Although participation in vigorous exercise is associated with increased bo
ne mass, recent evidence suggests that loss of calcium in sweat may result
in a negative calcium balance and ultimately, a decrease in bone mass. Anth
ropometric characteristics, habitual physical activity levels, dietary calc
ium intake, bone mineral content, and bone turnover markers were measured i
n 42 male recruits before and after 4 months of firefighter training During
two strenuous mid-training sessions, sweat calcium concentrations were mea
sured; they averaged 1.1 mM. Whole body and total hip bone mineral content
increased significantly, as did one marker of bone formation, and were not
associated with sweat calcium concentration This study demonstrates that in
tense physical training sessions that produce high sweat rates do not have
an adverse effect on the bone mineral content of healthy young men.