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益筋经锻炼联合弹性带抗阻运动对绝经后女性总体骨密度的影响。

Effect of Yi Jin Jing exercise plus Elastic Band Resistance exercise on overall bone mineral density in postmenopausal women.

机构信息

School of Exercise and health, Shanghai University of Sport, China; Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, China.

Department of Endocrinology, Shidong Hospital, Yangpu District, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, China.

出版信息

J Sci Med Sport. 2023 Feb;26(2):87-92. doi: 10.1016/j.jsams.2023.01.006. Epub 2023 Jan 14.

Abstract

OBJECTIVES

This work aimed to study the effects of Yi Jin Jing plus Elastic Band Resistance exercise on bone mineral density at all parts of the body and bone metabolism index levels in postmenopausal women.

DESIGN

Randomized controlled trial.

METHODS

Forty postmenopausal women were randomly assigned equally to the exercise or to the control group. The control group maintained their lifestyle behaviors unaltered, whereas the exercise group received  Yi Jin Jing plus Elastic Band Resistance exercise. The primary outcome was overall bone mineral density at each part, and the secondary one was bone metabolism indicator levels and bone mineral density on both sides.

RESULTS

The results after six months showed increased bone mineral density at all parts of the body in the exercise group (spine, P = 0.002; thighs, lumbar, and whole body, P < 0.05) and decreased bone mineral density in the control group (trunk, pelvis, and spine, P < 0.01). In particular, the decrease and increase were greater on the non-preferred (left) side than on the right side. As for bone metabolism indexes, β-Crosslaps levels reduced (P = 0.016) and a significant increase in 1,25-(OH)2-D3 (P < 0.001) can be observed in the exercise group.

CONCLUSIONS

The results suggested that Yi Jin Jing plus Elastic Band Resistance exercise could delay the overall decrease of bone mineral density in postmenopausal women, especially on the non-preferred side. It also increased bone formation metabolite levels and inhibited bone resorption metabolite levels.

摘要

目的

本研究旨在探讨易筋经加弹力带抗阻运动对绝经后妇女全身各部位骨密度和骨代谢指标水平的影响。

设计

随机对照试验。

方法

将 40 名绝经后妇女随机分为运动组和对照组。对照组保持生活方式不变,运动组接受易筋经加弹力带抗阻运动。主要结局指标为全身各部位骨密度,次要结局指标为骨代谢指标水平和双侧骨密度。

结果

6 个月后,运动组全身各部位骨密度均增加(脊柱,P=0.002;大腿、腰椎和全身,P<0.05),对照组则减少(躯干、骨盆和脊柱,P<0.01)。特别是在非优势侧(左侧),下降和增加的幅度更大。对于骨代谢指标,β-胶原特殊序列(β-Crosslaps)水平降低(P=0.016),1,25-二羟维生素 D3(1,25-(OH)2-D3)水平显著升高(P<0.001)。

结论

结果表明,易筋经加弹力带抗阻运动可延缓绝经后妇女全身骨密度的整体下降,尤其是非优势侧。它还增加了骨形成代谢物水平,抑制了骨吸收代谢物水平。

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