These sports are better for young athletes’ bones

"There is a common misperception that kids need to specialize in a single sport to succeed at higher levels," says Stuart Warden. "However, recent data indicate that athletes who specialize at a young age are at a greater risk of an overuse injury and are less likely to progress to higher levels of competition." (Credit: Getty Images)

Young athletes who participate in multidirectional sports, instead of specializing in a unidirectional sport like running, can build stronger bones that may be at less risk for bone injuries as adults, according to a new study.

The researchers examined Division I and II female cross-country runners, who often experience bone stress injuries like stress fractures.

The researchers found that athletes who ran and participated in sports that require movement in many directions—such as basketball or soccer—when younger had better bone structure and strength than those who solely ran, swam, or cycled.

The findings, published in the journal Medicine and Science in Sports and Exercise, support recommendations that athletes delay specialization in running and play multidirectional sports when younger to build a more robust skeleton, and potentially prevent bone stress injuries.

“Our data shows that playing multidirectional sports when younger versus specializing in one sport, such as running, decreased a person’s bone injury risk by developing a bigger, stronger skeleton,” says Stuart Warden, associate dean for research and professor in the Indiana University School of Health and Human Sciences.

“There is a common misperception that kids need to specialize in a single sport to succeed at higher levels. However, recent data indicate that athletes who specialize at a young age are at a greater risk of an overuse injury and are less likely to progress to higher levels of competition.”

Historically, Warden says, researchers have examined the bone’s mass—how much bone a person has—to determine how healthy their skeleton will be through life. But in previous studies, Warden and his colleagues found that as a person ages, both mass and size are equally important.

In the current study, the researchers used high-resolution imaging to assess the shin bone near the ankle and bones in the feet where bone stress injuries frequently occur in runners. They found that the athletes who participated in both running and multidirectional sports when younger had 10 to 20% greater bone strength than athletes who solely ran.

“Our research shows that the runners who played multidirectional sports when younger had stronger bones as collegiate athletes, which puts them at less risk for bone stress injuries including stress fractures,” Warden says.

“We want to ensure people have better, stronger bones as they grow, become adolescents and go through life. Specializing in one sport at too young of an age means they are more likely to get injured and not make it at the collegiate and professional levels.”

Anyone who oversees a junior athlete or team—parents, coaches or trainers—should think twice about pushing them to specialize in one area too early. To allow for proper growth and development to occur, he recommends young athletes not specialize until at least their freshman year of high school. For athletes who already play multidirectional sports, he says it is important that they take time off for rest and recovery during the year, which can improve both bone strength and performance.

Source: Indiana University