{"title":"水上训练和维生素 D3 补充剂对绝经后肥胖妇女骨代谢的影响","authors":"Foroozandeh Zaravar , Gholamhossein Tamaddon , Leila Zaravar , Maryam Koushkie Jahromi","doi":"10.1016/j.jesf.2024.01.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Despite prevalence of studies indicating the positive effect of land-based exercise on bone metabolism, there are limited findings regarding the effect of aquatic exercise. The present study aimed to evaluate the effects of aquatic training and vitamin D3 supplementation on femur bone mineral density (BMD), serum 25(OH)D, and parathyroid hormone (PTH) in postmenopausal obese women with vitamin D insufficiency.</p></div><div><h3>Methods</h3><p>40 postmenopausal obese women were randomly divided into four groups of aquatic training + vitamin D3 intake group; (ATD), aquatic training with placebo intake group (AT), vitamin D3 intake group (D), and control group with placebo intake (CON). AT groups performed aerobic aquatic exercises for 8 weeks. Vitamin D3 supplementation groups consumed oral dose of 4000 IU/d for 8 weeks.</p></div><div><h3>Results</h3><p>The femur BMD was significantly higher in the ATD than the AT and D and CON groups; in AT it was higher than the D and CON groups. Serum 25(OH)D level in the ATD was more than AT and CON, and in the D was more than the CON and AT. PTH in the ATD group was lower compared to AT, D, and CON groups. PTH was lower in the AT and D compared to the CON.</p></div><div><h3>Conclusion</h3><p>In postmenopausal obese women with vitamin D insufficiency or deficiency, combining vitamin D supplementation and aquatic training was the most effective method for improving bone metabolism; Vitamin D supplementation (alone) was not sufficient to affect some of bone metabolism indices; Aquatic training could not improve serum vitamin D. By priority, ATD, AT, and D indicated better bone related metabolism indices.</p></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"22 2","pages":"Pages 127-133"},"PeriodicalIF":2.4000,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1728869X24000029/pdfft?md5=04b1c1185d4122b3a1e04184c2eff6e1&pid=1-s2.0-S1728869X24000029-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The effect of aquatic training and vitamin D3 supplementation on bone metabolism in postmenopausal obese women\",\"authors\":\"Foroozandeh Zaravar , Gholamhossein Tamaddon , Leila Zaravar , Maryam Koushkie Jahromi\",\"doi\":\"10.1016/j.jesf.2024.01.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>Despite prevalence of studies indicating the positive effect of land-based exercise on bone metabolism, there are limited findings regarding the effect of aquatic exercise. The present study aimed to evaluate the effects of aquatic training and vitamin D3 supplementation on femur bone mineral density (BMD), serum 25(OH)D, and parathyroid hormone (PTH) in postmenopausal obese women with vitamin D insufficiency.</p></div><div><h3>Methods</h3><p>40 postmenopausal obese women were randomly divided into four groups of aquatic training + vitamin D3 intake group; (ATD), aquatic training with placebo intake group (AT), vitamin D3 intake group (D), and control group with placebo intake (CON). AT groups performed aerobic aquatic exercises for 8 weeks. Vitamin D3 supplementation groups consumed oral dose of 4000 IU/d for 8 weeks.</p></div><div><h3>Results</h3><p>The femur BMD was significantly higher in the ATD than the AT and D and CON groups; in AT it was higher than the D and CON groups. Serum 25(OH)D level in the ATD was more than AT and CON, and in the D was more than the CON and AT. PTH in the ATD group was lower compared to AT, D, and CON groups. PTH was lower in the AT and D compared to the CON.</p></div><div><h3>Conclusion</h3><p>In postmenopausal obese women with vitamin D insufficiency or deficiency, combining vitamin D supplementation and aquatic training was the most effective method for improving bone metabolism; Vitamin D supplementation (alone) was not sufficient to affect some of bone metabolism indices; Aquatic training could not improve serum vitamin D. By priority, ATD, AT, and D indicated better bone related metabolism indices.</p></div>\",\"PeriodicalId\":15793,\"journal\":{\"name\":\"Journal of Exercise Science & Fitness\",\"volume\":\"22 2\",\"pages\":\"Pages 127-133\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-01-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1728869X24000029/pdfft?md5=04b1c1185d4122b3a1e04184c2eff6e1&pid=1-s2.0-S1728869X24000029-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Exercise Science & Fitness\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1728869X24000029\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Exercise Science & Fitness","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1728869X24000029","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
目的尽管有大量研究表明陆上运动对骨代谢有积极影响,但有关水中运动效果的研究结果却很有限。本研究旨在评估水上训练和维生素 D3 补充剂对维生素 D 不足的绝经后肥胖女性股骨骨矿物质密度(BMD)、血清 25(OH)D 和甲状旁腺激素(PTH)的影响。方法将 40 名绝经后肥胖女性随机分为四组,即水上训练 + 维生素 D3 摄入组(ATD)、水上训练与安慰剂摄入组(AT)、维生素 D3 摄入组(D)和安慰剂摄入对照组(CON)。AT组进行为期8周的有氧水上运动。结果 ATD 组的股骨 BMD 明显高于 AT 组、D 组和 CON 组;AT 组的股骨 BMD 则高于 D 组和 CON 组。ATD组的血清25(OH)D水平高于AT组和CON组,D组高于CON组和AT组。与 AT、D 和 CON 组相比,ATD 组的 PTH 较低。结论对于维生素 D 不足或缺乏的绝经后肥胖妇女,结合补充维生素 D 和水上训练是改善骨代谢的最有效方法;补充维生素 D(单独)不足以影响某些骨代谢指标;水上训练不能改善血清维生素 D。
The effect of aquatic training and vitamin D3 supplementation on bone metabolism in postmenopausal obese women
Purpose
Despite prevalence of studies indicating the positive effect of land-based exercise on bone metabolism, there are limited findings regarding the effect of aquatic exercise. The present study aimed to evaluate the effects of aquatic training and vitamin D3 supplementation on femur bone mineral density (BMD), serum 25(OH)D, and parathyroid hormone (PTH) in postmenopausal obese women with vitamin D insufficiency.
Methods
40 postmenopausal obese women were randomly divided into four groups of aquatic training + vitamin D3 intake group; (ATD), aquatic training with placebo intake group (AT), vitamin D3 intake group (D), and control group with placebo intake (CON). AT groups performed aerobic aquatic exercises for 8 weeks. Vitamin D3 supplementation groups consumed oral dose of 4000 IU/d for 8 weeks.
Results
The femur BMD was significantly higher in the ATD than the AT and D and CON groups; in AT it was higher than the D and CON groups. Serum 25(OH)D level in the ATD was more than AT and CON, and in the D was more than the CON and AT. PTH in the ATD group was lower compared to AT, D, and CON groups. PTH was lower in the AT and D compared to the CON.
Conclusion
In postmenopausal obese women with vitamin D insufficiency or deficiency, combining vitamin D supplementation and aquatic training was the most effective method for improving bone metabolism; Vitamin D supplementation (alone) was not sufficient to affect some of bone metabolism indices; Aquatic training could not improve serum vitamin D. By priority, ATD, AT, and D indicated better bone related metabolism indices.
期刊介绍:
The Journal of Exercise Science and Fitness is the official peer-reviewed journal of The Society of Chinese Scholars on Exercise Physiology and Fitness (SCSEPF), the Physical Fitness Association of Hong Kong, China (HKPFA), and the Hong Kong Association of Sports Medicine and Sports Science (HKASMSS). It is published twice a year, in June and December, by Elsevier.
The Journal accepts original investigations, comprehensive reviews, case studies and short communications on current topics in exercise science, physical fitness and physical education.