添加体育活动可以改善绝经后妇女的脊柱骨矿物质密度吗? :对2011年至2018年的NHANES进行横截面分析
Yandong Wang1, Bo Liu2, Jinbo Wang2
1College of Health-Preservation and Wellness, Dalian Medical University, Dalian, Liaoning Province, China.
Medicine
|January 24, 2026
概括
身体活动对绝经后妇女的骨矿物质密度 (BMD) 有积极的影响. 特定的门,比如年轻女性每周54个MET小时,可以优化腰椎骨健康.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 骨健康和骨质疏松症研究
- 身体活动与公共健康
背景情况:
- 身体活动 (PA) 对于管理绝经后骨质疏松症至关重要.
- 提高骨矿物质密度 (BMD) 的最佳PA处方尚未明确定义.
- 了解PA值对于绝经后妇女的骨健康干预至关重要.
研究的目的:
- 确定绝经后妇女体力活动水平和腰部 BMD 总值之间的关系.
- 为了确定与改善骨矿物质密度相关的特定体力活动值.
- 探索年龄和体重指数 (BMI) 如何改变PA对BMD的影响.
主要方法:
- 从国家健康和营养检查调查 (2011-2018) 中对9339名绝经后妇女进行横截面分析.
- 使用物理活动代谢等效任务 (PA-MET) 量化的体力活动-小时/周.
- 权衡的多变量线性回归和非线性平滑曲线适配以评估关联并确定拐点.
主要成果:
- 在PA-MET-hours/week和腰部 BMD (P=.023) 之间存在显著的积极关联.
- 这种关联在年轻女性 (<45岁) 和BMI较低 (<25公斤/米2) 的女性中更为明显.
- 观察到一个转折点是每周32个MET小时,并确定了特定的有益值:年轻人每周54个MET小时,正常BMI个体每周128个MET小时.
结论:
- 在绝经后的妇女中,体育活动与腰部全骨 BMD 有积极的关联.
- 适度强度的PA,大约13.5小时/周 (54MET-小时/周) 对于年轻女性或32小时/周 (32MET-小时/周) 对于正常的BMI女性,可能有利于腰椎骨健康.
- 根据年龄和BMI量身定制的PA建议是有必要的,以优化绝经后妇女的骨健康.
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