ArticleBMJ open sport & exercise medicine2018
Bone health in elite Norwegian endurance cyclists and runners: a cross-sectional study.
Article in BMJ open sport & exercise medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impact of a 4-Week Intensified Endurance Training Intervention on Markers of Relative Energy Deficiency in Sport (RED-S) and Performance Among Well-Trained Male Cyclists.Frontiers in endocrinology · 2020Trial
- High prevalence of low bone mineral density in wheelchair users regardless of sports participation: a cross-sectional analysis of the bonewheel study.European journal of applied physiology · 2026Article
- Case Report: Unilateral resistance and impact loading during knee rehabilitation after grade-2 MCL injury was associated with hip-specific aBMD accrual in an elite female road cyclist.Frontiers in sports and active living · 2026Article
- Assessing the risk of low energy availability, bone mineral density and psychological strain in endurance athletes.Journal of the International Society of Sports Nutrition · 2025Article
- Factors associated with bone health in long distance runners: a cross-sectional study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Determinants of forearm bone mineral density in male athletes with different osteogenic index of training.Scientific reports · 2025Article
- Exercise interventions to improve bone mineral density in athletes participating in low-impact sports: a scoping review.BMC musculoskeletal disorders · 2025Article
- Article
- High prevalence of low bone mineral density but normal trabecular bone score in Norwegian elite Para athletes.Frontiers in sports and active living · 2023Article
- Bone Health Status, Muscular Strength and Power, and Aerobic and Anaerobic Capacities of Malaysian Male Athletes Involved in Sports with Different Mechanical Loading on Bones.The Malaysian journal of medical sciences : MJMS · 2022Article
- Bone parameters of elite athletes with oligomenorrhea and prevalence seeking medical attention: a cross-sectional study.Journal of bone and mineral metabolism · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAthletes who compete in non-weight-bearing activities such as swimming and cycling are at risk of developing low bone mineral density (BMD). Athletes in long-distance running are at risk of low BMD.
objective(1) To evaluate the bone health in Norwegian male and female national elite road cyclists and middle-distance and long-distance runners, and to identify cases of low BMD. (2) To identify possible risk factors associated with low BMD.
methodsTwenty-one runners (11 females and 10 males) and 19 road cyclists (7 females and 12 males) were enrolled in this cross-sectional study. Dual-energy X-ray absorptiometry measurement of BMD in total body, femoral neck and lumbar spine was measured. Participants completed a questionnaire regarding training, injuries, calcium intake and health variables.
resultsThe cyclists had lower BMD for all measured sites compared with the runners (p≤0.05). Ten of 19 cyclists were classified as having low BMD according to American College of Sports Medicine criteria (Z-score ≤-1), despite reporting to train heavy resistance training on the lower extremities. Low BMD was site specific having occurred in the lumbar spine and the femoral neck and was not confined to females. Type of sport was the only factor significantly associated with low BMD.
conclusionNational elite Norwegian road cyclists had lower BMD compared with runners, and a large proportion was classified as having low BMD, despite having performed heavy resistance training. Interventions to increase BMD in this population should be considered.
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