Lester Mark E, Urso Maria L, Evans Rachel K, Pierce Joseph R, Spiering Barry A, Maresh Carl M, Hatfield Disa L, Kraemer William J, Nindl Bradley C
Military Performance Division, U.S. Army Research Institute of Environmental Medicine, Building 42, Kansas Street, Natick, MA 01760, USA.
Bone. 2009 Oct;45(4):768-76. doi: 10.1016/j.bone.2009.06.001. Epub 2009 Jun 9.
Prescribing exercise based on intensity, frequency, and duration of loading may maximize osteogenic responses in bone, but a model of the osteogenic potential of exercise has not been established in humans. In rodents, an osteogenic index (OI) has been used to predict the osteogenic potential of exercise. The current study sought to determine whether aerobic, resistance, or combined aerobic and resistance exercise programs conducted over eight weeks and compared to a control group could produce changes in biochemical markers of bone turnover indicative of bone formation. We further sought to determine whether an OI could be calculated for each of these programs that would reflect observed biochemical changes. We collected serum biomarkers [bone-specific alkaline phosphatase (BAP), osteocalcin, tartrate-resistant acid phosphatase (TRAP), C-terminal telopeptide fragment of type I collagen (CTx), deoxypyridinoline (DPD), 25-hydroxy vitamin D (25(OH)D), and parathyroid hormone (PTH)] in 56 women (20.3+/-1.8 years) before, during and after eight weeks of training. We also measured bone mineral density (BMD) at regional areas of interest using DXA and pQCT. Biomarkers of bone formation (BAP and osteocalcin) increased in the Resistance and Combined groups (p<0.05), while biomarkers of bone resorption (TRAP and DPD) decreased and increased, respectively, after training (p<0.05) in all groups. Small changes in volumetric and areal BMD (p<0.05) were observed in the distal tibia in the Aerobic and Combined groups, respectively. Mean weekly OIs were 16.0+/-1.9, 20.6+/-2.2, and 36.9+/-5.2 for the Resistance, Aerobic, and Combined groups, respectively. The calculated osteogenic potential of our programs did not correlate with the observed changes in biomarkers of bone turnover. The results of the present study demonstrate that participation in an eight week physical training program that incorporates a resistance component by previously inactive young women results in alterations in biomarkers of bone remodeling indicative of increased formation without substantial alterations in markers of resorption.
根据负荷强度、频率和持续时间来规定运动,可能会使骨骼中的成骨反应最大化,但尚未在人类中建立运动成骨潜力的模型。在啮齿动物中,成骨指数(OI)已被用于预测运动的成骨潜力。本研究旨在确定,与对照组相比,在八周内进行的有氧运动、抗阻运动或有氧与抗阻联合运动方案,是否会使反映骨形成的骨转换生化标志物发生变化。我们还试图确定是否可以为这些运动方案中的每一个计算出一个OI,以反映观察到的生化变化。我们在56名女性(20.3±1.8岁)训练前、训练期间和训练八周后收集了血清生物标志物[骨特异性碱性磷酸酶(BAP)、骨钙素、抗酒石酸酸性磷酸酶(TRAP)、I型胶原C端肽片段(CTx)、脱氧吡啶啉(DPD)、25-羟基维生素D(25(OH)D)和甲状旁腺激素(PTH)]。我们还使用双能X线吸收法(DXA)和外周定量CT(pQCT)测量了感兴趣区域的骨密度(BMD)。抗阻组和联合组的骨形成生物标志物(BAP和骨钙素)增加(p<0.05),而所有组训练后骨吸收生物标志物(TRAP和DPD)分别下降和增加(p<0.05)。有氧运动组和联合组分别在胫骨远端观察到体积骨密度和面积骨密度有小的变化(p<0.05)。抗阻组、有氧运动组和联合组的平均每周OI分别为16.0±1.9、20.6±2.2和36.9±5.2。我们的运动方案计算出的成骨潜力与观察到的骨转换生物标志物变化不相关。本研究结果表明,以前不运动的年轻女性参与一项为期八周的包含抗阻成分的体育训练方案,会导致骨重塑生物标志物发生变化,表明骨形成增加,而骨吸收标志物没有实质性变化。