Center for Translational Musculoskeletal Research, School of Medicine, Indiana University, Indianapolis, Indiana 46202, USA.
Endocrinology. 2013 Sep;154(9):3178-87. doi: 10.1210/en.2013-1227. Epub 2013 Jun 19.
Exercise that mechanically loads the skeleton is advocated when young to enhance lifelong bone health. Whether the skeletal benefits of elevated loading when young persist into adulthood and after menopause are important questions. This study investigated the influence of a surgically induced menopause in female Sprague-Dawley rats on the lifelong maintenance of the cortical bone benefits of skeletal loading when young. Animals had their right forearm extrinsically loaded 3 d/wk between 4 and 10 weeks of age using the forearm axial compression loading model. Left forearms were internal controls and not loaded. Animals were subsequently detrained (restricted to cage activities) for 94 weeks (until age 2 years), with ovariectomy (OVX) or sham-OVX surgery being performed at 24 weeks of age. Loading enhanced midshaft ulna cortical bone mass, structure, and estimated strength. These benefits persisted lifelong and contributed to loaded ulnas having greater strength after detraining. Loading also had effects on cortical bone quality. The benefits of loading when young were not influenced by a surgically induced menopause because there were no interactions between loading and surgery. However, OVX had independent effects on cortical bone mass, structure, and estimated strength at early postsurgery time points (up to age 58 weeks) and bone quality measures. These data indicate skeletal loading when young had lifelong benefits on cortical bone properties that persisted independent of a surgically induced menopause. This suggests that skeletal loading associated with exercise when young may provide lifelong antifracture benefits by priming the skeleton to offset the cortical bone changes associated with aging and menopause.
当骨骼年轻时,提倡进行机械加载运动,以增强终生的骨骼健康。年轻时增加负荷对骨骼的益处是否能持续到成年期和绝经后,这是一个重要的问题。本研究调查了手术诱导的雌性 Sprague-Dawley 大鼠绝经对年轻时骨骼负荷对皮质骨终生维持的影响。动物在 4 至 10 周龄时,通过前臂轴向压缩加载模型,每周 3 天对其右前臂进行外部加载。左前臂为内部对照,不加载。随后,动物进行 94 周的去训练(限制在笼内活动),直到 2 岁(24 周龄时进行卵巢切除术(OVX)或假手术)。加载可增强尺骨干皮质骨的质量、结构和估计强度。这些益处可终生维持,并使去训练后的加载骨具有更大的强度。加载还会影响皮质骨质量。年轻时期的加载益处不受手术诱导的绝经影响,因为加载和手术之间没有相互作用。然而,OVX 对术后早期(至 58 周龄)的皮质骨质量、结构和估计强度以及骨质量指标有独立影响。这些数据表明,年轻时的骨骼加载对皮质骨特性具有终生益处,独立于手术诱导的绝经。这表明,年轻时与运动相关的骨骼负荷可能通过使骨骼为抵消与衰老和绝经相关的皮质骨变化做好准备,从而提供终生的抗骨折益处。