Karlsson M K, Magnusson H, Karlsson C, Seeman E
Department of Orthopaedics, Malmo University Hospital, Malmo, Sweden.
Bone. 2001 Jan;28(1):128-32. doi: 10.1016/s8756-3282(00)00405-1.
Exercise is associated with increased peak bone mineral density (BMD). To determine the relationship between the duration of exercise and BMD, we measured BMD of the axial and appendicular skeleton by dual-energy X-ray absorptiometry (DXA), and speed of sound (SOS), broadband attenuation (BUA), and stiffness index by quantitative ultrasound (QUS) of the calcaneus, in 67 active male national soccer players (mean age 23 years, range 17-35), which included 23 premier-league players exercising 12 h/week (range 8-18), 23 third-league players exercising 8 h/week (range 3-18), and 21 sixth-league players exercising 6 h/week (range 2-10). Results were compared with 24 sedentary age- and gender-matched controls and presented as mean +/- SEM. BMD was higher in all weight-bearing regions for the whole group relative to controls (BMD: total body 6.8 +/- 0.7%, leg 9.6 +/- 0.8%, lumbar spine 13.2 +/- 1.2%, femoral neck 12.7 +/- 1.2% [all p < 0.001]; calcaneus SOS 4.2 +/- 0.3%, BUA 8.7 +/- 1.5%, and stiffness index 24.2 +/- 2.0% [all p < 0.01]). No differences were found in head or arm BMD. There were no differences in BMD or QUS measurements when comparing soccer players exercising for different activity durations. Duration of activity correlated with BMD weight-loaded regions and with QUS, provided it was less <6 h/week (p < 0.01 respectively), but not when exercising more frequently. Femoral neck BMD increased by 3.3% across every hour increase in activity in those with 0-6 h of exercise/week and by 0.7% in those exercising more than this (p < 0.01). We conclude that, in national-league soccer, the BMD needed to attain a bone strength commensurate with that of duration of activity is achieved by 6 h of exercise per week. Beyond this, additional exercise confers no higher BMD. The skeleton adapts to the prevalent level of exercise intensity required and no further.
运动与骨矿物质密度峰值(BMD)增加相关。为了确定运动时长与BMD之间的关系,我们采用双能X线吸收法(DXA)测量了67名现役男性国家足球运动员(平均年龄23岁,范围17 - 35岁)的中轴骨和附属骨骼的BMD,以及通过定量超声(QUS)测量了跟骨的声速(SOS)、宽带衰减(BUA)和硬度指数。这些运动员包括23名每周训练12小时(范围8 - 18小时)的英超联赛球员、23名每周训练8小时(范围3 - 18小时)的第三级别联赛球员以及21名每周训练6小时(范围2 - 10小时)的第六级别联赛球员。将结果与24名年龄和性别匹配的久坐不动的对照组进行比较,并以平均值±标准误表示。相对于对照组,整个组在所有承重区域的BMD均更高(BMD:全身6.8±0.7%,腿部9.6±0.8%,腰椎13.2±1.2%,股骨颈12.7±1.2%[所有p < 0.001];跟骨SOS 4.2±0.3%,BUA 8.7±1.5%,硬度指数24.2±2.0%[所有p < 0.01])。头部或手臂的BMD未发现差异。比较不同运动时长的足球运动员时,BMD或QUS测量结果没有差异。活动时长与承重区域的BMD以及QUS相关,前提是每周运动时长小于6小时(分别p < 0.01),但运动更频繁时则不相关。每周运动0 - 6小时的人群中,每增加一小时活动,股骨颈BMD增加3.3%,而运动超过6小时者增加0.7%(p < 0.01)。我们得出结论,在国家联赛足球运动员中,每周6小时的运动可实现与活动时长相称的骨强度所需的BMD。超过此时长,额外的运动不会带来更高的BMD。骨骼适应所需的普遍运动强度水平,不会进一步适应。