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体育活动——真的能增加绝经后女性的骨密度吗?对2001年至2016年间发表的文章的综述

Physical Activity-does it Really Increase Bone Density in Postmenopausal Women? A Review of Articles Published Between 2001-2016.

作者信息

Segev Daria, Hellerstein Devora, Dunsky Ayelet

机构信息

The Academic College at Wingate, Wingate Institute, Netanya, 4290200, Israel.

出版信息

Curr Aging Sci. 2018;11(1):4-9. doi: 10.2174/1874609810666170918170744.

Abstract

BACKGROUND

Physical activity is known for its many health benefits; among them being the positive effect on bone health during the life cycle. During childhood, physical stress stimulates bone remodeling and increases density. However, due to hormonal changes during adulthood, and mainly during postmenopause the rate of bone remodeling is slowed down and is less efficient. As a result, argument has arisen in the literature regarding the benefit or harm of physical activity on bone health among postmenopausal women.

OBJECTIVE

The study aims to examine the efficacy of physical activity for improving Bone Mineral Density (BMD) in postmenopausal women based on a review of the literature.

METHODS

The articles included in the review were chosen from three databases (PubMed, SPORT Discus with full text and Science Direct). Only publications with intervention studies which provided BMD measures clearly affected by physical activity in postmenopausal women were included. Twelve articles met the criteria for inclusion.

RESULTS

In general, physical activity had a positive effect on BMD. Exercise prevented bone loss and in some cases, it contributed to the increase in BMD.

CONCLUSION

Physical activity may improve BMD in postmenopausal women. However, the exact type of activity, its intensity, its duration and its frequency, are still unclear. Further studies are needed to determine the precise training protocol for postmenopausal women.

摘要

背景

体育活动因其诸多健康益处而闻名;其中包括对生命周期中骨骼健康的积极影响。在儿童时期,身体应激会刺激骨骼重塑并增加骨密度。然而,由于成年期尤其是绝经后的激素变化,骨骼重塑的速度会减慢且效率降低。因此,文献中出现了关于体育活动对绝经后女性骨骼健康有益还是有害的争论。

目的

本研究旨在通过文献综述,探讨体育活动对改善绝经后女性骨密度(BMD)的效果。

方法

综述中纳入的文章选自三个数据库(PubMed、全文版SPORT Discus和Science Direct)。仅纳入那些有干预研究且明确提供了体育活动对绝经后女性骨密度有影响的测量结果的出版物。有12篇文章符合纳入标准。

结果

总体而言,体育活动对骨密度有积极影响。运动可预防骨质流失,在某些情况下,还能促使骨密度增加。

结论

体育活动可能改善绝经后女性的骨密度。然而,确切的活动类型、强度、持续时间和频率仍不明确。需要进一步研究以确定绝经后女性的精确训练方案。

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