Serum Cartilage Oligomeric Matrix Protein Concentration Increases More After Running Than Swimming for Older People.

IF 2.7 2区 医学 Q1 SPORT SCIENCES
Alexandra M Hay, Madison J Rhoades, Stephanie Bangerter, Seth A Ferguson, Hyunwook Lee, Martha T Gill, Garritt L Page, Andrew Pope, Gary J Measom, Ronald L Hager, Matthew K Seeley
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Abstract

Background: Knee osteoarthritis is common in older people. Serum cartilage oligomeric matrix protein (sCOMP) is a biomarker of knee articular cartilage metabolism. The purpose of this study was 2-fold: to (1) determine acute effects of running and swimming on sCOMP concentration in older people; and (2) investigate relationships between sCOMP concentration change due to running and swimming and measures of knee health in older people.

Hypotheses: Running would result in greater increase in sCOMP concentration than swimming, and increase in sCOMP concentration due to running and swimming would associate positively with measures of poor knee health.

Study design: Cross-sectional.

Level of evidence: Level 3.

Methods: A total of 20 participants ran 5 km and 19 participants swam 1500 m. sCOMP concentration was measured immediately before, immediately after, and 15, 30, and 60 minutes after running or swimming. sCOMP concentration change due to running and swimming was compared. Correlations between sCOMP concentration change due to running and swimming, and other measures of knee health were evaluated, including the Tegner Activity Scale and Knee injury and Osteoarthritis Outcome Score.

Results: sCOMP concentration increased 29% immediately after running, relative to baseline, but only 6% immediately after swimming (P < 0.01). No significant relationship was observed between acute sCOMP change due to running and swimming, and observed measures of knee health (P > 0.05). Participants with clinically relevant knee symptoms exhibited greater sCOMP concentration before and after running and swimming (P = 0.03) and had greater body mass (P = 0.04).

Conclusion: Running results in greater acute articular cartilage metabolism than swimming; however, the chronic effects of this are unclear. Older people with clinically relevant knee symptoms possess greater sCOMP concentration and are heavier, independent of exercise mode and physical activity level.

Clinical relevance: These results describe the effects of exercise (running and swimming) for older physically active persons, with and without knee pain.

与游泳相比,老年人跑步后血清软骨寡聚基质蛋白浓度增加更多。
背景:膝关节骨关节炎是老年人的常见病。血清软骨寡聚基质蛋白(sCOMP)是膝关节软骨代谢的生物标志物。本研究的目的有两个:(1) 确定跑步和游泳对老年人 sCOMP 浓度的急性影响;(2) 研究跑步和游泳导致的 sCOMP 浓度变化与老年人膝关节健康指标之间的关系:假设:与游泳相比,跑步会导致sCOMP浓度的更大增加,跑步和游泳导致的sCOMP浓度的增加与膝关节健康状况的测量结果呈正相关:研究设计:横断面:证据等级:3级:对跑步和游泳引起的 sCOMP 浓度变化进行比较。结果:与基线相比,跑步后sCOMP浓度立即增加了29%,但游泳后仅增加了6%(P < 0.01)。跑步和游泳导致的急性 sCOMP 变化与观察到的膝关节健康指标之间没有明显关系(P > 0.05)。有临床相关膝关节症状的参与者在跑步和游泳前后的 sCOMP 浓度更高(P = 0.03),体重更大(P = 0.04):结论:跑步比游泳更能促进关节软骨的急性新陈代谢,但其慢性影响尚不清楚。有临床相关膝关节症状的老年人拥有更高的 sCOMP 浓度,体重也更重,这与运动方式和运动水平无关:这些结果描述了运动(跑步和游泳)对有和没有膝关节疼痛的老年体力活动者的影响。
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来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
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