Body Composition, Training Volume/Pattern and Injury Status of Slovenian Adolescent Female High-Performance Gymnasts

Boštjan Jakše, Barbara Jakše, Ivan Čuk, Dorica Šajber, Boštjan Jakše, Barbara Jakše, Ivan Čuk, Dorica Šajber

Abstract

Body composition (BC), training volume/pattern, and injury status are a few important factors affecting training quality and sport performance in female artistic gymnastics. We aimed to examine BC status, training volume/pattern, and injury status during the first competition period. Our cross-sectional study included 17 female gymnasts (age: 17.4 ± 4.1 years, body height: 159.8 ± 6.2 cm, and body weight: 54.8 ± 5.3 kg) who were high performance at the international and national level. The BC (measured by dual-energy X-ray absorptiometry) parameters included body height and mass, body fat percentage (BF %), lean body mass (LBM), body mass index (BMI), total bone mineral density (BMD total), and total bone mineral content (BMC total). Training volume and pattern were assessed via an author-developed questionnaire, while injury status (i.e., anatomical location, symmetry and rate of injuries) was assessed via a modified questionnaire on overuse injuries used in sports injury epidemiology studies with elite-level athletes. Body composition parameters were as follows: the BMI was 21.5 ± 1.4 kg/m2, BF % was 21.9 ± 4.7%, LBM was 41.2 ± 3.4 kg, BMD total was 1.22 ± 0.08 g/cm2, and BMC total was 2486 ± 344 g. Furthermore, the average weekly volume of training was 23.5 ± 1.4 h, with the highest training volume occurring on Monday and Tuesday and high variability within gymnasts. Our study also revealed that the most frequently injured joints that had the most negative impact on training volume, sport performance and pain status were the ankles and low back, followed by the knees and shoulders. This kind of yearly screening method is warranted to allow more definitive conclusions to be made on adjusted training and preventive strategies.

Trial registration: ClinicalTrials.gov NCT03584256.

Keywords: body composition; elite-level; female; gymnasts; high performance; injuries; training volume.

Conflict of interest statement

The authors declare no conflict of interests related to this manuscript. Of note, Barbara Jakše is a former high-performance-level artistic gymnast.

References

    1. Aragon A.A., Schoenfeld B.J., Wildman R., Kleiner S., VanDusseldorp T., Taylor L., Earnest C.P., Arciero P.J., Wilborn C., Kalman D.S., et al. International society of sports nutrition position stand: Diets and body composition. J. Int. Soc. Sports Nutr. 2017;14:1–19. doi: 10.1186/s12970-017-0174-y.
    1. Westerterp K.R. Exercise, energy balance and body composition. Eur. J. Clin. Nutr. 2018;72:1246–1250. doi: 10.1038/s41430-018-0180-4.
    1. Mazić S., Lazović B., Delić M., Lazić J.S., Aćimović T., Brkić P. Body composition assessment in athletes: A systematic review. Med. Pregl. 2014;67:255–260. doi: 10.2298/MPNS1408255M.
    1. Bacciotti S., Baxter-Jones A., Gaya A., Maia J. The Physique of Elite Female Artistic Gymnasts: A Systematic Review. J. Hum. Kinet. 2017;58:247–259. doi: 10.1515/hukin-2017-0075.
    1. Chen H., Wang M., Liu S., Lu S., Zhang P., Zhou W., Sun W. A case study of a body weight control programme for elite chinese female gymnasts in preparation for the 2008 Olympic games. Sci. Gymnast. J. 2009;1:15–20.
    1. Krane V., Waldron J., Michalenok J., Stiles-Shipley J. Body Image Concerns in Female Exercisers and Athletes: A Feminist Cultural Studies Perspective. Women Sport Phys. Act. J. 2016;10:17–54. doi: 10.1123/wspaj.10.1.17.
    1. Kantanista A., Glapa A., Banio A., Firek W., Ingarden A., Malchrowicz-Mośko E., Markiewicz P., Płoszaj K., Ingarden M., Maćkowiak Z. Body Image of Highly Trained Female Athletes Engaged in Different Types of Sport. Biomed. Res. Int. 2018:6835751. doi: 10.1155/2018/6835751.
    1. Varnes J.R., Stellefson M.L., Janelle C.M., Dorman S.M., Dodd V., Miller M.D. A systematic review of studies comparing body image concerns among female college athletes and non-athletes, 1997–2012. Body Image. 2013;10:421–432. doi: 10.1016/j.bodyim.2013.06.001.
    1. Bale P., Goodway J. Performance Variables Associated with the Competitive Gymnast. Sports Med. 1990;10:139–145. doi: 10.2165/00007256-199010030-00001.
    1. Sherman R.T., Thompson R.A., Rose J.S. Body mass index and athletic performance in elite female gymnasts. J. Sport Behav. 1996;19:338–346.
    1. Kerr G., Berman E., De Souza M.J. Disordered eating in women’s gymnastics: Perspectives of athletes, coaches, parents, and judges. J. Appl. Sport Psychol. 2006;18:28–43. doi: 10.1080/10413200500471301.
    1. Smolak L., Murnen S.K., Ruble A.E. Female athletes and eating problems: A meta-analysis. Int. J. Eat. Disord. 2000;27:371–380. doi: 10.1002/(SICI)1098-108X(200005)27:4<371::AID-EAT1>;2-Y.
    1. Visscher C., Louer L.E.A.M., Elferink-Gemser M.T. The perfect elite gymnast, does he exist? A systematic review. Ann. Res. Sport Phys. Act. 2012;3:39–61. doi: 10.14195/2182-7087_3_2.
    1. Malina R.M., Baxter-Jones A.D.G., Armstrong N., Beunen G.P., Caine D., Daly R.M., Lewis R.D., Rogol A.D., Russell K. Role of intensive training in the growth and maturation of artistic gymnasts. Sports Med. 2013;43:783–802. doi: 10.1007/s40279-013-0058-5.
    1. Burke L. Practical Sports Nutrition. Human Kinetics; Champaign, IL, USA: 2007.
    1. Tan J.O.A., Calitri R., Bloodworth A., McNamee M.J. Understanding Eating Disorders in Elite Gymnastics: Ethical and Conceptual Challenges. Clin. Sports Med. 2016;35:275–292. doi: 10.1016/j.csm.2015.10.002.
    1. Gastrich M.D., Quick V., Bachmann G., Moriarty A.M. Nutritional Risks Among Female Athletes. J. Women’s Health. 2020;29:693–702. doi: 10.1089/jwh.2019.8180.
    1. Silva M.R.G., Paiva T. Low energy availability and low body fat of female gymnasts before an international competition. Eur. J. Sport Sci. 2015;15:591–599. doi: 10.1080/17461391.2014.969323.
    1. Anderson C., Petrie T.A. Prevalence of Disordered Eating and Pathogenic Weight Control Behaviors Among NCAA Division I Female Collegiate Gymnasts and Swimmers. Res. Q. Exerc. Sport. 2012;83:120–124. doi: 10.1080/02701367.2012.10599833.
    1. Dallas G., Dallas C., Simatos J. Nutritional status and dietary assessment of elite female artistic and rhythmic gymnasts—A case study. Sci. Gymnast. J. 2016;8:255–269.
    1. Logue D.M., Madigan S.M., Melin A., Delahunt E., Heinen M., Donnell S.-J.M., Corish C.A. Low Energy Availability in Athletes 2020: An Updated Narrative Review of Prevalence, Risk, Within-Day Energy Balance, Knowledge, and Impact on Sports Performance. Nutrients. 2020;12:835. doi: 10.3390/nu12030835.
    1. Caine D., Nassar L. Gymnastics injuries. Med. Sport Sci. 2005;48:18–58.
    1. Thomas R.E., Thomas B.C. A systematic review of injuries in gymnastics. Phys. Sportsmed. 2019;47:96–121. doi: 10.1080/00913847.2018.1527646.
    1. Campbell R.A., Bradshaw E.J., Ball N.B., Pease D.L., Spratford W. Injury epidemiology and risk factors in competitive artistic gymnasts: A systematic review. Br. J. Sports Med. 2019;53:1056–1069. doi: 10.1136/bjsports-2018-099547.
    1. Deutz R.C., Benardot D., Martin D.E., Cody M.M. Relationship between energy deficits and body composition in elite female gymnasts and runners. Med. Sci. Sports Exerc. 2000;32:659–668. doi: 10.1097/00005768-200003000-00017.
    1. Bauer P.W., Pivarnik J.M., Fornetti W.C., Jallo J.J., Nassar L. Cross Validation of Fat-Free Mass Prediction Models for Elite Female Gymnasts. Pediatr. Exerc. Sci. 2005;17:337–344. doi: 10.1123/pes.17.4.337.
    1. Jakse B., Sekulic D., Jakse B., Cuk I., Sajber D. Bone health among indoor female athletes and associated factors; a cross-sectional study. Res. Sport. Med. 2019;28:314–323. doi: 10.1080/15438627.2019.1696344.
    1. Jakše B., Jakše B., Mis N.F., Jug B., Šajber D., Godnov U., Čuk I. Nutritional Status and Cardiovascular Health in Female Adolescent Elite-Level Artistic Gymnasts and Swimmers: A Cross-Sectional Study of 31 Athletes. J. Nutr. Metab. 2021:8810548.
    1. Clarsen B., Myklebust G., Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: The Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire. Br. J. Sports Med. 2013;47:495–502. doi: 10.1136/bjsports-2012-091524.
    1. Clarsen B., Rønsen O., Myklebust G., Flørenes T.W., Bahr R. The Oslo sports trauma research center questionnaire on health problems: A new approach to prospective monitoring of illness and injury in elite athletes. Br. J. Sports Med. 2014;48:754–760. doi: 10.1136/bjsports-2012-092087.
    1. Wickham H., François R., Henry L., Müller K. A Grammar of Data Manipulation. [(accessed on 7 July 2020)]; R Package Version 0.8.1. Available online: .
    1. Wickham H. Ggplot2: Elegant Graphics for Data Analysis. 2nd ed. Springer Nature; Houston, TX, USA: 2016.
    1. Heinzen E., Sinnwell J., Atkinson E., Gunderson T., Votruba P., Dougherty G., Lennon R., Hanson A., Goergen K., Lundt E., et al. An Arsenal of “R” Functions for Large-Scale Statistical Summaries [R Package Arsenal Version 3.3.0] [(accessed on 7 July 2020)]; Available online: .
    1. FAO . Food Energy—Methods of Analysis and Conversion Factors. Food and Agriculture Organization of the United Nations; Rome, Italy: 2003.
    1. Walker E.J., Aughey R.J., McLaughlin P., McAinch A.J. Seasonal Change in Body Composition and Physique of Team Sport Athletes. J. Strength Cond. Res. 2020 doi: 10.1519/JSC.0000000000003474. Publish Ahead of Print.
    1. Vercruyssen M., Shelton L. Intraseason changes in the body composition of collegiate female gymnasts. J. Sports Sci. 1988;6:205–217. doi: 10.1080/02640418808729810.
    1. Exupério I.N., Agostinete R.R., Werneck A.O., Maillane-Vanegas S., Luiz-de-Marco R., Mesquita E.D.L., Kemper H.C.G., Fernandes R.A. Impact of artistic gymnastics on bone formation marker, density and geometry in female adolescents: ABCD-growth study. J. Bone Metab. 2019;26:75–82. doi: 10.11005/jbm.2019.26.2.75.
    1. Helge E.W., Kanstrup I.L. Bone density in female elite gymnasts: Impact of muscle strength and sex hormones. Med. Sci. Sports Exerc. 2002;34:174–180. doi: 10.1097/00005768-200201000-00026.
    1. Rosen L.W., Hough D.O. Pathogenic weight-control behaviors of female college gymnasts. Phys. Sportsmed. 1988;16:140–144. doi: 10.1080/00913847.1988.11709603.
    1. Nordin S.M., Harris G., Cumming J. Disturbed eating in young, competitive gymnasts: Differences between three gymnastics disciplines. Eur. J. Sport Sci. 2003;3:1–14. doi: 10.1080/17461390300073502.
    1. Jakše B., Jakše B. Is vegan diet appropriate for competitive artistic gymnasts? Sci. Gymnast. J. 2018;10:153–178.
    1. Jemni M., Sands W.A., Friemel F., Delamarche P. Effect of active and passive recovery on blood lactate and performance during simulated competition in high level gymnasts. Can. J. Appl. Physiol. 2003;28:240–256. doi: 10.1139/h03-019.
    1. Jonnalagadda S.S., Benardot D., Dill M.N. Assessment of under-reporting of energy intake by elite female gymnast. Int. J. Sport Nutr. Exerc. Metab. 2000;10:315–325. doi: 10.1123/ijsnem.10.3.315.
    1. Jonnalagadda S.S., Benardot D., Nelson M. Energy and nutrient intakes of the United States national women’s artistic gymnastics team. Int. J. Sport Nutr. Exerc. Metab. 1998;8:331–344. doi: 10.1123/ijsn.8.4.331.
    1. Lopez-Varela S., Montero A., Chandra R.K., Marcos A. Nutritional status of young female elite gymnasts. Int. J. Vitam. Nutr. Res. 2000;70:185–190. doi: 10.1024/0300-9831.70.4.185.
    1. Rolls B.J. Dietary energy density: Applying behavioural science to weight management. Nutr. Bull. 2017;42:246–253. doi: 10.1111/nbu.12280.
    1. Gearhardt A.N., Hebebrand J. The concept of “food addiction” helps inform the understanding of overeating and obesity: Debate Consensus. Am. J. Clin. Nutr. 2021;113:274–276. doi: 10.1093/ajcn/nqaa345.
    1. Chilvers M., Donahue M., Nassar L., Manoli A. Foot and ankle injuries in elite female gymnasts. Foot Ankle Int. 2007;28:214–218. doi: 10.3113/FAI.2007.0214.
    1. Kolt G.S., Kirkby R.J. Epidemiology of injury in elite and subelite female gymnasts: A comparison of retrospective and prospective findings. Br. J. Sports Med. 1999;33:312–318. doi: 10.1136/bjsm.33.5.312.
    1. Kolar E., Pavletic M.S., Smrdu M., Atikovic A. Athletes’ perception of the causes of injury in gymnastics. J. Sports Med. Phys. Fit. 2017;57:703–710.
    1. Daly R.M., Bass S.L., Finch C.F. Balancing the risk of injury to gymnasts: How effective are the counter measures? Br. J. Sports Med. 2001;35:8–18. doi: 10.1136/bjsm.35.1.8.
    1. Saragiotto B.T., Pierro C.D., Lopes A.D. Risk factors and injury prevention in elite athletes: A descriptive study of the opinions of physical therapists, doctors and trainers. Rev. Bras. Fisioter. 2014;18:137–143. doi: 10.1590/S1413-35552012005000147.
    1. Burke L.M., Castell L.M., Casa D.J., Close G.L., Costa R.J.S., Melin A.K., Sygo J., Desbrow B., Peeling P., Witard O.C., et al. International association of athletics federations consensus statement 2019: Nutrition for athletics. Int. J. Sport Nutr. Exerc. Metab. 2019;29:73–84. doi: 10.1123/ijsnem.2019-0065.
    1. Thomas D.T., Erdman K.A., Burke L.M. Nutrition and Athletic Performance. Med. Sci. Sports Exerc. 2016;48:543–568.
    1. Bytomski J.R. Fueling for Performance. Sports Health. 2018;10:47–53. doi: 10.1177/1941738117743913.
    1. Freeman A.M., Morris P.B., Barnard N., Esselstyn C.B., Ros E., Agatston A., Devries S., O’Keefe J., Miller M., Ornish D., et al. Trending Cardiovascular Nutrition Controversies. J. Am. Coll. Cardiol. 2017;69:1172–1187. doi: 10.1016/j.jacc.2016.10.086.
    1. Monteiro C.A., Cannon G., Levy R.B., Moubarac J.C., Louzada M.L.C., Rauber F., Khandpur N., Cediel G., Neri D., Martinez-Steele E., et al. Ultra-processed foods: What they are and how to identify them. Public Health Nutr. 2019;22:936–941. doi: 10.1017/S1368980018003762.
    1. Gymnastique F.I. De FIG—Athletes. [(accessed on 25 March 2020)]; Available online: .

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