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全身振动和高强度运动对绝经后妇女骨代谢和功能活动度的影响。

Effects of whole-body vibration and high impact exercises on the bone metabolism and functional mobility in postmenopausal women.

机构信息

Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Millet Cad, 34093, Istanbul, Turkey.

出版信息

J Bone Miner Metab. 2020 May;38(3):392-404. doi: 10.1007/s00774-019-01072-2. Epub 2020 Jan 2.

Abstract

INTRODUCTION

This study determined the effects of whole-body vibration (WBV) and high-impact exercises on postmenopausal women.

MATERIALS AND METHODS

In this randomized controlled 6-month interventional trial, 58 eligible postmenopausal women were assigned to WBV training group, high-impact training group, or control group. Bone mineral density (BMD) of the lumbar spine and femur were measured by dual-energy X-ray absorptiometry. Additionally, the serum osteocalcin (OC) and C-terminal telopeptide of type I collagen levels were also measured. The functional mobility was assessed using the Timed Up and Go (TUG) test, and fall index was measured using static posturography. The health-related quality of life (HRQoL) and depressive symptoms were assessed using the Quality of Life Questionnaire of the European Foundation for Osteoporosis and Beck Depression Inventory, respectively.

RESULTS

The BMD at the femoral neck (p = 0.003) and L-L (p = 0.005) regions increased significantly in the WBV group compared to the control group. However, in the high-impact exercise group there were no significant effects on the lumbar spine and femoral neck. The serum OC decreased significantly in the WBV group and increased significantly in both the high-impact exercise and control groups (p < 0.001). The TUG scores decreased significantly in both training groups compared to the control group (p < 0.05). Finally, in both exercise groups, HRQoL and depressive symptoms improved (p < 0.001).

CONCLUSIONS

Our data suggest that the WBV can prevent bone loss in postmenopausal women. These findings also indicate that WBV and high-impact training programs improve functional mobility, HRQoL and depressive symptoms in postmenopausal women.

摘要

简介

本研究旨在探讨全身振动(WBV)和高强度运动对绝经后妇女的影响。

材料与方法

这是一项为期 6 个月的随机对照干预试验,共纳入 58 名符合条件的绝经后妇女,分为 WBV 训练组、高强度训练组和对照组。采用双能 X 射线吸收法测量腰椎和股骨的骨密度(BMD)。此外,还测量了血清骨钙素(OC)和 I 型胶原 C 端肽水平。采用计时起立行走测试(TUG)评估功能性移动能力,采用静态姿势描记术测量跌倒指数。采用欧洲骨质疏松基金会生活质量问卷和贝克抑郁量表分别评估健康相关生活质量(HRQoL)和抑郁症状。

结果

与对照组相比,WBV 组股骨颈(p=0.003)和 L-L(p=0.005)区域的 BMD 显著增加。然而,高强度运动组对腰椎和股骨颈的影响不显著。WBV 组血清 OC 显著降低,高强度运动组和对照组血清 OC 显著升高(p<0.001)。与对照组相比,两组训练组的 TUG 评分均显著降低(p<0.05)。最后,两组运动组的 HRQoL 和抑郁症状均有所改善(p<0.001)。

结论

我们的数据表明,WBV 可以预防绝经后妇女的骨质流失。这些发现还表明,WBV 和高强度运动方案可改善绝经后妇女的功能性移动能力、HRQoL 和抑郁症状。

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