Int J Sports Med 2021; 42(07): 588-601
DOI: 10.1055/a-1373-5881
Review

New Frontiers of Body Composition in Sport

Henry Lukaski
1   Department of Kinesiology and Public Health Education, Hyslop Sports Center, University of North Dakota, Grand Forks, United States
,
Christiana J. Raymond-Pope
2   Department of Kinesiology, University of Minnesota, Minneapolis, United States
› Institutsangaben
Funding: This work was supported by funding from NIH/NIAMS T32 AR050938 “Musculoskeletal Training Grant” (CJRP).

Abstract

The body composition phenotype of an athlete displays the complex interaction among genotype, physiological and metabolic demands of a sport, diet, and physical training. Observational studies dominate the literature and describe the sport-specific physique characteristics (size, shape, and composition) of adult athletes by gender and levels of competition. Limited data reveal how body composition measurements can benefit an athlete. Thus, the objective is to identify purposeful measurements of body composition, notably fat and lean muscle masses, and determine their impact on the health and performance of athletes. Areas of interest include relationships among total and regional body composition measurements, muscle function, sport-specific performance, risk of injury, return to sport after injury, and identification of activity-induced fluid shifts. Discussion includes the application of specific uses of dual X-ray absorptiometry and bioelectrical impedance including an emphasis on the need to minimize measurement errors and standardize protocols, and highlights opportunities for future research. This focus on functional body composition can benefit the health and optimize the performance of an athlete.



Publikationsverlauf

Eingereicht: 08. April 2020

Angenommen: 12. Januar 2021

Artikel online veröffentlicht:
23. Februar 2021

© 2020. Thieme. All rights reserved.

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Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 PubMed.gov (Searched December 28, 2020)
  • 2 Wilmore JH. Body composition in sport and exercise: Directions for future research. Med Sci Sports Exerc 1983; 15: 21-31
  • 3 Meyer NL, Sundgot-Borgen J, Lohman TG. et al. Body composition for health and performance: A survey of body composition assessment practice carried out by the Ad Hoc Research Working Group on body composition, health and performance under the auspices of the IOC Medical Commission. Br J Sports Med 2013; 47: 1044-1053
  • 4 Ackland TR, Lohman TG, Sundgot-Borgen J. et al. Current status of body composition assessment in sport: review and position statement on behalf of the ad hoc research working group on body composition health and performance, under the auspices of the I.O.C. Medical Commission. Sports Med 2012; 42: 227-249
  • 5 Lukaski HC. Body composition: Perspectives. In: Lukaski HC, Ed. Body Composition: Health and Performance in Exercise and Sport. Boca Raton, FL: CRC Press, Taylor & Francis Group; 2017: 3-12
  • 6 Silva AM. Structural and functional body components in athletic health and performance phenotypes. Eur J Clin Nutr 2019; 73: 215-224
  • 7 Bosch TA, Burruss TP, Weir NL. et al. Abdominal body composition differences in NFL football players. J Strength Cond Res 2014; 28: 3313-3319
  • 8 Boileau RA, Horswill CA. Body composition in sports: Measurement and applications for weight gain and loss. In: Garrett Jr W.E., Kirkendall D.T.. Exercise and Sport Science. Philadelphia, PA: Lippincott Williams & Wilkins; 2000: 319-338
  • 9 O’Connor H, Olds T, Maughan RJ. Physique and performance for track and field events. J Sports Sci 2007; 25: S49-S60
  • 10 Prado CM, Heymsfield SB. Lean tissue imaging: A new era for nutritional assessment and intervention. J Parenter Enteral Nutr 2014; 38: 940-953
  • 11 Dengel DR, Raymond CJ, Bosch TA. Assessment of muscle mass. In Lukaski HC. Body Composition: Health and Performance in Exercise and sport. Boca Raton, FL: CRC Press, Taylor & Francis Group; 2017: 27-47
  • 12 Burkhart TA, Arthurs KL, Andrews DM. Manual segmentation of DXA scan images results in reliable upper and lower extremity soft and rigid tissue mass estimates. J Biomech 2009; 197-206
  • 13 Fosbøl MØ, Zerahn B. Contemporary methods of body composition measurement. Clin Physiol Funct Imag 2015; 35: 81-97
  • 14 Moon JR, Kendall KL. Endurance athletes. In: Lukaski HC. Body Composition: Health and Performance in Exercise and Sport. Boca Raton: CRC Press; 2017: 171-210
  • 15 Bosch TA, Carbuhn AF, Stanforth PR. et al. Body composition and bone mineral density of Division 1 Collegiate football players: A Consortium of College Athlete Research Study. J Strength Cond Res 2019; 33: 1339-1346
  • 16 Dengel DR, Bosch TA, Burruss TP. et al. Body composition and bone mineral density of National Football League players. J Strength Cond Res 2014; 28: 1-6
  • 17 Raymond CJ, Dengel DR, Bosch TA. Total and segmental body composition examination in collegiate football players using multifrequency bioelectrical impedance analysis and dual x-ray absorptiometry. J Strength Cond Res 2018; 32: 772-782
  • 18 Chiarlitti NA, Delisle-Houde P, Reid RE. et al. Importance of body composition in the national hockey league combine physiological assessments. J Strength Cond Res 2018; 32: 3135-3142
  • 19 Czeck MA, Raymond-Pope CJ, Bosch TA. et al. Total and regional body composition of NCAA Division I collegiate baseball athletes. Int J Sports Med 2019; 40: 447-452
  • 20 Czeck MA, Raymond-Pope CJ, Stanforth PR. et al. Total and regional body composition of NCAA Division I collegiate female softball athletes. Int J Sports Med 2019; 40: 645-649
  • 21 Raymond-Pope CJ, Solfest AL, Carbuhn A. et al. Total and regional body composition of NCAA Division I collegiate basketball athletes. Int J Sports Med 2020; 41: 242-247
  • 22 Dengel DR, Keller KA, Stanforth PR. et al. Body composition and bone mineral density of Division 1 collegiate track and field athletes, a consortium of college athlete research (C-CAR) study. J Clin Densitom 2020; 23: 303-313
  • 23 Hirsch KR, Smith-Ryan AE, Trexler ET. et al. Body composition and muscle characteristics of Division I track and field athletes. J Strength Cond Res 2016; 30: 1231-1238
  • 24 Dengel OH, Raymond-Pope CJ, Bosch TA. et al. Body composition and visceral adipose tissue in female collegiate equestrian athletes. Int J Sports Med 2019; 40: 404-408
  • 25 Harty PS, Zabriskie HA, Stecker RA. et al. Position-specific body composition values in female collegiate rugby union athletes. J Strength Cond Res 2019; Online ahead of print DOI: 10.1519/jsc.0000000000003314.
  • 26 Sanfilippo J, Krueger D, Heiderscheit B. et al. Dual-energy x-ray absorptiometry body composition in NCAA Division I athletes: Exploration of mass distribution. Sports Health 2019; 11: 453-460
  • 27 Roelofs E, Bockin A, Bosch T. et al. Body composition of National Collegiate Athletic Association (NCAA) Division I female soccer athletes through competitive seasons. Int J Sports Med 2020; 41: 766-770
  • 28 Carbuhn AF, Fernandez TE, Bragg AF. et al. Sport and training influence bone and body composition in women collegiate athletes. J Strength Cond Res 2010; 24: 1710-1717
  • 29 Delisle-Houde P, Chiarlitti NA, Reid RE. et al. Relationship between physiologic tests, body composition changes, and on-ice playing time in Canadian collegiate hockey players. J Strength Cond Res 2018; 32: 1297-1302
  • 30 Milanese C, Cavedon V, Corradini G. et al. Seasonal DXA-measured body composition changes in professional male soccer players. J Sports Sci 2015; 33: 1219-1228
  • 31 Peart A, Wadsworth D, Washington J. et al. Body composition assessment in female National Collegiate Athletic Association Division I softball athletes as a function of playing position across a multiyear time frame. J Strength Cond Res 2019; 33: 3049-3055
  • 32 Roelofs EJ, Smith-Ryan AE, Trexler ET. et al. Seasonal effects on body composition, muscle characteristics, and performance of collegiate swimmers and divers. J Athl Train 2017; 52: 45-50
  • 33 Silvestre R, Kraemer WJ, West C. et al. Body composition and physical performance during a National Collegiate Athletic Association Division I men’s soccer season. J Strength Cond Res 2006; 20: 962-970
  • 34 Stanforth PR, Crim BN, Stanforth D. et al. Body composition changes among female NCAA Division 1 athletes across the competitive season and over a multiyear time frame. J Strength Cond Res 2014; 28: 300-307
  • 35 Trexler ET, Smith-Ryan AE, Mann JB. et al. Longitudinal body composition changes in NCAA Division I college football players. J Strength Cond Res 2017; 31: 1-8
  • 36 Prokop NW, Reid RE, Andersen RE. Seasonal changes in whole body and regional body composition profiles of elite collegiate ice-hockey players. J Strength Cond Res 2016; 30: 684-692
  • 37 Moon JR. Body composition in athletes and sports nutrition: an examination of the bioimpedance analysis technique. Eur J Clin Nutr 2013; 67: S54-S59
  • 38 Lukaski HC. Evolution of bioimpedance: A circuitous journey from estimation of physiological function to assessment of body composition and a return to clinical research. Eur J Clin Nutr 2013; 67: S2-S9
  • 39 Kyle UG, Bosaeus I, De Lorenzo AD. et al. Bioelectrical impedance analysis-part II: utilization in clinical practice. Clin Nutr 2004; 23: 1430-1453
  • 40 Sun SS, Chumlea WC, Heymsfield SB. et al. Development of bioelectrical impedance analysis prediction equations for body composition with the use of a multicomponent model for use in epidemiological surveys. Am J Clin Nutr 2003; 77: 331-340
  • 41 Maughan RJ, Shirreffs SB. Hydrometry, hydration status and performance. In: Lukaski HC. Body Composition: Health and Performance in Exercise and Sport. Orlando, FL: CRC Press, Taylor & Francis Group; 2017: 49-68
  • 42 Matthie JR. Bioimpedance measurements of human body composition: Critical analysis and outlook. Expert Rev Med Devices 2008; 5: 239-261
  • 43 Nickerson BS, Tinsley GM, Esco MR. Validity of field and laboratory three-compartment models in healthy adults. Med Sci Sports Exerc 2019; 51: 1032-1039
  • 44 Shiose K, Yamada Y, Motonaga K. et al. Segmental extracellular and intracellular water distribution and muscle glycogen after 72-h carbohydrate loading using spectroscopic techniques. J Appl Physiol (1985) 2016; 121: 205-211
  • 45 Shiose K, Yamada Y, Motonaga K. et al. Muscle glycogen depletion does not alter segmental extracellular and intracellular water distribution measured using bioimpedance spectroscopy. J Appl Physiol (1985) 2018; 124: 1420-1425
  • 46 Shiose K, Tanabe Y, Ohnishi T. et al. Effect of regional muscle damage and inflammation following eccentric exercise on electrical resistance and the body composition assessment using bioimpedance spectroscopy. J Physiol Sci 2019; 69: 895-901
  • 47 Lukaski HC, Piccoli A. Bioelectrical impedance vector analysis for assessment of hydration in physiological states and clinical conditions. In: Preedy VR. Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease. London: Springer; 2012: 287-305
  • 48 Lukaski HC, Vega Diaz N, Talluri A. et al. Classification of hydration in clinical conditions: indirect and direct approaches using bioimpedance. Nutrients 2019; 11: 809 DOI: 10.3390/nu11040809.
  • 49 Castizo-Olier J, Irurtia A, Jemni M. et al. Bioelectrical impedance vector analysis (BIVA) in sport and exercise: Systematic review and future perspectives. PLoS One 2018; 13: e0197957 DOI: 10.1371/journal.pone.0197957.
  • 50 Koury JC, Trugo NMF, Torres AG. Phase angle and bioelectrical impedance vectors in adolescent and adult male athletes. Int J Sports Physiol Perform 2014; 9: 798-804
  • 51 Piccoli A, Pastori G, Codognotto M. et al. Equivalence of information from single frequency v. bioimpedance spectroscopy in bodybuilders. Br J Nutr 2007; 97: 182-192
  • 52 Micheli ML, Pagani L, Marella M. et al. Bioimpedance and impedance vector patterns as predictors of league level in male soccer players. Int J Sports Physiol Perform 2014; 9: 532-539
  • 53 Carrasco-Marginet M, Castizo-Olier J, Rodríguez-Zamora L. et al. Bioelectrical impedance vector analysis (BIVA) for measuring the hydration status in young elite synchronized swimmers. PLoS One 2017; 12: e0178819 DOI: 10.1371/journal.pone.0178819.
  • 54 Giorgi A, Vicini M, Pollastri L. et al. Bioimpedance patterns and bioelectrical impedance vector analysis (BIVA) of road cyclists. J Sports Sci 2018; 36: 2608-2613
  • 55 Campa F, Toselli S. Bioimpedance vector analysis of elite, sub-elite, and low-level male volleyball players. Int J Sports Physiol Perform 2018; 13: 1250-1253
  • 56 Castizo-Olier J, Carrasco-Marginet M, Roy A. et al. Bioelectrical impedance vector analysis (BIVA) and body mass changes in an ultra-endurance triathlon event. J Sports Sci Med 2018; 17: 571-579
  • 57 Mascherini G, Castizo-Olier J, Irurtia A. et al. Differences between the sexes in athletes’ body composition and lower limb bioimpedance values. Muscles Ligaments Tendons J 2018; 7: 573-581
  • 58 Campa F, Matias C, Gatterer H. et al. Classic bioelectrical impedance vector reference values for assessing body composition in male and female athletes. Int J Environ Res Public Health 2019; 16: 5066 DOI: 10.3390/ijerph16245066.
  • 59 Campa F, Matias CN, Marini E. et al. Identifying athlete body fluid changes during a competitive season with bioelectrical impedance vector analysis. Int J Sports Physiol Perform 2019; Online ahead of print DOI: 10.1123/ijspp.2019-0285.
  • 60 Marini E, Campa F, Buffa R. et al. Phase angle and bioelectrical impedance vector analysis in the evaluation of body composition in athletes. Clin Nutr 2020; 39: 447-454
  • 61 Bourgeois B, Fan B, Johannsen N. et al. Improved strength prediction combining clinically available measures of skeletal muscle mass and quality. J Cachexia Sarcopenia Muscle 2019; 10: 84-94
  • 62 Hetherington-Rauth M, Baptista F, Sardinha LB. BIA-assessed cellular hydration and muscle performance in youth, adults, and older adults. Clin Nutr 2020; 39: 2624-2630
  • 63 Sardinha LB. Physiology of exercise and phase angle: another look at BIA. Eur J Clin Nutr 2018; 72: 1323-1327
  • 64 Fukuda DH, Stout JR, Moon JR. et al. Effects of resistance training on classic and specific bioelectrical impedance vector analysis in elderly women. Exp Gerontol 2016; 74: 9-12
  • 65 Dos Santos L, Cyrino ES, Antunes M. et al. Changes in phase angle and body composition induced by resistance training in older women. Eur J Clin Nutr 2016; 70: 1408-1413
  • 66 Ribeiro AS, Avelar A, Dos Santos L. et al. Hypertrophy-type resistance training improves phase angle in young adult men and women. Int J Sports Med 2017; 38: 35-40
  • 67 Souza MF, Tomeleri CM, Ribeiro AS. et al. Effect of resistance training on phase angle in older women: A randomized controlled trial. Scand J Med Sci Sports 2017; 27: 1308-1316
  • 68 Silva AM, Matias CN, Santos DA. et al. Increases in intracellular water explain strength and power improvements over a season. Int J Sports Med 2014; 35: 1101-1105
  • 69 Nabuco HCG, Silva AM, Sardinha LB. et al. Phase angle is moderately associated with short-term maximal intensity efforts in soccer players. Int J Sports Med 2019; 40: 739-743
  • 70 Tomeleri CM, Ribeiro AS, Cavaglieri CR. et al. Correlations between resistance training-induced changes on phase angle and biochemical markers in older women. Scand J Med Sci Sports 2018; 28: 2173-2182
  • 71 Gatterer H, Schenk K, Laninschegg L. et al. Bioimpedance identifies body fluid loss after exercise in the heat: a pilot study with body cooling. PLoS One 2014; 9: e109729 DOI: 10.1371/journal.pone.0109729.
  • 72 Carrasco-Marginet M, Castizo-Olier J, Rodríguez-Zamora L. et al. Bioelectrical impedance vector analysis (BIVA) for measuring the hydration status in young elite synchronized swimmers. PLoS One 2017; 12: e0178819 DOI: 10.1371/journal.pone.0178819.
  • 73 Castizo-Olier J, Carrasco-Marginet M, Roy A. et al. Bioelectrical impedance vector analysis (BIVA) and body mass changes in an ultra-endurance triathlon event. J Sports Sci Med 2018; 17: 571-579
  • 74 Nescolarde L, Roca E, Bogónez-Franco P. et al. Relationship between bioimpedance vector displacement and renal function after a marathon in non-elite runners. Front Physiol 2020; 11: 352 DOI: 10.3389/fphys.2020.00352.
  • 75 Mascherini G, Gatterer H, Lukaski H. et al. Changes in hydration, body-cell mass and endurance performance of professional soccer players through a competitive season. J Sports Med Phys Fitness 2015; 55: 749-755
  • 76 Pollastri L, Lanfranconi F, Tredici G. et al. Body water status and short-term maximal power output during a multistage road bicycle race (Giro d’Italia 2014). Int J Sports Med 2016; 37: 329-333
  • 77 Marra M, Da Prat B, Montagnese C. et al. Segmental bioimpedance analysis in professional cyclists during a three-week stage race. Physiol Meas 2016; 37: 1035-1040
  • 78 Gonzalez-Correa CH, Eraso JC. Bioelectrical impedance analysis (BIA): A proposal for standardization of the standard method for adults. J Phys Conf Ser 2012; 407: 012018 . doi:10.1088/1742-6596/407/1/012018
  • 79 Moore FD, Boyden CM. Body cell mass and limits of hydration of the fat-free body: their relation to estimated skeletal weight. Ann NY Acad Sci 1963; 110: 62-71
  • 80 Akagi R, Tohdoh Y, Takahashi H. Strength and size ratios between reciprocal muscle groups in the thigh and lower leg of male collegiate soccer players. Clin Physiol Funct Imaging 2014; 34: 121-125
  • 81 Bell DR, Sanfilippo JL, Binkley N. et al. Lean mass asymmetry influences force and power asymmetry during jumping in collegiate athletes. J Strength Cond Res 2014; 28: 884-891
  • 82 Denadai BS, Oliveira FBD, Camarda SRDA. et al. Hamstrings-to-quadriceps strength and size ratios of male professional soccer players with muscle imbalance. Clin Physiol Funct Imaging 2016; 36: 159-164
  • 83 Jordan MJ, Aagaard P, Herzog W. Lower limb asymmetry in mechanical muscle function: A comparison between ski racers with and without ACL reconstruction. Scand J Med Sci Sports 2015; 25: e301-e309
  • 84 Newton RU, Gerber A, Nimphius S. et al. Determination of functional strength imbalance of the lower extremities. J Strength Cond Res 2006; 20: 971-977
  • 85 Fukunaga T, Miyatani M, Tachi M. et al. Muscle volume is a major determinant of joint torque in humans. Acta Physiol Scand 2001; 172: 249-255
  • 86 Masuda K, Kikuhara N, Takahashi H. et al. The relationship between muscle cross-sectional area and strength in various isokinetic movements among soccer players. J Sports Sci 2003; 21: 851-858
  • 87 Jones B, Emmonds S, Hind K. et al. Physical qualities of international female rugby league players by playing position. J Strength Cond Res 2016; 30: 1333-1340
  • 88 Stephenson ML, Smith DT, Heinbaugh EM. et al. Total and lower extremity lean mass percentage positively correlates with jump performance. J Strength Cond Res 2015; 29: 2167-2175
  • 89 Raymond CJ, Bosch TA, Busch FK. et al. Accuracy and reliability of assessing lateral compartmental leg composition using DXA. Med Sci Sports Exerc 2017; 49: 833-839
  • 90 Raymond-Pope CJ, Dengel DR, Fitzgerald JS. et al. Association of compartmental leg lean mass measured by dual X-ray absorptiometry with force production. J Strength Cond Res 2020; 34: 1690-1699
  • 91 Raymond-Pope CJ, Bosch TA, Dengel DR. Assessing agreement of lateral leg muscle and bone composition using dual x-ray absorptiometry. J Clin Densitom 2020; 23: 451-458 DOI: 10.1016/j.jocd.2019.04.007.
  • 92 Impellizzeri FM, Rampinini E, Maffiuletti N. et al. A vertical jump force test for assessing bilateral strength asymmetry in athletes. Med Sci Sports Exerc 2007; 39: 2044-2050
  • 93 Barber SD, Noyes FR, Mangine RE. et al. Quantitative assessment of functional limitations in normal and anterior cruciate ligament-deficient knees. Clin Orthop Relat Res 1990; 225: 204-214
  • 94 Lockie RG, Shultz AB, Jeffriess MD. et al. The relationship between bilateral differences of knee flexor and extensor isokinetic strength and multi-directional speed. Isokinet Exerc Sci 2012; 20: 211-219
  • 95 Hart NH, Nimphius S, Spiteri T. et al. Leg strength and lean mass symmetry influences kicking performance in Australian football. J Sci Med Sport 2014; 13: 157-165
  • 96 Maloney SJ. The relationship between asymmetry and athletic performance: A critical review. J Strength Cond Res 2019; 33: 2579-2593
  • 97 Bishop C, Brashill C, Abbott W. et al. Jumping asymmetries are associated with speed, change of direction speed, and jump performance in elite academy soccer players. J Strength Cond Res 2019; Online ahead of print DOI: 10.1519/JSC.0000000000003058.
  • 98 Hoffman JR, Ratamess NA, Klatt M. et al. Do bilateral power deficits influence direction-specific movement patterns?. Res Sports Med 2007; 15: 125-132
  • 99 Lockie RG, Callaghan SJ, Berry SP. et al. Relationship between unilateral jumping ability and asymmetry on multidirectional speed in team-sport athletes. J Strength Cond Res 2014; 28: 3557-3566
  • 100 Ekstrand J, Healy JC, Waldén M. et al. Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play. Br J Sports Med 2012; 46: 112-117
  • 101 Opar DA, Williams MD, Shield AJ. Hamstrings strain injuries: Factors that lead to injury and re-injury. Sports Med 2012; 42: 209-226
  • 102 Knapik JJ, Bauman CL, Jones BH. et al. Preseason strength and flexibility imbalances associated with athletic injuries in female collegiate athletes. Am J Sports Med 1991; 19: 76-81
  • 103 Roos KG, Marshall SW, Kerr ZY. et al. Epidemiology of overuse injuries in collegiate and high school athletics in the United States. Am J Sports Med 2015; 43: 1790-1797
  • 104 Liu H, Garrett WE, Moorman CT. et al. Injury rate, mechanism, and risk factors of hamstring strain injuries in sports: A review of the literature. J Sport Health Sci 2012; 1: 92-101
  • 105 Myer GD, Ford KR, Khoury J. et al. Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury. Br J Sports Med 2011; 45: 245-252
  • 106 Silvers HJ, Mandelbaum BR. Prevention of anterior cruciate ligament injury in the female athlete. Br J Sports Med 2007; 41: i52-i59
  • 107 Hewett TE, Myer GD, Ford KR. et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A prospective study. Am J Sports Med 2005; 33: 492-501
  • 108 Hewett TE, Myer GD, Ford KR. et al. Mechanisms, prediction, and prevention of ACL injuries: Cut risk with three sharpened and validated tools. J Orthop Res 2016; 34: 1843-1855
  • 109 Shultz SJ, Schmitz RJ. Current understandings and directions for future research. In: Noyes F, Barber-Westin S. ACL Injuries in the Female Athlete. Berlin: Springer; 2018: 641-666
  • 110 Grindem H, Snyder-Mackler L, Moksnes H. et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: The Delaware-Oslo ACL cohort study. Br J Sports Med 2016; 50: 804-808
  • 111 Konishi Y, Ikeda K, Nishino A. et al. Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament repair. Scand J Med Sci Sports 2007; 17: 656-661
  • 112 Konishi Y, Oda T, Tsukazaki S. et al. Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament rupture. Knee Surg Sports Traumatol Arthrosc 2011; 19: 641-645
  • 113 Thomas AC, Wojtys EM, Brandon C. et al. Muscle atrophy contributes to quadriceps weakness after anterior cruciate ligament reconstruction. J Sci Med Sport 2016; 19: 7-11
  • 114 Adams D, Logerstedt D, Hunter-Giordano A. et al. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. J Orthop Sports Phys Ther 2012; 42: 601-614
  • 115 Kvist J. Rehabilitation following anterior cruciate ligament injury: Current recommendations for sports participation. Sports Med 2004; 34: 269-280
  • 116 Myer GD, Paterno MV, Ford KR. et al. Rehabilitation after anterior cruciate ligament reconstruction: Criteria-based progression through the return-to-sport phase. J Orthop Sports Phys Ther 2006; 36: 385-402
  • 117 Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 2012; 42: 750-759
  • 118 Grindem H, Eitzen I, Engebretsen L. et al. Nonsurgical or surgical treatment of ACL injuries: Knee function, sports participation, and knee reinjury: The Delaware-Oslo ACL Cohort Study. J Bone Joint Surg 2014; 96: 1233-1241
  • 119 Paterno MV, Ford KR, Myer GD. et al. Limb asymmetries in landing and jumping 2 years following anterior cruciate ligament reconstruction. Clin J Sports Med 2007; 17: 258-262
  • 120 Paterno MV, Schmitt LC, Ford KR. et al. Effects of sex on compensatory landing strategies upon return to sport after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 2011; 41: 553-559
  • 121 Hewett TE, Myer GD, Ford KR. et al. Mechanisms, prediction, and prevention of ACL injuries: cut risk with three sharpened and validated tools. J Orthop Res 2016; 34: 1843-1855
  • 122 Wiggins AJ, Grandhi RK, Schneider DK. et al. Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. Am J Sports Med 2016; 44: 1861-1876
  • 123 Webster KE, Hewett TE. What is the evidence for and validity of Return-to-Sport testing after anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis. Sports Med 2019; 49: 917-929
  • 124 Raymond-Pope CJ, Dengel DR, Fitzgerald JS. et al. Correction: anterior cruciate ligament reconstructed female athletes exhibit relative muscle dysfunction after return to sport. Int J Sports Med 2020; DOI: 10.1055/a-1273-8269.
  • 125 Buckinx F, Reginster JY, Dardenne N. et al. Concordance between muscle mass assessed by bioelectrical impedance analysis and by dual energy X-ray absorptiometry: A cross-sectional study. BMC Musculoskelet Disord 2015; 16: 60 DOI: 10.1186/s12891-015-0510-9.
  • 126 Bosy-Westphal A, Schautz B, Later W. et al. What makes a BIA equation unique? Validity of eight-electrode multifrequency BIA to estimate body composition in a healthy adult population. Eur J Clin Nutr 2013; 67: S14-S21
  • 127 Bosy-Westphal A, Jensen B, Braun W. et al. Quantification of total-body and segmental skeletal muscle mass using phase-sensitive 8-electrode medical bioelectrical impedance devices. Eur J Clin Nutr 2017; 71: 1061-1067
  • 128 Wingo BC, Barry VG, Ellis AC. et al. Comparison of segmental body composition estimated by bioelectrical impedance analysis and dual-energy X-ray absorptiometry. Clin Nutr ESPEN 2018; 28: 141-147
  • 129 Esco MR, Snarr RL, Leatherwood MD. et al. Comparison of total and segmental body composition using DXA and multifrequency bioimpedance in collegiate female athletes. J Strength Cond Res 2015; 29: 918-925
  • 130 McLester CN, Nickerson BS, Kliszczewicz BM. et al. Reliability and agreement of various InBody body composition analyzers as compared to dual-energy x-ray absorptiometry in healthy men and women. J Clin Densitom 2020; 23: 443-450 DOI: 10.1016/j.jocd.2018.10.008.
  • 131 Schoenfeld BJ, Nickerson BS, Wilborn CD. et al. Comparison of multifrequency bioelectrical impedance analysis vs dual x-ray absorptiometry for assessing body composition changes after participation in a 10-wk resistance training program. J Strength Cond Res 2020; 34: 678-688
  • 132 Ekstrand J, Hägglund M, Waldén M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med 2011; 45: 553-558
  • 133 Engebretsen L, Soligard T, Steffen K. et al. Sports injuries and illnesses during the London Summer Olympic Games 2012. Br J Sports Med 2013; 47: 407-414
  • 134 Lukaski HC, Moore M. Bioelectrical impedance assessment of wound healing. J Diabetes Sci Technol 2012; 6: 209-212
  • 135 Nescolarde L, Yanguas J, Lukaski H. et al. Effects of muscle injury severity on localized bioimpedance measurements. Physiol Meas 2015; 36: 27-42
  • 136 Reurink G, Goudswaard GJ, Tol JL. et al. MRI observations at return to play of clinically recovered hamstring injuries. Br J Sports Med 2014; 48: 1370-1376
  • 137 Reurink G, Brilman EG, de Vos RJ. et al. Magnetic resonance imaging in acute hamstring injury: Can we provide a return to play prognosis?. Sports Med 2015; 45: 133-146
  • 138 Pedret C, Rodas G, Balius R. et al. Return to play after soleus muscle injuries. Orthop J Sports Med 2015; 3: 2325967115595802 DOI: 10.1177/2325967115595802.
  • 139 Nescolarde L, Yanguas J, Terricabras J. et al. Detection of muscle gap by L-BIA in muscle injuries: clinical prognosis. Physiol Meas 2017; 21: L1-L9
  • 140 Valle X, Alentorn-Geli E, Tol JL. et al. Muscle injuries in sports: a new evidence-informed and expert consensus-based classification with clinical application. Sports Med 2017; 47: 1241-1253
  • 141 Nana A, Slater GJ, Stewart AD. et al. Methodology review: using dual-energy X-ray absorptiometry (DXA) for the assessment of body composition in athletes and active people. Int J Sport Nutr Exerc Metab 2015; 25: 198-215
  • 142 Earthman CP. Body composition tools for assessment of adult malnutrition at the bedside: a tutorial on research considerations and clinical applications. J Parenter Enteral Nutr 2015; 39: 787-822
  • 143 Hind K, Slater G, Oldroyd B. et al. Interpretation of dual-energy x-ray absorptiometry-derived body composition change in athletes: a review and recommendations for best practice. J Clin Densitom 2018; 21: 429-443
  • 144 Zemski AJ, Hind K, Keating SE. et al. Same-day vs consecutive-day precision error of dual-energy x-ray absorptiometry for interpreting body composition change in resistance-trained athletes. J Clin Densitom 2019; 22: 104-114
  • 145 Silva AM, Matias CN, Nunes CL. et al. Lack of agreement of in vivo raw bioimpedance measurements obtained from two single and multi-frequency bioelectrical impedance devices. Eur J Clin Nutr 2019; 73: 1077-1083
  • 146 Nescolarde L, Lukaski H, DeLorenzo A. et al. Different displacement of bioimpedance vector due to Ag/AgCl electrode effects. Eur J Clin Nutr 2016; 70: 1401-1407
  • 147 Jankowski LG, Warner S, Gaither K. et al. Cross-calibration, least significant change and quality assurance in multiple dual-energy x-ray absorptiometry scanner environments: 2019 ISCD Official Position. J Clin Densitom 2019; 22: 472-483
  • 148 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817