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[武术练习与青少年男女骨密度]

[Practice of martial arts and bone mineral density in adolescents of both sexes].

作者信息

Ito Igor Hideki, Mantovani Alessandra Madia, Agostinete Ricardo Ribeiro, Costa Junior Paulo, Zanuto Edner Fernando, Christofaro Diego Giulliano Destro, Ribeiro Luis Pedro, Fernandes Rômulo Araújo

机构信息

Instituto de Biociências, Universidade Estadual Paulista Júlio de Mesquita Filho (Unesp), Rio Claro, SP, Brasil.

Instituto de Biociências, Universidade Estadual Paulista Júlio de Mesquita Filho (Unesp), Rio Claro, SP, Brasil.

出版信息

Rev Paul Pediatr. 2016 Jun;34(2):210-5. doi: 10.1016/j.rpped.2015.09.001. Epub 2016 Mar 8.

Abstract

OBJECTIVE

: The purpose of this study was to analyze the relationship between martial arts practice (judo, karate and kung-fu) and bone mineral density in adolescents.

METHODS

: The study was composed of 138 (48 martial arts practitioners and 90 non-practitioners) adolescents of both sexes, with an average age of 12.6 years. Bone mineral density was measured using Dual-Energy X-ray Absorptiometry in arms, legs, spine, trunk, pelvis and total. Weekly training load and previous time of engagement in the sport modality were reported by the coach. Partial correlation tested the association between weekly training load and bone mineral density, controlled by sex, chronological age, previous practice and somatic maturation. Analysis of covariance was used to compare bone mineral density values according to control and martial arts groups, controlled by sex, chronological age, previous practice and somatic maturation. Significant relationships between bone mineral density and muscle mass were inserted into a multivariate model and the slopes of the models were compared using the Student test (control versus martial art).

RESULTS

: Adolescents engaged in judo practice presented higher values of bone mineral density than the control individuals (-value=0.042; Medium Effect size [Eta-squared=0.063]), while the relationship between quantity of weekly training and bone mineral density was significant among adolescents engaged in judo (arms [=0.308] and legs [=0.223]) and kung-fu (arms [=0.248] and spine [=0.228]).

CONCLUSIONS

: Different modalities of martial arts are related to higher bone mineral density in different body regions among adolescents.

摘要

目的

本研究旨在分析武术练习(柔道、空手道和功夫)与青少年骨密度之间的关系。

方法

该研究由138名青少年(48名武术练习者和90名非练习者)组成,平均年龄为12.6岁。采用双能X线吸收法测量手臂、腿部、脊柱、躯干、骨盆及全身的骨密度。教练报告每周的训练负荷以及之前参与该运动项目的时间。偏相关分析在控制性别、实足年龄、既往练习情况和身体成熟度的条件下,检验每周训练负荷与骨密度之间的关联。协方差分析用于根据对照组和武术组比较骨密度值,控制因素包括性别、实足年龄、既往练习情况和身体成熟度。将骨密度与肌肉量之间的显著关系纳入多变量模型,并使用学生t检验(对照组与武术组)比较模型的斜率。

结果

从事柔道练习的青少年骨密度值高于对照组个体(p值 = 0.042;中等效应量[eta平方 = 0.063]),而在从事柔道(手臂[p = 0.308]和腿部[p = 0.223])和功夫(手臂[p = 0.248]和脊柱[p = 0.228])的青少年中,每周训练量与骨密度之间的关系显著。

结论

不同的武术形式与青少年不同身体部位较高的骨密度有关。

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