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Effects of single-leg drop-landing exercise from different heights on skeletal adaptations in prepubertal girls: a randomized controlled study |
Wiebe PN, Blimkie CJR, Farpour-Lambert N, Briody J, Marsh D, Kemp A, Cowell C, Howman-Giles R |
Pediatric Exercise Science 2008 May;20(2):211-228 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
Few studies have explored osteogenic potential of prepubertal populations. We conducted a 28-week school-based exercise trial of single-leg drop-landing exercise with 42 prepubertal girls (6 to 10 years) randomly assigned to control (C), low-drop (LD) or high-drop (HD) exercise groups. The latter two groups performed single-leg drop-landings (3 sessions/week and 50 landings/session) from 14 cm (LD) and 28 cm (HD) using the nondominant leg. Osteogenic responses were assessed using dual energy x-ray absorptiometry (DXA). Single-leg peak ground-reaction impact forces (PGRIF) in a subsample ranged from 2.5 to 4.4 x body-weight (BW). No differences (p > 0.05) were observed among groups at baseline for age, stature, lean tissue mass (LTM), leisure time physical activity, or average daily calcium intake. After adjusting for covariates of body mass, fat mass and LTM, no differences were found in bone mineral measures or site-specific bone mineral density (BMD) at the hip and lower leg among exercise or control groups. Combining data from both exercise groups failed to produce differences in bone properties when compared with the control group. No changes were apparent for between-leg differences from baseline to posttraining. In contrast to some reports, our findings suggest that strictly controlled unimodal, unidirectional single-leg drop-landing exercises involving low-moderate peak ground-reaction impact forces are not osteogenic in the developing prepubertal female skeleton.
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