Skip to main content

Advertisement

Log in

Resistive vibration exercise retards bone loss in weight-bearing skeletons during 60 days bed rest

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

Summary

Countermeasures are desirable to retard bone loss during long-term space flight. We evaluated the effect of an intervention protocol on bed rest-induced bone loss.

Introduction

We developed a resistive vibration exercise (RVE) platform to test if an intervention RVE protocol would be effective to protect bed rest-induced bone loss.

Methods

Fourteen male subjects were assigned randomly to either the RVE group (n = 7) that performed daily supervised resistive vibration exercise or to the no any exercise control (CON) group (n = 7). Both dual-energy X-ray absorptiometry and peripheral quantitative computed tomography were used to monitor changes in bone mineral density.

Results

RVE significantly prevented bone loss at multiple skeletal sites, including calcaneus, distal tibia, hip, and lumbar spine (L2–L4). The ratio of urinary calcium and creatinine was found higher after starting bed rest in CON group while no significant changes were observed in RVE group. No significant temporal change was found for osteocalcin-N during and after bed rest in CON group. However, a significant increase was shown after bed rest in RVE group. In both groups, the urinary concentration of bone resorption markers, such as C-telopeptide of type I collagen (CTX-I) and deoxypyridinoline (DPD), were significantly elevated after bed rest. In the CON group, no significant temporal effect was found for hydroxyproline (HOP), CTX-I, and DPD during bed rest and the serum concentration of HOP and TGF-β significantly increased about 52.04% and 24.03%, respectively only after bed rest. However, all these markers tended to decrease in the RVE group.

Conclusions

Our results might imply that the intervention of RVE retarded bone loss induced by simulated microgravity in humans that was mainly attributed to its anabolic effects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Vogel JM, Whittle MW (1976) Bone mineral changes: the second manned Skylab mission. Aviat Space Environ Med 47:396–400

    PubMed  CAS  Google Scholar 

  2. Oganov VS, Grigor’ev AI, Voronin LI et al (1992) Bone mineral density in cosmonauts after flights lasting 4.5–6 months on the Mir orbital station. Aviakosm Ekolog Med 26:20–24

    PubMed  CAS  Google Scholar 

  3. Holick MF (2000) Microgravity induced bone loss—will it limit human space exploration? Lancet 355:1569–1570

    Article  PubMed  CAS  Google Scholar 

  4. Schneider V, Organov V, LeBlanc A et al (1992) Space flight bone loss and change in fat and lean body mass [Abstract]. J Bone Miner Res 117:S122

    Google Scholar 

  5. Vico L, Collet P, Guignandon A, Lafage-Proust MH, Thomas T, Rehaillia M et al (2000) Effects of long-term microgravity exposure on cancellous and cortical weight-bearing bones of cosmonauts. Lancet 355:1607–1611

    Article  PubMed  CAS  Google Scholar 

  6. Rubin C, Bain SD, McLeod KJ (1992) Suppression of the osteogenic response in the aging skeleton. Calcif Tissue Int 50(4):306–313

    Article  PubMed  CAS  Google Scholar 

  7. Rubin C, Xu G, Judex S (2001) The anabolic activity of bone tissue, suppressed by disuse, is normalized by brief exposure to extremely low-magnitude mechanical stimuli. FASEB J 15(12):2225–2229

    Article  PubMed  CAS  Google Scholar 

  8. Rubin C, Turner AS, Bain S, Mallinckrodt C, McLeod K (2001) Anabolism: low mechanical signals strengthen long bones. Nature 412(6847):603–604

    Article  PubMed  CAS  Google Scholar 

  9. Rubin C, Pope M, Fritton JC, Magnusson M, Hansson T, McLeod K (2003) Transmissibility of 15-Hertz to 35-Hertz vibrations to the human hip and lumbar spine: determining the physiologic feasibility of delivering low-level anabolic mechanical stimuli to skeletal regions at greatest risk of fracture because of osteoporosis. Spine 28(23):2621–2627

    Article  PubMed  Google Scholar 

  10. Rubin C, Recker R, Cullen D, Ryaby J, McCabe J, McLeod K (2004) Prevention of postmenopausal bone loss by a low-magnitude, high-frequency mechanical stimuli: a clinical trial assessing compliance, efficacy, and safety. J Bone Miner Res 19(3):343–351

    Article  PubMed  Google Scholar 

  11. Rubin CT, Capilla E, Luu YK, Busa B, Crawford H, Nolan DJ, Mittal V, Rosen CJ, Pessin JE, Judex S (2007) Adipogenesis is inhibited by brief, daily exposure to high-frequency, extremely low-magnitude mechanical signals. Proc Natl Acad Sci 104(45):17879–17884

    Article  PubMed  CAS  Google Scholar 

  12. Leung KS, Shi HF, Cheung WH, Qin L, Ng WK, Tam KF, Tang N (2009) Low-magnitude high-frequency vibration accelerates callus formation, maturation and fracture healing in rats. J Orthop Res 27(4):458–465

    Article  PubMed  Google Scholar 

  13. Shi HF, Cheung WH, Qin L, Leung KS (2010) Low-magnitude high-frequency vibration treatment augments fracture healing in ovariectomy-induced osteoporotic bone. Bone 46(5):1299–1305

    Article  PubMed  Google Scholar 

  14. Cheung WH, Mok HW, Qin L, Sze PC, Lee KM, Leung KS (2007) High-frequency whole-body vibration improves balancing ability in elderly women. Arch Phys Med Rehabil 88(7):852–857

    Article  PubMed  Google Scholar 

  15. Wunderer K, Schabrun SM, Chipchase LS (2010) Effects of whole body vibration on strength and functional mobility in multiple sclerosis. Physiother Theory Pract 26(6):374–384

    Article  PubMed  Google Scholar 

  16. Shackelford LC, LeBlanc AD, Driscoll TB, Evans HJ, Rianon NJ, Smith SM, Spector E, Feeback DL, Lai D (2004) Resistance exercise as a countermeasure to disuse-induced bone loss. J Appl Physiol 97(1):119–129

    Article  PubMed  CAS  Google Scholar 

  17. Rittweger J, Frost HM, Schiessl H et al (2005) Muscle atrophy and bone loss after 90 days’ bed rest and the effects of flywheel resistive exercise and pamidronate: results from the LTBR study. Bone 36(6):1019–1029

    Article  PubMed  Google Scholar 

  18. Rittweger J, Felsenberg D, Maganaris C, Ferretti JL (2007) Vertical jump performance after 90 days bed rest with and without flywheel resistive exercise, including a 180 days follow-up. Eur J Appl Physiol 100(4):427–436

    Article  PubMed  Google Scholar 

  19. Jost PD (2008) Simulating human space physiology with bed rest. Hippokratia 12(Suppl 1):37–40

    PubMed  Google Scholar 

  20. LeBlanc AD, Schneider VS, Evans HJ, Engelbretson DA, Krebs JM (1990) Bone mineral loss and recovery after 17 weeks of bed rest. J Bone Miner Res 5:843–850

    Article  PubMed  CAS  Google Scholar 

  21. Dudley GA, Gollnick PD, Convertino VA, Buchanan P (1989) Changes of muscle function and size with bed rest. Physiologist 32:S65–S66

    PubMed  CAS  Google Scholar 

  22. Shackelford LC, LeBlanc AD, Driscoll TB, Evans HJ, Rianon NJ, Smith SM et al (2004) Resistive exercise as a countermeasure to disuse-induced bone loss. J Appl Physiol 97:119–129

    Article  PubMed  CAS  Google Scholar 

  23. Rittweger J, Belavy D, Hunek P, Gast U, Boerst H, Feilcke B et al (2006) Highly demanding resistive vibration exercise program is tolerated during 56 days of strict bed-rest. Int J Sports Med 27:553–559

    Article  PubMed  CAS  Google Scholar 

  24. Rittweger J, Beller G, Armbrecht G, Mulder E, Buehring B, Gast U, Dimeo F, Schubert H, de Haan A, Stegeman DF, Schiessl H, Felsenberg D (2010) Prevention of bone loss during 56 days of strict bed rest by side-alternating resistive vibration exercise. Bone 46(1):137–147

    Article  PubMed  Google Scholar 

  25. Armbrecht G, Belavý DL, Gast U, Bongrazio M, Touby F, Beller G, Roth HJ, Perschel FH, Rittweger J, Felsenberg D (2010) Resistive vibration exercise attenuates bone and muscle atrophy in 56 days of bed rest: biochemical markers of bone metabolism. Osteoporos Int 21(4):597–607

    Article  PubMed  CAS  Google Scholar 

  26. Belavý DL, Beller G, Armbrecht G, Perschel FH, Fitzner R, Bock O, Börst H, Degner C, Gast U, Felsenberg D (2011) Evidence for an additional effect of whole-body vibration above resistive exercise alone in preventing bone loss during prolonged bed rest. Osteoporos Int 22(5):1581–1591

    Article  PubMed  Google Scholar 

  27. Li YH, Wan YM, Bai YQ, Jiang SZ, Deng YB, Chen SG (2008) Outline of“Earth-Star-I”60 d head-down bed rest experiment. Space Med Med Eng 21:291–294

    Google Scholar 

  28. China Nutrition Society (2001) The Chinese dietary reference intakes the 4th edition. China Light Industry, Beijing

    Google Scholar 

  29. Eser P, Frotzler A, Zehnder Y, Knecht H, Denoth J, Schiessl H (2004) Relationship between the duration of paralysis and bone structure: a pQCT study of spinal cord injured individuals. Bone 34:869–880

    Article  PubMed  CAS  Google Scholar 

  30. Bronner F, Farach-Carson MC (2004) Bone Formation. In: Turner CH (ed) Biomechanical aspects of bone. Springer, London, pp 91–92

    Google Scholar 

  31. Warner SE, Sanford DA, Becker BA, Bain SD, Srinivasan S, Gross TS (2006) Botox induced muscle paralysis rapidly degrades bone. Bone 38:257–264

    Article  PubMed  CAS  Google Scholar 

  32. Lam H, Qin Y-X (2008) The effects of frequency-dependent dynamic muscle stimulation on inhibition of trabecular bone loss in a disuse model. Bone 43(6):1093–1100

    Article  PubMed  Google Scholar 

  33. Rittweger J, Simunic B, Bilancion G et al (2009) Bone loss in the lower leg during 35 days of bed rest is predominantly from the cortical compartment. Bone 44:612–618

    Article  PubMed  Google Scholar 

  34. Smith SM, Zwart SR, Heer M et al (2008) WISE-2005: supine treadmill exercise within lower body negative pressure and flywheel resistive exercise as a countermeasure to bed rest-induced bone loss in women during 60-day simulated microgravity. Bone 42:572–581

    Article  PubMed  Google Scholar 

  35. Scheld K, Zittermann A, Heer M, Herzog B, Mika C, Drummer C, Stehle P (2001) Nitrogen metabolism and bone metabolism markers in healthy adults during 16 weeks of bed rest. Clin Chem 47(9):1688–1695

    PubMed  CAS  Google Scholar 

  36. Smith SM, Wastney ME, O’Brien KO, Morukov BV, Larina IM, Abrams SA et al (2005) Bone markers, calcium metabolism, and calcium kinetics during extended-duration space flight on the Mir space station. J Bone Miner Res 20:208–218

    Article  PubMed  CAS  Google Scholar 

  37. Smith SM, Davis-Street JE, Fesperman JV, Smith MD, Rice BL, Zwart SR (2004) Nutritional assessment during a 14-d saturation dive: the NASA Extreme Environment Mission Operations V Project. J Nutr 134:1765–1771

    PubMed  CAS  Google Scholar 

  38. Inman CL, Warren GL, Hogan HA, Bloomfield SA (1999) Mechanical loading attenuates bone loss due to immobilization and calcium deficiency. J Appl Physiol 87:189–195

    PubMed  CAS  Google Scholar 

  39. Zwart SR, Hargens AR, Lee SMC et al (2007) Lower body negative pressure treadmill exercise as a countermeasure for bed rest-induced bone loss in female identical twins. Bone 40(2):529–537

    Article  PubMed  Google Scholar 

  40. Xie L, Jacobson JM, Choi ES, Busa B, Donahue LR, Miller LM, Rubin CT, Judex S (2006) Low-level mechanical vibrations can influence bone resorption and bone formation in the growing skeleton. Bone 39(5):1059–1066

    Article  PubMed  Google Scholar 

  41. Qin YX, Rubin CT, McLeod KJ (1998) Nonlinear dependence of loading intensity and cycle number in the maintenance of bone mass and morphology. J Orthop Res 16:482–489

    Article  PubMed  CAS  Google Scholar 

  42. Ribot-Ciscar E, Butler JE, Thomas CK (2003) Facilitation of triceps brachii muscle contraction by tendon vibration after chronic cervical spinal cord injury. J Appl Physiol 94:2358–2367

    PubMed  Google Scholar 

  43. Kerschan-Schindl K, Grampp S, Henk C, Resch H, Preisinger E, Fialka-Moser V, Imhof H (2001) Whole-body vibration exercise leads to alterations in muscle blood volume. Clin Physiol 21(3):377–382

    Article  PubMed  CAS  Google Scholar 

  44. Nowlan NC, Murphy P, Prendergast PJ (2008) A dynamic pattern of mechanical stimulation promotes ossification in avian embryonic long bones. J Biomech 41(2):249–258

    Article  PubMed  Google Scholar 

  45. Prisby RD, Lafage-Proust MH, Malaval L, Belli A, Vico L (2008) Effects of whole body vibration on the skeleton and other organ systems in man and animal models: what we know and what we need to know. Ageing Res Rev 7:319–329

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank all the volunteers who gave their selfless contribution and willingness to ensure the success of this project. The efforts of the staff participated in this project from the Astronaut Center of China in the biological sample collection and data management are appreciated. We are grateful to Professor Ling Qin and Professor Wing-Hoi Cheung (Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong) for designing this project and for the advice and revision of the manuscript. Special thanks go to Dr. Kam-Fai Tam, Yanqiang Bai, and Yibing Deng for their help with the study. This study was funded by the National Basic Research Program of China(973 Program) (No.2011CB707704;No.2011CB711003), National Natural Science Foundation of China(No.30970778), and Scheme D of the Chinese University of Hong Kong (Ref.: 1904009).

Conflicts of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to K.-S. Leung or Y. Li.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wang, H., Wan, Y., Tam, KF. et al. Resistive vibration exercise retards bone loss in weight-bearing skeletons during 60 days bed rest. Osteoporos Int 23, 2169–2178 (2012). https://doi.org/10.1007/s00198-011-1839-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00198-011-1839-z

Keywords

Navigation