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全身振动可减少高蛋白摄入引起的尿钙排泄,并可能抵消骨吸收:一项初步研究。

Whole-body vibration can reduce calciuria induced by high protein intakes and may counteract bone resorption: A preliminary study.

作者信息

Cardinale M, Leiper J, Farajian P, Heer M

机构信息

Olympic Medical Institute, Northwick Park Hospital, Harrow, UK.

出版信息

J Sports Sci. 2007 Jan 1;25(1):111-9. doi: 10.1080/02640410600717816.

Abstract

Excess protein intake can adversely affect the bone via an increase in calcium excretion, while suitable mechanical loading promotes osteogenesis. We therefore investigated whether vibration exposure could alleviate the bone mineral losses associated with a metabolic acidosis. Ten healthy individuals aged 22 - 29 years (median = 25) underwent three 5-day study periods while monitoring their dietary intake. The study consisted of recording the participants' usual dietary intake for 5 consecutive days. Participants were then randomly divided into two groups, one of which received a protein supplement (2 g x kg(-1) body mass x day(-1); n = 5) and the other whole-body low-magnitude (3.5 g), low-frequency (30 Hz) mechanical vibration (WBV) delivered through a specially designed vibrating plate for 10 min each day (n = 5). Finally, for the third treatment period, all participants consumed the protein supplement added to their normal diet and were exposed to WBV exercise for 10 min per day. Daily urine samples were collected throughout the experimental periods to determine the excretion of calcium, phosphate, titratable acid, urea, and C-telopeptide. As expected, when the participants underwent the high protein intake, there was an increase in urinary excretion rates of calcium (P < 0.001), phosphate (P < 0.003), urea (P < 0.001), titratable acid (P < 0.001), and C-telopeptide (P < 0.05) compared with baseline values. However, high protein intake coupled with vibration stimulation resulted in a significant reduction in urinary calcium (P = 0.006), phosphate excretion (P = 0.021), and C-telopeptide (P < 0.05) compared with protein intake alone, but did not affect titratable acid and urea output. The participants showed no effect of WBV exercise alone on urinary excretion of calcium, phosphate, urea, titratable acid, or C-telopeptide. The results indicate that vibration stimulation can moderate the increase in bone resorption and reduction in bone formation caused by a metabolic acidosis.

摘要

蛋白质摄入过量会通过增加钙排泄对骨骼产生不利影响,而适当的机械负荷则会促进骨生成。因此,我们研究了振动暴露是否能减轻与代谢性酸中毒相关的骨矿物质流失。10名年龄在22至29岁(中位数=25岁)的健康个体在监测其饮食摄入量的同时,进行了三个为期5天的研究阶段。该研究包括连续5天记录参与者的日常饮食摄入量。参与者随后被随机分为两组,其中一组接受蛋白质补充剂(2克×千克体重-1×天-1;n = 5),另一组通过专门设计的振动板每天接受10分钟的全身低强度(3.5克)、低频(30赫兹)机械振动(WBV)(n = 5)。最后,在第三个治疗阶段,所有参与者在正常饮食中添加蛋白质补充剂,并每天接受10分钟的WBV运动。在整个实验期间每天收集尿液样本,以测定钙、磷、可滴定酸、尿素和C-端肽 的排泄情况。正如预期的那样,当参与者摄入高蛋白时,与基线值相比,钙(P < 0.001)、磷(P < 0.003)、尿素(P < 0.001)、可滴定酸(P < 0.001)和C-端肽(P < 0.05)的尿排泄率增加。然而,与单独蛋白质摄入相比,高蛋白摄入加上振动刺激导致尿钙(P = 0.006)、磷排泄(P = 0.021)和C-端肽(P < 0.05)显著降低,但不影响可滴定酸和尿素的排出量。参与者显示单独的WBV运动对钙、磷、尿素、可滴定酸或C-端肽的尿排泄没有影响。结果表明,振动刺激可以缓解代谢性酸中毒引起的骨吸收增加和骨形成减少。

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