CAJ | 학술논문

目的：对比核心稳定性训练（ CST）和传统锻炼方式对绝经女性骨代谢和骨形态的影响及CST对骨质疏松症的防治作用。方法经过问卷调查和体格筛选，选择36名55岁以上绝经女性，随机分为CST组、快走训练组和对照组，每组12人。对比各组实验前后腰椎L2－4椎体、左侧股骨近端骨密度，血清骨钙素，血清钙、磷、碱性磷酸酶以及尿吡啶啉。结果①经过24周实验后，腰椎L2－4骨密度变化：CST组、快走训练组骨密度增加，对照组降低，CST组增幅明显高于快走训练组（ P＜0．05）；左侧股骨近端BMD变化：CST组、快走训练组BMD增加，组间对比无显著性差异（ P＞0．05），对照组BMD变化不明显。②血清骨钙素变化：CST组血清骨钙素明显高于快走训练组和对照组（P＜0．05），快走组略低于对照组但无显著性差异（P＞0．05）；CST组尿吡啶啉排泄水平略低于其余两组，但差异无显著性意义（ P＞0．05）；三组血清钙、磷、碱性磷酸酶水平比较无显著性差异（ P＞0．05）。结论核心稳定性训练能显著增加绝经女性骨密度，对预防骨质疏松发生具有积极意义。
목적：대비핵심은정성훈련（ CST）화전통단련방식대절경녀성골대사화골형태적영향급CST대골질소송증적방치작용。방법경과문권조사화체격사선，선택36명55세이상절경녀성，수궤분위CST조、쾌주훈련조화대조조，매조12인。대비각조실험전후요추L2－4추체、좌측고골근단골밀도，혈청골개소，혈청개、린、감성린산매이급뇨필정람。결과①경과24주실험후，요추L2－4골밀도변화：CST조、쾌주훈련조골밀도증가，대조조강저，CST조증폭명현고우쾌주훈련조（ P＜0．05）；좌측고골근단BMD변화：CST조、쾌주훈련조BMD증가，조간대비무현저성차이（ P＞0．05），대조조BMD변화불명현。②혈청골개소변화：CST조혈청골개소명현고우쾌주훈련조화대조조（P＜0．05），쾌주조략저우대조조단무현저성차이（P＞0．05）；CST조뇨필정람배설수평략저우기여량조，단차이무현저성의의（ P＞0．05）；삼조혈청개、린、감성린산매수평비교무현저성차이（ P＞0．05）。결론핵심은정성훈련능현저증가절경녀성골밀도，대예방골질소송발생구유적겁의의。
Objective To compare the effect of core stability training ( CST) and traditional exercise on bone metabolism and morphology in postmenopausal women, and to analyze preventive and therapeutic effect of CST on osteoporosis.Methods Through inquiry and physical screening, 36 postmenopausal women above 55 years old were selected and divided randomly into CST group, brisk walking training group, and control group, with 12 persons in each group.BMD of the lumbar spine L2-4 and the left proximal femur and serum levels of BGP, Ca, P, ALP, and U-Pyd were compared before and after the experiment.Results 1) After 24-week experiment, BMD of the L2-4 increased in CST group and brisk walking training group, but decreased in control group.The increase was apparently higher in CST group than that in brisk walking training group (P<0.05).BMD of the left proximal femur increased in CST group and brisk walking group.The increased was not different between the two groups ( P>0.05).There was no distinct change of BMD in control group.2) BGP in CST group was significantly higher that in brisk walking training group and control group (P<0.05), and BGP in brisk walking training group was slightly lower than that in control group with no significant difference (P>0.05).Excretion of U-Pyd in CST group was lower than in other two groups, but the difference was not statistically different ( P>0.05) .There was no difference of serum calcium, P, and ALP among the three groups ( P>0.05).Conclusion CST apparently increases BMD in postmenopausal women, and it has positive effect on osteoporosis prevention.