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运动处方与预防绝经后女性骨质疏松所需的骨重塑最小剂量:一项系统评价

Exercise Prescription and the Minimum Dose for Bone Remodeling Needed to Prevent Osteoporosis in Postmenopausal Women: A Systematic Review.

作者信息

Koshy Feeba Sam, George Kitty, Poudel Prakar, Chalasani Roopa, Goonathilake Mastiyage R, Waqar Sara, George Sheeba, Jean-Baptiste Wilford, Yusuf Ali Amina, Inyang Bithaiah, Mohammed Lubna

机构信息

Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2022 Jun 16;14(6):e25993. doi: 10.7759/cureus.25993. eCollection 2022 Jun.

Abstract

The aim of this review is to analyze previously conducted randomized controlled trials and investigate the relationship between various exercise regimes and their effect on bone mineral density in postmenopausal women. To determine whether exercise can be used as a non-pharmacological modality for osteoporosis prevention, a thorough search was performed on various databases (PubMed, ScienceDirect, and Google Scholar). Only bone mineral density studies and trials with intervention versus control groups were included, and 13 randomized controlled trials were deemed relevant. The majority of trials concluded that exercise positively impacted bone mineral density in postmenopausal women. High-impact exercises seem to have the most significant effect on bone mineral density due to compression, shear stress, and high loading on the bone, causing bone remodeling. Considering all the limitations, exercise seems to be an effective tool for preventing postmenopausal osteoporosis.

摘要

本综述的目的是分析先前进行的随机对照试验,并研究各种运动方式与绝经后女性骨密度之间的关系。为了确定运动是否可以作为预防骨质疏松症的非药物方法,我们对各种数据库(PubMed、ScienceDirect和谷歌学术)进行了全面搜索。仅纳入了骨密度研究以及有干预组与对照组的试验,共有13项随机对照试验被认为相关。大多数试验得出结论,运动对绝经后女性的骨密度有积极影响。由于对骨骼的挤压、剪切应力和高负荷,高强度运动似乎对骨密度有最显著的影响,从而导致骨重塑。考虑到所有的局限性,运动似乎是预防绝经后骨质疏松症的有效工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6a/9288128/ef8c83c1763d/cureus-0014-00000025993-i01.jpg

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