Abstract
Although sport and physical activity are generally considered as positive factors for bone metabolism some endurance trainings such as running and bicycling have few or no beneficial or even deleterious effects on bone mineral density. The present study was designed to investigate the acute effect of an intensive endurance cycling exercise on biochemical bone markers. Futrthermore, the effect of the oral intake of 1g calcium load, by drinking high-calcium mineral water, just prior to and during the exercise was checked. Twelve well-trained elite male triathletes aged 23-37 years were explored. The serum concentrations of calcium, phosphate, PTH, bone alkaline phosphatase (BALP) and C-terminal cross-linking telopeptide of type 1 collagen (CTX) were measured before, during and after a 60 min 80% VO2max cycle ergometer exercise. Since cycling exercise was accompanied by a reduction in plasma volume the total amount of biochemical bone markers was calculated. When the exercise was performed without calcium load both serum concentrations and total amount of CTX began to increase progressively 30 min after the start of the exericse and were still significantly elevated, by 45-50%, 2h after the end of the exercise. Ingestion of high-calcium mineral water completely suppressed the CTX reponse. By contrast serum concentrations and total amount of BALP fluctuated and showed no significant difference with or without calcium load. The present study demonstrates that the burst of osteoclastic activity acutely induced by an endurance cycling exercise can be suppressed by the previous intake of a calcium load afforded by drinking high-calcium mineral water.
Similar content being viewed by others
References
PD Chilibeck DG Sale CE Webber (1995) ArticleTitleExercise and bone mineral density. Sports Med 19 103–122 Occurrence Handle1:STN:280:ByqB28rotV0%3D Occurrence Handle7747001
A Heinonen P Oje P Kannus H Sievänen A Mänttäri et al. (1993) ArticleTitleBone mineral density of female athletes in different sports. Bone Miner 23 1–14 Occurrence Handle1:STN:280:ByuC3c%2FntVA%3D Occurrence Handle8274875
J Etherington PA Harris D Nandra DJ Hart RL Wolman et al. (1996) ArticleTitleThe effect of weight-bearing exercise on bone mineral density: a study of female ex-elite athletes and the general population. J Bone Miner Res 11 1333–1338
DR Taaffe TL Robinson CM Snow R Marcus (1997) ArticleTitleHigh-impact exercise promotes bone gain in well-trained female athletes. J Bone Miner Res 12 255–260
DR Taaffe C Snow-Harter DA Connolly TL Robinson MD Brown et al. (1995) ArticleTitleDifferential effects of swimming versus weight-bearing activity on bone mineral status of eumenorrheic athletes. J Bone Miner Res 10 586–593 Occurrence Handle1:STN:280:ByqA3srjtVw%3D Occurrence Handle7610929
JE Bilanin MS Blanchard E Russek-Cohen (1989) ArticleTitleLower vertebral bone density in male long distance runners. Med Sci Sports Exerc 21 66–70 Occurrence Handle1:STN:280:BiaC1c%2FptFU%3D Occurrence Handle2927303
ML Hetland J Haarbo C Christiansen (1993) ArticleTitleLow bone mass and high bone turnover in male long distances runners. J Clin Endocrinol Metab 77 770–775 Occurrence Handle1:STN:280:ByyA1c%2FpsFc%3D Occurrence Handle8370698
AD Stewart J Hannan (2000) ArticleTitleTotal and regional bone density in male runners, cyclists, and controls. Med Sci Sports Exerc 32 1373–1377 Occurrence Handle1:STN:280:DC%2BD3M%2FkvV2qsA%3D%3D Occurrence Handle10949001
D Sabo L Bernd J Pfeil A Reiter (1996) ArticleTitleBone quality in the lumbar spine in high-performance athletes. Eur Spine J 5 258–263 Occurrence Handle1:STN:280:ByiD2c7ks1M%3D Occurrence Handle8886738
H Rico M Revilla ER Hernandez F Gomez-Castresana LF Villa (1993) ArticleTitleBone mineral content and body composition in postpubertal cyclists boys. Bone 14 93–95 Occurrence Handle1:STN:280:ByyA38nks1w%3D Occurrence Handle8334038
BL Specker (1996) ArticleTitleEvidence for an interaction between calcium intake and physical activity on changes in bone mineral density. J Bone Miner Res 10 1539–1544
H Salvesen K Piehl-Aulin S Ljunghall (1994) ArticleTitleChange in levels of the carboxyterminal propeptide of type I procollagen, the carboxyterminal cross-linked telopeptide of type I collagen and osteocalcin in response to exercise in well-trained men and women. Scand J Med Sci Sports 4 186–190
H Brahm K Piehl-Aulin S Ljunghall (1997) ArticleTitleBone metabolism during exercise and recovery: the influence of plasma volume and physical fittness. Calcif Tissue Int 61 192–198 Occurrence Handle1:CAS:528:DyaK2sXlslKjt74%3D Occurrence Handle9262509
H Rong U Berg O Torring CJ Sundberg B Granberg et al. (1997) ArticleTitleEffect of acute endurance and strength exercise on circulating calcium-regulating hormones and bone markers in young healthy males. Scand J Med Sci Sports 7 152–159 Occurrence Handle1:STN:280:ByiA2cznvFI%3D Occurrence Handle9200319
L Welsh OM Rutherford I James C Crowley M Comer et al. (1997) ArticleTitleThe acute effects of exercise on bone turnover. Int J Sports Med 18 247–251 Occurrence Handle1:CAS:528:DyaK2sXltlOjtb0%3D Occurrence Handle9231839
InstitutionalAuthorNameAmerican College of Sports Medicine (1995) ACSM’s Guidelines for Exercise Testing and Prescription (5th ed). Williams and Wilkins Baltimore
M Bonde P Garnero C Fledelius P Ovist PD Delmas et al. (1997) ArticleTitleMeasurement of bone degradation products in serum using antibodies reactive with an isomerized form of 8 amino acid sequence of the C-telopeptide of type I collagen. J Bone Miner Res 12 1028–1034 Occurrence Handle1:CAS:528:DyaK2sXks1Cjtrw%3D Occurrence Handle9200001
K Panigrahi PD Delmas F Singer W Ryan O Reiss et al. (1994) ArticleTitleCharacteristics of a two-site immunoradiometric assay for human skeletal alkaline phosphatase in serum. Clin Chem 40 822–828 Occurrence Handle1:CAS:528:DyaK2cXltVamu7k%3D Occurrence Handle8174258
W van Beaumont JC Strand JS Petrofsky SG Hipskind JE Greenleaf (1973) ArticleTitleChanges in total plasma content of electrolytes and proteins with maximal exercise. J Appl Physiol 34 102–106
EJ Bassey SJ Ramsdale (1994) ArticleTitleIncrease in femoral bone density in young women following high-impact exercise. Osteoporos Int 4 472–475
EJ Bassey SJ Ramsdale (1995) ArticleTitleWeight-bearing exercise and ground reaction forces—a 12 month randomized controlled trial of effects on bone mineral density in healthy postmenopausal women. Bone 18 405–410
J Etherington PA Harris D Nandra DJ Hart RL Wolman et al. (1996) ArticleTitleThe effect of weight-bearing exercise on bone mineral density: A study of female ex-elite athletes and the general population. J Bone Miner Res 11 1333–1338
TL Robinson C Snow-Harter DR Taaffe D Gillis J Shaw et al. (1995) ArticleTitleGymnasts exhibit higher bone mass than runners despite similar prevalence of amnorrhea and oligomenorrhea. J Bone Miner Res 10 26–35 Occurrence Handle1:STN:280:ByqB28nkslQ%3D Occurrence Handle7747628
CS Duncan CJ Blimkie CT Cowell ST Burke JN Briody et al. (2002) ArticleTitleBone mineral density in adolescent female athletes: relationship to exercise type and muscle strength. Med Sci Sports Exerc 34 286–294 Occurrence Handle11828239
K Uusi-Rasi . Sievänen I Vuori M Pasanen A Heinonen et al. (1998) ArticleTitleAssociations of physical activity and calcium intake with bone mass and size in healthy women at different ages. J Bone Miner Res 13 133–142 Occurrence Handle1:STN:280:DyaK1c7gsVSgtA%3D%3D Occurrence Handle9443799
K Uusi-Rasi H Sievänen M Pasanen P Oja I Vuori (2002) ArticleTitleAssociations of calcium intake and physical activity with bone density and size in premenopausal and postmenopausal women: a peripheral quantitative computed tomography study. J Bone Miner Res 17 544–552 Occurrence Handle1:CAS:528:DC%2BD38XitVKhtLs%3D Occurrence Handle11874246
S Iuliano-Burns L Saxon G Naughton K Gibbons SL Bass (2003) ArticleTitleRegional specificity of exercise and calcium during skeletal growth in girls: a randomized controlled trial. J Bone Miner Res 18 156–162 Occurrence Handle12510818
P Garnero E Sornay-Rendu F Duboeuf PD Delmas (1999) ArticleTitleMarkers of bone turnover predict postmenopausal forearm bone loss over 4 years: the OFELY study. J Bone Miner Res 14 1614–1621 Occurrence Handle1:STN:280:DyaK1Mzpslyksg%3D%3D Occurrence Handle10469291
J Guillemant HT Le C Accarie S Tezenas du Montcel AM Delabroise et al. (2000) ArticleTitleMineral water as a source of dietary calcium: acute effects on parathyroid function and bone resorption in young men. Am J Clin Nutr 71 999–1002 Occurrence Handle1:CAS:528:DC%2BD3cXit1yjtrs%3D Occurrence Handle10731509
HT Malm HM Ronni-Sivula LU Viinikka OR Ylikorkala (1993) ArticleTitleMarathon running accompanied by transient decreases in urinary calcium and serum osteocalcin levels. Calcif Tissue Int 52 209–211
H Langberg D Skovgaard S Asp M Kjaer (2000) ArticleTitleTime pattern of exercise-induced changes in type I collagen turnover after prolonged endurance exercise in humans. Calcif Tissue Int 67 41–44 Occurrence Handle10.1007/s00223001094 Occurrence Handle1:CAS:528:DC%2BD3cXltlGls7o%3D Occurrence Handle10908411
R Crespo M Revilla LF Villa J Usabiaga X Leibar et al. (1999) ArticleTitleTransient dissociation of bone metabolism induced by high performance exercise: a study in elite marathon runners. Calcif Tissue Int 64 287–290
K Thorsen A Kristoffersson J Hultdin R Lorentzon (1997) ArticleTitleEffects of moderate endurance exercise on calcium, parathyroid hormone, and markers of bone metabolism in young women. Calcif Tissue Int 60 16–20 Occurrence Handle1:CAS:528:DyaK2sXjvV2lug%3D%3D Occurrence Handle9030474
JD Wallace RC Cuneo PA Lundberg T Rosén JOL Jorgensen et al. (2000) ArticleTitleResponses of bone markers and collagen turnover to exercise, growth hormone (GH) administration, and GH withdrawal in trained adult males. J Clin Endocrinol Metab 85 124–133
I Villa B Saccon A Rubinacci (2000) ArticleTitleResponse to osteoclast activity inhibition assessed by the determination of C-telopeptide of type I collagen in serum. Clin Chem 46 560–576 Occurrence Handle10760233
S Christgau O Bitsch-Jensen N Hanover Bjarnason E Gamwell Henriksen P Qvist et al. (2000) ArticleTitleSerum CrossLaps for monitoring the response in individuals undergoing antiresorptive therapy. Bone 26 505–511 Occurrence Handle10.1016/S8756-3282(00)00248-9 Occurrence Handle1:CAS:528:DC%2BD3cXisFGru74%3D Occurrence Handle10773591
SK Grimston KE Tanguay CM Gundberg DA Hanley (1993) ArticleTitleThe calciotropic hormone response to changes in serum calcium during exercise in female long distance runners. J Clin Endocrinol Metab 76 867–872 Occurrence Handle1:CAS:528:DyaK3sXksVWnsbc%3D Occurrence Handle8473398
H Salvesen AG Johansson P Foxdal L Wide K Piehl-Aulin et al. (1994) ArticleTitleIntact serum parathyroid hormone levels increase during running exercise in well-trained men. Calcif Tissue Int 54 256–261 Occurrence Handle1:CAS:528:DyaK2cXitlKksr0%3D Occurrence Handle8062140
KS Tsai JC Lin CK Chen WC Cheng CH Yang (1997) ArticleTitleEffect of exercise and exogenous glucocorticoid on serum level of intact parathyroid hormone. Int J Sports Med 18 583–587 Occurrence Handle1:CAS:528:DyaK2sXnvFynsLg%3D Occurrence Handle9443589
E Zerath X Holy P Douce CY Guezennec JC Chatard (1997) ArticleTitleEffect of endurance training on postexercise parathyroid hormone levels in elderly men. Med Sci Sports Exerc 29 1139–1141 Occurrence Handle10.1097/00005768-199709000-00004 Occurrence Handle1:CAS:528:DyaK2sXmtl2htbg%3D Occurrence Handle9309623
EM Brown (1982) ArticleTitlePTH secretion in vivo and in vitro: regulation by calcium and other secretagogues. Miner Electrolyte Metab 8 130–150 Occurrence Handle1:CAS:528:DyaL3sXltlw%3D Occurrence Handle6132328
S Ljunghall H Joborn LE Roxin J Rastad L Wide et al. (1986) ArticleTitleProlonged low-intensity exercise raises the serum parathyroid hormone levels. Clin Endocrinol (Oxf) 25 535–542 Occurrence Handle1:CAS:528:DyaL2sXhtlelug%3D%3D
A Kristoffersson J Hultdin I Holmlund K Thorsen R Lorentzon (1995) ArticleTitleEffects of short-term maximal work on plasma calcium, parathyroid hormone, osteocalcin and biochemical markers of collagen metabolism. Int J Sports Med 16 145–149 Occurrence Handle1:CAS:528:DyaK2MXntValtrc%3D Occurrence Handle7649703
S Ljunghall H Joborn LE Roxin ET Skarfors LE Wide et al. (1988) ArticleTitleIncrease in serum parathyroid hormone levels after prolonged physical exercise. Med Sci Sports Exerc 20 122–125 Occurrence Handle1:CAS:528:DyaL1cXktFOntbY%3D Occurrence Handle3367746
SM Shirrefs RJ Maughan (1997) ArticleTitleWhole body sweat collection in humans: an improved method with preliminary data on electrolyte content. J Appl Physiol 82 336–341 Occurrence Handle9029235
DB Bullen ML O’Toole KC Johnson (1999) ArticleTitleCalcium losses resulting from an acute bout of moderate-intensity exercise. Int J Sport Nutr 9 275–284 Occurrence Handle1:STN:280:DyaK1Mvgs1Gjuw%3D%3D Occurrence Handle10477363
RC Klesges KD Ward ML Shelton WB Applegate ED Cantler et al. (1996) ArticleTitleChanges in bone mineral content in male athletes. Mechanisms of action and intervention effects. JAMA 276 226–230 Occurrence Handle10.1001/jama.276.3.226 Occurrence Handle1:CAS:528:DyaK28XkvFKrtr8%3D Occurrence Handle8667568
RC Klesges KD Ward K Harmon-Clayton (1997) ArticleTitleErrata. JAMA 277 24
E Reiss JM Canterbury MA Bercovitz EL Kaplan (1970) ArticleTitleThe role of phosphate in the secretion of parathyroid hormone in man. J Clin Invest 49 2146–2149 Occurrence Handle1:CAS:528:DyaE3MXhvFOr Occurrence Handle5475987
J Guillemant HT Le A Maria S Guillemant (2000) ArticleTitleAcute effects of oral calcium load on parathyroid function and bone resorption in young men. Am J Nephrol 20 48–52 Occurrence Handle10.1159/000013555 Occurrence Handle1:STN:280:DC%2BD3c7ltlaitw%3D%3D Occurrence Handle10644868
RP Heaney CM Weaver ML Fitzsimmons (1990) ArticleTitleInfluence of calcium load on absorption fraction. J Bone Miner Res 5 1135–1138 Occurrence Handle1:CAS:528:DyaK3MXkvFWjsrc%3D Occurrence Handle2270776
Acknowledgements
The authors thank the students, Mr. David Ravassat and Mr. Fahti Chelly for their assistance with the setting up of the cycling exercises and with the collection of blood samples. They thank also the athletes who volunteered for this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Guillemant, J., Accarie, C., Peres, G. et al. Acute Effects of an Oral Calcium Load on Markers of Bone Metabolism During Endurance Cycling Exercise in Male Athletes. Calcif Tissue Int 74, 407–414 (2004). https://doi.org/10.1007/s00223-003-0070-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00223-003-0070-0