Figure 8

Athletes representing high-impact (H-I) and odd-impact (O-I) type of exercise loadings clearly have thicker cortices than their sedentary counterparts at the femoral neck. In a recent cross-sectional study [66], athletes in high-impact sports had 60% thicker inferior cortex; however, athletes representing odd-impact sports had 20% thicker cortex uniformly around the femoral neck, whereas athletes in high-magnitude (H-M), low-impact (L-I), and nonimpact (N-I) sports did not have thicker cortices than their nonathletic counterparts (top) (adapted from Nikander et al. [66]).