Tanner–Whitehouse Skeletal Ages in Male Youth Soccer Players: TW2 or TW3?

Robert M. Malina, Manuel J. Coelho-e-Silva, António J. Figueiredo, Renaat M. Philippaerts, Norikazu Hirose, Maria Eugenia Peña Reyes, Giulio Gilli, Andrea Benso, Roel Vaeyens, Dieter Deprez, Luiz F. Guglielmo, Rojapon Buranarugsa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The Tanner–Whitehouse radius-ulna-short bone protocol (TW2 RUS) for the assessment of skeletal age (SA) is widely used to estimate the biological (skeletal) maturity status of children and adolescents. The scale for converting TW RUS ratings to an SA has been revised (TW3 RUS) and has implications for studies of youth athletes in age-group sports. Objectives: The aim of this study was to compare TW2 and TW3 RUS SAs in an international sample of male youth soccer players and to compare distributions of players by maturity status defined by each SA protocol. Methods: SA assessments with the TW RUS method were collated for 1831 male soccer players aged 11–17 years from eight countries. RUS scores were converted to TW2 and TW3 SAs using the appropriate tables. SAs were related to chronological age (CA) in individual athletes and compared by CA groups. The difference of SA minus CA with TW2 SA and with TW3 SA was used to classify players as late, average, or early maturing with each method. Concordance of maturity classifications was evaluated with Cohen’s Kappa coefficients. Results: For the same RUS score, TW3 SAs were systematically and substantially reduced compared with TW2 SAs; mean differences by CA group ranged from − 0.97 to − 1.16 years. Kappa coefficients indicated at best fair concordance of TW2 and TW3 maturity classifications. Across the age range, 42% of players classified as average with TW2 SA were classified as late with TW3 SA, and 64% of players classified as early with TW2 SA were classified as average with TW3 SA. Conclusion: TW3 SAs were systematically lower than corresponding TW2 SAs in male youth soccer players. The differences between scales have major implications for the classification of players by maturity status, which is central to some talent development programs.

Original languageEnglish
Pages (from-to)1-18
Number of pages18
JournalSports Medicine
DOIs
Publication statusAccepted/In press - 2017 Oct 29

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Soccer
Age Groups
Athletes
Ulna
Aptitude
Sports
Bone and Bones

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Malina, R. M., Coelho-e-Silva, M. J., Figueiredo, A. J., Philippaerts, R. M., Hirose, N., Peña Reyes, M. E., ... Buranarugsa, R. (Accepted/In press). Tanner–Whitehouse Skeletal Ages in Male Youth Soccer Players: TW2 or TW3? Sports Medicine, 1-18. https://doi.org/10.1007/s40279-017-0799-7

Tanner–Whitehouse Skeletal Ages in Male Youth Soccer Players : TW2 or TW3? / Malina, Robert M.; Coelho-e-Silva, Manuel J.; Figueiredo, António J.; Philippaerts, Renaat M.; Hirose, Norikazu; Peña Reyes, Maria Eugenia; Gilli, Giulio; Benso, Andrea; Vaeyens, Roel; Deprez, Dieter; Guglielmo, Luiz F.; Buranarugsa, Rojapon.

In: Sports Medicine, 29.10.2017, p. 1-18.

Research output: Contribution to journalArticle

Malina, RM, Coelho-e-Silva, MJ, Figueiredo, AJ, Philippaerts, RM, Hirose, N, Peña Reyes, ME, Gilli, G, Benso, A, Vaeyens, R, Deprez, D, Guglielmo, LF & Buranarugsa, R 2017, 'Tanner–Whitehouse Skeletal Ages in Male Youth Soccer Players: TW2 or TW3?', Sports Medicine, pp. 1-18. https://doi.org/10.1007/s40279-017-0799-7
Malina RM, Coelho-e-Silva MJ, Figueiredo AJ, Philippaerts RM, Hirose N, Peña Reyes ME et al. Tanner–Whitehouse Skeletal Ages in Male Youth Soccer Players: TW2 or TW3? Sports Medicine. 2017 Oct 29;1-18. https://doi.org/10.1007/s40279-017-0799-7
Malina, Robert M. ; Coelho-e-Silva, Manuel J. ; Figueiredo, António J. ; Philippaerts, Renaat M. ; Hirose, Norikazu ; Peña Reyes, Maria Eugenia ; Gilli, Giulio ; Benso, Andrea ; Vaeyens, Roel ; Deprez, Dieter ; Guglielmo, Luiz F. ; Buranarugsa, Rojapon. / Tanner–Whitehouse Skeletal Ages in Male Youth Soccer Players : TW2 or TW3?. In: Sports Medicine. 2017 ; pp. 1-18.
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abstract = "Background: The Tanner–Whitehouse radius-ulna-short bone protocol (TW2 RUS) for the assessment of skeletal age (SA) is widely used to estimate the biological (skeletal) maturity status of children and adolescents. The scale for converting TW RUS ratings to an SA has been revised (TW3 RUS) and has implications for studies of youth athletes in age-group sports. Objectives: The aim of this study was to compare TW2 and TW3 RUS SAs in an international sample of male youth soccer players and to compare distributions of players by maturity status defined by each SA protocol. Methods: SA assessments with the TW RUS method were collated for 1831 male soccer players aged 11–17 years from eight countries. RUS scores were converted to TW2 and TW3 SAs using the appropriate tables. SAs were related to chronological age (CA) in individual athletes and compared by CA groups. The difference of SA minus CA with TW2 SA and with TW3 SA was used to classify players as late, average, or early maturing with each method. Concordance of maturity classifications was evaluated with Cohen’s Kappa coefficients. Results: For the same RUS score, TW3 SAs were systematically and substantially reduced compared with TW2 SAs; mean differences by CA group ranged from − 0.97 to − 1.16 years. Kappa coefficients indicated at best fair concordance of TW2 and TW3 maturity classifications. Across the age range, 42{\%} of players classified as average with TW2 SA were classified as late with TW3 SA, and 64{\%} of players classified as early with TW2 SA were classified as average with TW3 SA. Conclusion: TW3 SAs were systematically lower than corresponding TW2 SAs in male youth soccer players. The differences between scales have major implications for the classification of players by maturity status, which is central to some talent development programs.",
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AU - Figueiredo, António J.

AU - Philippaerts, Renaat M.

AU - Hirose, Norikazu

AU - Peña Reyes, Maria Eugenia

AU - Gilli, Giulio

AU - Benso, Andrea

AU - Vaeyens, Roel

AU - Deprez, Dieter

AU - Guglielmo, Luiz F.

AU - Buranarugsa, Rojapon

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