Effects of Weight-Bearing Exercise on Bone Metabolism in College Women

체중부하운동이 여대생의 골대사에 미치는 효과

  • 김주성 (일리노이대학교 간호대학) ;
  • 김명희 (부산대학교 의과대학 간호학과) ;
  • 신재신 (부산대학교 의과대학 간호학과)
  • Published : 2004.08.01

Abstract

Purpose: This study was done to identify the effects of weight-bearing exercise(WBE) on bone metabolism. Method: WBE was performed for 12 weeks by healthy college women. Bone-related parameters were measured four times during this period by evaluating the immunoradiometric assay and enzyme immunoassay. Bone mineral densities(BMDs) were measured by dual energy x-ray absorptiometry before and after the WBE program. Data was analyzed using t-test, paired t-test, $x^2$-test, and repeated measures ANOVA. Result: Osteocalcin, a bone formation marker, increased more in the experimental group than in the control group based on the interaction between time and group(F=3.29 p=.024). Little difference between the two groups was found for the other parameters: urinary deoxypyridinoline, insulin-like growth factorI, parathormone, serum calcium, and serum phosphorus without showing any time interaction between the groups. The femoral trochanter BMD rose in the experimental group while that of the control group fell, showing a significant difference for BMD(t=3.06 p=.005). However, there was no significant difference between the two groups for changes in BMD of the forearm, lumbar spine, femoral neck, and femoral ward's triangle. Conclusion: These findings supported the WBE is beneficial for increasing bone formation in college women and long-term application is needed to substantiate the effects of WBE as a intervention in promotion of bone-health.

Keywords

References

  1. Adams, G. R., & McCue, S. A. (1998). Localized infusion of IGF-I results in skeletal muscle hypertrophy in rats. J Appl Physiol, 84(5), 1716-1722
  2. Bassey, E. J., Rothwell, M. C., Littlewood, J. J., & Pye, D. W. (1998). Pre and post-menopausal women have different bone mineral density responses to the same high-impact exercise. J Bone Miner Res, 13(12), 1805-1813
  3. Bassey, E. J., & Ramsdale, S. J. (1994). Increase in femoral bone density in young women following high-impact exercise. Osteoporos Int, 4(2), 72-75
  4. Bravo, G., Gauthier, P., Roy, P. M., Payette, H., Gaulin, P., Harvey, M., Peloquin, L., & Dubois, M. F. (1996). Impact of a 12-month exercise program on the physical and psychological health of osteopenic women. J Am Geriatr Soc, 44(7), 756-762
  5. Constantino, N. L. (1995). The effects of impact on bone mineral density over the course of a sports season. Unpublished doctoral dissertation, University of Southern California, California
  6. Creighton, D. A., Morgan, A. L., Boardley, D., & Brolinson, G. (2001). Weight-bearing exercise and markers of bone turnover in female athletes. News Physiol Sci, 90, 565-570
  7. Oalsky, G. P., Stocke, K. S., Ehsani, A. A., Slatopolsky, E., Lee, W. C., & Birge, S. J. Jr. (1988). Weight-bearing exercise training and lumber bone mineral content in postmenopausal women. Ann Intern Med, 108(6), 824-828
  8. Eliakim, A., Raisz, L. G., Brasel, J. A., & Cooper, D. M. (1997). Evidence for increased bone formation following a brief endurance-type training intervention in adolescent males. J Bone Miner Res, 12(10), 1708-1713
  9. Fry, A. C., Kraemer, W. J., Stone, M. H., Warren, B. J., Fleck, S. J., Keamey, J. T., & Gordon, S. E. (1994). Endocrine responses to overreaching before and after 1 year of weight lifting. Can J Appl Physiol, 19, 400-410
  10. Genant, H. K., Guglielmi, G., & Jergas, M. (1998). Bone densitometry and osteoporosis. New York: Springer
  11. Greenspan, S. L., Dresner-Pollak, R., Parker, R. A., London, D., & Ferguson, L. (1997). Diurnal variation of bone mineral turnover in elderly men and women, Calcif Tissue Int, 60, 419-423
  12. Harter, C. S. (1985). The effects of back exercise on bonemetabolism in early postmenopausal women. Unpublished doctoral dissertation, University of Oregon, Oregon
  13. Havelka, S., Vavrincova, P., & Stepan, J. (1993). Metabolic bone status in young women with juvenile chronic arthritis. J Rheumatol, 20, Supplement37, 14-16 https://doi.org/10.1093/rheumatology/20.1.14
  14. Jang, K. T., Lee, J. R., & Lee, S. J. (1999). Scientific fundamentals of exercise program, Seoul: Dahan media publishing company, 381-386
  15. Joung, B. J. (1999). The study of dumbell exercise on body composition, physical fitness and bone metabolism of elderly women. Unpublished master thesis, Ewha Womans University, Seoul
  16. Kim, K. S., Na, S. K., Son, H. Y., Yang, G. H., Jang, J. S., Choi, Y. G., & Han, I. K. (Eds.), (2000). Osteoporosis (2nd ed.). Seoul: Seohung publishing company
  17. Kjaerbye-Thygesen, A., Munk, C., Ottesen, B., & Kruger Kjaer, S. (2004). Why do slim women consider themselves too heavy? a characterization of adult women considering their body weight as too heavy. Int J Eat Disord, 35(3), 275-285
  18. Korea National Statistical Office (2002). Available : http://www.nso.go.kr:7001(29 May 2002)
  19. Kraemer, R. R., Kilgore, J. L., Kraemer, G. R., Daniel, V., & Castracane. (1994). Growth hormone, IGF-I, and testosterone responses to resistive exercise. Med Sci Sports Exerc, 24(12), 1346-1352
  20. Lappe, J. M. (1994). Bone fragility: assessment of risk and strategies for prevention. J Obstet Gynecol Neonatal Nurs, 23(3), 260-268
  21. Lee, J. H. (2001). The effects of various exercise types on bone metabolism in growing rats. Unpublished master thesis, Konkuk University, Seoul
  22. Marcus, R., Feldman, D., & Kelsey, J. (Eds.), (1996). Osteoporosis. California: Academic Press
  23. Motkovic, V., Jelic, T., Wardlaw, G. M., Ilich, J. Z., Goel, P. K., Wright, J. K., Andon, M. B., Smith, K. T, & Heaney,R. P. (1994). Timing of peak bone mass in Caucasian females and its implication for the prevention of osteoporosis. J Clin Invest, 93, 799-808 https://doi.org/10.1172/JCI117034
  24. Recker, R. R., Davies, K. M, Hinders, S. M., Heaney, R P., Stegman, M. R., & Kimmel, D. B. (1992). Bone gain in young adult women. JAMA, 268(17), 2403-2408
  25. Rubin L. A., Hawker, G. A., Peltekova, V. D., Fielding, L. J., Ridout, R., & Cole, D. E. C. (1999). Determinants of peak bone mass:clinical and genetic analysis in young female Canadian cohort. J Bone Miner Res, 14(4), 633-643
  26. Rudberg, A., Magnusson, P., Larsson, L., & Joborn, H. (2000). Serum isoforms of bone alkaline phosphatase increase during physical exercise in women. Calcif Tissue Int, 66(5), 342-347
  27. Ryan, A. S., Treuth, M. S., Hunter, G. R., & Elahi, D. (1998). Resistive training maintains bone mineral density in postmenopausal women. Calcif Tissue Int, 62, 295-299 https://doi.org/10.1007/s002239900434
  28. Sung, D. J. (1998). Exercise prescription program for public health promotion. Seoul: HongKyung Publishing Company, 433-448
  29. Snow-Harter, C. Bouxsein, M. L., Lewis, B. T., Carter, D. R., & Marcus, R. (1992). Effects of resistance and endurance exercise on bone mineral status of young women: a randomized exercise intervention trial. J Bone Miner Res, 7(7), 761-769 https://doi.org/10.1002/jbmr.5650070706
  30. Tsai, K. S., Chen, J. S., Hwang, K. M, Chieng, P. D.; & Su, C. T. (1991). Age-related changes in vitamin D metabolites, osteocalcin, alkaline phosphatase and parathyrin in normal chinese women in Taipei. J Formosan Med Assoc, 90(11), 1033-1037
  31. Yim, M. J., Kyung, N. H., & Han, I. G. (1995). The study of the exercise prescription for increasing bone density in 20-60's women. Kor J Gerontol, 5(1), 30-34