题名

水中運動對增進停經後婦女骨質密度與心血管健康之影響

并列篇名

Effect of aquatic exercise on improving bone density and cardiovascular health of postmenopausal women

DOI

10.6223/qcpe.202012_34(4).0003

作者

李淑玲(Shu-Lin Lee)；關鈺霖(Yu-Lin Guam)；錢桂玉(Kuei-Yu Chien)

关键词

骨質密度 ； 心血管疾病 ； 跳躍運動 ； 運動強度 ； bone mineral density ； cardiovascular disease ； jumps training ； exercise intensity

期刊名称

中華體育季刊

卷期/出版年月

34卷4期（2020 / 12 / 01）

页次

239 - 247

内容语文

繁體中文
中文摘要

研究發現低骨質密度與增加冠狀動脈疾病、腦血管和心血管等疾病死亡的風險有關，而婦女於停經後體內雌激素量急遽減少將使骨質流失狀況更加嚴重，而透過增加身體活動力來影響骨質重塑路徑、改善血管舒張及減低動脈硬化程度等效益則顯得格外重要；衝擊性訓練對改善骨質流失或骨質密度有其效益，然而相對也可能會增加膝髖關節的負擔或是造成運動傷害，近年來研究指出以水中模式進行運動能減輕下肢關節負荷，或許可以解決中高齡者骨骼關節老化或心血管疾病導致阻礙從事運動的困境，因此，本文彙整水中運動於骨質健康與心血管相關指標之研究與應用，提供中高齡婦女族群改善其骨質健康及增進心血管健康的相關資訊。
英文摘要

Low bone density is associated with an increased risk of coronary artery disease and cardiovascular disease. How to use exercise to improve the negative impact of postmenopausal women's hormone secretion on bone and cardiovascular health is very important. The mechanical load and Bone morphogenetic protein (BMP) pathway caused by exercise can stimulate osteogenic differentiation and the activity of osteoblasts and bone cells to promote bone health. The mechanism of exercise for promoting cardiovascular health is to increase vasodilation, angiogenesis, and reduce the degree of arteriosclerosis. Impact training has its benefits in improving bone loss or bone density, but it may also increase the burden of the knee and hip joints or cause sports injuries. Compared to training on land, performing impact jumps training in the water can reduce the load on the lower extremity joints, and it may also solve the dilemma of bones and joints problems which hinder the exercise for middle-aged and elderly people. The purpose of this paper is to review the recent research and application of aquatic exercise on bone health and cardiovascular related indicators to provide information about the improvement of bone health and cardiovascular health of middle-aged and elderly women.
主题分类 社會科學 > 體育學
参考文献
  1. 張建淳,黃呈原,蔡偉奇,周建儒,黃文經(2018)。水中跑步機對於運動生理適應與應用潛力。運動教練科學，49，21-31。
    連結：
  2. 錢桂玉,甘乃文,林雅麗(2012)。水中運動訓練對中老年人健康之效益。運動生理暨體能學報，14，11-21。
    連結：
  3. Beck, B. R.,Daly, R. M.,Singh, M. A. F.,Taaffe, D. R.(2017).Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis.Journal of Science and Medicine in Sport,20(5),438-445.
  4. Biddle, S. J.,Batterham, A. M.(2015).High-intensity interval exercise training for public health: A big HIT or shall we HIT it on the head?.International Journal of Behavioral Nutrition and Physical Activity,12,95.
  5. Boidin, M.,Lapierre, G.,Paquette Tanir, L.,Nigam, A.,Juneau, M.,Guilbeault, V.(2015).Effect of aquatic interval training with Mediterranean diet counseling in obese patients: Results of a preliminary study.Annals of Physical and Rehabilitation Medicine,58(5),269-275.
  6. Bressel, E.,Wing, J. E.,Miller, A. I.,Dolny, D. G.(2014).High-intensity interval training on an aquatic treadmill in adults with osteoarthritis: Effect on pain, balance, function, and mobility.Journal of Strength and Conditioning Research,28(8),2088-2096.
  7. Broman, G.,Quintana, M.,Lindberg, T.,Jansson, E.,Kaijser, L.(2006).High intensity deep water training can improve aerobic power in elderly women.European Journal of Applied Physiology,98(2),117-123.
  8. Chakrabarti, S.,Morton, J. S.,Davidge, S. T.(2014).Mechanisms of estrogen effects on the endothelium: an overview.Canadian Journal of Cardiology,30(7),705-712.
  9. Cheung, A. M.,Giangregorio, L.(2012).Mechanical stimuli and bone health: What is the evidence?.Current Opinion in Rheumatology,24(5),561-566.
  10. Chiu, C. Z.,Yeh, J. H.,Shyu, K. G.,Hou, S. M.,Lin, C. L.,Liang, J. A.(2017).Can osteoporosis increase the incidence of heart failure in adults?.Current Medical Research and Opinion,33(6),1119-1125.
  11. Davis, S. R.,Lambrinoudaki, I.,Lumsden, M.,Mishra, G. D.,Pal, L.,Rees, M.(2015).Menopause.Nature Reviews. Disease Primers,1,15004.
  12. Davison, S.,Davis, S. R.(2003).New markers for cardiovascular disease risk in women: Impact of endogenous estrogen status and exogenous postmenopausal hormone therapy.Journal of Clinical Endocrinology & Metabolism,88(6),2470-2478.
  13. Donoghue, O. A.,Shimojo, H.,Takagi, H.(2011).Impact forces of plyometric exercises performed on land and in water.Sports Health,3(3),303-309.
  14. Dosi, R.,Bhatt, N.,Shah, P.,Patell, R.(2014).Cardiovascular disease and menopause.Journal of Clinical and Diagnostic Research,8(2),62-64.
  15. Fukusaki, C.,Masani, K.,Miyasaka, M.,Nakazawa, K.(2016).Acute positive effects of exercise on center-of-pressure fluctuations during quiet standing in middle-aged and elderly women.Journal of Strength and Conditioning Research,30(1),208-216.
  16. Garnero, P.,Sornay-Rendu, E.,Claustrat, B.,Delmas, P. D.(2000).Biochemical markers of bone turnover, endogenous hormones and the risk of fractures in postmenopausal women: The OFELY study.Journal of Bone and Mineral Research,15(8),1526-1536.
  17. Hernandez, C. J.,Beaupre, G. S.,Carter, D. R.(2003).A theoretical analysis of the relative influences of peak BMD, age-related bone loss and menopause on the development of osteoporosis.Osteoporosis International,14(10),843-847.
  18. Jones, L. M.,Meredith-Jones, K.,Legge, M.(2009).The effect of water-based exercise on glucose and insulin response in overweight women: A pilot study.Journal of Women's Health,18(10),1653-1659.
  19. Kohrt, W. M.,Bloomfield, S. A.,Little, K. D.,Nelson, M. E.,Yingling, V. R.(2004).American College of Sports Medicine Position Stand: Physical activity and bone health.Medicine & Science in Sports & Exercise,36(11),1985-1996.
  20. Lester, M. E.,Urso, M. L.,Evans, R. K.,Pierce, J. R.,Spiering, B. A.,Maresh, C. M.(2009).Influence of exercise mode and osteogenic index on bone biomarker responses during short-term physical training.Bone,45(4),768-776.
  21. Looker, A. C.,Johnston, C. C., Jr.,Wahner, H. W.,Dunn, W. L.,Calvo, M. S.,Harris, T. B.(1995).Prevalence of low femoral bone density in older U.S. women from NHANES III.Journal of Bone and Mineral Research,10(5),796-802.
  22. Louder, T. J.,Bressel, E.,Nardoni, C.,Dolny, D. G.(2019).Biomechanical comparison of loaded countermovement jumps performed on land and in water.Journal of Strength & Conditioning Research,33(1),25-35.
  23. Louder, T.,Dolny, D.,Bressel, E.(2018).Biomechanical comparison of countermovement jumps performed on land and in water: Age effects.Journal of Sport Rehabilitation,27(3),249-256.
  24. Martel, G. F.,Harmer, M. L.,Logan, J. M.,Parker, C. B.(2005).Aquatic plyometric training increases vertical jump in female volleyball players.Medicine & Science in Sports & Exercise,37(10),1814-1819.
  25. McFarlane, S. I.,Muniyappa, R.,Shin, J. J.,Bahtiyar, G.,Sowers, J. R.(2004).Osteoporosis and cardiovascular disease: Brittle bones and boned arteries, is there a link?.Endocrine,23(1),1-10.
  26. Moreira, L. D.,Oliveira, M. L.,Lirani-Galvao, A. P.,Marin-Mio, R. V.,Santos, R. N.,Lazaretti-Castro, M.(2014).Physical exercise and osteoporosis: Effects of different types of exercises on bone and physical function of postmenopausal women.Arquivos Brasileiros de Endocrinologia Metabologia,58(5),514-522.
  27. Nowak, A.,Pilaczynska-Szczesniak, L.,Sliwicka, E.,Deskur-Smielecka, E.,Karolkiewicz, J.,Piechowiak, A.(2008).Insulin resistance and glucose tolerance in obese women: The effects of a recreational training program.Journal of Sports Medicine and Physical Fitness,48(2),252-258.
  28. Orwoll, E. S.,Ferar, J.,Oviatt, S. K.,McClung, M. R.,Huntington, K.(1989).The relationship of swimming exercise to bone mass in men and women.Archives of Internal Medicine,149(10),2197-2200.
  29. Park, S. Y.,Kwak, Y. S.,Pekas, E. J.(2019).Impacts of aquatic walking on arterial stiffness, exercise tolerance, and physical function in patients with peripheral artery disease: A randomized clinical trial.Journal of Applied Physiology,127(4),940-949.
  30. Robinson, L. E.,Devor, S. T.,Merrick, M. A.,Buckworth, J.(2004).The effects of land vs. aquatic plyometrics on power, torque, velocity, and muscle soreness in women.Journal of Strength and Conditioning Research,18(1),84-91.
  31. Schulz, E.,Anter, E.,Zou, M.-H.,Keaney, J. F., Jr(2005).Estradiol-mediated endothelial nitric oxide synthase association with heat shock protein 90 requires adenosine monophosphate-dependent protein kinase.Circulation,111(25),3473-3480.
  32. Stemm, J. D.,Jacobson, B. H.(2007).Comparison of land- and aquatic-based plyometric training on vertical jump performance.Journal of Strength and Conditioning Research,21(2),568-571.
  33. Stenvinkel, P.,Ketteler, M.,Johnson, R. J.,Lindholm, B.,Pecoits-Filho, R.,Riella, M.(2005).IL-10, IL-6, and TNF-alpha: Central factors in the altered cytokine network of uremia: The good, the bad, and the ugly.Kidney International,67(4),1216-1233.
  34. Tanko, L. B.,Christiansen, C.,Cox, D. A.,Geiger, M. J.,McNabb, M. A.,Cummings, S. R.(2005).Relationship between osteoporosis and cardiovascular disease in postmenopausal women.Journal of Bone and Mineral Research,20(11),1912-1920.
  35. Tsukahara, N.,Toda, A.,Goto, J.,Ezawa, I.(1994).Cross-sectional and longitudinal studies on the effect of water exercise in controlling bone loss in Japanese postmenopausal women.Journal of Nutritional Science and Vitaminology,40(1),37-47.
  36. Turner, C. H.,Robling, A. G.(2003).Designing exercise regimens to increase bone strength.Exercise and Sport Sciences Reviews,31(1),45-50.
  37. Veronese, N.,Stubbs, B.,Crepaldi, G.,Solmi, M.,Cooper, C.,Harvey, N. C.,Reginster, J.Y.,Lamb, S. E.(2017).Relationship between low bone mineral density and fractures with incident cardiovascular disease: A systematic review and meta-analysis.Journal of Bone and Mineral Research,32(5),1126-1135.
  38. Volaklis, K. A.,Spassis, A. T.,Tokmakidis, S. P.(2007).Land versus water exercise in patients with coronary artery disease: Effects on body composition, blood lipids, and physical fitness.American Heart Journal,154(3),560.e1-560.e6.
  39. Waller, B.,Munukka, M.,Rantalainen, T.,Lammentausta, E.,Nieminen, M. T.,Kiviranta, I.(2017).Effects of high intensity resistance aquatic training on body composition and walking speed in women with mild knee osteoarthritis: A 4-month RCT with 12-month follow-up.Osteoarthritis and Cartilage,25(8),1238-1246.
  40. Wilkinson, D. J.,Piasecki, M.,Atherton, P. J.(2018).The age-related loss of skeletal muscle mass and function: Measurement and physiology of muscle fibre atrophy and muscle fibre loss in humans.Ageing Research Reviews,47,123-132.
  41. Xu, J.,Lombardi, G.,Jiao, W.,Banfi, G.(2016).Effects of exercise on bone status in female subjects, from young girls to postmenopausal women: An overview of systematic reviews and meta-analyses.Sports Medicine,46(8),1165-1182.
  42. Zupan, J.,Jeras, M.,Marc, J.(2013).Osteoimmunology and the influence of pro-inflammatory cytokines on osteoclasts.Biochemia Medica,23(1),43-63.
  43. 中華民國骨質疏鬆症學會 (2011 年)。臺灣成人骨質疏鬆症防治之共識及指引。取自https://www1.cgmh.org.tw/intr/intr5/c6700/%E8%80%81%E5%B9%B4%E5%A9%A6%E5%A5%B3%E9%86%AB%E5%AD%B8/101.3.27%E9%AA%A8%E8%B3%AA%E7%96%8F%E9%AC%86%E6%89%8B%E5%86%8A.pdf
  44. 臺灣更年期醫學會(2016)。算一算，妳更年期了嗎？。常春月刊，398
  45. 衛生福利部國民健康署 (2016 年)。刻「骨」銘心的愛。取自 https://health99.hpa.gov.tw/txt/HealthyHeadlineZone/HealthyHeadlineDetai.aspx?topicno=8226
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