运动与女性原发性骨质疏松症

Effect of exercises on osteoporosis in psotmenopausal women

目的探讨运动对预防女性原发性骨质疏松症（ＰＯＰ）的影响。方法于１９９３～１９９７年间，在健康体检中随机抽样观察女性绝经１年以上，无内科、外科、妇科等影响钙磷代谢的疾患，在１年内未服用过钙磷制剂及激素类药物者，共６６人。按其年龄、绝经后时间、参加运动与否分为两组。运动组３３名，均能长期参加户外体育运动者，每天不少于１小时，每周参加运动不少３天，坚持１年以上；对照组，另３３人是从不参加户外体力活动者。调查两组人员的病史，进行全面的健康检查，应用中国测试所研制的单光子骨密度仪，测量非优势前臂桡骨尺骨中、远１／３交界处的骨矿含量（ＢＭＣ）及骨密度（ＢＭＤ）。检测血钙、血磷、血碱性磷酸酶。按照全国１３个市骨矿含量调查合作组拟定的原发性骨质疏松症综合诊断评分法进行评定。结果运动组的ＰＯＰ、骨折等骨关节病率明显低于对照组（Ｐ＜０．０１）；桡骨密度运动组高于对照组（Ｐ＜０．０５）。结论运动可以减少中老年人的骨矿丢失，延缓ＰＯＰ的发生，倡导体力活动对防治ＰＯＰ有积极作用。

Objective\ To study the effect of exercises on osteoporosis in postmenopausal women.Methods 66 postmenopausal women aged 45 65 years were obseved from 1993 to 1997.The observed group consisted of 33 women who kept on physical exercises at least one year,while the control group consisted of 33 randomly sampled among those women who never did any exercises. Their medical history was reviewed and health examination was carried out.SPA was used for dignosis of osteoporosis.Results The morbidity of osteoporosis in those postmenopausal women who did exercises frequently was statistically lower than that of the control group( P <0 01).In other words,bone mineral content in radius of obseved group was higher than that of the control group( P <0 05).Conclusion Physical exercises are important hygienic measures for postmenopausal women,contributing in delaying senile osteoporosis.