, Paul A., Larson, Amy E. and Garnham, Andrew P.. (2011). Impact of resistance exercise training on interleukin-6 and JAK/STAT in young men. Muscle & Nerve. 43(3), pp. 385 - 392. https://doi.org/10.1002/mus.21875
Skeletal differences at the ulna and radius between pre-pubertal non-elite female gymnasts and non-gymnasts
Burt, Lauren A., Naughton, Geraldine A., Greene, David A. and Ducher, Gaele. (2011). Skeletal differences at the ulna and radius between pre-pubertal non-elite female gymnasts and non-gymnasts. The Journal of Musculoskeletal and Neuronal Interactions. 11(3), pp. 227 - 233.
Current markers of the Athlete Blood Passport do not flag microdose EPO doping
Ashenden, Michael, Gough, Clare E., Garnham, Andrew, Gore, Christopher J. and Sharpe, Ken. (2011). Current markers of the Athlete Blood Passport do not flag microdose EPO doping. European Journal of Applied Physiology. 111(9), pp. 2307 - 2314. https://doi.org/10.1007/s00421-011-1867-6
Exercise training increases adipose tissue GLUT4 expression in patients with type 2 diabetes
Hussey, Sophie E., McGee, S. L., Garnham, Andrew, Wentworth, John M., Jeukendrup, A. E. and Hargreaves, M.. (2011). Exercise training increases adipose tissue GLUT4 expression in patients with type 2 diabetes. Diabetes, Obesity and Metabolism. 13(10), pp. 959 - 962. https://doi.org/10.1111/j.1463-1326.2011.01426.x
Acute signalling responses to intense endurance training commenced with low or normal muscle glycogen : Experimental Physiology-Research Paper
Yeo, W, McGee, S, Carey, A, Paton, C, Garnham, A, Hargreaves, M and Hawley, John. (2010). Acute signalling responses to intense endurance training commenced with low or normal muscle glycogen : Experimental Physiology-Research Paper. Experimental Physiology. 95(2), pp. 351 - 358. https://doi.org/10.1113/expphysiol.2009.049353
Upper body bone strength in pre-pubertal, non-elite gymnasts and non-gymnasts
Burt, Lauren, Naughton, Geraldine, Greene, David and Ducher, Gaele. (2010). Upper body bone strength in pre-pubertal, non-elite gymnasts and non-gymnasts. Be Active 2012 : Australian Conference of Science and Medicine in Sport. Sydney Convention and Exhibition Centre, Sydney, New South Wales, Australia 31 Oct - 03 Nov 2012 Australia: Elsevier. pp. 37 - 37
Healthy eating and obesity prevention for preschoolers: A randomised controlled trial
Skouteris, Helen, McCabe, Marita, Swinburn, Boyd and Hill, B. (2010). Healthy eating and obesity prevention for preschoolers: A randomised controlled trial. BMC Public Health. 10(1), pp. 1 - 9. https://doi.org/10.1186/1471-2458-10-220
Cytokine responses to carbohydrate ingestion during recovery from exercise-induced muscle injury
Ross, M, Halson, Shona, Suzuki, K, Garnham, A, Hawley, John, Cameron-Smith, David and Peake, J. (2010). Cytokine responses to carbohydrate ingestion during recovery from exercise-induced muscle injury. Journal of Interferon and Cytokine Research. 30(5), pp. 329 - 337. https://doi.org/10.1089/jir.2009.0079
Recreational gymnastics: strengthening the musculoskeletal system in young girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Ducher, Gaele. (2010). Recreational gymnastics: strengthening the musculoskeletal system in young girls. American society for bone and mineral research annual meeting. United States of America: American Society for Bone and Mineral Research. pp. 15 - 15
Effect of consecutive repeated sprint and resistance exercise bouts on acute adaptive responses in human skeletal muscle
Coffey, Vernon Glenn, Jemiolo, Bozena, Edge, Johann, Garnham, Andrew P., Trappe, Scott W. and Hawley, John Alan. (2009). Effect of consecutive repeated sprint and resistance exercise bouts on acute adaptive responses in human skeletal muscle. American Journal of Physiology - Regulatory Integrative and Comparative Physiology. 297(5), pp. 1441 - 1451. https://doi.org/10.1152/ajpregu.00351.2009
Relationship between indices of adiposity obtained by peripheral quantitative computed tomography and dual-energy X-ray absorptiometry in pre-pubertal children
Ducher, G., Daly, Robin M., Hill, B., Eser, Prisca, Naughton, Geraldine A., Gravenmaker, Karen J., Seibel, Markus J., Javaid, Ahmad, Telford, Richard D. and Bass, Shona L.. (2009). Relationship between indices of adiposity obtained by peripheral quantitative computed tomography and dual-energy X-ray absorptiometry in pre-pubertal children. Annals of Human Biology. 36(6), pp. 705 - 716. https://doi.org/10.3109/03014460903055139
Overweight children have a greater proportion of fat mass relative to muscle mass in the upper limbs than in the lower limbs: implications for bone strength at the distal forearm
Ducher, Gaele, Bass, Shona L., Naughton, Geraldine A., Eser, Prisca, Telford, Richard D. and Daly, Robin M.. (2009). Overweight children have a greater proportion of fat mass relative to muscle mass in the upper limbs than in the lower limbs: implications for bone strength at the distal forearm. American Journal of Clinical Nutrition: A journal reporting the practical application of our world-wide knowledge of nutrition. 90(4), pp. 1104 - 1111. https://doi.org/10.3945/ajcn.2009.28025
Consecutive bouts of diverse contractile activity alter acute responses in human skeletal muscle
Coffey, Vernon Glenn, Pilegaard, Henriette, Garnham, Andrew P., O'Brien, Brendan J. and Hawley, John Alan. (2009). Consecutive bouts of diverse contractile activity alter acute responses in human skeletal muscle. Journal of Applied Physiology. 106(4), pp. 1187 - 1197. https://doi.org/10.1152/japplphysiol.91221.2008
Skeletal muscle adaptation and performance responses to once a day versus twice every second day endurance training regimens
Yeo, Wee Kian, Paton, Carl D., Garnham, Andrew P., Burke, Louise M., Carey, Andrew L. and Hawley, John Alan. (2008). Skeletal muscle adaptation and performance responses to once a day versus twice every second day endurance training regimens. Journal of Applied Physiology. 105(5), pp. 1462 - 1470. https://doi.org/10.1152/japplphysiol.90882.2008
Fat adaptation followed by carbohydrate restoration increases AMPK activity in skeletal muscle from trained humans
Yeo, Wee Kian, Lessard, Sarah J., Chen, Zhi-Ping, Garnham, Andrew P., Burke, Louise, Rivas, Donato A., Kemp, Bruce Ernest and Hawley, John Alan. (2008). Fat adaptation followed by carbohydrate restoration increases AMPK activity in skeletal muscle from trained humans. Journal of Applied Physiology. 105(5), pp. 1519 - 1526. https://doi.org/10.1152/japplphysiol.90540.2008