Plochocki Jeffrey H
Department of Anatomy, Midwestern University, Glendale, Arizona, USA.
J Orthop Surg Res. 2009 Jun 25;4:22. doi: 10.1186/1749-799X-4-22.
Exercise during postnatal development plays a key role in determining adult bone mass and reducing the risk of fracture and osteoporosis later in life. However, the relationship between mechanically-induced osteogenesis and age is unclear. Elevated levels of estrogen during puberty may inhibit periosteal bone formation. Thus, magnitudes of mechanically-induced osteogenesis may be vary with pubertal state.
The present study uses a murine model to examine age-related changes in bone formation at the femoral midshaft with voluntary exercise. Pre- to peripubertal mice aged 3 weeks and peri- to postpubertal mice aged 7 weeks were randomly divided into sedentary and exercised groups and subjected to histomorphometric comparison after 4 weeks of treatment.
Results of the experiment indicate that exercise significantly increased osteogenesis on the periosteal and endocortical surface of the mice in the older age group (P < 0.05). Exercise had no significant effect on bone formation of mice in the younger age group, although exercised mice exhibited more bone growth on average than controls. Endocortical apposition was the primary method of bone formation for all mice in the experiment; however exercised mice in the older age group were able to add more bone on the periosteal surface than age-matched controls and exercised mice in the younger age group (P < 0.05). Medullary area increased with age, but exercised mice in both age groups had smaller medullary cavities relative to overall bone area than controls.
These findings suggest that the amount and location of mechanically-induced osteogenesis differs by age during skeletal development. Late adolescence may be the optimal time to accrue bone mass and maximize bone strength.
产后发育期间的运动在决定成年后的骨量以及降低日后生活中骨折和骨质疏松风险方面起着关键作用。然而,机械诱导成骨与年龄之间的关系尚不清楚。青春期雌激素水平升高可能会抑制骨膜骨形成。因此,机械诱导成骨的程度可能会随青春期状态而变化。
本研究使用小鼠模型来研究自愿运动对股骨中段骨形成的年龄相关变化。将3周龄的青春期前至青春期小鼠和7周龄的青春期至青春期后小鼠随机分为久坐组和运动组,治疗4周后进行组织形态计量学比较。
实验结果表明,运动显著增加了老年组小鼠骨膜和骨内膜表面的成骨(P < 0.05)。运动对年轻组小鼠的骨形成没有显著影响,尽管运动小鼠平均比对照组表现出更多的骨生长。骨内膜贴附是实验中所有小鼠骨形成的主要方式;然而,老年组的运动小鼠比年龄匹配的对照组和年轻组的运动小鼠在骨膜表面能够增加更多的骨量(P < 0.05)。髓腔面积随年龄增加,但两个年龄组的运动小鼠相对于总体骨面积的髓腔比对照组小。
这些发现表明,在骨骼发育过程中,机械诱导成骨的数量和位置因年龄而异。青春期后期可能是积累骨量和使骨强度最大化的最佳时期。