Factors Affecting Body Composition: Study on Athletes After ACL Injury
Abstract
Background. Following an anterior cruciate ligament (ACL) injury, many athletes experience decreased physical activity and altered body composition.
Aim. This study aims to determine the factors that affect body composition after athletes experience ACL injuries.
Methods. This cross-sectional study examined factors influencing body composition in 18 athletes from State University of Jakarta (UNJ) recovering from ACL injuries. The gender percentage was 61.11% males and 38.89% females, and the age range was 20–27 years. Data on current age, sex, age of injury, and surgical treatment were collected via questionnaire. Height was measured with a stadiometer, and weight, body mass index (BMI), and body composition parameters (body fat percentage, muscle mass, water content, protein, and bone density) were assessed using biological impedance analysis (BIA). Bivariate analyses (Pearson Product-Moment Correlation) identified significant associations between body composition and demographic or clinical variables.
Results. Results showed that sex significantly influenced body fat (p = 0.008), muscle mass (p = 0.000), body water (p = 0.018), and bone density (p = 0.000). Age correlated with body fat (p = 0.037), protein (p = 0.002), and bone density (p = 0.010). BMI was linked to fat percentage (p = 0.025) and water content (p = 0.012). Body weight strongly associated with muscle mass (p = 0.000) and borderline with bone density (p = 0.050). Age of injury, intervention type, and height showed no consistent effects.
Conclusions. The study concluded that body composition after ACL injury was influenced mainly by current age, sex, body weight, and BMI, while age of injury, intervention type, and height had minimal impact.
Keywords: factors; body composition; athletes; ACL injury
References
Abarghoueinejad, M., Barreira, D., Dias, C., Guimarães, E., Baxter-Jones, A. D. G., & Maia, J. (2021). Body physique, body composition, physical performance, technical and tactical skills, psychological development, and club characteristics of young male Portuguese soccer players: The INEX study. International Journal of Environmental Research and Public Health, 18(7), 3560. https://doi.org/10.3390/ijerph18073560
Acevedo, R. J., Rivera-Vega, A., Miranda, G., & Micheo, W. (2014). Anterior cruciate ligament injury. Current Sports Medicine Reports, 13(3), 186–191. https://doi.org/10.1249/JSR.0000000000000053
Alhamdan, A. A., Al-Muammar, M. N., Bindawas, S. M., Alshammari, S. A., Al-Amoud, M. M., & Calder, P. C. (2021). Body composition analysis by bioelectrical impedance and its relationship with nutritional status in older adults: A cross-sectional descriptive study. Progress in Nutrition, 23(3). https://doi.org/10.23751/pn.v23i3.10530
Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E. (2014). Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. British Journal of Sports Medicine, 48(21), 1543–1552. https://doi.org/10.1136/bjsports-2013-093398
Bram, J. T., Magee, L. C., Mehta, N. N., Patel, N. M., & Ganley, T. J. (2021). Anterior cruciate ligament injury incidence in adolescent athletes: A systematic review and meta-analysis. The American Journal of Sports Medicine, 49(7), 1962–1972. https://doi.org/10.1177/0363546520959619
Chan, D. K. C., Lee, A. S. Y., Hagger, M. S., Mok, K-M., & Yung, P. S.-H. (2017). Social psychological aspects of ACL injury prevention and rehabilitation: An integrated model for behavioral adherence. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 10, 17–20. https://doi.org/10.1016/j.asmart.2017.10.001
Curtis, E. M., Harvey, N. C., D’Angelo, S., Cooper, C. S., Ward, K. A., Taylor, P., Pearson, G., & Cooper, C. (2016). Bone mineral content and areal density, but not bone area, predict an incident fracture risk: A comparative study in a UK prospective cohort. Archives of Osteoporosis, 11(1), 39. https://doi.org/10.1007/s11657-016-0293-0
Devlin, B. L., Kingsley, M., Leveritt, M. D., & Belski, R. (2017). Seasonal changes in soccer players’ body composition and dietary intake practices. Journal of Strength and Conditioning Research, 31(12), 3319–3326. https://doi.org/10.1519/JSC.0000000000001751
Diwakar, M. (2018). Management of ACL tear in paediatric age group: A review of literature. Journal of Arthroscopy and Joint Surgery, 5(1), 9–14. https://doi.org/10.1016/j.jajs.2018.01.005
Felix, E. C. R., Alonso, A. C., Brech, G. C., Fernandes, T. L., Almeida, A. M., Luna, N. M. S., Soares-Junior, J. M., Baracat, E. C., Hernandez, A. J., & Greve, J. M. D. (2022). Is 12 months enough to reach function after athletes’ ACL reconstruction: A prospective longitudinal study. Clinics, 77, 100092. https://doi.org/10.1016/j.clinsp.2022.100092
Gronitzky, A. L., Lott, A., Yellin, J. L., Fabricant, P. D., Lawrence, J. T., & Ganley, T. J. (2016). Sport-specific yearly risk and incidence of anterior cruciate ligament tears in high school athletes: A systematic review and meta-analysis. The American Journal of Sports Medicine, 44(10), 2716–2723. https://doi.org/10.1177/0363546515617742
Jiang, Z., Lin, B., Liu, T., Qin, S., Huang, S., Shao, S., Li, S., Huang, R., & Huang, J. (2018). Visceral fat index/percentage body fat ratio is independently associated with proximal aortic dilatation in a middle-aged and aged Chinese population in Liujiang of Guangxi. Atherosclerosis, 268, 19–26. https://doi.org/10.1016/j.atherosclerosis.2017.11.008
Kuenze, C., Collins, K., Pfeiffer, K. A., & Lisee, C. (2022). Assessing physical activity after ACL injury: Moving beyond return to sport. Sports Health, 14(2), 197–204. https://doi.org/10.1177/19417381211025307
Listiandi, A. D., Budi, D. R., Festiawan, R., Nugraha, R., Faozi, F., & Bakhri, R. S. (2020). Hubungan body fat dan physique rating dengan cardiorespiratory fitness mahasiswa. Jurnal MensSana, 5(1), 78–86. https://doi.org/10.24036/jm.v5i1.144
Lubis, J., Thongdaeng, N., Haqiyah, A., Sukur, A., Abidin, D., Irawan, A. A., Sumartiningsih, S., & Hanief, Y. N. (2022). The effect of five-week aerobic interval training on the body composition of pencak silat elite athletes. International Journal of Kinesiology and Sports Science, 10(2), 16–24. https://doi.org/10.7575/aiac.ijkss.v.10n.2p.16
Maniar, N., Cole, M. H., Bryant, A. L., & Opar, D. A. (2022). Muscle force contributions to anterior cruciate ligament loading. Sports Medicine, 52(8), 1737–1750. https://doi.org/10.1007/s40279-022-01674-3
McEwan, G. P., Drobnic, F., Lizarraga, A., Gómez Díaz, A., Pons, E., Dello Iacon, A., & Unnithan, V. (2020). Changes in markers of body composition of professional male soccer players during pre-season. Sports Medicine and Health Science, 2(3), 166–171. https://doi.org/10.1016/j.smhs.2020.08.004
Mighra, B. A., & Djaali, W. (2021). Hubungan antara persentase lemak tubuh, lingkar perut, lingkar pinggang dan kekuatan otot punggung pada mahasiswa olahraga. Jurnal Ilmiah Kesehatan, 13(2), 224–228. https://doi.org/10.37012/jik.v13i2.527
Milanese, C., Cavedon, V., Corradini, G., Rusciano, A., & Zancanaro, C. (2021). Long-term patterns of bone mineral density in an elite soccer player. Frontiers in Physiology, 12. https://doi.org/10.3389/fphys.2021.631543
Negahban, H., Mazaheri, M., Kingma, I., & van Dieën, J. H. (2014). A systematic review of postural control during single-leg stance in patients with untreated anterior cruciate ligament injury. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA, 22(7), 1491–1504. https://doi.org/10.1007/s00167-013-2501-4
Nikolaidis, P. T., Vancini, R. L., Andrade, M. D. S., de Lira, C. A. B., & Knechtle, B. (2021). Assessment methods of body fat in recreational marathon runners: Bioelectrical impedance analysis versus skinfold thickness. BioMed Research International, 2021, 3717562. https://doi.org/10.1155/2021/3717562
Nuccio, S., Del Vecchio Farina, Casolo, A., Labanca, L., Rocchi, J. E., Felici, F., Macaluso, A., Mariani, P. P., Falla, D., Farina, D., & Sbriccoli, P. (2021). Deficit in knee extension strength following anterior cruciate ligament reconstruction is explained by a reduced neural drive to the vasti muscles. The Journal of Physiology, 599(22), 5103–5120. https://doi.org/10.1113/JP282014
Nyland, J., Greene, J., Carter, S., Brey, J., Krupp, R., & Caborn, D. (2020). Return to sports bridge program improves outcomes, decreases ipsilateral knee re-injury and contralateral knee injury rates post-ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA, 28(11), 3676–3685. https://doi.org/10.1007/s00167-020-06162-7
Oliveira, R., Francisco, R., Fernandes, R., Martins, A., Nobari, H., Clemente, F. M., & Brito, J. P. (2021). In-season body composition effects in professional women soccer players. International Journal of Environmental Research and Public Health, 18(22). https://doi.org/10.3390/ijerph182212023
Paravlic, A. H. (2022). Motor imagery and action observation as appropriate strategies for home-based rehabilitation: A mini-review focusing on improving physical function in orthopedic patients. Frontiers in Psychology, 13, 826476. https://doi.org/10.3389/fpsyg.2022.826476
Rahayu, K., Aryana, I. G. N. W., & Subawa, I. W. (2020). Profil pasien ruptur ligamentum krusiatum anterior yang dilakukan tindakan operasi di RSUP Sanglah Tahun 2018–2019. Jurnal Medika Udayana, 9(5), 46–52.
Requena, B., García, I., Suárez-Arrones, L., Sáez De Villarreal, E., Naranjo Orellana, J., & Santalla, A. (2017). Off-season effects on functional performance, body composition, and blood parameters in top-level professional soccer players. Journal of Strength and Conditioning Research, 31(4), 939–946. https://doi.org/10.1519/JSC.0000000000001568
Sadeqi, M., Klouche, S., Bohu, Y., Herman, S., Lefevre, N., & Gerometta, A. (2018). Progression of the psychological ACL-RSI score and return to sport after anterior cruciate ligament reconstruction: A prospective 2 year follow up study from the French Prospective Anterior Cruciate Ligament Reconstruction Cohort Study (FAST). Orthopaedic Journal of Sports Medicine, 6(12). https://doi.org/10.1177/2325967118812819
Sanders, T. L., Maradit Kremers, H., Bryan, A. J., Larson, D. R., Dahm, D. L., Levy, B. A., Stuart, M. J., & Krych, A. J. (2016). Incidence of anterior cruciate ligament tears and reconstruction: A 21-year population-based study. The American Journal of Sports Medicine, 44(6), 1502–1507. https://doi.org/10.1177/0363546516629944
Schmitt, L. C., & Rudolph, K. S. (2008). Muscle stabilization strategies in people with medial knee osteoarthritis: The effect of instability. Journal of Orthopaedic Research: The Orthopaedic Research Society, 26(9), 1180–1185. https://doi.org/10.1002/jor.20619
Syafa’at, F. A., & Rosyida, E. (2020). Upaya pemulihan pasien pasca rekonstruksi anterior cruciate ligament (ACL) dengan latihan beban. Jurnal Kesehatan Olahraga, 8(1), 67–72.
Ten Hoor, G. A., Rutten, G. M., Van Breukelen, G. J. P., Kok, G., Ruiter, R. A. C., Meijer, K., Kremers, S. P. J., Feron, F. J. M., Crutzen, R., Schols, A. M. J. W., & Plasqui, G. (2018). Strength exercises during physical education classes in secondary schools improve body composition: A cluster randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 92. https://doi.org/10.1186/s12966-018-0727-8
Valentini, N. C., Nobre, G. C., de Souza, M. S., & Duncan, M. J. (2020). Are BMI, self-perceptions, motor competence, engagement, and fitness related to physical activity in physical education lessons? Journal of Physical Activity and Health, 17(5), 493–500. https://doi.org/10.1123/jpah.2019-0532
Williams, G. N., Chmielewski, T., Rudolph, K., Buchanan, T. S., & Snyder-Mackler, L. (2001). Dynamic knee stability: Current theory and implications for clinicians and scientists. The Journal of Orthopaedic and Sports Physical Therapy, 31(10), 546–566. https://doi.org/10.2519/jospt.2001.31.10.546
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