%0 Journal Article %T Bone Quality in Female Ballet Dancers: A Possible Determinant of Bone Health %A Hiroki Funasaki %A Mitsuru Saito %A Mayumi Kuno-Mizumura %A Hiroteru Hayashi %A Keishi Marumo %J Open Journal of Orthopedics %P 284-293 %@ 2164-3016 %D 2017 %I Scientific Research Publishing %R 10.4236/ojo.2017.79028 %X Hypotheses:Values of serum markers related to bone quality are abnormal in young female ballet dancers. Methods: In 13 elite Japanese female ballet dancers (average age, 22 years), markers related to bone quality were investigated. These included: serum homocystein (HC), a marker of increased oxidative stress; pentosidine (Pent), a marker of glycation- or oxidation-induced non-enzymatic cross-links; markers of bone metabolism (bone alkaline phosphatase, BAP; tartrate-resistant acid phosphatase 5b, TRAP5b) and bone mineral density (BMD). It was determined whether there is a relationship between bone quality markers¡¯ levels are related to amenorrhea and/or fatigue fractures. Results: Two dancers had fatigue fractures and 3 had a history of secondary amenorrhea. The average BMD was 1.305 ¡À 0.12 (g/cm2), in all these cases the Z-score was higher than -1.0. Although the serum levels of BAP, TRAP5b, and HC were normal in all examined dancers, in 2 out of 3 dancers with a history of secondary amenorrhea, pentosidine serum levels were increased. No relationship between bone quality markers¡¯ levels and fatigue fractures was found. Conclusion: Latent deterioration of bone quality may occur in female athletes with secondary amenorrhea and otherwise normal BMD and calcium metabolism markers. %K Bone Quality %K Bone Mineral Density %K Female Athletes %K Ballet Dancer %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=79293