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Design of a Computer Model for the Identification of Adolescent Swimmers at Risk of Low BMD

Title: Design of a Computer Model for the Identification of Adolescent Swimmers at Risk of Low BMD
Authors: Jorge Marin-Puyalto; Alba Gomez-Cabello; Alejandro Gomez-Bruton; Angel Matute-Llorente; Sergio Castillo-Bernad; Gabriel Lozano-Berges; Alejandro Gonzalez-Agüero; Jose A. Casajus; German Vicente-Rodriguez
Source: International Journal of Environmental Research and Public Health, Vol 20, Iss 3454, p 3454 (2023)
Publisher Information: MDPI AG
Publication Year: 2023
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: osteoporosis prevention; decision tree; physical fitness; screening; Medicine
Description: This paper aims to elaborate a decision tree for the early detection of adolescent swimmers at risk of presenting low bone mineral density (BMD), based on easily measurable fitness and performance variables. The BMD of 78 adolescent swimmers was determined using dual-energy X-ray absorptiometry (DXA) scans at the hip and subtotal body. The participants also underwent physical fitness (muscular strength, speed, and cardiovascular endurance) and swimming performance assessments. A gradient-boosting machine regression tree was built to predict the BMD of the swimmers and to further develop a simpler individual decision tree. The predicted BMD was strongly correlated with the actual BMD values obtained from the DXA (r = 0.960, p < 0.001; root mean squared error = 0.034 g/cm 2 ). According to a simple decision tree (74% classification accuracy), swimmers with a body mass index (BMI) lower than 17 kg/m 2 or a handgrip strength inferior to 43 kg with the sum of both arms could be at a higher risk of having a low BMD. Easily measurable fitness variables (BMI and handgrip strength) could be used for the early detection of adolescent swimmers who are at risk of suffering from low BMD.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/1660-4601/20/4/3454; https://doaj.org/toc/1661-7827; https://doaj.org/toc/1660-4601; https://doaj.org/article/2090c5530e204ebe87abeb7d3e697656
DOI: 10.3390/ijerph20043454
Availability: https://doi.org/10.3390/ijerph20043454; https://doaj.org/article/2090c5530e204ebe87abeb7d3e697656
Accession Number: edsbas.72D1F1D5
Database: BASE