Woitge H W, Friedmann B, Suttner S, Farahmand I, Müller M, Schmidt-Gayk H, Baertsch P, Ziegler R, Seibel M J
Department of Internal Medicine, Division of Endocrinology and Metabolism, University of Heidelberg, Heidelberg, Germany.
J Bone Miner Res. 1998 Dec;13(12):1797-804. doi: 10.1359/jbmr.1998.13.12.1797.
Physical activity is considered an important factor in attaining bone mass. However, the mechanisms by which exercise affects bone metabolism are not completely understood. The present study was performed to investigate the effects of aerobic and anaerobic exercise on bone turnover. Twenty healthy young males (aged 20-29 years) were followed through an 8-week program of aerobic (n = 10) and anaerobic training (n = 10). Ten age-matched individuals served as controls. Serum bone-specific alkaline phosphatase (BAP), serum osteocalcin (OC), and urinary pyridinoline (Pyd) and deoxypyridinoline (Dpd) were determined as indices of bone metabolism. After 4 weeks of aerobic training, serum BAP and OC (p < 0.01), and urinary Pyd (p < 0.001) and Dpd (p < 0.01) were significantly reduced. After 8 weeks, BAP and OC levels had returned to baseline values, whereas the urinary cross-link excretion remained low. In the anaerobic training group, elevated levels of BAP (p < 0.05 vs. week 4), OC (p < 0.05 vs. week 4), and Pyd (p < 0. 01 vs. week 0) were observed after 8 weeks of exercise. Changes in urinary Pyd and Dpd (week 0 vs. week 8) were positively correlated with changes in the mean power level in the Wingate test, a parameter of the anaerobic performance capacity (r = 0.50 and r = 0. 55, p < 0.01, respectively). In the controls, no significant changes in biochemical markers were observed. We conclude that aerobic and anaerobic training excert different effects on bone metabolism. While aerobic training led to changes compatible with reduced bone resorption activity, anaerobic training seems to result in an overall accelerated bone turnover. Therefore, the impact of physical activity on bone turnover may depend on the kind of exercise performed.
体育活动被认为是获得骨量的一个重要因素。然而,运动影响骨代谢的机制尚未完全明确。本研究旨在探讨有氧运动和无氧运动对骨转换的影响。20名健康年轻男性(年龄20 - 29岁)参与了一项为期8周的研究,其中10人进行有氧运动,10人进行无氧训练,另外10名年龄匹配的个体作为对照。测定血清骨特异性碱性磷酸酶(BAP)、血清骨钙素(OC)、尿吡啶啉(Pyd)和脱氧吡啶啉(Dpd)作为骨代谢指标。有氧运动4周后,血清BAP和OC(p < 0.01)、尿Pyd(p < 0.001)和Dpd(p < 0.01)显著降低。8周后,BAP和OC水平恢复至基线值,而尿交联物排泄仍维持在低水平。在无氧训练组,运动8周后观察到BAP(与第4周相比,p < 0.05)、OC(与第4周相比,p < 0.05)和Pyd(与第0周相比,p < 0.01)水平升高。尿Pyd和Dpd的变化(第0周与第8周)与温盖特测试中平均功率水平的变化呈正相关,温盖特测试是无氧运动能力的一个参数(r分别为0.50和0.55,p < 0.01)。在对照组中,未观察到生化标志物有显著变化。我们得出结论,有氧运动和无氧运动对骨代谢有不同影响。有氧运动导致的变化与骨吸收活性降低相符,而无氧运动似乎导致整体骨转换加速。因此,体育活动对骨转换的影响可能取决于所进行运动的类型。