Document Detail


Effect of impact exercise on bone metabolism.
MedLine Citation:
PMID:  19262975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
SUMMARY: Regular impact exercise in premenopausal women caused positive osteogenic effects associated to low basal serum parathormone (PTH) but had no effects on bone turnover markers PINP or TRACP5b. The low serum basal PTH levels during impact exercise may be a sign of increased incorporation of calcium to bone.
INTRODUCTION: This study aimed to determine the long-term effects of high-impact exercise on bone turnover and calciotropic hormones.
METHODS: We performed a 12-month population-based, randomized, controlled exercise trial in 120 women (age 35-40 years) randomly assigned to an exercise group (EG; n = 60) or a control group (CG; n = 60). The exercise regimen consisted of supervised high-impact exercises three times per week. Daily impact loading was assessed by using an accelerometer. Bone turnover markers and calciotropic hormones were analyzed at 0, 6, and 12 months.
RESULTS: Twelve months of impact exercise did not reveal any treatment effects in bone turnover markers PINP or TRAPC5b, whereas serum basal PTH decreased significantly more in the EG than in the CG (-11.2 vs. -2.2 pg/mL; p = 0.03). The change in PTH was dose dependent and most clearly seen in subjects with 96 to 130 daily impacts at 2.5 to 5.3 g (e.g., running or jumping).
CONCLUSIONS: Regular impact exercise does not cause persistent alterations in bone turnover emphasizing necessity of continuous training to achieve bone benefits. Impact exercise training lowers the serum basal PTH levels and possibly enables greater difference between the basal PTH and transient exercise-induced PTH peaks leading to osteogenic effects.
Authors:
A Vainionpää; R Korpelainen; H K Väänänen; J Haapalahti; T Jämsä; J Leppäluoto
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2009-03-05
Journal Detail:
Title:  Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA     Volume:  20     ISSN:  1433-2965     ISO Abbreviation:  Osteoporos Int     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-04     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100105     Medline TA:  Osteoporos Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  1725-33     Citation Subset:  IM    
Affiliation:
Department of Medical Technology, Institute of Biomedicine, University of Oulu, Oulu, Finland. aki.vainionpaa@fimnet.fi
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MeSH Terms
Descriptor/Qualifier:
Acid Phosphatase / blood
Adult
Biological Markers / blood
Bone Density / physiology
Bone and Bones / metabolism*
Exercise Therapy / methods*
Female
Femur / physiology
Humans
Isoenzymes / blood
Motor Activity / physiology
Parathyroid Hormone / blood
Peptide Fragments / blood
Premenopause / metabolism,  physiology
Procollagen / blood
Tibia / physiology
Weight-Bearing / physiology
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Isoenzymes; 0/Parathyroid Hormone; 0/Peptide Fragments; 0/Procollagen; 0/procollagen Type I N-terminal peptide; EC 3.1.3.-/tartrate-resistant acid phosphatase; EC 3.1.3.2/Acid Phosphatase

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