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Artigo de Revisão | Artigo na íntegra em português

EFEITO DOS ESPORTES DE COMBATE SOBRE A MASSA ÓSSEA: REVISÃO SISTEMÁTICA

EFFECTS OF COMBAT SPORTS ON BONE MASS: SYSTEMATIC REVIEW

EFECTO DE LOS DEPORTES DE COMBATE SOBRE LA MASA ÓSEA: REVISIÓN SISTEMÁTICA

Camila Justino de Oliveira Barbeta, Tathyane Krahenbühl, Ezequiel Moreira Gonçalves,Gil Guerra-Júnior

1. Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas (FCM), Laboratório de Crescimento e Desenvolvimento, Centro de Investigação em Pediatria (CIPED), Campinas, SP, Brasil. 2. Faculdade de Educação Física e Dança da Universidade Federal de Goiás. Campus Samambaia, Goiânia, Goiás, Brasil

Camila Justino de Oliveira Barbeta Laboratório de Crescimento e Desenvolvimento (LabCred). Centro de Investigação em Pediatria (CIPED), Faculdade de Ciências Médicas (FCM), Universidade Estadual de Campinas (UNICAMP). Rua Tessália Vieira de Camargo, 126, Cidade Universitária Zeferino Vaz, Campinas, São Paulo, Brasil. 13083-887. cacabarbeta@yahoo.com.br

Recebido em 28/04/2016
Aceito em 26/02/2019

Resumo

Objetivo: Verificar a influência dos esportes de combate sobre a massa óssea. Métodos: Foi realizada revisão sistemática da literatura de acordo com o método PRISMA, com buscas nas bases de dados Pubmed, Bireme, Embase e Web of Science, referente ao período de 1900 a 2015, com os descritores "martial arts", "fight", "combat", "karate", "kung fu", "tae kwon do", "judo", "aikido", "bone", "bone mass", "bone health", "bone tissue", "bone density", "bone mineral contents". A busca e a recuperação dos artigos foram realizadas por meio eletrônico e manual, executadas por dois revisores independentes. Resultados: Foram identificados 79 artigos, dos quais, 25 eram duplicados, restando 54 artigos para leitura e avaliação dos títulos; posteriormente, foram excluídos os que tratavam de doenças como lesões ortopédicas e/ou ósseas, maxilofaciais, cirurgias, fraturas, mulheres osteopênicas e osteoporóticas, prevenção de quedas e aptidão física, restando 15 artigos. Dos estudos selecionados e encontrados na íntegra, todos foram publicados entre 2002 e 2015. Apenas um era estudo de caso controle, dois eram estudos longitudinais, dois estudos randomizados e 10 estudos transversais. Verificou-se um total de 1.368 crianças, adolescentes, adultos e idosos envolvidos em esportes de combate e avaliação óssea por imagem. Fatores como ingestão calórica, de cálcio e/ou vitamina D, intensidade e volume do exercício, aspectos hormonais como marcadores ósseos e características da menopausa não são conclusivos com relação à massa óssea e requerem um número maior de estudos. Conclusão: A prática de esportes de combate evidencia melhora significativa na massa óssea em todas as idades. Nível de Evidência III, Estudos terapêuticos - Investigação dos resultados do tratamento.

Palavras-chave: Desempenho esportivo; Atividades esportivas; Tecido ósseo; Densidade mineral óssea.

Abstract

Objective: To determine the influence of combat sports on bone mass. Methods: A systematic review was performed according to the PRISMA method, with searches in the Pubmed, Bireme, Embase and Web of Science databases covering the period 1900 to 2015, using the keywords "martial arts", "fight", "combat", "karate", "kung fu", "tae kwon do", "judo", "aikido", "bone mass", "bone health", "bone tissue", "bone density", and "bone mineral contents". The articles were searched for and retrieved electronically and manually, by two independent reviewers. Results: Seventy-nine articles were identified, of which 25 were duplicates, leaving 54 for reading and evaluation of the titles; next, articles about diseases such as bone and/or orthopedic injuries, maxillofacial, surgeries, fractures, osteoporosis and osteopenia in women, prevention of falls, and physical fitness were excluded, leaving 15 articles. Of the articles selected and retrieved in full, all were published between 2002 and 2015. One article was a case control study; two were longitudinal studies, two were randomized studies; and 10 were cross-sectional studies. A total of 1368 children, adolescents, adults and elderly subjects were involved in combat sports and had bone evaluation by imaging. Factors such as calorie intake, calcium and/or vitamin D, intensity and volume of the exercise, hormonal aspects as bone markers, and characteristics of menopause are not conclusive in relation to bone mass, and further studies are needed. Conclusion: The practice of combat sports shows a significant improvement in bone mass at all ages. Level of Evidence III, Therapeutic study - Investigation of treatment results.

Keywords: Sports performance; Sports; Bone tissue; Bone mineral density.

Resumen

Objective: To determine the influence of combat sports on bone mass. Methods: A systematic review was performed according to the PRISMA method, with searches in the Pubmed, Bireme, Embase and Web of Science databases covering the period 1900 to 2015, using the keywords “martial arts”, “fight”, “combat”, “karate”, “kung fu”, “tae kwon do”, “judo”, “aikido”, “bone mass”, “bone health”, “bone tissue”, “bone density”, and “bone mineral contents”. The articles were searched for and retrieved electronically and manually, by two independent reviewers. Results: Seventy-nine articles were identified, of which 25 were duplicates, leaving 54 for reading and evaluation of the titles; next, articles about diseases such as bone and/or orthopedic injuries, maxillofacial, surgeries, fractures, osteoporosis and osteopenia in women, prevention of falls, and physical fitness were excluded, leaving 15 articles. Of the articles selected and retrieved in full, all were published between 2002 and 2015. One article was a case control study; two were longitudinal studies, two were randomized studies; and 10 were cross-sectional studies. A total of 1368 children, adolescents, adults and elderly subjects were involved in combat sports and had bone evaluation by imaging. Factors such as calorie intake, calcium and/or vitamin D, intensity and volume of the exercise, hormonal aspects as bone markers, and characteristics of menopause are not conclusive in relation to bone mass, and further studies are needed. Conclusion: The practice of combat sports shows a significant improvement in bone mass at all ages. Level of Evidence III, Therapeutic study – Investigation of treatment results.

Palabras-clave: Rendimiento deportivo; Actividades deportivas; Tejido óseo; Densidad mineral ósea.

 

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