He Cheng-qi, Uo Qing-lu, Lin Yang, He Hong-chen, Wu Yuan-chao, Xiong En-fu, Lan Qun, Xie Wei
Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2008 Nov;39(6):985-8.
To determine the association of physical activities and bone mineral density of lumbar vertebrae in men.
A total of 1169 men who sought medical attentions in the West China Hospital of Sichuan University from August, 2003 to December, 2005 because of ostealgia and arthralgia were given a dual-energy X-ray absorptiometry for the L2-L4 bone mineral density. The height, weight, smoking history, and diseases (eg. diabetes and hypertension) of the participants were recorded. A questionnaire survey was undertaken to assess the physical activities of the participants. The participants were classified into group A (frequent exercise), B (occasional exercise) and C (no exercise) according to the frequencies of physical activities. The bone mass densities of lumbar vertebrae of the three groups were compared.
Group A had greater bone mineral density and mineral content in L2-L4, greater average bone mineral density, and greater all bone mineral content and T-score than group C (P<0.05 or P<0.01), although Group A had similar body mass index as Group C, was older and had greater prevalence of smoking and hypertension than Group C (P<0.01). Group B had similar age and body mass index as Group C and greater smoking rate and prevalence of diabetes and hypertension than Group C (P>0.05). But the differences of bone mineral density and mineral content of L2-L4, average bone mineral density, and all bone mineral content and T-score between Group B and C were not statistical significant (P>0.05).
Physical activities can increase bone mineral density of lumbar vertebrae in men. But frequent and persistent exercises are needed to prevent decreasing mineral densities due to ageing, smoking and diseases.
确定男性身体活动与腰椎骨密度之间的关联。
2003年8月至2005年12月期间,共有1169名因骨痛和关节痛到四川大学华西医院就诊的男性接受了双能X线吸收法测量L2-L4椎体的骨密度。记录参与者的身高、体重、吸烟史和疾病(如糖尿病和高血压)。进行问卷调查以评估参与者的身体活动情况。根据身体活动频率将参与者分为A组(经常锻炼)、B组(偶尔锻炼)和C组(不锻炼)。比较三组腰椎的骨密度。
A组L2-L4椎体的骨密度和矿物质含量更高,平均骨密度更高,全骨矿物质含量和T值均高于C组(P<0.05或P<0.01),尽管A组与C组的体重指数相似,年龄更大,吸烟和高血压患病率高于C组(P<0.01)。B组与C组年龄和体重指数相似,吸烟率、糖尿病和高血压患病率高于C组(P>0.05)。但B组与C组在L2-L4椎体骨密度和矿物质含量、平均骨密度、全骨矿物质含量和T值方面的差异无统计学意义(P>0.05)。
身体活动可增加男性腰椎骨密度。但需要经常且持续的锻炼以预防因衰老、吸烟和疾病导致的骨密度下降。