Muscle calcium metabolic effects of hypokinesia in physically healthy subjects.

The incompleteness of electrolyte deposition during hypokinesia (HK; diminished movement) is the defining factor of electrolyte metabolic changes, yet the effect of prolonged HK upon electrolyte deposition is poorly understood. The objective of this investigation was to determine the effect of muscle calcium (Ca(++)) changes upon Ca(++) losses during prolonged HK. Studies were conducted on 20 physically healthy male volunteers during a pre-experimental period of 30 days and an experimental period of 364 days. Subjects were equally divided in two groups: control subjects (CS) and experimental subjects (ES). The CS group ran average distances of 9.2 ± 1.2 km day(-l), and the ES group walked average distances of 2.3 ± 0.2 km day(-l). Muscle Ca(++) contents, plasma Ca(++) concentrations, and Ca(++) losses in urine and feces were measured in the experimental and control groups of subjects. The muscle Ca(++) contents decreased (p < 0.05), and plasma Ca(++) levels and Ca(++) losses in the urine and feces increased (p < 0.05) in the ES group compared with their pre-experimental levels and the values in their respective CS group. Muscle Ca(++) contents and plasma Ca(++) levels and urinary and fecal Ca(++) losses did not change in the CS group compared to their pre-experimental levels. It is concluded that prolonged HK increase plasma Ca(++) concentrations and Ca(++) losses in Ca(++) deficient muscle indicating decreased Ca(++) deposition.

[Biochemical diagnosis of immobilization osteoporosis].

The authors have ascertained informative laboratory tests for diagnosis of immobilization osteoporosis and prognostic tests of reparative osteogenesis in its presence. A study was conducted in 97 patients (mean age 39.8 +/- 9.5 years) with bone nonunion and immobilization osteoporosis diagnosed densitometrically (DPXA, Lunar, USA). The proposed procedures are topical if no densitometric study is available and the prediction of osteogenesis on the basis of the phosphatase index is of informative value at the X-ray negative stage (1 month after surgery). The procedures are available and cost-effective; their sensitivity is 75-77%.

Changes in bone turnover markers during 14-day 6 degrees head-down bed rest.

Osteoporosis caused by exposure to microgravity represents a serious clinical concern, but the mechanisms have yet to be fully elucidated. The present research aimed to elucidate the effects of microgravity environments on bone turnover, with a specific focus on changes in bone resorption markers such as type I collagen cross-linked N-telopeptides (NTx) and deoxypyridinoline (Dpyr), for which scant data are available regarding detailed time course. Methods using 6 degrees head-down bed rest were utilized to simulate a microgravity environment. Eleven adult male volunteers underwent 6 degrees head-down bed rest for 14 days; measurements were made of serum and urine Ca concentrations, in addition to osteocalcin (OC), bone alkaline phosphatase (ALP), NTx, and Dpyr as bone turnover markers. By the end of bed rest, concentrations of bone ALP had significantly increased, but OC displayed a tendency toward decrease. Concentrations of Dpyr significantly increased from day 6, remaining elevated until the end of bed rest. Concentrations of NTx significantly increased on day 13 and at the end of bed rest. Serum and urinary concentrations of Ca increased significantly at the end of bed rest. Bone ALP represents a relatively early marker of osteoblast differentiation at the matrix maturation phase and OC is a late marker in osteoblast differentiation at the calcification phase. The present results therefore suggest an absolute increase in bone resorption and normal or reduced bone formation, together causing prominent uncoupling and rapid bone loss after simulated microgravity. Moreover, the present results suggest that bone resorption is enhanced at an early stage of exposure to microgravity environments.

Water and electrolyte excretion in rats during prolonged restriction of motor activity and chronic hyperhydration.

The objective of this investigation was to evaluate the effect of daily intakes of water and salt on water and electrolyte changes and body hydration status of rats during prolonged restriction of motor activity (hypokinesia). Ninety Wistar rats weighing 370 to 390 g were used to perform the studies: They were equally divided into three groups: 1. Unsupplemented vivarium control rats (UVCR); 2 Unsupplemented hypokinetic rats (UHKR) and 3. Supplemented hypokinetic rats (SHKR). For the simulation of the effect of hypokinesia (HK), the UHKR and SHKR groups were kept in small individual cages made of wood, which restricted their movements in all directions without hindering food and water intake. The SHKR received daily an additional amount of 5 ml water/100 g body weight and 3 g sodium chloride per 100 g body weights. During the prehypokinetic period of 15 days and during the hypokinetic period of 90 days plasma and urinary sodium and potassium, water intake and water loss, food intake, body weight, plasma osmolality, whole blood hemoglobin, hematocrit and plasma protein concentration were determined. In the UHKR group, plasma and urinary electrolytes, diuresis, plasma osmolality, whole blood hemoglobin, hematocrit and plasma protein concentration increased significantly while fluid and food intake and body weight decreased significantly when compared with the SHKR and UVCR groups. In the SHKR, plasma and urinary electrolytes, urine excretion, plasma osmolality, whole blood hemoglobin, hematocrit and plasma protein concentration decreased while food and water intake and body weight increased significantly when compared with the UHKR group. In the UVCR group, these same variables remained stable or changed very little when compared with the SHKR group throughout the experimental period. It was concluded that daily intakes of fluid and a salt supplement may be used to increase body hydration level and decrease fluid-electrolyte excretion and body weight losses during prolonged restriction of motor activity.

Fluid electrolyte changes during prolonged restriction of motor activity in rat.

Water and electrolyte changes in urine and plasma of rats during prolonged restriction of motor activity (hypokinesia), have been studied, on 90 male Wistar rats (375 to 396 g) during a 15 day period of prehypokinesia and during a 90 day period of hypokinesia (HK). All rats were divided equally into two groups: rats placed under ordinary vivarium conditions served as vivarium control rats (VCR) and rats subjected to HK served as hypokinetic rats (HKR). The hypokinetic effect was carried out by keeping the HKR group in small individual cages that restricted all their movements in all directions without hindering food and water intake. During the 15 days of the prehypokinetic period and during the 90 days of the hypokinetic period, fluid consumed and eliminated in urine, food intake, body weight, plasma sodium and potassium concentration and excretion thereof in urine, plasma osmolality, total protein plasma concentration, whole blood haemoglobin and haematocrit concentration were measured. In the HKR group water and food intakes decreased significantly (p < 0.05) when compared with the VCR group, whilst diuresis, excretion of sodium and potassium in urine, plasma sodium and potassium concentration, plasma osmolality, plasma protein concentration, whole blood haemoglobin and haematocrit increased significantly (p < or = 0.05) when compared with the VCR group. It was concluded that prolonged exposure to HK induces significant changes in water balance and in both urinary and plasma sodium and potassium in rat.

Daily zinc supplementation effect on zinc deficiency in rats during prolonged restriction of motor activity.

The objective of this investigation was to evaluate the effect of 47 mg zinc supplementation on deficiency of zinc in rats during 98 d of restriction of motor activity (hypokinesia), which appeared by higher plasma zinc concentration. One Hundred 13-week-old Sprague-Dawley male rats weighing 360-390 g were used to perform the studies: They were equally divided into four groups: 1. Unsupplemented control animals (UCA); 2. Unsupplemented hypokinetic animals (UHA); 3. Supplemented control animals (SCA); and 4. Supplemented hypokinetic animals (SHA). For the simulation of the effect of hypokinesia (HK), the UHA and SHA were kept in small individual cages made of wood, which restricted their movements in all directions without hindering food and water intake. The SCA and SHA received daily with their food an additional amount of zinc. Before and during the experimental period of 98 d, plasma, urinary and fecal zinc, balance of zinc, food intake, and body weight were determined at different intervals. In the SHA and UHA, the concentration of zinc in plasma, and the elimination of zinc in urine and feces increased significantly when compared with the SCA and UCA, whereas the balance of zinc was negative. The body weight and food intake decreased significantly in the SHA and UHA when compared with the SCA and UCA. The increased plasma concentration of zinc in both the SHA and UHA groups was in contrast to the observed hypozincnemia during prolonged immobilization as during prolonged hospitalization. This reaction suggests that there may be some other mechanisms that are affecting the process of control and regulation of zinc metabolism during prolonged HK. It was concluded that exposure to prolonged restriction of motor activity of rats induces significant increases in plasma concentration, fecal and urinary elimination of zinc in the presence of negative zinc balance and regardless the daily intake of large amounts of zinc with their food, leading to zinc deficiency.

Daily magnesium supplementation on serum and urinary magnesium changes in rats during prolonged restriction of motor activity.

The objective of this investigation was to determine whether a plentiful magnesium (Mg2+) supplementation might be used to normalize or prevent Mg deficiency. This is manifested by increased rather than decreased serum Mg2+ concentration as is observed during prolonged hospitalization, which is developed during prolonged hypokinesia (HK) (decreased motor activity). Eighty male Wistar rats with an initial body weight of 370-390 g were used to perform the studies: They were equally divided into four groups: 1. Unsupplemented control animals (UCA); 2. Supplemented control animals (SCA); 3. Unsupplemented hypokinetic animals (UHA); and 4. Supplemented hypokinetic animals (SHA). For the simulation of the hypokinetic effect, the hypokinetic animals were kept in small individual cages made of wood which restricted their movements in all directions without hindering food and water intake. The control and hypokinetic supplemental animals receive 0.9 mg/mL Mg sulfate daily with their drinking water. Prior to and during the experimental period, urinary excretions of Mg, calcium, and phosphate along with their concentrations in serum, water intake, and urine excretion, and body weight were determined in the control and hypokinetic animals. In the supplemental and unsupplemental hypokinetic rats, urinary excretions and serum concentrations of electrolytes increased significantly, whereas serum concentration and urinary excretion thereof remained unchanged in the supplemented and unsupplemented control animals. It was concluded that a daily intake of large amounts of Mg supplementation cannot be used to prevent or normalize Mg deficiency in rats during prolonged exposure to HK.