CAJ | 학술논문

目的：观察运动对绝经后女性骨密度的影响。方法：绝经后女性106名分为运动组37例和对照组69例。运动组进行广场舞、爬山、慢跑等运动干预，对照组未进行任何干预。采用双能X线吸收仪测试其全身及各部位骨矿含量（BMC）和骨密度（BMD），并进行比较。结果：运动干预8个月后，运动组全身BMD和BMC值均较干预前及对照组明显增加（P＜0．05），而对照组全身BMD和BMC值均较8个月前下降，但差异无统计学意义。运动组胸椎的BMD、BMC和盆骨的BMC均较干预前及对照组明显增加（P＜0．05），而腰椎的BMD、BMC和盆骨的BMD干预后差异无统计学意义；对照组干预后腰椎、盆骨的BMD、BMC均较8个月前明显下降（P＜0．05），而胸椎的BMD、BMC 8个月前后差异无统计学意义。运动组上肢优势侧BMD、BMC和下肢双侧BMD、BMC均较干预前及对照组明显增加（ P＜0．05），而上肢非优势侧BMD、BMC干预前后差异无统计学意义；对照组上肢非优势侧BMD、BMC均较8个月前及上肢优势侧BMD明显下降（P＜0．05），而上肢优势侧BMC和下肢双侧BMD、BMC 8个月前后差异无统计学意义。结论：常规运动可显著提高绝经后女性胸椎 BM D和BM C ，而只能维持其腰椎和盆骨的BM D、BM C；上下肢、优势侧与非优势侧活动不均衡可影响相关部位 BM D和BM C的变化。
목적：관찰운동대절경후녀성골밀도적영향。방법：절경후녀성106명분위운동조37례화대조조69례。운동조진행엄장무、파산、만포등운동간예，대조조미진행임하간예。채용쌍능X선흡수의측시기전신급각부위골광함량（BMC）화골밀도（BMD），병진행비교。결과：운동간예8개월후，운동조전신BMD화BMC치균교간예전급대조조명현증가（P＜0．05），이대조조전신BMD화BMC치균교8개월전하강，단차이무통계학의의。운동조흉추적BMD、BMC화분골적BMC균교간예전급대조조명현증가（P＜0．05），이요추적BMD、BMC화분골적BMD간예후차이무통계학의의；대조조간예후요추、분골적BMD、BMC균교8개월전명현하강（P＜0．05），이흉추적BMD、BMC 8개월전후차이무통계학의의。운동조상지우세측BMD、BMC화하지쌍측BMD、BMC균교간예전급대조조명현증가（ P＜0．05），이상지비우세측BMD、BMC간예전후차이무통계학의의；대조조상지비우세측BMD、BMC균교8개월전급상지우세측BMD명현하강（P＜0．05），이상지우세측BMC화하지쌍측BMD、BMC 8개월전후차이무통계학의의。결론：상규운동가현저제고절경후녀성흉추 BM D화BM C ，이지능유지기요추화분골적BM D、BM C；상하지、우세측여비우세측활동불균형가영향상관부위 BM D화BM C적변화。
Objective:To study the effect of exercise on bone in postmenopausal women .Methods :106 post-menopausal women were divided into exercise group with 37 cases and control group with 69 cases .Exercise group was interfered with square dance ,mountain climbing ,jogging and other exercises ,and control group given no intervention .BMC and BMD were tested by dual energy X-ray and compared between two groups .Results :After 8-month intervention ,BMD and BMC in exer-cise group were increased significantly as compared with those before 8-month and control group(P<0 .05) .In exercise group ,BMD and BMC in dorsal vertebra and BMC in pelvis were increased significantly as compared with those before inter-vention and control group(P<0 .05 for all) ,and there was no significant difference in BMD and BMC of abdominal vertebra and BMD of pelvis .In control group ,BMD and BMC in abdominal vertebra and pelvis were decreased significantly as com-pared with those before 8-month(P<0 .05) ,but there was no significant difference in BMD and BMC of dorsal vertebra .In exercise group ,BMD and BMC of dominant-side of upper limbs and dual sides of lower limbs were increased significantly as compared with those before intervention and control group (P<0 .05) ,and those at the non-dominant-side of upper limbs got no statistically significant difference from those before intervention .In control group ,BMD at the dominant-side of upper limbs(P<0 .05) ,BMD and BMC at the non-dominant-side of upper limbs were decreased significantly as compared with those before 8-month(P<0 .05) ,while BMC at the dominant-side of upper limbs ,and BMD and BMC at the dual sides of lower limbs got no statistically significant difference from those before 8-month and after 8-month .Conclusion:Regular exer-cises can improve the BMD and BMC of dorsal vertebra in postmenopausal women significantly ,but only maintain the BMD and BMC of abdominal vertebra and pelvis .The imbalance of activities between upper and lower limbs ,and between domi-nant-side and non-dominant-side can affect the BMD and BMC of related parts .