The effect of sex and protein supplementation on bone metabolism during a 36-hour military field exercise in energy deficit

O'Leary, T. J., Coombs, C. V., Edward, V., Blacker, S. D., Knight, R. L., Koivuka, F. N., Tang, J. C., Fraser, W. D., Wardle, S. L. and Greeves, J. P. (2023) The effect of sex and protein supplementation on bone metabolism during a 36-hour military field exercise in energy deficit. Journal of Applied Physiology, 134 (6). pp. 1481-1495. ISSN 1522-1601

[thumbnail of Copyright © 2023, Journal of Applied Physiology. This document is the Accepted Manuscript version of a Published Work that can be accessed at: https://doi.org/10.1152/japplphysiol.00106.2023] Text (Copyright © 2023, Journal of Applied Physiology. This document is the Accepted Manuscript version of a Published Work that can be accessed at: https://doi.org/10.1152/japplphysiol.00106.2023)
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Abstract

This study investigated sex differences in, and the effect of protein supplementation on, bone metabolism during a 36-hour military field exercise. Forty-four British Army Officer cadets (14 women) completed a 36-hour field exercise. Participants consumed their habitual diet (n = 14 women [Women] and n = 15 men [Men Controls]) or the habitual diet and an additional 46.6 g·d-1 protein in men (n = 15 men [Men Protein]). Women and Men Protein were compared with Men Controls to examine the effect of sex and protein supplementation. Circulating markers of bone metabolism were measured before, 24 hours after (post-exercise), and 96 hours after (recovery) the field exercise. βCTX and cortisol were not different between timepoints or Women and Men Controls (p ≥ 0.094). PINP decreased from baseline to post-exercise (p < 0.001) and recovery (p < 0.001) in Women and Men Controls. PTH increased from baseline to post-exercise (p = 0.006) and decreased from post-exercise to recovery (p = 0.047) in Women and Men Controls. Total 25(OH)D increased from baseline to post-exercise (p = 0.038) and recovery (p < 0.001) in Women and Men Controls. Testosterone decreased from baseline to post-exercise (p < 0.001) and recovery (p = 0.007) in Men Controls, but did not change for Women (all p = 1.000). Protein supplementation in men had no effect on any marker. Men and women experience similar changes to bone metabolism-decreased bone formation and increased PTH-following a short field exercise. Protein had no protective effect likely because of the energy deficit.

Publication Type: Articles
Uncontrolled Keywords: Bone remodelling, energy availability, female athlete triad, stress fracture
Subjects: Q Science > QP Physiology
U Military Science > U Military Science (General)
Divisions: Academic Areas > Institute of Sport > Research Theme > Occupational Performance
Depositing User: Sam Blacker
Date Deposited: 17 May 2023 12:17
Last Modified: 06 Jun 2023 15:16
URI: https://eprints.chi.ac.uk/id/eprint/6847

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