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体育锻炼的强度水平与骨代谢反应。

The intensity level of physical exercise and the bone metabolism response.

作者信息

Maïmoun L, Manetta J, Couret I, Dupuy A M, Mariano-Goulart D, Micallef J P, Peruchon E, Rossi M

机构信息

Groupe de Recherche Interdisciplinaire Sur le Métabolisme Osseux, Montpellier, France.

出版信息

Int J Sports Med. 2006 Feb;27(2):105-11. doi: 10.1055/s-2005-837621.

Abstract

This study investigated the short-term effects of the intensity level of physical exercise on bone metabolism and related hormones. The responses of calciotropic hormones and bone biochemical markers were evaluated in seven male cyclists (mean age 24.4 years, range 20-39) during two 50-min cycling tests performed 15% below (-VT) and 15% above (+VT) the ventilatory threshold. In each test, venous blood samples were drawn at rest, at the 30th and 50th min of exercise, and after 15 min of recovery. For both intensity levels, no significant variation in calcium, 25-hydroxyvitamin D, 1.25-dihydroxyvitamin D, or cortisol level was observed. Intact parathyroid hormone (iPTH) level increased significantly after the last minute of the test (41%, p < 0.05) and peaked during the recovery (80%, p < 0.05) only in response to exercise performed at +VT. Serum phosphorus concentration rose during both tests, while albumin levels increased only at +VT. Concerning bone cell activity, osteocalcin, and type I-C telopeptide breakdown products transiently increased only in response to exercise performed at +VT (11% and 16.8%, respectively; p < 0.05). Bone alkaline phosphatase increased similarly for both intensity levels after 30 min (12%, p < 0.05) and 50 min (12% for -VT vs. 14% for +VT, p < 0.05). All markers of bone turnover returned to initial values during the recovery. In conclusion, a no-impact but intense and sustained exercise performed at +VT transiently stimulated bone turnover and iPTH secretion, suggesting the existence of a bone stimulation threshold. In addition to the well known effect of mechanical constraints, both the duration and intensity of exercise may induce changes in bone turnover.

摘要

本研究调查了体育锻炼强度水平对骨代谢及相关激素的短期影响。在七名男性自行车运动员(平均年龄24.4岁,范围20 - 39岁)进行的两次50分钟自行车测试中,评估了促钙激素和骨生化标志物的反应,测试强度分别比通气阈值低15%(-VT)和高15%(+VT)。在每次测试中,于静息状态、运动第30分钟和第50分钟以及恢复15分钟后采集静脉血样。对于两种强度水平,均未观察到钙、25 - 羟基维生素D、1,25 - 二羟基维生素D或皮质醇水平有显著变化。仅在+VT强度的运动后,完整甲状旁腺激素(iPTH)水平在测试最后一分钟后显著升高(41%,p < 0.05),并在恢复期间达到峰值(80%,p < 0.05)。两次测试期间血清磷浓度均升高,而白蛋白水平仅在+VT强度时升高。关于骨细胞活性,骨钙素和I型C末端肽降解产物仅在+VT强度的运动后短暂增加(分别为11%和16.8%;p < 0.05)。两种强度水平在运动30分钟后(12%,p < 0.05)和50分钟后(-VT为12%,+VT为14%,p < 0.05)骨碱性磷酸酶均有类似升高。所有骨转换标志物在恢复期间均恢复至初始值。总之,在+VT强度下进行的无冲击但剧烈且持续的运动短暂刺激了骨转换和iPTH分泌,表明存在骨刺激阈值。除了机械负荷的众所周知的作用外,运动的持续时间和强度均可诱导骨转换的变化。

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