退役女子籃球選手之代謝功能與關節健康退化問題

Metabolic Deterioration and Joint Problems in Retired Female Basketball Players

10.5297/ser.1504.010

曹立妍(Li-Yen Tsao)；方竹君(Chu-Chun Fang)；林勁宏(Ching-Hung Lin)；劉玉峰(Yu-Feng Liu)；廖翊宏(Yi-Hung Liao)

葡萄糖耐受度 ； 糖化血色素 ； 高敏感性C反應蛋白 ； 發炎 ； glucose tolerance ； HbA1c ； hs-CRP ； inflammation

大專體育學刊

15卷4期（2013 / 12 / 31）

482 - 490

繁體中文;英文

本研究目的主要為探討退役優秀女子籃球選手之代謝功能惡化與關節健康問題的關聯性。為瞭解優秀退役女子籃球選手之代謝退化情形與關節健康問題之間是否存在相關性，本研究招募31名國內退役（n = 19）與現役（n = 12）之優秀女子籃球選手，所有受試者經隔夜禁食後，分別評估葡萄糖耐受度、身體質量指數（BMI）、糖化血色素（HbA1c）、高敏感度C反應蛋白（hs-CRP）之差異，同時利用西安大略及麥可麥司特大學關節炎量表（the Western Ontario and McMaster Universities Osteoarthritis Index，WOMAC）評估受試者關節健康程度之差異。研究結果顯示：退役女子籃球選手的BMI、腰圍、葡萄糖曲線下面積、HbAlc、WOMAC關節功能分項評分均顯著高於現役選手。此外，WOMAC關節僵硬程度與空腹血糖存在顯著關聯性，但WOMAC總分與各分項得分與血液hs-CRP濃度並無關聯性存在。本研究結論：造成退役選手關節功能下降的原因可能與醣類代謝功能退化、血糖濃度過高及肥胖程度有較密切的關聯性。

The purpose of this study was to investigate the metabolic deterioration and joint problems in retired elite female basketball players. In order to determine the associations between metabolic deterioration and joint health status, 19 retired and 12 current elite female basketball players were recruited for this study. After an overnight fasting, we performed an oral glucose tolerance test (OGTT) for all participants, and measured their fasting blood glucose, glycated hemoglobin (HbA1c) and serum high sensitivity C-reactive protein (hs-CRP) levels. The joint health status of hip and knee in both current and retired basketball players were determined by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) joint health questionnaire. Results showed that retired players have significantly greater body mass index (BMI), glucose area under the curve (GAUC), fasting blood glucose, hs-CRP and HbA1c levels, along with higher WOMAC joint function aspect scores compared to current players. Moreover, WOMAC joint stiffness was positively associated with fasting blood glucose level. However, the WOMAC overall score and individual aspects showed no association with serum hs-CRP levels. We conclude that retired female basketball players with impaired glycemic control, hyperglycemia and obesity were associated with declined joint health status. Our results therefore suggest that metabolic deterioration in retired female basketball players may be associated with impairments in joint health and functions.

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