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肌肉力量和局部去脂体重对年轻男性成年人骨矿物质健康的影响。

Muscle strength and regional lean body mass influence on mineral bone health in young male adults.

作者信息

Guimarães Bianca Rosa, Pimenta Luciana Duarte, Massini Danilo Alexandre, Dos Santos Daniel, Siqueira Leandro Oliveira da Cruz, Simionato Astor Reis, Dos Santos Luiz Gustavo Almeida, Neiva Cassiano Merussi, Pessôa Filho Dalton Muller

机构信息

Departament of Physiotherapy, University of Alfenas (Unifenas), Divinópolis, Minas Gerais, Brazil.

Postgraduate Program in Health Promotion, University of Franca (Unifran), Franca, São Paulo, Brazil.

出版信息

PLoS One. 2018 Jan 25;13(1):e0191769. doi: 10.1371/journal.pone.0191769. eCollection 2018.

Abstract

The relationship between muscle strength and bone mineral content (BMC) and bone mineral density (BMD) is supposed from the assumption of the mechanical stress influence on bone tissue metabolism. However, the direct relationship is not well established in younger men, since the enhancement of force able to produce effective changes in bone health, still needs to be further studied. This study aimed to analyze the influence of muscle strength on BMC and BMD in undergraduate students. Thirty six men (24.9 ± 8.6 y/o) were evaluated for regional and whole-body composition by dual energy X-ray absorptiometry (DXA). One repetition maximum tests (1RM) were assessed on flat bench-press (BP), lat-pull down (LPD), leg-curl (LC), knee extension (KE), and leg-press 45° (LP45) exercises. Linear regression modelled the relationships of BMD and BMC to the regional body composition and 1RM values. Measurements of dispersion and error (R2adj and standard error of estimate (SEE)) were tested, setting ρ at ≤0.05. The BMD mean value for whole-body was 1.12±0.09 g/cm2 and BMC attained 2477.9 ± 379.2 g. The regional lean mass (LM) in upper-limbs (UL) (= 6.80±1.21 kg) was related to BMC and BMD for UL (R2adj = 0.74, p<0.01, SEE = 31.0 g and R2adj = 0.63, SEE = 0.08 g/cm2), and LM in lower-limbs (LL) (= 19.13±2.50 kg) related to BMC and BMD for LL (R2adj = 0.68, p<0,01, SEE = 99.3 g and R2adj = 0.50, SEE = 0.20 g/cm2). The 1RM in BP was related to BMD (R2adj = 0.51, SEE = 0.09 g/cm2), which was the strongest relationship among values of 1RM for men; but, 1RM on LPD was related to BMC (R2adj = 0.47, p<0.01, SEE = 44.6 g), and LC was related to both BMC (R2adj = 0.36, p<0.01, SEE = 142.0 g) and BMD (R2adj = 0.29, p<0.01, SEE = 0.23 g/cm2). Hence, 1RM for multi-joint exercises is relevant to BMC and BMD in young men, strengthening the relationship between force and LM, and suggesting both to parametrizes bone mineral health.

摘要

基于机械应力对骨组织代谢影响的假设,推测了肌肉力量与骨矿物质含量(BMC)和骨矿物质密度(BMD)之间的关系。然而,在年轻男性中,这种直接关系尚未明确确立,因为能够对骨骼健康产生有效变化的力量增强仍需进一步研究。本研究旨在分析肌肉力量对大学生BMC和BMD的影响。通过双能X线吸收法(DXA)对36名男性(24.9±8.6岁)进行了局部和全身成分评估。对平板卧推(BP)、下拉(LPD)、腿弯举(LC)、伸膝(KE)和45°腿举(LP45)练习进行了一次重复最大值测试(1RM)。线性回归模拟了BMD和BMC与局部身体成分和1RM值之间的关系。测试了离散度和误差测量值(调整后的R2和估计标准误差(SEE)),设定ρ≤0.05。全身BMD平均值为1.12±0.09g/cm2,BMC达到2477.9±379.2g。上肢(UL)的局部瘦体重(LM)(=6.80±1.21kg)与UL的BMC和BMD相关(调整后的R2=0.74,p<0.01,SEE=31.0g,调整后的R2=0.63,SEE=0.08g/cm2),下肢(LL)的LM(=19.13±2.50kg)与LL的BMC和BMD相关(调整后的R2=0.68,p<0.01,SEE=99.3g,调整后的R2=0.50,SEE=0.20g/cm2)。BP的1RM与BMD相关(调整后的R2=0.51,SEE=0.09g/cm2),这是男性1RM值之间最强的关系;但是,LPD的1RM与BMC相关(调整后的R2=0.47,p<0.01,SEE=44.6g),LC与BMC(调整后的R2=0.36,p<0.01,SEE=142.0g)和BMD(调整后的R2=0.29,p<0.01,SEE=0.23g/cm2)均相关。因此,多关节练习的1RM与年轻男性的BMC和BMD相关,加强了力量与LM之间的关系,并表明两者均可作为骨矿物质健康的参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f40/5784976/3811bb1f5e91/pone.0191769.g001.jpg

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