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力量训练对感染HIV且出现脂肪代谢障碍患者骨矿物质密度的影响。

Impact of Strength Training on Bone Mineral Density in Patients Infected With HIV Exhibiting Lipodystrophy.

作者信息

Santos Wlaldemir R, Santos Walmir R, Paes Pedro P, Ferreira-Silva Isac A, Santos André P, Vercese Natan, Machado Dalmo R L, de Paula Francisco José A, Donadi Eduardo A, Navarro Anderson M, Fernandes Ana Paula M

机构信息

1Department of General and Specialized Nursing, Nursing School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil; 2School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, São Paulo, Brazil; 3Department Physical Education, Health Sciences Center, Federal University of Pernambuco, Recife, Brazil; and 4Department of Medical Clinical, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.

出版信息

J Strength Cond Res. 2015 Dec;29(12):3466-71. doi: 10.1519/JSC.0000000000001001.

Abstract

This study aimed to evaluate the impact of strength training on bone mineral density (BMD) in individuals harboring HIV exhibiting lipodystrophy. The study included 20 subjects (16 men) aged 50.60 ± 6.40 years with reduced BMD, presenting positive serology for HIV, using highly active antiretroviral therapy, and performing no regular practice of physical exercise before being enrolled in the study. Bone mineral density levels were evaluated by dual-energy x-ray absorptiometry in the lumbar spine, femoral neck, and 1/3 radius, before and after 36 sessions (12 weeks) of strength training. Compared with pre-exercise period, the results showed increased BMD in lumbar spine (3.28%; p = 0.012), femoral neck (8.45%; p = 0.044), and 1/3 radius (5.41%; p = 0.035). This is the first study evaluating the impact of strength training in patients living with HIV and exhibiting lipodystrophy, showing an increased BMD in all the regions measured (lumbar spine, femoral neck, and 1/3 radius). This study showed the beneficial impact of the strength training on BMD increase in patients living with HIV as an effective and available approach to improve bone health.

摘要

本研究旨在评估力量训练对患有脂肪代谢障碍的HIV感染者骨密度(BMD)的影响。该研究纳入了20名受试者(16名男性),年龄为50.60±6.40岁,骨密度降低,HIV血清学呈阳性,正在使用高效抗逆转录病毒疗法,且在纳入研究前未进行规律的体育锻炼。在进行36节(12周)力量训练前后,通过双能X线吸收法评估腰椎、股骨颈和桡骨1/3处的骨密度水平。与运动前相比,结果显示腰椎骨密度增加(3.28%;p=0.012),股骨颈骨密度增加(8.45%;p=0.044),桡骨1/3处骨密度增加(5.41%;p=0.035)。这是第一项评估力量训练对患有脂肪代谢障碍的HIV患者影响的研究,结果显示所有测量区域(腰椎、股骨颈和桡骨1/3处)的骨密度均有所增加。本研究表明,力量训练对增加HIV患者的骨密度具有有益影响,是改善骨骼健康的一种有效且可行的方法。

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