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女性的有氧锻炼与骨量

Aerobic workout and bone mass in females.

作者信息

Alfredson H, Nordström P, Lorentzon R

机构信息

Sports Medicine Unit, University Hospital of Umeå, Umeå, Sweden.

出版信息

Scand J Med Sci Sports. 1997 Dec;7(6):336-41. doi: 10.1111/j.1600-0838.1997.tb00163.x.

Abstract

This cross-sectional study aimed to investigate bone mass in females participating in aerobic workout. Twenty-three females (age 24.1 +/- 2.7 years), participating in aerobic workout for about 3 hours/week, were compared with 23 age-, weight- and height-matched non-active females. Areal bone mineral density (BMD) was measured in total body, head, whole dominant humerus, lumbar spine, right femoral neck, Ward's triangle, trochanter femoris, in specific sites in right femur diaphysis, distal femur, proximal tibia and tibial diaphysis, and bone mineral content (BMC) was measured in the whole dominant arm and right leg, using dual energy X-ray absorptiometry. The aerobic workout group had significantly (P < 0.05-0.01) higher BMD in total body (3.7%), lumbar spine (7.8%), femoral neck (11.6%), Ward's triangle (11.7%), trochanter femoris (9.6%), proximal tibia (6.8%) and tibia diaphysis (5.9%) compared to the non-active controls. There were no differences between the groups concerning BMD of the whole dominant humerus, femoral diaphysis, distal femur and BMC and lean mass of the whole dominant arm and right leg. Leaness of the whole dominant arm and leg was correlated to BMC of the whole dominant arm and right leg in both groups. In young females, aerobic workout containing alternating high and low impact movements for the lower body is associated with a higher bone mass in clinically important sites like the lumbar spine and hip, but muscle strengthening exercises like push-ups and soft-glove boxing are not associated with a higher bone mass in the dominant humerus. It appears that there is a skeletal adaptation to the loads of the activity.

摘要

这项横断面研究旨在调查参与有氧锻炼的女性的骨量。23名女性(年龄24.1±2.7岁),每周参与约3小时的有氧锻炼,与23名年龄、体重和身高匹配的不运动女性进行比较。使用双能X线吸收法测量全身、头部、整个优势肱骨、腰椎、右股骨颈、沃德三角、股骨转子、右股骨干特定部位、股骨远端、胫骨近端和胫骨干的面积骨密度(BMD),并测量整个优势手臂和右腿的骨矿物质含量(BMC)。与不运动的对照组相比,有氧锻炼组在全身(3.7%)、腰椎(7.8%)、股骨颈(11.6%)、沃德三角(11.7%)、股骨转子(9.6%)、胫骨近端(6.8%)和胫骨干(5.9%)的BMD显著更高(P<0.05 - 0.01)。两组在整个优势肱骨、股骨干、股骨远端的BMD以及整个优势手臂和右腿的BMC和瘦体重方面没有差异。两组中整个优势手臂和腿部的瘦度与整个优势手臂和右腿的BMC相关。在年轻女性中,包含下肢高低冲击交替运动的有氧锻炼与腰椎和髋部等临床重要部位的骨量增加有关,但俯卧撑和软式拳击等肌肉强化运动与优势肱骨的骨量增加无关。似乎骨骼对活动负荷有适应性变化。

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