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绝经后早期女性对高强度和低强度抗阻训练的肌肉骨骼反应

Musculoskeletal responses to high- and low-intensity resistance training in early postmenopausal women.

作者信息

Bemben D A, Fetters N L, Bemben M G, Nabavi N, Koh E T

机构信息

Department of Health and Sport Sciences, University of Oklahoma, Norman 73019, USA.

出版信息

Med Sci Sports Exerc. 2000 Nov;32(11):1949-57. doi: 10.1097/00005768-200011000-00020.

Abstract

PURPOSE

The purpose of this study was to compare the effects of a high-load (80%, 1-repetition maximum (RM), 8 reps) and a high-repetition (40%, 1-RM, 16 reps) resistance training protocol on muscular strength and bone mineral density (BMD) in early postmenopausal, estrogen-deficient women. The 6-month programs were matched initially for training volume (3 sets, 3 d x wk(-1)) for 12 exercises selected to specifically load the spine and hip.

METHODS

Subjects included 25 women (41-60 yr) who were matched by spine BMD then randomly assigned to either the high-load (HL, N = 10), high-repetition (HR, N = 7), or control (C, N = 8) groups. Dietary calcium intakes were supplemented to approximately 1500 mg x d(-1). Total body, spine, and hip BMD (DXA, Lunar Model DPX-IQ), upper and lower body muscular strength, and biochemical markers of bone turnover were measured at baseline and after 6 months of training.

RESULTS

There were no group differences in the baseline measures. Both training groups showed similar increases in biceps (20%) and rectus femoris (28-33%) cross-sectional areas, in lower body strength (approximately 30%) and in hip strength (37-40%). HL showed greater improvements in upper body strength (HL 25%, HR 16%). Neither training group experienced significant increases in spine or hip BMD, although the HL total body BMD tended to decrease (-1.1%+/-0.4, P = 0.054) after training. Osteocalcin tended to increase (P = 0.08) in all groups after training, and the % change in osteocalcin was positively related to % changes in the total hip (r = 0.41, P = 0.048) and the trochanter (r = 0.42, P = 0.04) BMD.

CONCLUSION

The high-load and high-repetition resistance training protocols were both effective in improving muscular strength and size in postmenopausal women, indicating low-intensity resistance training can be beneficial for the muscular fitness in women for whom high-intensity exercise is contraindicated.

摘要

目的

本研究旨在比较高负荷(80%,1次最大重复量(1-RM),8次重复)和高重复次数(40%,1-RM,16次重复)抗阻训练方案对绝经后早期雌激素缺乏女性肌肉力量和骨密度(BMD)的影响。这两个为期6个月的训练计划最初在训练量(3组,每周3天)上相匹配,针对12项专门对脊柱和髋部施加负荷的练习。

方法

研究对象包括25名年龄在41至60岁之间的女性,她们根据脊柱骨密度进行匹配,然后随机分为高负荷组(HL,n = 10)、高重复次数组(HR,n = 7)或对照组(C,n = 8)。饮食钙摄入量补充至约1500毫克/天。在基线和训练6个月后,测量全身、脊柱和髋部的骨密度(双能X线吸收法,Lunar Model DPX-IQ)、上下肢肌肉力量以及骨转换的生化标志物。

结果

基线测量时各组之间无差异。两个训练组的肱二头肌横截面积(增加20%)和股直肌横截面积(增加28% - 33%)、下肢力量(增加约30%)和髋部力量(增加37% - 40%)均有相似程度的增加。高负荷组在上肢力量方面有更大改善(高负荷组增加25%,高重复次数组增加16%)。尽管高负荷组训练后全身骨密度有下降趋势(-1.1%±0.4,P = 0.054),但两个训练组的脊柱或髋部骨密度均未出现显著增加。训练后所有组的骨钙素均有增加趋势(P = 0.08),骨钙素的变化百分比与全髋(r = 0.41,P = 0.048)和大转子(r = 0.42,P = 0.04)骨密度的变化百分比呈正相关。

结论

高负荷和高重复次数抗阻训练方案在改善绝经后女性肌肉力量和肌肉量方面均有效,这表明低强度抗阻训练对禁忌高强度运动的女性的肌肉适应性可能有益。

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