Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (28): 4586-4592.doi: 10.12307/2023.571
Wang Zhenyu1, Xia Yuan1, Lu Yue2, Pan Xinyong1, Li Yongjie3
Received:
2022-08-02
Accepted:
2022-10-22
Online:
2023-10-08
Published:
2023-01-29
Contact:
Li Yongjie, Master candidate, Intermediate Rehabilitation Therapist, Beijing Jishuitan Hospital-Guizhou Hospital, Guiyang 550014, Guizhou Province, China
About author:
Wang Zhenyu, Master candidate, Wuhan Sports University, Wuhan 430079, Hubei Province, China
Supported by:
CLC Number:
Wang Zhenyu, Xia Yuan, Lu Yue, Pan Xinyong, Li Yongjie. Effects of different resistance training programs on bone mineral density in postmenopausal women: a network Meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(28): 4586-4592.
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2.2 纳入文献的基本特征 共纳入20项研究,包含1 087例受试者。发表国涉及美国(n=10)、巴西(n=2)、澳大利亚(n=2)、加拿大(n=4)、德国(n=1)以及葡萄牙(n=1)。在干预组中,9项研究涉及高强度-高频抗阻运动(3HI),5项研究涉及中强度-高频抗阻运动(3MI),6项研究涉及低强度-高频抗阻运动(3LI),3项研究涉及高强度-低频抗阻运动(2HI),3项研究涉及中强度-低频抗阻运动(2MI),1项研究涉及低强度-低频抗阻运动(2LI)。结局指标中包含4个部位的骨密度,分别为腰椎(n=17)、股骨颈(n=20)、全髋(n=9)和股骨大转子(n=9)。具体的纳入文献基本特征见表1。"
对于腰椎骨密度,与对照组相比,中强度-高频抗阻运动在提高腰椎骨密度方面更优,差异有显著性意义[WMD=0.48,95%CI(0.23,0.73),P < 0.05];此外中强度-高频抗阻运动在提高腰椎骨密度方面也均优于中强度-低频抗阻运动[WMD=-0.46,5%CI(-0.84,-0.08),P < 0.05]、低强度-高频抗阻运动[WMD=0.48,95%CI(0.13,0.82),P < 0.05]、高强度-高频抗阻运动[WMD=-0.47,95%CI(-0.79,-0.16),P < 0.05],这表明中等强度的抗阻运动要好于另外两种强度,且中等强度下的高频训练比低频训练效果要好。 对于股骨颈骨密度,与对照组相比,中强度-高频抗阻运动可有效提高股骨颈骨密度值,差异有显著性意义[WMD=0.31,95%CI(0.01,0.60),P < 0.05];其他各组两两比较,虽然中强度-高频抗阻运动对股骨颈骨密度有明显优势,但差异无显著性意义(P > 0.05)。 对于全髋和股骨大转子骨密度,森林图的两两比较结果显示,虽然中强度-高频抗阻运动较其他干预强度可有效提高全髋和股骨大转子骨密度值,但差异无显著性意义(P > 0.05)。 2.4.4 累计概率排序结果 在腰椎、股骨颈、全髋、股骨大转子骨密度中,干预措施的累计曲线下面积值越高,表明使用该干预方案对提高绝经后女性骨密度越有效。结果显示中强度-高频抗阻运动的锻炼方案在四部位的评分中均为最高,分别为97.36%,85.9%,77.1%,76.8%。提示中等强度一周锻炼3次可能是改善腰椎、股骨颈、全髋、股骨大转子骨密度最好的方式。累计概率排序图如图8所示。"
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