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Anthropological Review • Vol.

87(1), 1–9 (2024)

ANTHROPOLOGICAL REVIEW
Available online at: https://doi.org/10.18778/1898-6773.87.1.01

Asymmetry in Body Composition Variables


of Youth Athletes

Albena Dimitrova1,2
1
Department of Anatomy and Biomechanics,
National Sports Academy “Vassil Levski”, Sofia, Bulgaria
2
Department of Anthropology and Anatomy, Institute of Experimental Morphology,
Pathology and Anthropology with Museum, Bulgarian Academy of Sciences Sofia, Bulgaria

Abstract: Assessing bilateral differences in paired anthropometric features is an important methodological


problem in sports anthropology. The present study included 128 adolescent female athletes (59 rhythmic
gymnasts, 58 tennis players, and 11 swimmers). Body composition components were determined using
multi-frequency bioelectrical impedance measurements (analyzer InBody 170). Asymmetry coefficients of
muscle and fat mass accumulation in the upper (AA) and lower (AL) limbs were calculated using the Nache-
va` equation (1986). The percentiles method was applied to distribute the bilaterally studied anthropomet-
ric features according to the mean values of the units of asymmetry (UA). Wilkoxon-test was used to assess
the statistically significant differences in paired variables. Kruskal-Wallis test was applied to determine the
differences in UA between three assessed athlete groups, depending on their age. The differences in body
composition components between rhythmic gymnasts (RG), tennis players (TP), and swimmers (SW) were
well expressed in all assessed age groups. The most considerable inter-group differences were observed in
terms of the asymmetry coefficient in the lean body mass (LBM) with a right direction and body fat mass
with a left direction for upper limb fat mass (%, kg), which have signed the highest values in the tennis
players group, followed by the RG on the same age. Swimmers had significantly the lowest values of UA for
all body segments. A close relation was found between asymmetry in body composition variables and the
type of sports activity. Tennis was found as a sport with more pronounced inter-limbs asymmetry.
Key words: tennis players, rhythmic gymnasts, swimmers, asymmetry, body composition.

Original article
© by the author, licensee Polish Anthropological Association and University of Lodz, Poland
This article is an open access article distributed under the terms and conditions of the
Creative Commons Attribution license CC-BY-NC-ND 4.0
(https://creativecommons.org/licenses/by-nc-nd/4.0/)
Received: 23.01.2024; Revised: 04.03.2024; Accepted: 06.03.2024
2 Albena Dimitrova

Introduction is a sport that involves all muscles and


provides a balanced body composition.
The assessment of bilateral differences Assessment of the effects of swimming
in paired anthropometric features is an training on body asymmetry in adoles-
important methodological problem in cents shows that continuous and inten-
anthropology. Bilateral asymmetry in hu- sive swimming during the growth periods
man beings arose millions of years ago in does not cause body asymmetry in swim-
the process of the evolution as an adaptive mers (Palomino-Martin et al. 2015).
mechanism to the changing environmen- Different studies associated the in-
tal factors (Zeidel et al. 2010). Anthropo- ter-limb asymmetries, of the lower-body
metric asymmetry provides information greater than 10–15% with increased inci-
about changes occurring in the morpho- dences of injury (Tyler et al. 2001; Bishop
functional characteristics of the human et al. 2018; Dos’Santos et al. 2019). The
body, according to the type and intensity importance of the current research is to
of physical activity (labor, sports, etc). As- develop an accurate scale for assessing
sessing bilateral differences in paired an- the directions and degree of the mani-
thropometric features is of great interest fested morphological asymmetry, with
worldwide in biomedical sciences. Asym- aimed at preventing the health status of
metric changes, mainly in the limbs, have the athletes. In this reason:
been observed in athletes competing in The aim of the study is to evaluate
a variety of sports: volleyball, handball, the bilateral differences in body compo-
javelin throwing, cricket, racket sports, sition variables of adolescent athletes
rhythmic gymnastics, football, etc (Koley doing symmetric and asymmetric sports.
2008, 2010; Stoykov 2012; Rynkiewicz
2013; Schluga-Filho et. al. 2016; etc.). Material and Methods
To achieve higher productivity in
rhythmic gymnastics, gymnasts often The present study included 128 adoles-
perform repetitive motor actions, main- cent female athletes (59 rhythmic gym-
ly with the dominant limb (Teixeira and nasts, 58 tennis players and 11 swim-
Paroli 2000; Zaidi 2011). This leads to mers). All athletes identified themselves
greater values of the thigh circumference as right-handed. Study participants were
and a greater angle of extension in the divided into three experimental groups ac-
knee and hip joint compared to the con- cording to the age classification in sports
tra-lateral limb (Georgopoulos et al. 1999; practice as follows: age group 1 includes
Douda et al. 2002; Frutuoso et al. 2016). all rhythmic gymnasts (RG) tennis play-
Tennis, similarly to rhythmic gym- ers (TP) and swimmers (SW) from 8 to 10
nastics, is a sport with an asymmetric years, the age group 2: 11–12 years and the
etiology, especially existing in the upper age group 3: 12–14-year-old athletes. The
limbs. The asymmetric accumulation of criteria for inclusion were as follows: all
fat mass and lean mass between the right athletes trained at least 5 times per week
and left arms give rise to disproportions and competed regularly at the regional,
in the bones (Vergauwen 1998; Sánchez- national or international level champion-
Muñoz et al. 2007; Rogowski 2008, 2016; ships. Their training experience in cur-
Abrahão et al. 2008; Berdejo-del-Fresno rent sport was as follows: the mean train-
2010). On the other hand, swimming ing experience equaled 5.21 ± 1.2 years
Asymmetry in Body Composition Variables 3

in TP, 4.92 ± 1.3 years in RG and 5.30 (UA). Wilkoxon-test was applied to assess
± 1.3 years in SW. The girls and their the statistical significant differences in
parents completed informed consent and paired variables (p ≤ 0.05). Kruskal-Wallis
voluntarily participated in the study. The test (p ≤ 0.05) was applied to assess the
study protocol was reviewed and approved differences in UA between three assessed
by the Ethical Committee of Institute athlete` groups, depending to their age.
of Experimental Morphology, Pathology
and Anthropology with Museum-Bul- Results
garian Academy of Sciences (Protocol
№ 22/07.02.2023) and was conducted in All RG (mean age: 11.19±1.74 y; mean
agreement with the principles stated in body height: 146.30±9.17 cm; mean body
the Declaration of Helsinki for human weight: 34.24±6.61 kg) had training in
studies (WHO 2008). Body mass index gymnastics six days per week, not less
was calculated by a well-known formula than 20 hours weekly. All TP (mean
using the mean height and weight val- age: 11.24±1.72 y; mean body height:
ues. Body composition components were 153.60±9.43 cm; mean body weight:
determined by means of multi-frequency 45.13±1.02 kg) had training in ten-
bioelectrical impedance measurements, nis more than three times weekly and
which were taken with the use of In- not less than 10 hours per week. The
Body (model: 170) analyzer, with eight swimmers’ training experience (mean
electrodes. For accurate analysis, the fol- age: 10.55±1.57 y; mean body height:
lowing requirements have been met: the 147.42±1.28 cm; mean body weight:
measurements of each athlete were made 34.98±7.99 cm) was about five times
at least two hours after a meal and at per week and 90 minutes per training.
least 12 hours before training. Statistical Using results for height and weight, the
analy­ sis was conducted using the SPSS mean values of BMI were observed. In
software, version16.00, for Windows. Ver- TP it varied from 17.76 to 21.39 kg/cm2
ification of the normal distribution of the at the ages between 8 and 14. The results
anthropometric and body composition obtained for the other athletes’ groups`
measurements and a non-normal distri- were in the diapason from 15.31 to 16.90
bution of one of the asymmetric coeffi- kg/cm2 and from 15.45 to 16.39 kg/cm2
cients prompted the use of the Kolmog- in RG and SW, respectively. TP exhibited
orov-Smirnov and Shapiro-Wilk tests. the highest values of BMI compared to
Asymmetry coefficients of muscle mass the RG and SW in all assessed age groups
and fat mass accumulationin the upper (p<001). During the assessed age period
(UL) and lower (LL) limbs were calculated all athletes increased their BMI, most
using the Nacheva` equation (1986): pronounced in the time between 11 and
14 years, due to the onset of puberty.
Units of asymmetry (UA) = Bilateral differences in lean body
(dominant limb / dominant limb · 100) – 100 mass and fat mass of the upper and lower
limbs were presented in Fig. 1 (A, B, C).
The percentiles` method was applied The largest differences between groups
to distribute the bilaterally studied an- were observed for units of asymmetry,
thropometric features according to the with a right direction for lean mass and
mean values of the units of asymmetry a left direction for upper limb fat mass.
4 Albena Dimitrova

Units of asymmetry had significantly Swimming appears to be the sport with


highest values in the tennis player group, much lower levels of bilateral limb soft
followed by the RG`ϵ group (p<0.001). tissue differences.
ϲ
ϵ

Ϭ͕ϯϭ
Ϭ͕ϴϰ

Ϭ͕ϬϬ
Ϭ͕ϰϲ
ϯ

Ϭ͕ϱϬ
Ϭ͕ϴϰ
Ϭ͕ϳϵ
ϲ

Ϭ͕ϬϬ
ϰ͕ϯϱ

Ϭ͕ϯϭ
Ϭ͕ϴϰ
Ϭ

Ϭ͕ϬϬ
Ϭ͕ϰϲ
ϯ

Ͳϯ͕ϱϵ

Ϭ͕ϱϬ
Ϭ͕ϴϰ
h

Ϭ͕ϳϵ

Ϭ͕ϬϬ
Ͳϱ͕ϰϰ

Ͳϱ͕ϴϵ

ͲϬ͕ϰϵ
Ϯ͕ϭϭ

ͲϬ͕Ϭϴ
ϰ͕ϯϱ
ͲϬ͕ϱϯ

Ͳϯ
Ϭ
ͲϬ͕ϰϮ

ͲϬ͕Ϯϱ
Ͳϯ͕ϱϵ
h

Ͳϱ͕ϰϰ

Ͳϱ͕ϴϵ

ͲϬ͕ϰϵ
Ϯ͕ϭϭ

ͲϬ͕Ϭϴ
Ͳϲ
ͲϬ͕ϱϯ

Ͳϯ
DDĂƌŵ DDůĞŐ й&Ăƌŵ &Ăƌŵ;ŬŐͿ й&ůĞŐ &ĂƚŵĂƐƐ
ͲϬ͕ϰϮ

ͲϬ͕Ϯϱ
;ŬŐͿ ;ŬŐͿ ůĞŐ;ŬŐͿ
Ͳϲ
DDĂƌŵ DDůĞŐ й&Ăƌŵ &Ăƌŵ;ŬŐͿ й&ůĞŐ &ĂƚŵĂƐƐ
dW Z' ^t
;ŬŐͿ ;ŬŐͿ ůĞŐ;ŬŐͿ


 dW Z' ^t

ϴ

ϱ
ϴ
Ϭ͕Ϭϰ
Ϭ͕Ϭϯ

Ϭ͕Ϭϰ

Ϭ͕ϬϬ
Ϭ͕ϬϬ
Ϭ͕ϱϮ

Ϯ
ͲϬ͕ϱϲ
ϰ͕Ϭϳ

ϱ
Ϯ͕ϴϵ

Ϭ͕Ϭϰ
Ϭ͕Ϭϯ

Ϭ͕Ϭϰ

Ϭ͕ϬϬ
Ϭ͕ϬϬ
Ϭ͕ϱϮ

Ͳϭ
Ͳϰ͕ϲϳ

Ϯ
ͲϬ͕ϱϲ
ϰ͕Ϭϳ
h

Ͳϰ͕ϰϵ
Ͳϲ͕ϯϳ
Ϯ͕ϴϭ
Ϯ͕ϴϵ

ͲϬ͕Ϭϲ
ͲϬ͕Ϭϳ
Ͳϭ͕ϲϵ Ͳϭ͕ϲϵ

Ͳϰ
Ͳϭ
Ͳϰ͕ϲϳ
h

Ͳϰ͕ϰϵ
Ͳϲ͕ϯϳ
Ϯ͕ϴϭ

ͲϮ͕ϴϴ
Ͳϯ͕ϳϭ

ͲϬ͕Ϭϲ
ͲϬ͕Ϭϳ

Ͳϳ
Ͳϰ
DƵƐĐůĞ DƵƐĐůĞ й&Ăƌŵ &ĂƚŵĂƐƐ й&ůĞŐ &ĂƚŵĂƐƐůĞŐ
ͲϮ͕ϴϴ
Ͳϯ͕ϳϭ

ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ Ăƌŵ;ŬŐͿ ;ŬŐͿ


Ͳϳ ;ŬŐͿ ;ŬŐͿ
dW Z' ^t
DƵƐĐůĞ DƵƐĐůĞ й&Ăƌŵ &ĂƚŵĂƐƐ й&ůĞŐ &ĂƚŵĂƐƐůĞŐ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ Ăƌŵ;ŬŐͿ ;ŬŐͿ
 ϵ ;ŬŐͿ ;ŬŐͿ
dW Z' ^t

ϲ

Ϭ͕ϱϬ

Ϭ͕ϬϬ
Ϭ͕ϱϳ
Ϭ͕ϭϭ

Ϭ͕ϰϱ
Ϭ͕ϬϬ

ϯ
Ϭ͕ϬϬ
Ϭ͕ϯϱ
ϯ͕ϲϵ
Ϯ͕ϴϮ

Ϭ
Ͳϯ͕ϬϬ
Ͳϯ͕ϱϭ
Ͳϰ͕ϴϯ
Ͳϰ͕ϯϮ
ͲϬ͕Ϯϰ

ͲϬ͕ϳϱ

Ͳϯ
ͲϬ͕ϭϳ
ͲϬ͕ϭϭ
h

Ͳϲ

Ͳϵ
DƵƐĐůĞŵĂƐƐ DƵƐĐůĞŵĂƐƐ й&Ăƌŵ &ĂƚŵĂƐƐĂƌŵ й&ůĞŐ &ĂƚŵĂƐƐůĞŐ
Ăƌŵ;ŬŐͿ ůĞŐ;ŬŐͿ ;ŬŐͿ ;ŬŐͿ

dW Z' ^t

Fig. 1. Bilateral differences


 in lean body mass and fat mass in adolescent female athletes aged 8–10 years
(1A), 11–12 years (1B), and 13–14 years (1C)
ϲ Asymmetry in Body Composition Variables 5
ϰ͕Ϭϱ
ϰ
Based on theϲ data on the percentile thropometric asymmetry of the athletes
values of the UA,
Ϯ the profile of the an-
ϰ͕Ϭϱ
was established (Fig. 2A–Fig. 2C).
ϰ Ϭ͕ϭϭ
ϲϬ
Ϯ ϰ͕Ϭϱ ͲϬ͕Ϭϳ ͲϬ͕Ϯϭ
h

ͲϮ
ϰ Ϭ͕ϭϭ
Ϭ
Ͳϰ
Ϯ ͲϬ͕Ϭϳ ͲϬ͕Ϯϭ
h

ͲϮ Ϭ͕ϭϭ
Ͳϲ
Ϭ Ͳϰ͕ϴϵ
Ͳϱ͕ϱϮ
Ͳϰ DƵƐĐůĞ й&ůĞŐ DƵƐĐůĞ
ͲϬ͕Ϭϳ &ĂƚŵĂƐƐ &ĂƚŵĂƐƐ й&Ăƌŵ
ͲϬ͕Ϯϭ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ ůĞŐ;ŬŐͿ Ăƌŵ;ŬŐͿ
h

ͲϮ
Ͳϲ ;ŬŐͿ ;ŬŐͿ Ͳϰ͕ϴϵ
Ͳϱ͕ϱϮ
Ͳϰ DƵƐĐůĞ й&ůĞŐ DƵƐĐůĞ &ĂƚŵĂƐƐ &ĂƚŵĂƐƐ й&Ăƌŵ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ ůĞŐ;ŬŐͿ Ăƌŵ;ŬŐͿ
Ͳϲ ;ŬŐͿ ;ŬŐͿ Ͳϰ͕ϴϵ
Ͳϱ͕ϱϮ
DƵƐĐůĞ й&ůĞŐ DƵƐĐůĞ &ĂƚŵĂƐƐ &ĂƚŵĂƐƐ й&Ăƌŵ
ϲ ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ ůĞŐ;ŬŐͿ Ăƌŵ;ŬŐͿ
;ŬŐͿ ;ŬŐͿ
ϰ
ϲ ϭ͕ϳϮ
Ϯ Ϭ͕ϳϰ
ϰ Ϭ͕ϬϬ
Ϭ
ϲ ϭ͕ϳϮ
Ϯ
h

ͲϮ Ϭ͕ϳϰ
ϰ Ϭ͕ϬϬ ͲϬ͕Ϭϴ
Ϭ ͲϬ͕ϯϳ
Ͳϰ ϭ͕ϳϮ ͲϮ͕ϴϳ
Ϯ Ϭ͕ϳϰ
h

ͲϮ Ϭ͕ϬϬ
Ͳϲ ͲϬ͕Ϭϴ
Ϭ ͲϬ͕ϯϳ
Ͳϰ DƵƐĐůĞ DƵƐĐůĞ &ĂƚŵĂƐƐ й&ůĞŐ &ĂƚŵĂƐƐ й&Ăƌŵ
ͲϮ͕ϴϳ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ ůĞŐ;ŬŐͿ Ăƌŵ;ŬŐͿ
h

ͲϮ
;ŬŐͿ ;ŬŐͿ
Ͳϲ ͲϬ͕Ϭϴ ͲϬ͕ϯϳ
Ͳϰ DƵƐĐůĞ DƵƐĐůĞ &ĂƚŵĂƐƐ й&ůĞŐ &ĂƚŵĂƐƐ ͲϮ͕ϴϳ
й&Ăƌŵ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ ůĞŐ;ŬŐͿ Ăƌŵ;ŬŐͿ
Ͳϲ ;ŬŐͿ ;ŬŐͿ
DƵƐĐůĞ DƵƐĐůĞ &ĂƚŵĂƐƐ й&ůĞŐ &ĂƚŵĂƐƐ й&Ăƌŵ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ ůĞŐ;ŬŐͿ Ăƌŵ;ŬŐͿ
ϲ ;ŬŐͿ ;ŬŐͿ
ϰ
Ϯ Ϭ͕ϴϲ
ϲ Ϭ͕ϭϴ Ϭ͕ϬϬ Ϭ͕ϬϬ
Ϭ
ϰ
h

ͲϮ
Ϯϲ Ϭ͕ϴϲ
Ϭ͕ϭϴ Ϭ͕ϬϬ Ϭ͕ϬϬ Ͳϭ͕Ϭϯ
Ͳϰ ͲϬ͕ϭϭ
Ϭϰ
h

Ͳϲ
ͲϮϮ Ϭ͕ϴϲ
DƵƐĐůĞ DƵƐĐůĞ
Ϭ͕ϭϴ &ĂƚŵĂƐƐ
Ϭ͕ϬϬ &ĂƚŵĂƐƐ
Ϭ͕ϬϬ й&ůĞŐ й&Ăƌŵ
ͲϰϬ ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ Ăƌŵ;ŬŐͿ ůĞŐ;ŬŐͿ ͲϬ͕ϭϭ Ͳϭ͕Ϭϯ
h

;ŬŐͿ ;ŬŐͿ
Ͳϲ
ͲϮ
DƵƐĐůĞ DƵƐĐůĞ &ĂƚŵĂƐƐ &ĂƚŵĂƐƐ й&ůĞŐ й&Ăƌŵ
Fig. 2. Profile of theͲϰanthropometric asymmetry in: 8–14-years-old
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ Ăƌŵ;ŬŐͿ ůĞŐ;ŬŐͿ
tennis Ͳϭ͕Ϭϯ
ͲϬ͕ϭϭ players (2A), 8–14-years-old

rhythmic gymnasts Ͳϲ (2B),;ŬŐͿ
8–14-years-old
;ŬŐͿ swimmers (2C)
DƵƐĐůĞ DƵƐĐůĞ &ĂƚŵĂƐƐ &ĂƚŵĂƐƐ й&ůĞŐ й&Ăƌŵ
ŵĂƐƐĂƌŵ ŵĂƐƐůĞŐ Ăƌŵ;ŬŐͿ ůĞŐ;ŬŐͿ
 ;ŬŐͿ ;ŬŐͿ


6 Albena Dimitrova

The differences in body composition association of smoking with the body


components between RG and TP were composition components was found,
well expressed in the three age groups while it was responsible for higher ad-
(p<0.001). Through all assessed age pe- iposity in young adults. Higher values
riods, TP had higher levels of asymme- of all anthropometric parameters and
try in muscle mass and fat mass of the indexes in smoking young adults com-
upper limbs compared to the RG on pared to non-smokers were recorded,
the same age (p<0.001). Swimmers had with statistically significant differences
significantly the lowest values of UA for in waist circumference, BMI, waist to
all body segments (p<0.001). hip ratio, and fat mass indexes (Falbová
et al. 2023). The segmental analysis of
Discussion body composition, through the applied
bioimpedance method, gave the oppor-
The study presented the bilateral dif- tunity to make a more detailed study
ferences in sport-specific morphologi- about the manifestations of morpho-
cal peculiarities in youth female com- logical asymmetry in the muscle and
petitors doing different sports. Some fat mass of the limbs in adolescent ath-
researchers declared that the asymme- letes.
try is more pronounced in the upper The active physical load of certain
extremities in comparison to lower ex- muscle groups of the dominant upper
tremities with the right side prevalence limb in tennis players leads to a de-
(Tomkinson et al. 2003; Malina and crease in the %BF and better developed
Buschang 2004; Ulijaszek and Mas- of muscle mass. Throughout the stud-
cie-Taylor 2005). Schell et al. (1985) ied age period, upper limbs muscle mass
marked that morphological asymmetry and upper limbs fat mass (%) showed
is one of the main problems of anthro- a strong to very strong level of asym-
pology and a suitable methodology is metry in tennis players and a moderate
needed to analyze this phenomenon. level in rhythmic gymnasts. The direc-
Anthropometry is the most tradition- tion of the manifested asymmetry for
al method to assess the differences in muscle and fat mass is right-sided and
paired parts of the body. The segmen- left-sided, respectively. The lower limbs
tal bio-electrical impedance analysis were characterized by relative symme-
(BIA) is a newer method to investigate try in terms of the distribution of soft
regional diversification of the lean and tissues in the studied sports activities.
fat mass of the body compartments. Kistrop et al. (Kistrop et al. 2000) found
A comparative study of body composi- that measuring whole body and region-
tion (BC) in Slovak young women and al body composition by DEXA can im-
men, with the use of BIA, showed sig- prove the prediction of energy expendi-
nificantly higher values of active body ture what could be helpful information
components in men. Opposite to that about athletes who try to lose fat mass or
a significantly higher values of non-ac- gain lean muscle. Abrahao et al. (2008)
tive body components were detected in made comparison of the young athletes
woman. The authors reported a posi- playing tennis for up to two years (age
tive correlation between BC and indi- 6–10 years) with the male instructors
ces (Falbová et al. 2022). A significant between 22 y and 37 years of age that
Asymmetry in Body Composition Variables 7

have been engaged in playing tennis at Corresponding author


least eight years. The authors reported
the increase of the incidence of right Albena Dimitrova, Institute of Exper-
somatic measures superior to the left, imental Morphology, Pathology and
because the excessive time of training Anthropology with Museum, Bulgar­
of asymmetric sport, which, according ian Academy of Sciences; ”Acad. Georgi
to the researchers, influenced postural Bonchev” Str., Bl. 25, 1113, Sofia, Bul-
deviation (Abrahao et al. 2008). garia, Tel.: +359 895 736 299; e-mail:
albena_84@abv.bg
Conclusions
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