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| 核心稳定性训练和快走训练对绝经女性骨代谢的影响 |
| Effect of core stability training and brisk walking training on bone metabolism in postmenopausal women |
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| DOI：10.3969/j.issn.1006.7108.2015.07.019 |
| 中文关键词: 核心稳定性训练 绝经女性 骨代谢 骨质疏松 |
| 英文关键词:Core stability training Postmenopausal women Bone metabolism Osteoporosis |
| 基金项目: |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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