Abstract
Summary
During and after prolonged bed rest, changes in bone metabolic markers occur within 3 days. Resistive vibration exercise during bed rest impedes bone loss and restricts increases in bone resorption markers whilst increasing bone formation.
Introduction
To investigate the effectiveness of a resistive vibration exercise (RVE) countermeasure during prolonged bed rest using serum markers of bone metabolism and whole-body dual X-ray absorptiometry (DXA) as endpoints.
Methods
Twenty healthy male subjects underwent 8 weeks of bed rest with 12 months follow-up. Ten subjects performed RVE. Blood drawings and DXA measures were conducted regularly during and after bed rest.
Results
Bone resorption increased in the CTRL group with a less severe increase in the RVE group (p = 0.0004). Bone formation markers increased in the RVE group but decreased marginally in the CTRL group (p < 0.0001). At the end of bed rest, the CTRL group showed significant loss in leg bone mass (−1.8(0.9)%, p = 0.042) whereas the RVE group did not (−0.7(0.8)%, p = 0.405) although the difference between the groups was not significant (p = 0.12).
Conclusions
The results suggest the countermeasure restricts increases in bone resorption, increased bone formation, and reduced bone loss during bed rest.
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Acknowledgements
The authors wish to thank the subjects who participated in the study and the staff of ward 18A at the Charité Campus Benjamin Franklin Hospital, Berlin, Germany. The Berlin Bed-Rest Study was supported by grant 14431/02/NL/SH2 from the European Space Agency. The investigations in the current study were supported by grant 50WB0522 from the Deutschen Zentrum für Luft- und Raumfahrt (German Aerospace Center). The Berlin Bed-Rest Study was also sponsored by the Charité Campus Benjamin Franklin, MSD Sharp & Dohme, Lilly Germany, Novartis, Servier Germany, P&G, Wyeth, Siemens, and Seca. Daniel L. Belavý was supported by a post-doctoral fellowship from the Alexander von Humboldt Foundation.
Conflicts of interest
Dieter Felsenberg and Jörn Rittweger are acting as consultants to the European Space Agency and Novotec Medical for the exploitation of this study’s results.
All other authors have no conflicts of interest.
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Armbrecht, G., Belavý, D.L., Gast, U. et al. Resistive vibration exercise attenuates bone and muscle atrophy in 56 days of bed rest: biochemical markers of bone metabolism. Osteoporos Int 21, 597–607 (2010). https://doi.org/10.1007/s00198-009-0985-z
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DOI: https://doi.org/10.1007/s00198-009-0985-z