Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners

Objective: Both exercise and cold exposure cause physiological stress and they often occur in combination. However, the effects of exercise during severe cold on variation in bone metabolism in humans have remained elusive. The aim of this study was to investigate the variations in circulating bone...

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Autores principales: Shuai Mu, Yang Xia, Qijun Wu, Chao Ji, Huixu Dai, Ming Zhang, Jiao Jiao, Feng Shi, Shengye Liu, Guangbin Wang, Tao Shen, Ye Tian, Liqing Yang, Qin Fu, Yuhong Zhao
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/8c3d325c1d374d0a9e9b9d749fc8b016
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spelling oai:doaj.org-article:8c3d325c1d374d0a9e9b9d749fc8b0162021-12-01T07:47:23ZResponse of Bone Metabolism Markers to Ice Swimming in Regular Practitioners1664-042X10.3389/fphys.2021.731523https://doaj.org/article/8c3d325c1d374d0a9e9b9d749fc8b0162021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphys.2021.731523/fullhttps://doaj.org/toc/1664-042XObjective: Both exercise and cold exposure cause physiological stress and they often occur in combination. However, the effects of exercise during severe cold on variation in bone metabolism in humans have remained elusive. The aim of this study was to investigate the variations in circulating bone metabolism markers after ice swimming (IS).Methods: Eighty-seven women and men aged 42–84 years old were recruited to perform regular IS activities. Serum parathyroid hormone (PTH), total calcium (Ca2+), total phosphorus (Pi), total magnesium (Mg2+), N-terminal osteocalcin (N-MID), total propeptide of procollagen 1 (TPINP), and C-terminal telopeptide of type 1 collagen (β-CTX) were measured 30 min before and 30 min after IS. Bone mineral content (BMC) and bone mineral density (BMD) were assessed at lumbar spine 1–4 (L1–L4) and femoral neck (FN). The IS habits were obtained from questionnaires and the 10-year probability of osteoporotic fracture was calculated using the FRAX® tool with and without a BMD value of the FN.Results: There were significant increases in PTH (median, 40.120–51.540 pg/mL), Ca2+ (median, 2.330–2.400 mmol/L), and Pi (median, 1.100–1.340 mmol/L) and significant decreases in TPINP (median, 38.190–36.610 ng/mL) and β-CTX (median, 0.185–0.171 ng/mL), while there was a trend for increased serum Mg2+ (P = 0.058) but no significant change in N-MID (P = 0.933) after IS in all subjects. The increases in the proportions of cases of hyperparathyroidemia, hypercalcemia, and hyperphosphatemia in those performing IS were statistically significant. The baseline levels and the changes of bone metabolism markers had associations with osteoporosis and bone status, but these may be age and sex dependent. Finally, there were significant correlations among the bone metabolism markers.Conclusion: IS caused significant alterations in bone metabolic markers, specifically, increases in PTH, Ca2+ and Pi should raise concerns about potential cardiovascular health risks in severe cold exercise. Additionally, a divergence between PTH elevation and a decline in bone turnover, which shown a special change of bone metabolism after IS and may suggest potential therapeutic implications of cold exercise in PTH and bone metabolic disorders.Shuai MuYang XiaQijun WuChao JiHuixu DaiMing ZhangJiao JiaoFeng ShiShengye LiuGuangbin WangTao ShenYe TianLiqing YangQin FuYuhong ZhaoFrontiers Media S.A.articlebone (re)modeling markersparathyroid hormone (PTH)bone mineral densityexercisecold exposurePhysiologyQP1-981ENFrontiers in Physiology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic bone (re)modeling markers
parathyroid hormone (PTH)
bone mineral density
exercise
cold exposure
Physiology
QP1-981
spellingShingle bone (re)modeling markers
parathyroid hormone (PTH)
bone mineral density
exercise
cold exposure
Physiology
QP1-981
Shuai Mu
Yang Xia
Qijun Wu
Chao Ji
Huixu Dai
Ming Zhang
Jiao Jiao
Feng Shi
Shengye Liu
Guangbin Wang
Tao Shen
Ye Tian
Liqing Yang
Qin Fu
Yuhong Zhao
Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners
description Objective: Both exercise and cold exposure cause physiological stress and they often occur in combination. However, the effects of exercise during severe cold on variation in bone metabolism in humans have remained elusive. The aim of this study was to investigate the variations in circulating bone metabolism markers after ice swimming (IS).Methods: Eighty-seven women and men aged 42–84 years old were recruited to perform regular IS activities. Serum parathyroid hormone (PTH), total calcium (Ca2+), total phosphorus (Pi), total magnesium (Mg2+), N-terminal osteocalcin (N-MID), total propeptide of procollagen 1 (TPINP), and C-terminal telopeptide of type 1 collagen (β-CTX) were measured 30 min before and 30 min after IS. Bone mineral content (BMC) and bone mineral density (BMD) were assessed at lumbar spine 1–4 (L1–L4) and femoral neck (FN). The IS habits were obtained from questionnaires and the 10-year probability of osteoporotic fracture was calculated using the FRAX® tool with and without a BMD value of the FN.Results: There were significant increases in PTH (median, 40.120–51.540 pg/mL), Ca2+ (median, 2.330–2.400 mmol/L), and Pi (median, 1.100–1.340 mmol/L) and significant decreases in TPINP (median, 38.190–36.610 ng/mL) and β-CTX (median, 0.185–0.171 ng/mL), while there was a trend for increased serum Mg2+ (P = 0.058) but no significant change in N-MID (P = 0.933) after IS in all subjects. The increases in the proportions of cases of hyperparathyroidemia, hypercalcemia, and hyperphosphatemia in those performing IS were statistically significant. The baseline levels and the changes of bone metabolism markers had associations with osteoporosis and bone status, but these may be age and sex dependent. Finally, there were significant correlations among the bone metabolism markers.Conclusion: IS caused significant alterations in bone metabolic markers, specifically, increases in PTH, Ca2+ and Pi should raise concerns about potential cardiovascular health risks in severe cold exercise. Additionally, a divergence between PTH elevation and a decline in bone turnover, which shown a special change of bone metabolism after IS and may suggest potential therapeutic implications of cold exercise in PTH and bone metabolic disorders.
format article
author Shuai Mu
Yang Xia
Qijun Wu
Chao Ji
Huixu Dai
Ming Zhang
Jiao Jiao
Feng Shi
Shengye Liu
Guangbin Wang
Tao Shen
Ye Tian
Liqing Yang
Qin Fu
Yuhong Zhao
author_facet Shuai Mu
Yang Xia
Qijun Wu
Chao Ji
Huixu Dai
Ming Zhang
Jiao Jiao
Feng Shi
Shengye Liu
Guangbin Wang
Tao Shen
Ye Tian
Liqing Yang
Qin Fu
Yuhong Zhao
author_sort Shuai Mu
title Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners
title_short Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners
title_full Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners
title_fullStr Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners
title_full_unstemmed Response of Bone Metabolism Markers to Ice Swimming in Regular Practitioners
title_sort response of bone metabolism markers to ice swimming in regular practitioners
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/8c3d325c1d374d0a9e9b9d749fc8b016
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