Supplementary Energy Increases Bone Formation during Arduous Military Training.
Study Goal
The researchers aimed to investigate the effect of supplementary energy (not specifically collagen) on bone formation and resorption markers, including procollagen type 1 N-terminal propeptide, during military training.
Results Summary
The study found that bone-specific alkaline phosphatase (a bone formation marker) increased with energy supplementation, while procollagen type 1 N-terminal propeptide increased in both groups, suggesting some bone formation activity. Beta carboxy-terminal cross-linking telopeptide of type 1 collagen (a resorption marker) decreased in both groups.
Population
30 male soldiers undergoing an 8-week military combat course.
Effective Dosage
Not specified for collagen; energy supplementation was 5.1 MJ·d⁻¹.
Duration
8 weeks
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
habitual diet (control group) | decrease | Bone-specific alkaline phosphatase | male soldiers during an 8-wk military combat course | -4.4 ± 1.9 μg·L-1 | decreased | #1 |
additional 5.1 MJ·d-1 to eliminate the energy deficit (supplemented group) | increase | Bone-specific alkaline phosphatase | male soldiers during an 8-wk military combat course | 16.0 ± 6.6 μg·L-1 | increased | #2 |
habitual diet (control group) | increase | Procollagen type 1 N-terminal propeptide | male soldiers during an 8-wk military combat course | 5.6 ± 8.1 μg·L-1 | increased | #3 |
additional 5.1 MJ·d-1 to eliminate the energy deficit (supplemented group) | increase | Procollagen type 1 N-terminal propeptide | male soldiers during an 8-wk military combat course | 5.6 ± 8.1 μg·L-1 | increased | #4 |
habitual diet (control group) | decrease | Beta carboxy-terminal cross-linking telopeptide of type 1 collagen | male soldiers during an 8-wk military combat course | -0.16 ± 0.20 μg·L-1 | decreased | #5 |
additional 5.1 MJ·d-1 to eliminate the energy deficit (supplemented group) | decrease | Beta carboxy-terminal cross-linking telopeptide of type 1 collagen | male soldiers during an 8-wk military combat course | -0.16 ± 0.20 μg·L-1 | decreased | #6 |
additional 5.1 MJ·d-1 to eliminate the energy deficit (supplemented group) | increase | Prolactin | male soldiers during an 8-wk military combat course | 148 ± 151 IU·L-1 | increased | #7 |
habitual diet (control group) | increase | adiponectin | male soldiers during an 8-wk military combat course | 4.3 ± 1.8 mg·L-1 | increased | #8 |
additional 5.1 MJ·d-1 to eliminate the energy deficit (supplemented group) | increase | adiponectin | male soldiers during an 8-wk military combat course | 1.4 ± 1.0 mg·L-1 | increased | #9 |
habitual diet (control group) | decrease | Insulin-like growth factor binding protein-3 | male soldiers during an 8-wk military combat course | -461 ± 395 ng·mL-1 | was lower | #10 |
PURPOSE: This study aimed to investigate the effect of supplementary energy on bone formation and resorption during arduous military training in energy deficit. METHODS: Thirty male soldiers completed an 8-wk military combat course (mean ± SD, age = 25 ± 3 yr, height = 1.78 ± 0.05 m, body mass = 80.9 ± 7.7 kg). Participants received either the habitual diet (control group, n = 15) or an additional 5.1 MJ·d-1 to eliminate the energy deficit (supplemented group, n = 15). Circulating markers of bone formation and resorption, and reproductive, thyroid, and metabolic status, were measured at baseline and weeks 6 and 8 of training. RESULTS: Bone-specific alkaline phosphatase decreased in controls (-4.4 ± 1.9 μg·L-1) and increased in the supplemented group (16.0 ± 6.6 μg·L-1), between baseline and week 8 (P < 0.001). Procollagen type 1 N-terminal propeptide increased between baseline and week 6 for both groups (5.6 ± 8.1 μg·L-1, P = 0.005). Beta carboxy-terminal cross-linking telopeptide of type 1 collagen decreased between baseline and week 8 for both groups (-0.16 ± 0.20 μg·L-1, P < 0.001). Prolactin increased from baseline to week 8 for the supplemented group (148 ± 151 IU·L-1, P = 0.041). The increase in adiponectin from baseline to week 8 was higher in controls (4.3 ± 1.8 mg·L-1, P < 0.001) than that in the supplemented group (1.4 ± 1.0 mg·L-1, P < 0.001). Insulin-like growth factor binding protein-3 was lower at week 8 than baseline for controls (-461 ± 395 ng·mL-1, P < 0.001). CONCLUSION: The increase in bone-specific alkaline phosphatase, a marker of bone formation, with supplementation supports a role of energy in osteoblastic activity; the implications for skeletal adaptation and stress fracture risk are unclear. The mechanism is likely through protecting markers of metabolic, but not reproductive or thyroid, function.