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运动对接受氟化物治疗的骨质疏松症患者骨量的影响。

The effect of exercise on bone mass of osteoporotic patients on fluoride treatment.

作者信息

Chow R K, Harrison J E, Sturtridge W, Josse R, Murray T M, Bayley A, Dornan J, Hammond T

出版信息

Clin Invest Med. 1987 Mar;10(2):59-63.

PMID:3581547
Abstract

The study was conducted in order to determine the effect of exercise on osteoporotic patients with a mean age of 65 years. The majority of these patients had been on sodium fluoride for at least 2 years. Thirty-eight patients were assigned to either the hospital or home group. Nineteen were in the former group, which performed the 1 hour exercise twice weekly in the Hospital. The patients in the latter group were taught the exercises and were expected to continue them at home. The exercise protocol consisted of muscle-strengthening and aerobic activities. Bone mineral mass was determined by neutron activation analysis, which measured total calcium in the trunk and pelvis. It is expressed as a calcium bone index (CaBI), with a normal range of 0.75 to 1.2. The level of physical performance was determined by calculating the maximum oxygen uptake, VO2max, attained by a graded exercise test on the treadmill. Calcium bone index and VO2max were obtained before and after the 12.5 month study. Prior to the study, the hospital and home groups had low calcium bone index values (0.68 and 0.66 respectively). Both groups showed a significant increase in calcium bone index (p less than 0.001 for the hospital group, p less than 0.01 for the home group) after the study. When compared to the home group the hospital group was found to have a significantly higher post-study calcium bone index value (p less than 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

开展这项研究是为了确定运动对平均年龄为65岁的骨质疏松症患者的影响。这些患者中的大多数已服用氟化钠至少两年。38名患者被分配到医院组或家庭组。19名患者在医院组,该组每周在医院进行两次1小时的运动。家庭组的患者学习了这些运动,并被期望在家中继续进行。运动方案包括肌肉强化和有氧运动。通过中子活化分析测定骨矿物质质量,该分析测量躯干和骨盆中的总钙含量。它以钙骨指数(CaBI)表示,正常范围为0.75至1.2。通过计算在跑步机上进行分级运动测试所达到的最大摄氧量(VO2max)来确定身体机能水平。在为期12.5个月的研究前后获取钙骨指数和VO2max。在研究之前,医院组和家庭组的钙骨指数值较低(分别为0.68和0.66)。研究后,两组的钙骨指数均显著增加(医院组p<0.001,家庭组p<0.01)。与家庭组相比,发现医院组研究后的钙骨指数值显著更高(p<0.02)。(摘要截选至250字)

相似文献

1
The effect of exercise on bone mass of osteoporotic patients on fluoride treatment.运动对接受氟化物治疗的骨质疏松症患者骨量的影响。
Clin Invest Med. 1987 Mar;10(2):59-63.
2
Physical fitness effect on bone mass in postmenopausal women.
Arch Phys Med Rehabil. 1986 Apr;67(4):231-4.
3
The relationship between fluoride effects on bone histology and on bone mass in patients with postmenopausal osteoporosis.氟化物对绝经后骨质疏松症患者骨组织学和骨量的影响之间的关系。
Bone Miner. 1986 Sep;1(4):321-33.
4
Relationship of kyphosis to physical fitness and bone mass on post-menopausal women.绝经后女性脊柱后凸与身体素质及骨量的关系。
Am J Phys Med. 1987 Oct;66(5):219-27.
5
The long-term treatment of steroid osteoporosis with fluoride.用氟化物对类固醇性骨质疏松症进行长期治疗。
J Bone Miner Res. 1990 Mar;5 Suppl 1:S157-61. doi: 10.1002/jbmr.5650051342.
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The effect of fluoride on bone histology in postmenopausal osteoporosis depends on adequate fluoride absorption and retention.氟对绝经后骨质疏松症骨组织学的影响取决于足够的氟吸收和潴留。
J Bone Miner Res. 1988 Apr;3(2):127-32. doi: 10.1002/jbmr.5650030202.
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A bone calcium index based on partial-body calcium measurements by in vivo activation analysis.
J Nucl Med. 1975 Feb;16(2):116-22.
8
[Effects of the combined raloxifene-sodium fluoride therapy on bone mass and bone turnover in women with postmenopausal osteoporosis].雷洛昔芬-氟化钠联合治疗对绝经后骨质疏松症女性骨量和骨转换的影响
Minerva Med. 2002 Dec;93(6):471-8.
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American College of Sports Medicine position stand. Osteoporosis and exercise.美国运动医学学院立场声明。骨质疏松症与运动。
Med Sci Sports Exerc. 1995 Apr;27(4):i-vii.
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[Loss of trabecular bone strength and bone quality after 5 years of fluoride therapy for osteoporosis].[骨质疏松症氟化物治疗5年后小梁骨强度和骨质量的丧失]
Ugeskr Laeger. 1995 Apr 3;157(14):2004-8.

引用本文的文献

1
Evaluation of a program for rehabilitation of osteoporotic patients (PRO): 4-year follow-up. The Bone and Mineral Group of the University of Toronto.骨质疏松症患者康复计划(PRO)的评估:4年随访。多伦多大学骨与矿物质研究小组。
Osteoporos Int. 1993 Jan;3(1):13-7. doi: 10.1007/BF01623171.
2
Physical activity effects on bone metabolism.
Calcif Tissue Int. 1991;49 Suppl:S50-4. doi: 10.1007/BF02555089.
3
Suppression of the osteogenic response in the aging skeleton.衰老骨骼中成骨反应的抑制。
Calcif Tissue Int. 1992 Apr;50(4):306-13. doi: 10.1007/BF00301627.