肌肉与骨骼——衰老与太空。

Muscle and bone-aging and space.

作者信息

Rittweger J, Gunga H C, Felsenberg D, Kirsch K A

机构信息

Institute of Physiology, Free University Berlin.

出版信息

J Gravit Physiol. 1999 Jul;6(1):P133-6.

DOI:
Abstract

One of the major concerns of aging, but also during and after spaceflight, is loss of muscle and bone mass. In aging, this is associated with an increasing risk of fractures. Recently, the possibility of aged and aging astronauts has been arisen. Thus considering the perspectives of aging and space we want to discuss, in how far the adaptations during spaceflight and during aging interfere. In other words: does spaceflight push the astronauts along the irreversible axis of aging? And which of the spaceflight effects will be reversible? Bones adapt to their mechanical function. For convenience, a simple model has been proposed: Bone, as a 'mechanostat', keeps the strains within certain thresholds, namely one threshold for modeling, i.e. formation of new bone, and one for remodeling, i.e. repair and removal. These thresholds are usually expressed as strains. A crucial role in physiological strain detection is obviously played by the osteocytes. The largest forces in the musculo-skeletal systems arise from muscle contractions. The reason for this are the poor levers, against which the muscles pull. For example: during a one-leg vertical jump, a young subject (body weight 70 kg) exerts a vertical ground reaction force of 2500 N. Due to the lever ratio of os calcis and forefoot around the tibio-talar joint, the calf muscles must exert a force 3 times greater, so that together with the body weight the bones of the lower leg are loaded with 10000 N, i.e. 14 times the body weight. Accordingly, good correlations can be observed between muscle strength and bone strength, or muscle mass and bone mass. It is therefore reasonable to discuss the accumulated knowledge about loss of muscle and bone in a combined approach. In this respect, two points must be considered: (i) for structural adaptation of bone, the muscular variable of interest arc force and rate of force development, but not power, and (ii) women before menopause have a greater bone to muscle ratio than men.

摘要

衰老过程中的一个主要问题,也是太空飞行期间及之后的主要问题,是肌肉和骨量的流失。在衰老过程中,这与骨折风险的增加有关。最近,老年和正在变老的宇航员的可能性已经出现。因此,考虑到衰老和太空的角度,我们想要讨论太空飞行期间和衰老过程中的适应性在多大程度上相互干扰。换句话说:太空飞行是否会将宇航员沿着不可逆的衰老轴推进?以及哪些太空飞行效应是可逆的?骨骼会适应其机械功能。为方便起见,已提出一个简单模型:骨骼作为一个“机械调节器”,将应变保持在特定阈值内,即一个用于建模(即新骨形成)的阈值和一个用于重塑(即修复和去除)的阈值。这些阈值通常用应变来表示。骨细胞显然在生理应变检测中起着关键作用。肌肉骨骼系统中最大的力来自肌肉收缩。原因是肌肉拉动时所对抗的杠杆条件不佳。例如:在单腿垂直跳跃时,一名年轻受试者(体重70千克)施加2500牛的垂直地面反作用力。由于跟骨和前足围绕胫距关节的杠杆比,小腿肌肉必须施加大三倍的力,这样连同体重一起,小腿骨骼承受10000牛的力,即体重的14倍。因此,可以观察到肌肉力量与骨骼强度之间,或肌肉量与骨量之间存在良好的相关性。因此,以综合方法讨论关于肌肉和骨骼流失的积累知识是合理的。在这方面,必须考虑两点:(i)对于骨骼的结构适应,感兴趣的肌肉变量是力和力发展速率,而不是功率;(ii)绝经前的女性骨肌比大于男性。

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