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Laboratory of Biochemistry of Exercise and Nutrition, Institute of Health and Sport Sciences, University of Tsukuba, Tsukuba 305, Japan
Received 14 January 1997; accepted in final form 16 June 1997.
Ashizawa, Noriko, Rei Fujimura, Kumpei Tokuyama, and
Masashige Suzuki. A bout of resistance exercise increases urinary calcium independently of osteoclastic activation in men.
J. Appl. Physiol. 83(4):
1159-1163, 1997.
Metabolic acidosis increases urinary calcium
excretion in humans as a result of administration of ammonium chloride,
an increase in dietary protein intake, and fasting-induced
ketoacidosis. An intense bout of exercise, exceeding aerobic capacity, also causes significant decrease in blood pH as a
result of increase in blood lactate concentration. In this study we
investigated changes in renal calcium handling, plasma parathyroid
hormone concentration, and osteoclastic bone resorption after a single
bout of resistance exercise. Ten male subjects completed a
bout of resistance exercise with an intensity of 60% of one repetition
maximum for the first set and 80% of one repetition maximum for the
second and third sets. After exercise, blood and urine pH shifted
toward acidity and urinary calcium excretion increased.
Hypercalciuria was observed in the presence of an increased fractional
calcium excretion and an unchanged filtered load of calcium. Therefore,
the observed increase in urinary calcium excretion was due primarily to
decrease in renal tubular reabsorption of calcium. Likely causes of the
increase in renal excretion of calcium are metabolic acidosis itself
and decreased parathyroid hormone. When urinary calcium excretion
increased, urinary deoxypyridinoline, a marker of osteoclastic bone
resorption, decreased. These results suggest that
1) strenuous resistance exercise
increased urinary calcium excretion by decreasing renal tubular calcium
reabsorption, 2) urinary calcium
excretion increased independently of osteoclast activation, and
3) the mechanism resulting in
postexercise hypercalciuria might involve non-cell-mediated
physicochemical bone dissolution.
lactic acidosis; renal tubular reabsorption; bone resorption
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