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年轻空手道练习者手指指骨定量超声骨量研究

BONE MASS BY QUANTITATIVE ULTRASOUND OF FINGER PHALANGES IN YOUNG KARATE PRACTITIONERS.

作者信息

Barbeta Camila Justino de Oliveira, Gonçalves Ezequiel Moreira, Ribeiro Keila Donassolo Santos, Ribeiro Roberto, Roman Everton Paulo, Guerra-Júnior Gil

机构信息

Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil.

Centro de Investigação em Pediatria (CIPED), Campinas, SP, Brasil.

出版信息

Rev Paul Pediatr. 2017 Oct-Dec;35(4):436-442. doi: 10.1590/1984-0462/;2017;35;4;00003. Epub 2017 Sep 21.

Abstract

OBJECTIVE

To evaluate bone mass by quantitative ultrasound of the phalanges in young karate practitioners compared to a control group.

METHODS

Sample composed of 162 karate practitioners (52 females) and 326 healthy controls (110 females) aged 6 to 16 years old, in Western Paraná (Southern Brazil). Weight, height, BMI, amplitude-dependent speed of sound (AD-SoS) and bone transmission time (BTT) were evaluated. BMI, AD-SoS and BTT values were converted to Z scores. Mann-Whitney, chi-square or Fisher Exact tests and multiple linear regression were applied, with significance level set at p≤0.05.

RESULTS

Both genders showed higher values of BTT as Z scores when compared to control group. Females from the control group had higher AD-SoS values (m/s and Z score) compared to female karate practitioners. When relative and absolute frequencies were assessed according to BTT Z score in both groups, male karate practitioners' bone mass was shown to be adequate more frequently. In female practitioners, age and weight were independent predictors of AD-SoS (R2=0.42) and BTT (R2=0.45), respectively. Among male karate practitioners, age was related to 26% of AD-SoS variances and height was responsible for 36% of BTT variances.

CONCLUSIONS

Children and adolescents who practice karate were shown to have more bone mass in comparison to the control group, regardless of gender. BTT was more sensitive for this evaluation.

摘要

目的

通过定量超声评估年轻空手道练习者与对照组相比的指骨骨量。

方法

样本由巴西南部巴拉那州西部162名年龄在6至16岁的空手道练习者(52名女性)和326名健康对照者(110名女性)组成。评估体重、身高、体重指数(BMI)、振幅依赖声速(AD-SoS)和骨传导时间(BTT)。将BMI、AD-SoS和BTT值转换为Z分数。应用曼-惠特尼检验、卡方检验或费舍尔精确检验以及多元线性回归,显著性水平设定为p≤0.05。

结果

与对照组相比,男女两组的BTT作为Z分数均显示出更高的值。对照组女性的AD-SoS值(米/秒和Z分数)高于女性空手道练习者。当根据两组的BTT Z分数评估相对频率和绝对频率时,男性空手道练习者的骨量更常显示充足。在女性练习者中,年龄和体重分别是AD-SoS(R2 = 0.42)和BTT(R2 = 0.45)的独立预测因素。在男性空手道练习者中,年龄与26%的AD-SoS方差相关,身高与36%的BTT方差相关。

结论

无论性别如何,与对照组相比,练习空手道的儿童和青少年显示出更多的骨量。BTT对该评估更敏感。

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