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在生长过程中的体力活动与在骨质量峰值时的骨微架构之间的关联
Annelise G Pageau1,2, Lauren A Burt1, Leigh Gabel1,3
1McCaig Institute for Bone and Joint Health, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
概括
儿童体育活动对骨密度和峰值骨质量 (PBM) 的强度产生积极影响,降低终身骨折风险. 脊椎骨,而不是皮层骨,在生长过程中对活动的反应更强.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 骨生物学 骨生物学 骨生物学
背景情况:
- 童年和青春期对于达到峰值骨质量 (PBM) 至关重要,这会影响终身骨折风险.
- 建立最佳的PBM对于骨健康和预防晚年骨质疏松症至关重要.
研究的目的:
- 调查在生长过程中累积的体力活动与骨密度和PBM的微型架构之间的关联.
- 为了确定身体活动和骨健康指标之间的性别特异关系.
主要方法:
- 226名18-35岁的个人 (142名女性,84名男性) 在他们的PBM周围进行了评估.
- 使用HR-pQCT和DXA测量骨矿物质密度 (BMD) 和微架构.
- 在成长期间的身体活动被评估使用骨特异性身体活动问卷 (gBPAQ).
主要成果:
- 较高的gBPAQ分数与两性中关节衰竭负荷和股骨部 BMD 的增加相关.
- gBPAQ得分与更好的椎椎骨质量和骨体积分数有关,男性的相关性更强.
- 雄性在半径和骨上显示出gBPAQ和椎微观架构特性之间的显著关联.
结论:
- 在生长期间的体力活动与增强的BMD和PBM的骨强度有关,这对于减轻骨折风险至关重要.
- 脊椎骨区在发育过程中对体力活动的敏感度似乎比皮质骨更高.
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