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单侧力量训练与停训对年轻女性骨矿物质密度和含量的影响:一项关于人体骨骼机械负荷与去负荷的研究

Effects of unilateral strength training and detraining on bone mineral density and content in young women: a study of mechanical loading and deloading on human bones.

作者信息

Vuori I, Heinonen A, Sievänen H, Kannus P, Pasanen M, Oja P

机构信息

UKK Institute for Health Promotion Research, Tampere, Finland.

出版信息

Calcif Tissue Int. 1994 Jul;55(1):59-67. doi: 10.1007/BF00310170.

Abstract

This study assessed the effect of unilateral strength training at 80% one repetition maximum and of detraining on bone mineral density (BMD, g/cm-2) and bone mineral content (sigma BMC, g) in young women. Twelve female physiotherapy students trained their left limb by leg press an average of four times per week for 1 year followed by 3 months of detraining. Twelve students served as controls. Repeated bone measurements were performed by dual energy X-ray absorptiometry of the lumbar spine, femoral neck, distal femur, patella, proximal tibia, and calcaneus. The training increased the muscle strength of the trained limb, and the BMD of the same limb showed a nonsignificant but systematic increase in distal femur, patella, and proximal tibia, and in sigma BMC of the five measured limb sites (considered an index of the total osteogenic effectiveness of the training). Simultaneously, the muscle strength increased in the untrained limb as an evidence of cross-training effect. A corresponding small but systematic increase was also seen in BMD of this limb as well as in sigma BMC. After the cessation of training, leg extension strength was retained but BMD and sigma BMC of the trained and untrained limbs declined towards baseline values in 3 months. The BMD and sigma BMC values in the control group showed an increasing tendency during the follow-up but the changes were less than 1%. The differences of the changes in BMD and sigma BMC between the left and right limb in the control group, as well as between the same limb in the training and control groups were nonsignificant.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究评估了80% 1次重复最大值的单侧力量训练以及停训对年轻女性骨密度(BMD,g/cm²)和骨矿物质含量(σ BMC,g)的影响。12名女性物理治疗专业学生通过腿举训练其左下肢,平均每周4次,持续1年,随后停训3个月。12名学生作为对照组。通过双能X线吸收法对腰椎、股骨颈、股骨远端、髌骨、胫骨近端和跟骨进行重复骨测量。训练增加了训练肢体的肌肉力量,同一肢体的骨密度在股骨远端、髌骨和胫骨近端显示出虽不显著但呈系统性的增加,并且在五个测量肢体部位的σ BMC(被视为训练总成骨效果的指标)也增加。同时,未训练肢体的肌肉力量增加,这是交叉训练效应的证据。该肢体的骨密度以及σ BMC也出现了相应的虽小但呈系统性的增加。训练停止后,腿伸展力量得以保留,但训练和未训练肢体的骨密度和σ BMC在3个月内降至基线值。对照组的骨密度和σ BMC值在随访期间呈增加趋势,但变化小于1%。对照组左右肢体之间以及训练组和对照组同一肢体之间骨密度和σ BMC变化的差异不显著。(摘要截断于250字)

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