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不同類型身體負載的運動習慣對青少年男女性骨質密度之影響

Effects of Different Types of Weight Bearing Regular Exercise on Bone Mineral Density in Adolescent Females and Males

摘要


Weight-bearing activity provides an osteogenic stimulus. This study investigated the influence of different exercise types and differences in anatomical distribution of mechanical loading patterns on bone mineral density (BMD) and body composition in elite runners and swimmers. Seventy-six subjects were assigned to 6 groups according to their sex and exercise type (male runners N=12, female runners N=13, male swimmers N=17, female swimmers N=10, male control group N=12 and female control group N=12). Experimental groups exercised at least three times a week and had engaged in at least three years of running and swimming training. Subjects in the control group had not exercised regularly within the previous year. Duel-energy x-ray absorptiometry (DXA) was used to measure subjects head, arms, legs, trunk, ribs, pelvis, spine, and total body BMD (g/cm^2). A two-way ANCOVA was used for data analysis. The results were as follows: BMD-affected areas between sexes were the head, arms, legs, ribs and total body BMD (g/cm^2) (p<.05). The BMD of the female head and L2-L4 were significantly higher than the male's head, but the BMD of the other parts of the female body was significantly lower then the male subjects (p<.05). The BMD of the swimmers' arms and ribs were significantly higher than the control group. The runners' BMD was significantly higher than the control group in every area. Runners' legs, trunk, spine, pelvis, femoral neck, W ward's triangle, L2-L4 and total body BMD were significantly higher then the swimming group. Conclusions: Running, a weight bearing exercise, is associated with larger site-specific BMD and lower body composition than swimming and non-exercise.

並列摘要


Weight-bearing activity provides an osteogenic stimulus. This study investigated the influence of different exercise types and differences in anatomical distribution of mechanical loading patterns on bone mineral density (BMD) and body composition in elite runners and swimmers. Seventy-six subjects were assigned to 6 groups according to their sex and exercise type (male runners N=12, female runners N=13, male swimmers N=17, female swimmers N=10, male control group N=12 and female control group N=12). Experimental groups exercised at least three times a week and had engaged in at least three years of running and swimming training. Subjects in the control group had not exercised regularly within the previous year. Duel-energy x-ray absorptiometry (DXA) was used to measure subjects head, arms, legs, trunk, ribs, pelvis, spine, and total body BMD (g/cm^2). A two-way ANCOVA was used for data analysis. The results were as follows: BMD-affected areas between sexes were the head, arms, legs, ribs and total body BMD (g/cm^2) (p<.05). The BMD of the female head and L2-L4 were significantly higher than the male's head, but the BMD of the other parts of the female body was significantly lower then the male subjects (p<.05). The BMD of the swimmers' arms and ribs were significantly higher than the control group. The runners' BMD was significantly higher than the control group in every area. Runners' legs, trunk, spine, pelvis, femoral neck, W ward's triangle, L2-L4 and total body BMD were significantly higher then the swimming group. Conclusions: Running, a weight bearing exercise, is associated with larger site-specific BMD and lower body composition than swimming and non-exercise.

參考文獻


Bailey, D. A.,Faulkner, R. A.,Mckay, H. A.(1996).Growth, physical activity, and bone mineral acquisition.Exercise and Sport Sciences Reviews.24,233-266.
Berntsen, G. K.,Fonnebo, V.,Tollan, A.(2001).Forearm bone mineral density by age in 7, 620 men and women: The Tromso study, a population-based study.American Journal of Epidemiology.153,465-473.
Biewener, A. A.,Bertrain, J. E.(1992).Mechical loading and bone growth in vivo.Bone.7,1-36.
Bourrin, S. S.,Palle, R.,Pupier, L.,Vico, C.,Alexandre, T.(1995).Effect of physical training on bone adaptation in three zones of the rat tibia.Journal of Bone and Mineral Research.10,1745-1752.
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謝閔繐、林麗娟(2012)。身體活動與運動對於女性各不同生理階段維持骨質健康的意義中華體育季刊26(1),19-30。https://doi.org/10.6223/qcpe.2601.201203.2003
張家甄(2012)。臺灣成年女性身體活動程度與骨礦密度之橫斷性研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-1610201315301581

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