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Guisado-Cuadrado ICorresponding AuthorAlfaro-Magallanes VmAuthorRomero-Parra NAuthorRael BAuthorGuadalupe-Grau AAuthorPeinado AbAuthor

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Influence of sex hormones status and type of training on regional bone mineral density in exercising females

Publicated to:European Journal Of Sport Science. 23 (11): 2139-2147 - 2023-11-02 23(11), DOI: 10.1080/17461391.2023.2211947

Authors: Guisado-Cuadrado, Isabel; Alfaro-Magallanes, Victor M; Romero-Parra, Nuria; Rael, Beatriz; Guadalupe-Grau, Amelia; Peinado, Ana B

Affiliations

Centro de Investigación Biomédica en Red Sobre Fragilidad y Envejecimiento Saludable , Universidad de Castilla-La Mancha - Author
Inst Salud Carlos III, CIBER Frailty & Hlth Aging CIBERFES, Madrid, Spain - Author
Univ Castilla La Mancha, GENUD Toledo Res Grp, Toledo, Spain - Author
Univ Politecn Madrid, Dept Hlth & Human Performance, LFE Res Grp, Fac Phys Act & Sport Sci, Martin Fierro 7, Madrid 28040, Spain - Author
Univ Politecn Madrid, Fac Phys Act & Sport Sci, Dept Hlth & Human Performance, LFE Res Grp, Madrid, Spain - Author
Univ Rey Juan Carlos URJC, Dept Phys Therapy Occupat Therapy Phys Med & Rehab, Madrid, Spain - Author
Universidad Politécnica de Madrid - Author
Universidad Politécnica de Madrid , Universidad Rey Juan Carlos - Author
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Abstract

The primary objective of this study was to examine the influence of hormonal ovarian profile and training characteristics on spine, pelvis, and total body bone mineral density (BMD) in a group of well-trained females. Forty-two eumenorrheic females, twenty-eight monophasic oral contraceptive (OC) users and thirteen postmenopausal females participated in this study. Body composition was measured by total body dual-energy X-ray absorptiometry (DXA) to determine BMD of the areas of interest. Endurance-trained premenopausal females showed lower spine BMD compared to resistance-trained premenopausal females (1.03 ± 0.1 vs. 1.09 ± 0.09 g/cm2; p = 0.025). Postmenopausal females reported lower BMD level in comparison to eumenorrheic females in pelvis (1.079 ± 0.082 vs 1.19 ± 0.115 g/cm2; p = 0.005), spine (0.969 ± 0.097 vs 1.069 ± 0.109 g/cm2; p = 0.012) and total (1.122 ± 0.08 vs 1.193 ± 0.077 g/cm2; p = 0.018) and OC users whose duration of OC use was less than 5 years (OC < 5) in pelvis (1.235 ± 0.068 g/cm2; p < 0.001) and spine (1.062 ± 0.069 g/cm2; p = 0.018). In addition, lower BMD values were found in OC users who had been using OC for more than 5 years (OC ≥ 5) than eumenorrheic females in pelvis (1.078 ± 0.086 g/cm2; p = 0.029) and spine (0.966 ± 0.08 g/cm2; p = 0.05). Likewise, OC ≥ 5 showed lower values than and OC < 5 in pelvis (p = 0.004) and spine (p = 0.047). We observed a lower spine BMD value in premenopausal endurance-trained females compared to premenopausal resistance-trained females. Moreover, this research observed that prolonged use of OCs may reduce bone mass acquisition in the spine and pelvis, even in well-trained females. Finally, postmenopausal showed lower BMD despite being exercising women. Trial registration:ClinicalTrials.gov identifier: NCT04458662.

Keywords

exercisehealthmechanical loadoestradioloral contraceptivepostmenopausewomenAbsorptiometry, photonBone densityContraceptives, oralEumenorrheicExerciseFemaleGonadal steroid hormonesHumansMechanical loadOestradiolOral contraceptivePostmenopauseSpineStress

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal European Journal Of Sport Science due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Physical Therapy, Sports Therapy and Rehabilitation.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.17, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-09, the following number of citations:

  • WoS: 2
  • Scopus: 3
  • Europe PMC: 2
  • OpenCitations: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-09:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 22.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 22 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.35.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (GUISADO CUADRADO, ISABEL) and Last Author (PEINADO LOZANO, ANA BELEN).

the author responsible for correspondence tasks has been GUISADO CUADRADO, ISABEL.