- Author:
	        		
		        		
		        		
			        		Kyung A SHIN
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Al Chan KIM
			        		
			        		;
		        		
		        		
		        		
			        		Young Joo KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yoon Hee LEE
			        		
			        		;
		        		
		        		
		        		
			        		Young Oh SHIN
			        		
			        		;
		        		
		        		
		        		
			        		Sang Hoon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Young Sik PARK
			        		
			        		;
		        		
		        		
		        		
			        		Hee Seung NAM
			        		
			        		;
		        		
		        		
		        		
			        		Taikon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Hyoung Seop KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yongbum PARK
			        		
			        		
		        		
		        		
		        		
			        		
			        		Author Information
			        		
 - Publication Type:Original Article
 - Keywords: Ultra-marathon; Osteoprotegerin; COMP; Osteocalcin
 - MeSH: Biomarkers; Bone Resorption; Calcium; Cartilage; Continental Population Groups; Extracellular Matrix Proteins; Glycoproteins; Humans; Male; Osteocalcin; Osteogenesis; Osteoprotegerin
 - From:Annals of Rehabilitation Medicine 2012;36(1):80-87
 - CountryRepublic of Korea
 - Language:English
 - Abstract: OBJECTIVE: To evaluate the potential effects of a 308-km ultra-marathon on bone and cartilage biomarkers. METHOD: Venous blood samples were collected at pre-race, 100 km, 200 km, and 308 km checkpoints. The following markers of cartilage damage and bone metabolism were studied: osteocalcin (OC), osteoprotegerin (OPG), and calcium, phosphorous, and cartilage oligomeric matrix protein (COMP). RESULTS: Blood samples were taken from 20 male runners at four different checkpoints. Serum COMP was increased by 194.1% (130.7% at 100 km and 160.4% at 200 km). Serum OPG was significantly increased by 158.57% at 100 km and 114.1% at 200 km compared to the pre-race measures. OC was transiently suppressed at 200 km. Serum calcium and phosphorous concentrations decreased compared to the pre-race measures. CONCLUSION: This study showed that the 308-km ultra-marathon induced several changes, including transient uncoupling of bone metabolism, increased bone resorption, suppressed bone formation, and bone turnover and had a major impact on cartilage structure.
 
            
