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Low mechanical loading aquatic activities such as swimming and scuba diving have identified decreased bone mineral density (BMD); however, the effects of long-term surfing on bone health remains uninvestigated. This was a cross-sectional observational study with two groups: surfers (n = 11) with 40 years surfing experience and age and gender-matched sedentary controls (n = 10). Data collected included physical activity questionnaires, biomarkers, BMD, bone mineral content and body composition. Surfers demonstrated a significantly (p |