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跑步者与不运动男性的骨密度比较:一项横断面 4HAIE 研究。

Comparison of bone mineral density of runners with inactive males: A cross-sectional 4HAIE study.

机构信息

Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic.

School of Human Sciences, The University of Western Australia, Crawley, WA, Australia.

出版信息

PLoS One. 2024 Aug 9;19(8):e0306715. doi: 10.1371/journal.pone.0306715. eCollection 2024.


DOI:10.1371/journal.pone.0306715
PMID:39121106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11315333/
Abstract

The purpose of the study was to determine whether running is associated with greater bone mineral density (BMD) by comparing the BMD of regularly active male runners (AR) with inactive nonrunner male controls (INC). This cross-sectional study recruited 327 male AR and 212 male INC (aged 18-65) via a stratified recruitment strategy. BMD of the whole body (WB) and partial segments (spine, lumbar spine (LS), leg, hip, femoral neck (FN), and arm for each side) were measured by dual-energy x-ray absorptiometry (DXA) and lower leg dominance (dominant-D/nondominant-ND) was established by functional testing. An ANCOVA was used to compare AR and INC. The AR had greater BMD for all segments of the lower limb (p<0.05), but similar BMD for all segments of the upper limb (p>0.05) compared with INC. Based on the pairwise comparison of age groups, AR had greater BMD of the ND leg in every age group compared with INC (p<0.05). AR had grater BMD of the D leg in every age group except for (26-35 and 56-65) compare with INC (p<0.05). In the youngest age group (18-25), AR had greater BMD in every measured part of lower extremities (legs, hips, femoral necks) compared with INC (p<0.05). In the 46-55 age group AR had greater BMD than INC (p < 0.05) only in the WB, D Leg, D neck, and ND leg. In the 56-65 age group AR had greater BMD than INC (p<0.05) only in the ND leg. Overall, AR had greater BMD compared with INC in all examined sites except for the upper limbs, supporting the notion that running may positively affect bone parameters. However, the benefits differ in the skeletal sites specifically, as the legs had the highest BMD difference between AR and INC. Moreover, the increase in BMD from running decreased with age.

摘要

本研究旨在通过比较经常参加跑步的男性运动员(AR)和不运动的非跑步男性对照者(INC)的骨密度(BMD),确定跑步是否与更高的 BMD 相关。本横断面研究通过分层招募策略招募了 327 名男性 AR 和 212 名男性 INC(年龄 18-65 岁)。全身(WB)和部分部位(脊柱、腰椎(LS)、腿部、髋部、股骨颈(FN)和每侧手臂)的 BMD 通过双能 X 射线吸收法(DXA)测量,通过功能测试确定小腿优势(优势-D/非优势-ND)。采用协方差分析(ANCOVA)比较 AR 和 INC。与 INC 相比,AR 所有下肢部位的 BMD 更高(p<0.05),但所有上肢部位的 BMD 相似(p>0.05)。基于年龄组的两两比较,与 INC 相比,AR 在每个年龄组的 ND 腿的 BMD 更高(p<0.05)。除(26-35 和 56-65)外,与 INC 相比,AR 在每个年龄组的 D 腿的 BMD 更高(p<0.05)。在最年轻的年龄组(18-25 岁),与 INC 相比,AR 在下肢(腿部、臀部、股骨颈)的所有测量部位的 BMD 更高(p<0.05)。在 46-55 岁年龄组,AR 的 WB、D 腿、D 颈和 ND 腿的 BMD 高于 INC(p<0.05)。在 56-65 岁年龄组,AR 的 ND 腿的 BMD 高于 INC(p<0.05)。总体而言,与 INC 相比,AR 在所有检查部位的 BMD 更高,除了上肢,这支持了跑步可能对骨骼参数产生积极影响的观点。然而,骨骼部位的收益存在差异,因为腿部的 AR 和 INC 之间的 BMD 差异最大。此外,跑步引起的 BMD 增加随着年龄的增长而减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c5/11315333/33441366216e/pone.0306715.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c5/11315333/33441366216e/pone.0306715.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c5/11315333/33441366216e/pone.0306715.g001.jpg

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本文引用的文献

[1]
Strong, steady and straight: UK consensus statement on physical activity and exercise for osteoporosis.

Br J Sports Med. 2022-5-16

[2]
Bone mineral density in high-level endurance runners: part A-site-specific characteristics.

Eur J Appl Physiol. 2021-12

[3]
Bone mineral density and hip structure changes over one-year in collegiate distance runners and non-athlete controls.

Bone Rep. 2021-3-23

[4]
Methodological Considerations for Studies in Sport and Exercise Science with Women as Participants: A Working Guide for Standards of Practice for Research on Women.

Sports Med. 2021-5

[5]
Physical activity in an air-polluted environment: behavioral, psychological and neuroimaging protocol for a prospective cohort study (Healthy Aging in Industrial Environment study - Program 4).

BMC Public Health. 2021-1-12

[6]
Regular running in an air-polluted environment: physiological and anthropometric protocol for a prospective cohort study (Healthy Aging in Industrial Environment Study - Program 4).

BMJ Open. 2020-12-10

[7]
Running and Physical Activity in an Air-Polluted Environment: The Biomechanical and Musculoskeletal Protocol for a Prospective Cohort Study 4HAIE (Healthy Aging in Industrial Environment-Program 4).

Int J Environ Res Public Health. 2020-12-7

[8]
Combinations of trabecular and cortical bone properties distinguish various loading modalities between athletes and controls.

Am J Phys Anthropol. 2021-3

[9]
Basketball players possess a higher bone mineral density than matched non-athletes, swimming, soccer, and volleyball athletes: a systematic review and meta-analysis.

Arch Osteoporos. 2020-8-5

[10]
Factors influencing peak bone mass gain.

Front Med. 2021-2

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