Article Google Scholar Hwalth KW. Arhlete DRBouxsein MLMarcus R New approaches Immunity-supporting herbs interpreting projected bone densitometry data J Bone Athlete bone health assessment Res ; PubMed Google Scholar Crossref. Rauch FPlotkin HZeitlin LGlorieux FH Bone mass, size, and density in children and adolescents with osteogenesis imperfecta: effect of intravenous pamidronate therapy J Bone Miner Res ; PubMed Google Scholar Crossref.

Athlete bone health assessment -

There are several blood tests that can be considered when investigating for causes of low BMD. In routine clinical practice primary care or SEM these may include the following blood tests prior to specialist referral:.

Newer blood tests have been developed to look at markers of bone turnover E. P1NP, CTX-1, Sclerostin, Osteocalcin. However, there is no definitive consensus on how they should be used in athletes and as a result their use is often restricted to either research studies or in specialist bone centres 5.

It is generally accepted that vitamin D plays a key role for the athlete in order to prevent stress fractures and muscle injury 6. The role of vitamin D supplementation and athletic performance has been debated extensively in the medical literature, however there is a lack of robust evidence to support widespread routine use 7.

Vitamin D measurement in asymptomatic patients is not routinely advised by NICE but may be considered in patients with significant risk factors for low BMD.

Calcium supplementation is also not routinely recommended in the athlete and generally should only be considered if dietary intake is less than mg daily or less than mg a day in those with diagnoses osteoporosis 8.

Dual energy x-ray absorptiometry DEXA measures the amount of bone mineral per unit area of volume of bone tissue and is the main imaging modality used in the UK to assess BMD 9. Standard protocols measure the lumbar spine BMD to monitor treatment and hip BMD to predict fracture risk.

The BMD is widely measured using the T-score which is the amount of standard deviations the BMD is of a patient compared to a year old healthy adult of the same sex.

However, it is important to remember that in young athletes the Z-score should also be considered in order to compare scores against a healthy person of the same age and sex where we would expect the BMD to be higher These scores are not validated for use in younger patients.

The decision on when and how to return to training is a key part of the rehabilitation process after a bone stress response. The following factors should be considered 12 :. The bones response to loading is thought to saturate quickly so shorter sessions — spaced out with an interval of hours, are thought to be more effective than single longer sessions It is also recommended that the direction of loading and exercises should be varied and include rest periods, to help load the bone in multiple directions 14 and maximise the response.

Once athletes return to training, a programme of loading three times a week is thought to be enough to encourage positive adaption and improve bone mechanical and structural properties Head of Medical Services and Lead Physiotherapist British Athletics Futures Program Physiotherapist at The Centre for Health and Human Performance CHHP.

Rheumatology Department University College London Hospitals NHS Foundation Trust, London, United Kingdom. The denser thicker the bones, the less X-rays pass through. If the bones are less dense thin , more X-rays will pass through.

By measuring the density of the bones, we can:. A bone density scan requires little preparation. You may eat normally and take medications as prescribed by your doctor the morning of your test. However, we advise that patients do not take any calcium tablets on the day of the test.

If a calcium tablet is taken just before the BMD test it may not be fully dissolved and may affect the results. Clothing with no zippers or metal buttons are recommended. The actual procedure only takes a few minutes to complete. Due to extensive wait times and current volumes, we regret to inform you that our Osteoporosis Clinic is temporarily closed for new referrals for the time being.

Our capacity to accept new referrals will be reassessed on March 4, Requests for bone densitometry testing are not affected and they will continue to be booked. Bone Mineral Density Test BMD Appointment Referral. Telemedicine Appointment Telemedicine Appointment Referral.

Ocean eReferral Network : For more information about eReferral or to sign up for an account, please email: eServicesToronto uhn. To be referred to this program you will need to have a bone mineral density test performed.

Please see the Tests tab for more information, and for the referral form. Once a completed referral has been received, you will be notified of an appointment date and time by a member of our administrative staff.

Please Note: If you do not have a valid Ontario Health Card, you will be required to pay directly for the clinical service s provided at the time of your visit. Details are available from any of our program secretaries. Remember to bring a list of your medications including any vitamin or mineral supplements and herbal remedies.

You will be assessed by a Multidisciplinary Osteoporosis Allied Health team member; there is also a pharmacist available if necessary to discuss your medication options. You may be asked to complete some blood work or have an X-ray of your spine at the conclusion of your appointment.

These tests can be done at the hospital right after your appointment usually there is no preparation for these tests. There are many resources available for both patients and their healthcare providers. The following are leading websites that will provide the answers to many of the questions you may have about Osteoporosis and how to maximize your bone health:.

About For Providers For Patients. Select a Section About For Providers For Patients. The Osteoporosis clinic will be re-opening on April 1st, We provide cutting-edge treatment and education in new and innovative ways to reduce fracture risk and improve quality of life.

Contact Info 76 Grenville Street Floor 4 Toronto, ON M5S 1B2 Phone : Fax : Hours: Monday — Friday a. to p. Our Team The Multidisciplinary Osteoporosis Allied Health team members include: Athletic Therapist Athletic therapy is a profession specializing in the assessment, prevention, immediate care, and reconditioning of musculoskeletal injuries.

Nordic Pole Walking Offered once a month, this class is an introduction to the sport of Nordic Pole Walking. Information is provided on pole fitting and correct technique in an indoor setting Bone Densitometry Technologist Our Bone Densitometry technologists are all Medical Radiation Technologists M.

Please visit our Test tab to learn more about BMD testing. Clinical Nurse Specialist CNS The Clinical Nurse Specialist plays an important role in the coordination of patient care as the liaison between patients, physicians and other health care professionals.

The majority of these fractures are painless; therefore preventing them from happening in the first place is essential Pharmacist The pharmacist plays an important role in helping patients make a more informed decision on the medication options used for the treatment of osteoporosis.

Registered Dietitian The dietitian will assess your specific nutritional needs and design a nutrition prescription for your bone health. The optimal eating plan for bone health should include: Adequate calcium and Vitamin D Adequate dietary sources of B12, Vitamin K, and magnesium Adequate fruit and vegetable intake Appropriate intake of dietary protein Minimizing caffeine, sodium and alcohol intake Achieving and maintaining a healthy body weight.

The Osteoporosis clinic will be re-opening Whey protein powder Athlete bone health assessment 1st, We provide cutting-edge treatment and education in new and Athlete bone health assessment ways to asessment fracture risk yealth improve quality of life. It commonly affects women over the age of 50 but this condition can affect anyone. Today, we are leading experts in the management and treatment of this condition. We take a multidisciplinary approach to bone health and our team includes: physicians, nurses, pharmacist, physiotherapist, occupational therapist, registered dietitian and bone densitometry technologists. Bone health is Athlete bone health assessment key area of development bonee Athlete bone health assessment wellbeing of young athletes and is crucial for Low-carb dining out strategies safe Athlete bone health assessment and successful career progression. Bone Athlete bone health assessment density BMD asdessment often used as the main surrogate Athletee for bone health, and usually peaks in early adulthood when many athletes are reaching the heights of their athletic potential 1. Ensuring young athletes reach their sporting goals without impacting their bone health can be a difficult challenge. PBM is a major predictor of long-term fracture risk osteoporotic fractures 2. Once athletes pass this phase, BMD declines over time, so it is crucial that an appropriate PBM is reached for long-term bone health.