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身體活動量對停經婦女骨密度的影響

Effects of Physical Activities on Bone Mineral Density for Postmenopausal Women

摘要


The purpose of this study was to determine the relationship of physical activities with bone mineral density (BMD) in postmenopausal women. Through dual energy X-ray absorptiometry (DEXA) measurements, 102 women with BMD more than one standard deviation below (T-score < -1.0 SD) were grouped as osteopenia group (average age 54.5 ± 4.90/yrs), 41 women with BMD less than one standard deviation below (T-score > -1.0 SD) grouped as healthy group (average age 53.7 ± 4.47/yrs) were included in this study. Age, height, body weigh, body mass index (BMI), duration of menopause and calcium intake were testified with t-test for both groups and showed only significantly difference in body weight. Considering hormone status and calcium intake were critical to BMD, together with body weight, we put them as covariance. Physical activities, BMD, and bone resorption marker (assessed by urinary N-telopoptides (NTx)) were analyzed with MANCOVA. The results showed physical activities was significantly lower and NTx significantly higher in osteopenia group (p<0.05). It is our recommendation that womankind should increase regular physical activities to benefit bone mineral density.

並列摘要


The purpose of this study was to determine the relationship of physical activities with bone mineral density (BMD) in postmenopausal women. Through dual energy X-ray absorptiometry (DEXA) measurements, 102 women with BMD more than one standard deviation below (T-score < -1.0 SD) were grouped as osteopenia group (average age 54.5 ± 4.90/yrs), 41 women with BMD less than one standard deviation below (T-score > -1.0 SD) grouped as healthy group (average age 53.7 ± 4.47/yrs) were included in this study. Age, height, body weigh, body mass index (BMI), duration of menopause and calcium intake were testified with t-test for both groups and showed only significantly difference in body weight. Considering hormone status and calcium intake were critical to BMD, together with body weight, we put them as covariance. Physical activities, BMD, and bone resorption marker (assessed by urinary N-telopoptides (NTx)) were analyzed with MANCOVA. The results showed physical activities was significantly lower and NTx significantly higher in osteopenia group (p<0.05). It is our recommendation that womankind should increase regular physical activities to benefit bone mineral density.

參考文獻


Ballard, J. E.,McKeown, B. C.,Graham, H. M.(1990).The effect of high level physical activity (8.5 METs or greater) and estrogen replacement therapy upon bone mass in postmenopausal females, aged 50-68 years.International Journal of Sports Medicine.11,208-214.
Blair, S. N.,Kohl, H. W.,Paffbarger, D. G.(1989).Physical fitness and well cause mortality-a prospective study of healthy men and women.Journal of the American Medical Association.258,2388-2395.
Brewer, V.,Meyer, B. M.,Keele, M. S.(1983).Role of exercise in prevention of involutional bone loss.Medicine and Science in Sports and Exercise.15,445-449.
Brooke-Wavell, K.,Jones, P. R.,Hardman, A. E.,Tsuritan,Yamada, Y.(2001).Commencing, continuing and stopping brisk walking: effects on bone mineral density, quantitative ultrasound of bone and markers of bone metabolism in postmenopausal women.Osteoporosis International.12(7),581-587.
Concepcion, D. P.,Traba, M. L.,Cabrera, C. D.,Henriquez, M. S.(1997).New biochemical markers of bone resorption in the study of postmenopausal osteoporosis.Clinica Chimica ACTA.265(2),255-234.

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陳心怡(2010)。大臺北地區公立國民中小學學校護理人員健康相關生活品質及其影響因素之研究〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2010.00122
李麗雪(2011)。台灣地區中老年人運動及其相關因素〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-1511201215470977

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