Gao Haoyang, Zhao Yilong, Zhao Linlin, Wang Zhikun, Yan Kai, Gao Bo, Zhang Lingli
School of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Aging Dis. 2023 Oct 1;14(5):1555-1582. doi: 10.14336/AD.2023.0223.
Bone is a tissue that is active throughout the lifespan, and its physiological activities, such as growth, development, absorption, and formation, are always ongoing. All types of stimulation that occur in sports play an important role in regulating the physiological activities of bone. Here, we track the latest research progress locally and abroad, summarize the recent, relevant research results, and systematically summarize the effects of different types of exercise on bone mass, bone strength and bone metabolism. We found that different types of exercise have different effects on bone health due to their unique technical characteristics. Oxidative stress is an important mechanism mediating the exercise regulation of bone homeostasis. Excessive high-intensity exercise does not benefit bone health but induces a high level of oxidative stress in the body, which has a negative impact on bone tissue. Regular moderate exercise can improve the body's antioxidant defense ability, inhibit an excessive oxidative stress response, promote the positive balance of bone metabolism, delay age-related bone loss and deterioration of bone microstructures and have a prevention and treatment effect on osteoporosis caused by many factors. Based on the above findings, we provide evidence for the role of exercise in the prevention and treatment of bone diseases. This study provides a systematic basis for clinicians and professionals to reasonably formulate exercise prescriptions and provides exercise guidance for patients and the general public. This study also provides a reference for follow-up research.
骨骼是一种在整个生命周期中都保持活跃的组织,其生理活动,如生长、发育、吸收和形成,一直在持续进行。运动中出现的所有类型的刺激在调节骨骼的生理活动中都起着重要作用。在此,我们追踪国内外的最新研究进展,总结近期相关研究成果,并系统总结不同类型运动对骨量、骨强度和骨代谢的影响。我们发现,不同类型的运动因其独特的技术特点而对骨骼健康有不同的影响。氧化应激是介导运动对骨稳态调节的重要机制。过度的高强度运动对骨骼健康无益,反而会在体内诱导高水平的氧化应激,这对骨组织有负面影响。规律的适度运动可以提高机体的抗氧化防御能力,抑制过度的氧化应激反应,促进骨代谢的正向平衡,延缓与年龄相关的骨质流失和骨微结构退变,并对多种因素引起的骨质疏松症有防治作用。基于上述发现,我们为运动在骨疾病防治中的作用提供了证据。本研究为临床医生和专业人员合理制定运动处方提供了系统依据,为患者和公众提供了运动指导。本研究也为后续研究提供了参考。