围绝经期运动人群与非运动人群激素水平与骨密度研究  

Hormone Levels and BMD of Perimenopausal Sportive People and Non-sportive Ones

作　　者：江福云[1] 

机构地区：[1]长江师范学院体育学院,重庆涪陵408100

出　　处：《成都体育学院学报》2012年第5期87-90,共4页Journal of Chengdu Sport University

摘　　要：目的:以重庆市27所中小学182名健康围绝经期女性教师为研究对象,欲了解长期运动的围绝经期女性激素水平对骨密度的影响。方法:根据研究对象职业特点分为运动人群和非运动人群两类,每类人群又根据绝经时间分为绝经前期,绝经期和绝经时间小于2年三组。利用双能X线(DXA)骨密度仪对研究对象的腰椎(L2-4)前后位、左股骨颈(L-FN)、大转子(L-TR)和华氏三角区(Wards)正侧位进行测量,同时检测血清特异性碱性磷酸酶(BAP)、血清雌二醇(E2)、甲状旁腺激素(PTH)及血钙(Ca2+)浓度。结果绝经前期,两类人群BAP、E2、PTH及Ca2+浓度无显著性差异(P>0.05),运动人群L-FN、L-TR、Wards骨密度显著高于非运动人群;绝经期和绝经后2年内运动人群BAP、PTH水平显著低于非运动人群(P<0.05),L2-4、L-FN、L-TR、Wards骨密度则显著高于非运动人群(P<0.05);绝经期运动人群E2含量显著高于非运动人群(P<0.05)。结论:长期、持续运动可维持围绝经期女性骨密度水平,从而有效预防围绝经期妇女因激素缺乏导致的骨质疏松。The purpose of the paper is to learn about the influence of sportive perimenopausal women＇s hormone level on their BMD （ based on a survey of 182 healthy women teachers from 27 primary and high schools in Chongqing）. Methods： the subjects are divided into sportive group and non -sportive group according to their professions, with the people in each group further divided into three sub - groups according to their menopause time（ pre - menopause, meno- pause and the menopause time shorter than two years）. DXA is used to test their lumbar spine （L2 -4）, left femoral neck （L-FN）, great trochanter （L- TR） and Wards. At the same time, the BAP in serum, the serum estradiol （E2）, the parathyroid hormone （PTH） and the concentration of blood calcium （Ca2 ＋ ） are tested, too. The results show that early menopause can not witness any remarkable differences （ P 〉 0.05 ） in the two groups of people ＇s E2, PTH BAP and Ca2 ＋ concentration. The BMD of L - FN, L - TR, Wards in sportive people is significantly higher than that in the non - sportive people while the BMD level of BAP, PTH, Wards for sportive people （ menopause and meno- pause within 2 years） is obviously lower than that in the non - sportive group （ P 〈 0.05 ）, but their BMD of L2 - 4, L - FN, L - TR, Wards is significantly higher than that of the non - sportive group （ P 〈 0.05 ）. The E2 in menopause sportive people is higher than that in the non - sportive group （ P 〈 0.05 ）. Conclusion ： long and continuous exercise can help maintain the BMD of perimenopausal women so as to effectively prevent these women from suffering from osteo- porosis because of the lack of hormone.

关 键 词：围绝经期女性 运动 激素水平 骨质代谢 

分 类 号：G804.2[文化科学—运动人体科学]