中国组织工程研究

中国组织工程研究 ›› 2025, Vol. 29 ›› Issue (24): 5195-5202.doi: 10.12307/2025.721

• 组织构建循证医学 evidence-based medicine in tissue construction • 上一篇    下一篇

全身振动训练改善绝经后女性骨密度效果的Meta分析

乔正基1，2，柴牛兵1，郑璐瑶1，高云娜1，汪  洋1，3   

  1. 1北京体育大学中国运动与健康研究院，北京市  100084；2北京师范大学-香港浸会大学联合国际学院，广东省珠海市  519000；3国家体育总局体能训练与身体机能恢复重点实验室，北京市  100084
  • 收稿日期:2024-09-04 接受日期:2024-10-16 出版日期:2025-08-28 发布日期:2025-01-26
  • 通讯作者: 汪洋，博士，副研究员，北京体育大学中国运动与健康研究院，北京市 100084；国家体育总局体能训练与身体机能恢复重点实验室，北京市 100084
  • 作者简介:乔正基，男，1995年生，辽宁省大连市人，汉族，2020年北京体育大学毕业，硕士，助教，主要从事全身振动训练研究。
  • 基金资助:
    国家重点研发计划“主动健康和老龄化科技应对”专项(2018YFC2000601)，项目参与人：汪洋

Effect of whole‑body vibration training on bone mineral density in postmenopausal women: a meta‑analysis 

Qiao Zhengji1, 2, Chai Niubing1, Zheng Luyao1, Gao Yunna1, Wang Yang1, 3   

  1. 1China Institute of Sport and Health, Beijing Sport University, Beijing 100084, China; 2Beijing Normal University - Hong Kong Baptist University United International College, Zhuhai 519000, Guangdong Province, China; 3Key Laboratory for Performance Training & Recovery of General Administration of Sport, Beijing 100084, China
  • Received:2024-09-04 Accepted:2024-10-16 Online:2025-08-28 Published:2025-01-26
  • Contact: Wang Yang, PhD, Associate researcher, China Institute of Sport and Health, Beijing Sport University, Beijing 100084, China; Key Laboratory for Performance Training & Recovery of General Administration of Sport, Beijing 100084, China
  • About author:Qiao Zhengji, Master, Assistant, China Institute of Sport and Health, Beijing Sport University, Beijing 100084, China; Beijing Normal University - Hong Kong Baptist University United International College, Zhuhai 519000, Guangdong Province, China
  • Supported by:
    National Key R&D Program Special Project for “Active Health and Scientific Response to Aging,” No. 2018YFC2000601 (to WY [project participant])

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摘要：


文题释义：
全身振动训练：利用振动台产生特定频率和幅度的振动刺激，通过足底传入全身，刺激人体骨骼、神经、肌肉的训练方法。
骨密度：是反映骨骼强度的一个重要指标，以g/cm3表示。

目的：利用Meta分析评价全身振动训练对绝经后女性骨密度的影响。
方法：以全身振动训练、绝经后女性、骨质疏松和骨密度等为主题词，检索中国知网、万方数据库、PubMed、Web of Science等数据库中关于全身振动训练提高绝经后女性骨密度的研究，检索时限为各数据库建库至2024-04-03，纳入指标包括：腰椎(L1-L4、L2-L4)、股骨颈、大转子、Ward 三角和全身的骨密度，使用Revman 5.3和R 4.3.3进行数据分析。
结果：①纳入文献共计28篇，均为随机对照研究；②振动强度：振动频率≥20 Hz且振幅≥2 mm能显著提升股骨颈、大转子、Ward区域、L1-L4和L2-L4腰椎骨密度(P < 0.01，I2 < 50%)；③训练周期与频率：每周进行两三次训练，训练次数达到48-96次，各部位骨密度均显著提高(P < 0.05， I2 < 50%)；④动作模式：动态训练能显著提高股骨颈(P=0.03，I2=0%)、大转子(P < 0.001，I2=0%)和Ward区域(P < 0.001，I2=0%)骨密度，静蹲能显著提高L1-L4腰椎骨密度(P < 0.001，I2=0%)，静态多种蹲姿能有效提升L2-L4腰椎(P < 0.01，I2=0%)和股骨颈(P=0.04，I2=34%)骨密度。
结论：全身振动训练在改善绝经后女性骨密度方面具有一定潜力，建议采用的振动频率和幅度不低于20 Hz和2 mm，训练次数不低于48次，提升腰椎骨密度宜采用静态训练，提升髋部骨密度宜采用动态训练。
https://orcid.org/0000-0002-0141-8842(乔正基)

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 绝经后妇女, 骨密度, 全身振动训练, 振动频率, 振动幅度, 训练周期, 运动模式, Meta分析

Abstract: OBJECTIVE: To conduct a meta-analysis of evaluating the effects of whole-body vibration training on bone mineral density in postmenopausal women.
METHODS: We searched CNKI, WanFang, PubMed, and Web of Science for studies on whole body vibration training to improve bone mineral density in postmenopausal women from database inception to April 3, 2024, with the search terms whole-body vibration training, postmenopausal women, osteoporosis, and bone mineral density. Included indicators were lumbar spine (L1-L4, L2-L4), femoral neck, greater trochanter, Ward’s triangle, and whole-body bone density. Revman 5.3 and R 4.3.3 were used for data analysis. 
RESULTS: (1) A total of 28 randomized controlled studies were included. (2) Vibration intensity: Vibration frequency ≥ 20 Hz and amplitude ≥ 2 mm could significantly increase the bone mineral density of the femoral neck, greater trochanter, Ward region, L1-L4 and L2-L4 lumbar vertebrae (P < 0.01, I2 > 50%). (3) Training period and frequency: 2-3 times per week, 48-96 times per week, the bone mineral density at each site increased significantly (P < 0.05, I2 < 50%). (4) Movement patterns: Dynamic training significantly increased bone mineral density in the femoral neck (P=0.03, I2=0%), greater trochanter (P < 0.001, I2=0%) and Ward region (P < 0.001, I2=0%); static squat significantly increased bone mineral density in L1-L4 lumbar spines (P < 0.001, I2=0%); and static multiple squatting was effective in improving bone mineral density in L2-L4 lumbar spines (P < 0.01, I2=0%) and the femoral neck (P=0.04, I2=34%).
Conclusion: Whole-body vibration training has potential in improving bone mineral density in postmenopausal women. Recommended vibration frequencies and amplitudes are not less than 20 Hz and 2 mm, respectively, with no less than 48 training sessions. Static training is recommended for improving lumbar bone mineral density, while dynamic training is recommended for improving hip bone mineral density.

Key words: postmenopausal women, bone mineral density, whole-body vibration training, vibration frequency, vibration amplitude, training period, movement pattern, meta-analysis

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