Department of Health and Human Performance, University of Texas at Brownsville/Texas Southmost College, 80 Fort Brown, Brownsville, TX 78520, USA.
Eur J Appl Physiol. 2011 Aug;111(8):1659-67. doi: 10.1007/s00421-010-1796-9. Epub 2011 Jan 5.
The aim of this study was to examine and compare the effects of different resistance training protocols on bone marker concentrations in older men. Thirty-seven healthy older male subjects were assigned to one of three groups: high-intensity resistance training (HI-RT, age = 57.5 ± 0.8); low-intensity resistance training with vascular restriction (LI-VRT, age = 59.9 ± 1.0); and control (CON, age = 57.0 ± 1.1). Blood samples were collected before and after 6 weeks of resistance training to measure the changes in bone formation [bone alkaline phosphatase, (Bone ALP)] and resorption (C-terminal cross-linking telopeptide of Type-I collagen, CTX) marker concentrations. A significant main effect for time was detected in Bone ALP to CTX ratio for the exercise groups (p < 0.05). There was a significant group effect for percentage changes in serum Bone ALP (21% for LI-VRT, 23% for HI-RT, and 4.7% for CON) and post hoc analysis identified significant increases in serum Bone ALP concentrations in LI-VRT (p = 0.03) and HI-RT (p = 0.02) when compared with CON. The exercise groups had significantly (p < 0.01) greater strength increases in all upper body and leg exercises compared with CON with no significant differences between the exercise groups except for leg extension strength (HI-RT > LI-VRT, p < 0.05). Serum concentrations of Bone ALP and Bone ALP to CTX ratio improved in both resistance training protocols, suggesting increased bone turnover with a balance favoring bone formation. Therefore, despite using low mechanical load, LI-VRT is a potentially effective training alternative to traditional HI-RT for enhancing bone health in older men.
本研究旨在比较和检验不同抗阻训练方案对老年男性骨标志物浓度的影响。37 名健康的老年男性被分配到三个组中:高强度抗阻训练组(HI-RT,年龄 57.5±0.8 岁)、低强度抗阻训练联合血管限制组(LI-VRT,年龄 59.9±1.0 岁)和对照组(CON,年龄 57.0±1.1 岁)。在抗阻训练 6 周前后采集血样,以测量骨形成标志物(骨碱性磷酸酶,Bone ALP)和骨吸收标志物(I 型胶原 C 端交联肽,CTX)浓度的变化。运动组的 Bone ALP 与 CTX 比值有显著的时间主效应(p<0.05)。血清 Bone ALP 的百分比变化有显著的组间效应(LI-VRT 组为 21%,HI-RT 组为 23%,CON 组为 4.7%),并且事后分析显示 LI-VRT 组(p=0.03)和 HI-RT 组(p=0.02)的血清 Bone ALP 浓度显著增加,与 CON 组相比。与 CON 组相比,运动组的所有上半身和腿部练习的力量都有显著增加(p<0.01),但运动组之间除腿部伸展力量外(HI-RT>LI-VRT,p<0.05)没有显著差异。两种抗阻训练方案都能显著提高血清 Bone ALP 和 Bone ALP 与 CTX 比值,提示骨转换增加,有利于骨形成。因此,尽管使用的机械负荷较低,但 LI-VRT 是一种有潜力的、可替代传统 HI-RT 的训练方案,可增强老年男性的骨骼健康。