脑-骨交互视阈下应对抑郁症与骨质疏松症的运动调节机制研究进展

Advances in the Study of Exercise Regulation Mechanisms of Depression and Osteoporosis in the Visual Threshold of Brain-Bone Interaction

基于脑-骨交互角度,通过运动干预手段,探究抑郁症和骨质疏松症之间的关联性。抑郁症和骨质疏松症是影响机体生物学机能的两大慢性退行性疾病,基于脑-骨交互视角,两者存在潜在的相互调节关系。其中,抑郁症的调节机制在于:应激激素变化、炎症细胞因子串扰、抗抑郁药、合并性疾患等因素,不仅诱导抑郁症状加重,且抑郁行为还进一步导致骨微结构退化,诱发骨质减少/骨质疏松的发生。运动介导抗抑郁效果的同时,可导致骨骼质量的显著性提高,使骨骼质量向良性态势发展。骨质疏松症的调节机制在于:成骨生成能力减弱、破骨分解能力提高,引起骨微结构破损加剧,骨质下降,诱导身体机能退化,可进一步引发抑郁情绪和抑郁行为变化。运动在缓解骨转换的同时,提高骨骼质量,引起骨骼分泌水平升高,经血液循环进入脑组织,改善抑郁症状,其运动手段亦缓解心理情绪。

Based on the brain-bone interaction perspective.Exploring the association between depression and osteoporosis by means of exercise intervention.Depression and osteoporosis are two major chronic degenerative diseases that affect the biological function of the body.Based on the brain-bone interaction perspective,there is a potential mutual regulation between them.Depression can develop from stress hormonal changes,inflammatory cytokine crosstalk,antidepressants,comorbid disorders and other factors.They can induce an increase in depressive symptoms.Depressive behavior leads to degradation of bone microarchitecture and induces the development of osteomalacia/osteoporosis.Exercise mediates the antidepressant effect while leading to a significant improvement in bone mass.Osteoporosis causes a decrease in osteogenesis and an increase in osteolytic capacity,resulting in increased breakdown of bone microstructure,a decrease in bone quality and an induced deterioration of physical functions.Osteoporosis triggers depressed mood and depressive behavioral changes.Exercise relieves bone turnover,improves bone quality and causes an increase in bone secretion levels.Through the blood circulation into the brain tissue,it improves depressive symptoms.Exercise also relieves psychological emotions.