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Supplementary Energy Increases Bone Formation during Arduous Military Training.

Medicine and science in sports and exercise
January 1, 1970
Thomas J O'Leary et al. (7 authors)
Controlled Clinical TrialJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdiponectinAdultAlkaline PhosphataseBone ResorptionCollagen Type IDietEnergy MetabolismGonadal HormonesHumansInsulin-Like Growth Factor Binding Protein 3MaleMilitary PersonnelOsteogenesisPhysical Conditioning, HumanProlactinThyroid HormonesYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations15
Citations/Year3.8
Relative Citation Ratio1.97
NIH Percentile74.1%
Research Impact Scores
APT Score0.75
Weight Score1.77
Normalized Score0.67
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Supplementary Energy Increases Bone Formation during Arduous... | Panacea Index