有什么证据证明体育锻炼对绝经期妇女骨骼健康的影响?概括性系统评价。

IF 2.9 4区 医学 Q1 OBSTETRICS & GYNECOLOGY Climacteric Pub Date : 2023-12-01 Epub Date: 2023-09-06 DOI:10.1080/13697137.2023.2249819
D Y Fausto, J B B Martins, A C Machado, P S Saraiva, A Pelegrini, A C A Guimarães
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引用次数: 0

摘要

本研究旨在通过总括性综述分析体育锻炼(PE)对绝经期妇女骨骼健康的影响,并评估纳入的系统综述(SRs)和荟萃分析(MAs)的质量。该审查已在PROSPERO注册(CRD42020208130),并使用Rayyan申请。采用评估系统评价的测量工具(AMSTAR)对纳入研究的方法学质量进行评估,并采用建议评估、发展和评价分级(GRADE)来评估结果的证据水平。结果表明,长时间的低强度跳跃运动对髋部是有效的。游泳需要进一步的研究,因为它显示出高度的异质性。有氧运动和阻力运动的结果不一致,需要进一步研究这些运动方式。同时训练显示腰椎、股骨颈、沃德三角和大转子均有改善。最后,联合抗阻运动对保持绝经后妇女股骨颈和腰椎的骨密度(BMD)有效。综上所述,跳跃训练在髋部是有效的,而有氧和阻力训练仍然不一致。同时训练可改善腰椎、股骨颈、沃德三角和粗隆的骨密度。最后,联合抗药方案在保留绝经后妇女股骨颈和腰椎的骨密度方面是有效的。
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What is the evidence for the effect of physical exercise on bone health in menopausal women? An umbrella systematic review.

This study aimed to analyze the effects of physical exercise (PE) on bone health in menopausal women through an umbrella review and to assess the quality of systematic reviews (SRs) and meta-analyses (MAs) included. The review was registered in PROSPERO (CRD42020208130) and the Rayyan application was used. The methodological quality of the included studies was evaluated by A MeaSurement Tool to Assess Systematic Reviews (AMSTAR), and Grading of Recommendations Assessment, Development and Evaluation (GRADE) was applied to assess the level of evidence of the results. The results showed that low-intensity jumping exercises with longer sessions proved to be efficient in the hip segment. Swimming requires further investigation, as it showed high heterogeneity. Aerobic and resistance exercises showed inconsistent results, requiring further studies with these modalities of PE. Concurrent training showed improvements in the lumbar spine, femoral neck, Ward's triangle and trochanter. Finally, combined resistance exercises are effective in preserving bone mineral density (BMD) of the femoral neck and lumbar spine in postmenopausal women. In conclusion, jumping exercises were efficient in the hip, while aerobic and resistance exercises are still inconsistent. Concurrent training showed improvements in BMD of the lumbar spine, femoral neck, Ward's triangle and trochanter. Finally, combined resistance protocols are effective in preserving BMD of the femoral neck and lumbar spine in postmenopausal women.

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来源期刊
Climacteric
Climacteric 医学-妇产科学
CiteScore
1.70
自引率
7.10%
发文量
53
审稿时长
1 months
期刊介绍: Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.
期刊最新文献
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