Rong H, Berg U, Tørring O, Sundberg C J, Granberg B, Bucht E
Department of Molecular Medicine Karolinska Institute, Stockholm, Sweden.
Scand J Med Sci Sports. 1997 Jun;7(3):152-9. doi: 10.1111/j.1600-0838.1997.tb00132.x.
Physical activity plays a role in the maintenance of the skeleton but the mechanical, metabolic and hormonal mechanisms involved are largely unknown. The influence of acute endurance and strength exercise on circulating levels of calcitonin, parathyroid hormone (PTH), PTH-related peptide (PTHrP), osteocalcin, carboxyterminal cross-linked telopeptide of type I collagen (ICTP) and ionized calcium (Ca2+) was therefore evaluated. Eight healthy young males performed three exercise bouts on separate occasions: endurance exercise, i.e. cycling on a cycle ergometer for 45 min at 55% of Vo2max (E55%) and 15 min at 85% of Vo2max (E85%) and strength exercise at 85% of three repetitions maximum using a leg-press device (STR). Control experiments included the same subjects with the same time schedule but without exercise. Blood samples were taken before, immediately after exercise and during the recovery period. Hormones and bone markers were measured by use of various immunoassays. There was no obvious influence on calcitonin and PTHrP levels, whereas PTH was increased after strength exercise. ICTP and osteocalcin levels correlated positively at all times and showed regular variations. In comparison with the controls, ICTP levels showed a more pronounced decrease following physical activity whereas osteocalcin followed the same pattern as the controls except for after prolonged endurance exercise when a decrease was abolished. In conclusion, an increase in PTH after strength exercise and a pronounced decrease in ICTP after all exercise together with a relative increase in osteocalcin after prolonged endurance exercise might reflect some mechanisms involved in the positive effect of physical activity on bone mass.
体育活动在维持骨骼健康方面发挥着作用,但其中涉及的机械、代谢和激素机制在很大程度上尚不清楚。因此,评估了急性耐力和力量运动对降钙素、甲状旁腺激素(PTH)、PTH相关肽(PTHrP)、骨钙素、I型胶原羧基末端交联端肽(ICTP)和离子钙(Ca2+)循环水平的影响。八名健康年轻男性在不同时间进行了三次运动试验:耐力运动,即在功率自行车上以最大摄氧量(Vo2max)的55%骑行45分钟(E55%),然后以Vo2max的85%骑行15分钟(E85%),以及使用腿部推举装置以最大重复次数的85%进行力量运动(STR)。对照实验包括相同的受试者,时间安排相同但不进行运动。在运动前、运动后立即和恢复期间采集血样。使用各种免疫测定法测量激素和骨标志物。对降钙素和PTHrP水平没有明显影响,而力量运动后PTH升高。ICTP和骨钙素水平在所有时间都呈正相关,并呈现出规律变化。与对照组相比,体育活动后ICTP水平下降更为明显,而骨钙素除了在长时间耐力运动后下降消失外,其变化模式与对照组相同。总之,力量运动后PTH升高,所有运动后ICTP明显下降,以及长时间耐力运动后骨钙素相对升高,可能反映了体育活动对骨量产生积极影响所涉及的一些机制。