Sains Malaysiana
49(7)(2020): 1639-1649
http://dx.doi.org/10.17576/jsm-2020-4907-15
Combination of Honey
Supplementation and Countermovement Jumping Exercise Influence Bone Turnover
Markers in Young Males
(Gabungan Pengambilan Madu
dan Senaman Lompatan Berpantul Mempengaruhi Penanda Metabolisme Tulang dalam
Kalangan Lelaki Muda)
MUHAMMAD IMRAN MOHD ZUHRI, MOHAMED
MIRZA DAWLATH MOHAMED, OOI FOONG KIEW & NUR SYAMSINA AHMAD*
Exercise
and Sports Science, School of Health Sciences, Health Campus, Universiti Sains
Malaysia, 16150 USM Kubang Kerian, Kelantan Darul Naim, Malaysia
Received:
9 September 2019/Accepted: 11 March 2020
ABSTRACT
This study investigated the combined effects of Tualang Honey
(TH) and countermovement jumping (CJ) exercise for 6 weeks on bone speed of
sound (SOS), bone turnover markers, and maximum jumping height in young males.
Forty participants aged between 18-24 years old were randomly assigned into
four groups, i.e. control (C), supplementation of TH (H), CJ exercise (J), and
combined TH supplementation, and CJ exercise (JH) groups. Participants in the J
and JH groups were required to jump for 2 sessions/day, 3 alternated days/week
for 6 weeks. Participants in the H and JH groups consumed 20 g/day of TH for 6
weeks. Bone SOS of the participants’ leg was measured at pre- and post-tests,
and it was found that there were no significant differences in participants’
bone SOS in all groups. Blood samples were analysed for determining the
concentration of serum alkaline phosphatase (ALP) and serum C-terminal
telopeptide of type-1 collagen (1CTP). The JH group showed a 56.3% reduction in
serum 1CTP and was significantly lower (p <0.01) than the C group. A 7.66%
reduction of ALP was observed in the JH group. Maximum jumping height was
significantly greater (p <0.05) in post-tests compared to pre-tests in the H
and JH groups. In addition, there was a significantly greater maximum jumping
height (p <0.05) in the JH group compared to the C group in post-tests. In
conclusion, the combination of TH with CJ exercise could significantly increase
maximum jumping height compared to the control and this combination influence
bone turnover markers in young males.
Keywords: Bone formation; bone health status; bone
resorption; honey; jumping
ABSTRAK
Kajian ini mengkaji
kesan gabungan Madu Tualang (TH) dan senaman lompatan berpantul (CJ) selama 6
minggu ke atas kelajuan bunyi tulang (SOS), penanda metabolisme tulang dan
ketinggian lompatan maksimum dalam kalangan lelaki muda. Empat puluh orang
peserta berumur antara 18-24 tahun telah dibahagikan secara rawak ke dalam
empat kumpulan: kumpulan kawalan (C), pengambilan TH (H), senaman CJ (J) dan
gabungan pengambilan TH dan senaman CJ (JH). Peserta dalam kumpulan J dan JH
perlu melompat sebanyak 2 sesi/sehari, 3 kali/seminggu selama 6 minggu. Peserta
dalam kumpulan H dan JH telah mengambil TH 20 g/sehari selama 6 minggu. SOS
tulang kaki setiap peserta diukur semasa pra- dan pasca-ujian, dan tiada
perbezaan signifikan terhadap SOS tulang peserta dalam setiap kumpulan. Sampel
darah dianalisa untuk menentukan kepekatan serum alkali fosfatase (ALP) dan
serum telopeptida C-terminal jenis-1 kolagen (1CTP). Kumpulan JH menunjukkan
peratusan penurunan sebanyak 56.3% untuk serum 1CTP dan kadar 1CTP lebih rendah
secara signifikan (p <0.01) dalam kumpulan JH berbanding kumpulan C semasa
pasca-ujian. Penurunan sebanyak 7.66% serum ALP dalam kumpulan JH. Ketinggian
lompatan maksimum yang lebih signifikan (p <0.05) semasa pasca-ujian
dibandingkan dengan pra-ujian dalam kumpulan H dan JH. Tambahan lagi,
penambahan yang signifikan terhadap ketinggian lompatan maksimum (p <0.05)
dalam JH dibandingkan dengan kumpulan C. Kesimpulannya, gabungan TH dan senaman
CJ secara signifikan meningkatkan ketinggian lompatan maksimum berbanding
dengan kumpulan C dan mempengaruhi penanda metabolisme tulang dalam kalangan
lelaki muda.
Kata kunci: Lompatan;
madu; pembentukan tulang; penyerapan tulang; status kesihatan tulang
REFERENCES
Aragón, L.F. 2000.
Evaluation of four vertical jump tests: Methodology, reliability, validity, and
accuracy. Measurement in Physical
Education and Exercise Science 4(4): 215-228.
Azman, K.F., Zakaria,
R., Abd Aziz, C., Othman, Z. & Al-Rahbi, B. 2015. Tualang honey improves memory performance and decreases
depressive-like behavior in rats exposed to loud noise stress. Noise Health 17(75): 83-89.
Benedetti,
M.G., Furlini, G., Zati, A. & Letizia Mauro, G. 2018. The effectiveness of
physical exercise on bone density in osteoporotic patients. BioMed Research
International 2018: Article ID. 4840531.
Chin, K.Y. &
Ima-Nirwana, S. 2012. Sex steroids and bone health status in men. International Journal of Endocrinology 2012:
Article ID. 208719.
Chin, K.Y., Soelaiman,
I.N., Mohamed, I.N., Mohamed, N., Shuid, A.N., Muhammad, N. & Ngah, W.Z.W.
2013. Discrepancy between the quantitative ultrasound value of Malaysian men
and the manufacturer’s reference and the impact on classification of bone health
status. Journal of Clinical Densitometry 16(2):
189-195.
Christenson, R.H. 1997.
Biochemical markers of bone metabolism: An overview. Clinical Biochemistry 30(8): 573-593.
Dimitriou, R., Jones,
E., McGonagle, D. & Giannoudis, P.V. 2011. Bone regeneration: Current
concepts and future directions. BMC
Medicine 9(1): 66.
Erickson, C.R. &
Vukovich, M.D. 2010. Osteogenic index and changes in bone markers during a jump
training program: A pilot study. Medicine
and Science in Sports and Exercise 42(8): 1485-1492.
Florencio-Silva, R.,
Sasso, G.R.D.S., Sasso-Cerri, E., Simões, M.J. & Cerri, P.S. 2015. Biology
of bone tissue: Structure, function, and factors that influence bone cells. BioMed Research International 2015:
Article ID. 421746.
Fuchs, R.K., Bauer, J.J.
& Snow, C.M. 2001. Jumping improves hip and lumbar spine bone mass in
prepubescent children: A randomized controlled trial. Journal of Bone and
Mineral Research 16(1): 148-156.
Fujimura, R., Ashizawa,
N., Watanabe, M., Mukai, N., Amagai, H., Fukubayashi, T., Hayashi, K.,
Tokuyama, K. & Suzuki, M. 1997. Effect of resistance exercise training on
bone formation and resorption in young male subjects assessed by biomarkers of
bone metabolism. Journal of Bone and
Mineral Research 12(4): 656-662.
Hong,
A.R. & Kim, S.W. 2018. Effects of resistance exercise on bone health. Endocrinology and
Metabolism 33(4): 435-444.
Kato, T., Terashima, T.,
Yamashita, T., Hatanaka, Y., Honda, A. & Umemura, Y. 2006. Effect of
low-repetition jump training on bone mineral density in young women. Journal of Applied Physiology 100(3):
839-843.
Kromhout, D., Bloemberg,
B., Seidell, J., Nissinen, A. & Menotti, A. 2001. Physical activity and
dietary fiber determine population body fat levels: The Seven Countries Study. International Journal of Obesity and Related
Metabolic Disorders 25(3): 301-306.
MacKelvie, K.J., McKay,
H.A., Petit, M.A., Moran, O. & Khan, K.M. 2002. Bone mineral response to a
7‐month randomized controlled, school‐based jumping intervention in
121 prepubertal boys: Associations with ethnicity and body mass index. Journal of Bone and Mineral Research 17(5):
834-844.
Matthews, B.L., Bennell,
K.L., McKay, H.A., Khan, K.M., Baxter-Jones, A.D.G., Mirwald, R.L. & Wark,
J.D. 2006. Dancing for bone health: A 3-year longitudinal study of bone mineral
accrual across puberty in female non-elite dancers and controls. Osteoporosis International 17(7):
1043-1054.
Mohd Effendy, N.,
Mohamed, N., Muhammad, N., Mohamad, I.N. & Shuid, A.N. 2012. The effects of
Tualang honey on bone metabolism of postmenopausal women. Evidence-Based Complementary and Alternative Medicine 2012: Article
ID. 938574.
Moniruzzaman, M.,
Khalil, M.I., Sulaiman, S.A. & Gan, S.H. 2013. Physicochemical and
antioxidant properties of Malaysian honey produced by Apis cerana, Apis dorsata and Apis
mellifera. BMC Complementary and
Alternative Medicine 13(1): 43.
Morton, D.J.,
Barrett-Connor, E.L. & Schneider, D.L. 2001. Vitamin C supplement use and
bone mineral density in postmenopausal women. Journal of Bone and Mineral Research 16(1): 135-140.
Mosavat, M., Ooi, F.K.
& Mohamed, M. 2014. Effects of honey supplementation combined with
different jumping exercise intensities on bone mass, serum bone metabolism
markers and gonadotropins in female rats. BMC
Complementary and Alternative Medicine 14(1): 126.
Njeh, C.F., Fuerst, T., Diessel, E. & Genant, H.K. 2001.
Is quantitative ultrasound dependent on bone structure? A reflection. Osteoporosis
International 12(1): 1-15.
Nguyen,
T.V., Center, J.R. & Eisman, J.A. 2004. Bone mineral density-independent association
of quantitative ultrasound measurements and fracture risk in women. Osteoporosis
International 15(12): 942-947.
Ooi,
F.K. & Sahrir, N.A. 2018. Physical activity, bone remodelling and bone
metabolism markers. Journal
of Exercise, Sports & Orthopedics 5(2):
1-4.
Ooi, F.K. & Aziz, A.
2017. Bone metabolism markers in
response to circuit training and honey supplementation in young males. Malaysian Journal of Medical Research 1(4): 28-34.
Ooi, F.K., Tavafzadeh,
S.S., Hung, L., Hung, W. & He, Y. 2014. Tibial bone mineral density,
geometry, and mechanical properties in response to high-impact exercise and
honey supplementation in rats. Asian
Journal of Exercise & Sports Science 11(2): 12-24.
Ooi, F.K., Singh, R.
& Singh, H.J. 2012. Changes in bone turnover markers and bone mass with
reducing levels of jumping exercise regimens in female rats. Asian Journal
of Sports Medicine 3(4):
225-232.
Ooi, F.K., Ismail, N. & Abdullah, M.Y. 2011. Effects of combined aerobic dance exercise and honey supplementation on
bone turnover markers in young females. Asian
Journal of Exercise and Sports Science 8(1): 1-11.
Rahim, M., Ooi, F.K.
& Hamid, W.Z.W.A. 2016. Changes of bone metabolism markers and muscular
performance with combined aerobic dance exercise and honey supplementation in
adult women. Sports & Exercise
Medicine Open Journal 1(6): 186-197.
Remes, T., Väisänen,
S.B., Mahonen, A., Huuskonen, J., Kröger, H., Jurvelin, J.S., Penttilä, I.M.
& Rauramaa, R. 2004. The association of bone metabolism with bone mineral
density, serum sex hormone concentrations, and regular exercise in middle-aged
men. Bone 35(2): 439-447.
Shafin, N.,
Othman, Z., Zakaria, R. & Nik Hussain, N.H. 2014. Tualang honey supplementation
reduces blood oxidative stress levels/activities in postmenopausal women. International Scholarly Research Notices 2014: Article
ID. 364836.
Tavafzadeh, S.S., Ooi,
F.K., Chen, C.K., Sulaiman, S.A. & Hung, L.K. 2015. Bone mechanical
properties and mineral density in response to cessation of jumping exercise and
honey supplementation in young female rats. BioMed
Research International 2015: Article ID. 938782.
Tavafzadeh, S.S., Ooi,
F.K., Krasilshchikov, O. & Sulaiman, S.A. 2011. Effect of a combination of
jumping exercise and honey supplementation on the mass, strength and physical
dimensions of bones in young female rats. Journal
of ApiProduct and ApiMedical Science 3(1): 26-32.
Turner, C.H. &
Robling, A.G. 2003. Designing exercise regimens to increase bone strength. Exercise and Sport Sciences Reviews 31(1):
45-50.
Vetter, R.E. 2007.
Effects of six warm-up protocols on sprint and jump performance. Journal of
Strength and Conditioning Research 21(3):
819-823.
Wang,
H., Kia, M. & Dickin, D.C. 2019. Influences of load carriage and physical
activity history on tibia bone strain. Journal of Sport and Health Science 8(5):
478-485.
Weeks, B.K. & Beck,
B.R. 2008. The BPAQ: A bone-specific physical activity assessment instrument. Osteoporosis
International 19(11):
1567-1577.
Zaid, S.S.M., Sulaiman,
S.A., Sirajudeen, K.N.M. & Othman, N.H. 2010. The effects of Tualang honey
on female reproductive organs, tibia bone and hormonal profile in
ovariectomised rats-animal model for menopause. BMC Complementary and Alternative Medicine 10(1): 82.
*Corresponding
author; email: nursyamsina@usm.my
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