Research article - (2020)19, 237 - 244
Nordic Walking Increases Distal Radius Bone Mineral Content in Young Women
Takeru Kato1,4,, Toru Tomioka2, Takenori Yamashita3, Hidehiro Yamamoto1, Yasuhiro Sugajima1, Norikazu Ohnishi5
1Asahi University, Department of Health Science and Sports Sciences, School of Health Sciences, Mizuho, Gifu, Japan
2Meijo University, Faculty of Foreign Studies, Nagoya, Aichi, Japan
3Suzuka University of Medical Science, Suzuka, Mie, Japan
4Suzuka University of Medical Science, Suzuka, Mie, Japan
5Mie Prefectural College of Nursing, Tsu, Mie, Japan

Takeru Kato
✉ Asahi University, Department of Health Science and Sports Sciences, School of Health Sciences, Mizuho, Gifu, Japan
Email: t-kato@alice.asahi-u.ac.jp
Received: 11-09-2019 -- Accepted: 15-01-2020
Published (online): 01-05-2020

ABSTRACT

Unlike the lumbar spine and femur, the radius does not bear a gravitational mechanical compression load during daily activities. The distal radius is a common fracture site, but few studies have addressed the effects of exercise on fracture risk. The aim of this study was to determine the effects of the pole push-off movement of Nordic walking (NW) on the bone mineral content (BMC) and areal bone mineral density (aBMD) of the distal radius and the muscle cross-sectional area (CSA) at the mid-humeral and mid-femoral levels. The participants were allocated to two groups: an NW group and a control group. The NW group walked at least 30 min with NW poles three times a week for six months. There were no significant changes in muscle CSA at the mid-humeral or mid-femoral levels between or within groups. There were also no significant changes in BMC or aBMD at 1/3 and 1/6 of the distance from the distal end of the radius in either group. However, the BMC and aBMD at 1/10 of the distance from the distal end of the radius were significantly increased by NW. The NW pole push-off movement provided effective loading to increase the osteogenic response in the ultra-distal radius. The ground reaction forces transmitted through the poles to the radius stimulated bone formation, particularly in the ultra-distal radius.

Key words: Non-weight-bearing bone, muscle cross-sectional area, ground reaction force, dual energy x-ray absorptiometry, magnetic resonance imaging

Key Points
  • Ultra-distal radius BMC and aBMD was increased without any significant increase in corresponding muscle CSA.
  • BMC and aBMD were enhanced in non-weight-bearing bone by using gravitational mechanical loading generated by relatively low stimuli.
  • NW pole push movement against the ground was effective for increasing the strength of non-weight-bearing bone.








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