耐力運動與飲食控制型塑骨骼系統之骨代謝與能量代謝觀

黃滄海

doi:10.3966/102472972015034801001

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P1 - 17

社会科学 > 体育学

DOI： 10.6222/pej

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耐力运动与饮食控制型塑骨骼系统之骨代谢与能量代谢观

The Skeleton Modeled by Endurance Exercise and Dietary Manipulation: A Perspective from the Interaction between Bone Metabolism and Energy Metabolism

黄沧海(Tsang-Hai Huang)

体育学报； 48 卷 1 期 (2015 / 03 / 01) ， P1 - 17

繁体中文 DOI： 10.3966/102472972015034801001

骨钙素；胰岛素；骨品质；骨密度； osteocalcin ； insulin ； bone quality ； bone density

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摘要 │ 参考文献 (96) │ 被引用文献 (1) │ 国际计量

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Traditionally, well-known functions of bones include protecting brain/internal organs, serving as a reservoir of mineral, supporting body, providing leverage system for various movements and producing blood cells. Recently novel findings suggest that bone is not only a tissue served as a recipient of hormonal inputs but also an organ actively mediating energy metabolism, which includes blood sugar regulation. Insulin has been verified to act through insulin receptor (IR) located on osteoblast, and the downstream reactions of osteoblast IR which would directly stimulate the secretion of osteocalcin from osteoblast as well as indirectly up-regulate the bone resorption released osteocalcin from bone matrix. And, it is the undercarboxylated osteocalcin further stimulating insulin secretion from β-cell of pancreas and enhancing the efficiency of blood glucose down-regulation. Endurance exercise and dietary manipulations (e.g caloric restriction) are behavioral modifications, which have well-proven efficiencies in body weight reduction and also in promoting energy metabolic sensitivity. However, the effects of those two interventions frequently accompany with lower bone mass as well as smaller bone sizes. Hence, endurance exercise and caloric restriction have been considered not beneficial for bone health. The first purpose of the current review was to integrate the new knowledge of bone serving as an endocrine organ with traditional bone regulating mechanisms. Then, we provided a brand-new opinion with regard to endurance exercise and dietary manipulations caused low bone mass as well as smaller bone size. Discussions of interactions between bone metabolism and energy metabolism were included. In spite of correlating with lower bone mass/size, endurance exercise and dietary manipulation actually ameliorate the metabolism profile (e.g. lower inflammatory response, down-regulated oxidative stress) which would further benefit to bone metabolism. In addition, arguments regarding the validity of densitometric measurements and bone quality were also included to elucidate the effects of endurance exercise and dietary manipulations on bone health.

参考文献 ( 96 ) 〈TOP〉

Alfadda, A. A.,Masood, A.,Shaik, S. A.,Dekhil, H.,Goran, M.(2013).Association between osteocalcin, metabolic syndrome, and cardiovascular risk factors: Role of total and undercarboxylated osteocalcin in patients with type 2 diabetes.International Journal of Endocrinology
Atalay, S.,Elci, A.,Kayadibi, H.,Onder, C. B.,Aka, N.(2012).Diagnostic utility of osteocalcin, undercarboxylated osteocalcin, and alkaline phosphatase for osteoporosis in premenopausal and postmenopausal women.Annals of Laboratory Medicine,32,23-30.
Bennell, K. L.,Malcolm, S. A.,Khan, K. M.,Thomas, S. A.,Reid, S. J.,Brukner, P. D.,Wark, J. D.(1997).Bone mass and bone turnover in power athletes, endurance athletes, and controls: A 12-month longitudinal study.Bone,20,477-484.
Bluher, M.,Michael, M. D.,Peroni, O. D.,Ueki, K.,Carter, N.,Kahn, B. B.,Kahn, C. R.(2002).Adipose tissue selective insulin receptor knockout protects against obesity and obesity-related glucose intolerance.Developmental Cell,3,25-38.
Blum, M.,Harris, S. S.,Must, A.,Naumova, E. N.,Phillips, S. M.,Rand, W. M.,Dawson-Hughes, B.(2003).Leptin, body composition and bone mineral density in premenopausal women.Calcified Tissue International,73,27-32.

被引用文献 ( 1 ) 〈TOP〉

李书芬(2018)。比较结构式有氧运动与万步运动对胰岛β细胞功能、代谢指标及身体组成之影响：以第二型糖尿病病患为例。Physical Education Journal，51(3)，293-305。

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