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运动特异性与年轻成年男性承重骨密度、几何形状和微结构的关系。

Sport-specific association between exercise loading and the density, geometry, and microstructure of weight-bearing bone in young adult men.

机构信息

Centre for Bone and Arthritis Research at the Sahlgrenska Academy, Department of Internal Medicine, University of Gothenburg, Gothenburg, Sweden.

出版信息

Osteoporos Int. 2013 May;24(5):1613-22. doi: 10.1007/s00198-012-2142-3. Epub 2012 Sep 26.

Abstract

UNLABELLED

In this population-based study of 24-year-old men, we have investigated the association between sport-specific exercise loading and different bone parameters. We reveal that the association between exercise loading and bone parameters is sport-specific, indicating that nonspecific resistance exercise does not impact bone density, geometry, or microstructure in young men.

INTRODUCTION

In this cross-sectional study, the association between nonspecific resistive exercise and areal and volumetric bone density, bone geometry, or bone microstructure was investigated in young adult men.

METHODS

A total of 184 male athletes, 24.0 ± 0.6 years of age (mean ± SD), representing nonspecific resistive exercise and soccer (proportion of recreational athletes, 93.4 and 7.7 %, respectively), and 177 nonathletic age-matched controls were measured with dual-energy X-ray absorptiometry. Radius and tibia were measured by peripheral quantitative computed tomography (pQCT) at the diaphysis and by three-dimensional pQCT at the metaphysis.

RESULTS

Men in the nonspecific resistive exercise group had higher grip strength(9.1 % or 0.4 SD) and higher lean mass(5.6 % or 0.5 SD) than those in the nonathletic group(p < 0.01 and p < 0.001, respectively). However, men who participated in nonspecific resistive exercise did not have higher bone density or a more favorable bone microstructure or geometry than their nonathletic referents. In contrast, men playing soccer had higher areal bone mineral density (aBMD) at the femoral neck (19.5 % or 1.2 SD) and lumbar spine (12.6 % or 1.0 SD), as well as larger cortical cross-sectional area (16.4 % or 1.1 SD) and higher trabecular bone volume fraction (14.5 % or 0.9 SD), as a result of increased trabecular number (8.7 % or 0.6 SD) and thickness (5.7 % or 0.4 SD) at the tibia than men in the nonathletic group(p < 0.001).

CONCLUSIONS

Weight-bearing exercise with impacts from varying directions (playing soccer) is associated with aBMD and volumetric BMD, cortical bone geometry, as well as trabecular microstructure of weight-bearing bone. Nonspecific recreational resistance exercise does not appear to be a strong determinant of bone density, geometry, or microstructure in young adult men.

摘要

目的

在这项针对 24 岁男性的基于人群的研究中,我们研究了特定运动的运动负荷与不同骨参数之间的关系。我们发现,运动负荷与骨参数之间的关系是特定于运动的,这表明非特定的抗阻运动不会影响年轻男性的骨密度、骨几何形状或微结构。

方法

共纳入 184 名男性运动员(年龄 24.0±0.6 岁),代表非特定的抗阻运动和足球(分别有 93.4%和 7.7%为娱乐性运动员),以及 177 名年龄匹配的非运动员对照者,采用双能 X 射线吸收法进行检测。桡骨和胫骨通过外周定量计算机断层扫描(pQCT)在骨干处和通过三维 pQCT 在干骺端处进行测量。

结果

与非运动员组相比,非特定抗阻运动组的男性握力(高 9.1%或 0.4 SD)和瘦体重(高 5.6%或 0.5 SD)更高(p<0.01 和 p<0.001)。然而,参加非特定抗阻运动的男性的骨密度或更有利的骨微结构或几何形状并没有比他们的非运动员参考值更高。相比之下,踢足球的男性的股骨颈(高 19.5%或 1.2 SD)和腰椎(高 12.6%或 1.0 SD)的骨矿物质密度(aBMD)更高,以及更大的皮质横截面积(高 16.4%或 1.1 SD)和更高的小梁骨体积分数(高 14.5%或 0.9 SD),这是由于胫骨的小梁数量(高 8.7%或 0.6 SD)和厚度(高 5.7%或 0.4 SD)增加所致,与非运动员组相比(p<0.001)。

结论

具有来自不同方向的撞击的负重运动(踢足球)与承重骨的 aBMD 和体积 BMD、皮质骨几何形状以及小梁微结构有关。非特定的娱乐性抗阻运动似乎不是年轻男性骨密度、骨几何形状或微结构的主要决定因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/898d/3627855/6d8f61b88dcc/198_2012_2142_Fig1_HTML.jpg

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