G Gombos Császár, V Bajsz, E Sió, V Steinhausz Tóth, B Schmidt, L Szekeres, J Kránicz
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引用次数: 13
摘要
作为预防措施,积极的生活方式,包括负重锻炼,对提高和维持骨矿物质含量很重要。50名年轻女性被选中参加这项研究。在训练组(TG)中,25名女性在理疗师的指导下进行了特定的训练,而在对照组(CG)中,25名女性进行了60分钟的步行。在运动开始和结束时测量总碱性磷酸酶和骨特异性碱性磷酸酶(ALP和BALP)以及c端交联末端肽(CTX)水平。CTX水平变化最显著(TG -28.89%, p < 0.001;CG -52.54%, p < 0.001), CTX值TG与CG之间也有显著差异(p = 0.012)。因此,步行比特殊运动更能显著降低CTX水平。TG组BALP下降明显但不显著(TG -4.63%, p = 0.091), CG组BALP下降显著(-7.65%,p = 0.011),两组间差异无统计学意义(p = 0.22)。在ALP水平方面,TG和CG显著降低(-6.84%,p < 0.001 vs -4.57%, p < 0.001)。这项研究表明,60分钟的中等强度训练和快走对骨代谢指标有立竿见影的影响。
The direct effect of specific training and walking on bone metabolic markers in young adults with peak bone mass.
As a prevention, a physically active lifestyle including the performance of weight-bearing exercises is important to enhance and maintain bone mineral content. Fifty young women were selected for the study. Twenty-five women carried out a specific training directed by a physiotherapist in the training group (TG), while 25 women were walking for 60 minutes in the control group (CG). Total and bone-specific alkaline phosphatase (ALP and BALP) and C-terminal cross-linked telopeptide (CTX) levels were measured at the beginning and at the end of exercise. The most remarkable change was seen in CTX levels (TG -28.89%, p < 0.001; CG -52.54%, p < 0.001), and there was also a significant difference in the values of CTX between TG and CG (p = 0.012). Therefore, walking more significantly reduced the level of CTX than special exercise. The decrease of BALP in TG was considerable but not significant (TG -4.63%, p = 0.091), while BALP levels dropped significantly in CG (-7.65%, p = 0.011), and there was a non-significant difference between the two groups (p = 0.22). Regarding the ALP level, a significant reduction was detected in TG and CG (-6.84%, p < 0.001 vs. -4.57%, p < 0.001). This study reveals that the 60-minute, middle-intensity training and the brisk walking have an immediate effect on bone metabolic markers.