摘要
目的:观察健身锻炼对绝经期妇女身心症状、生物学指标和雌激素水平的影响,并寻找其规律性。方法:选择2003-06/2004-06在唐山市妇幼保健院门诊体检的绝经期妇女,根据自愿原则分为健身锻炼组43例和对照组54例。运动方式选择每天匀速平路步行,每天早晚各进行1次,每周至少坚持5d,6个月为1个疗程。运动前后接受了Kupperman设计的绝经期妇女常见身心症状自评表评估、相关生物学指标和雌激素实验室检查。对照组不进行健身锻炼并在同期进行相同项目检查。身心症状自评表进行调查包括13项内容,根据无、轻、重、极重分4级进行0～3分的相应评分。身心症状自评量表主要评分指标为:①严重程度总分:自评结束后将13个单项分相加,即得严重程度总分。②严重程度总均分:严重程度总分/13。评估时间及相关生物学指标和雌激素实验室采样时间安排在锻炼开始前1周内和治疗结束后1周内,对照组第2次评估在首次检查6个月后进行。结果:两组97名绝经期妇女均完成量表测试,并测得各项指标,全部进入结果分析。①健身组锻炼前身心症状自评表严重程度总分和分项均分与对照组首次检查结果接近,犤(42.5±13.2),(41.9±18.4)分/例,P>0.05犦和犤(3.21±0.26),(3.27±0.31)分/例,P>0.05犦,但健身组锻炼后严重程度总分和分项均分均明显低于锻炼前(t=2.929～3.207;P均<0.01),对照组两次结果无明显差异(P均>0.05)。②健身组锻炼后的体质量、体质量指数、腰围、腰臀比值均明显低于锻炼前(t=2.370～3.182;P均<0.05～0.01),但对照组6个月后的各项生物学指标均较首次检查差异不明显(P均>0.05)。③健身组锻炼后雌二醇和睾酮水平较锻炼前明显升高,而促卵泡素和促黄体生成素水平较锻炼前明显降低(t=2.327～3.170;P均>0.05～0.01),对照组6个月后的各项雌激素指标均较首次检查差异不显著(P均>0.05)。结论:健身锻炼可以改善绝经期妇女的常见身心症状,降低生物学指标,使雌二醇和睾酮水平明显升高,促卵泡素和促黄体生成素浓度降低。
AIM：To observe the effects of body building on body and mind symptoms, biological index and estrogen level in postmenopausal women,and explore the regularity. METHODS： Postmenopausal women for health examination were recruited from the Outpatient of Gynecology, Tangshan Maternity and Child Care Hospital from June 2003 to June 2004, and then voluntarily divided into body building grnup （n=43） and control group（n=54）. Women in the body building grnup had a uniform walking twice a day, in the morning and in the evening, at least 5 days a week and 6 months as a course. Women in the control group had no exercise. Self-rating body and mind symptom scale designed by Kupperman was applied as well as examination of biological index and estrogen in the two gruups before and after exercise. The scale consisted of 13 items, and had four grades： no, mild, moderate and severe （0-3）. The main scoring indexes were the total score of severity （summation of 13 item scores） and the average total score of severity. Wom-en in the two groups were evaluated in self-rating scale, biological indexes, and estrogen level withhin 1 week before and after treatment, and women in the control group received the second evaluation 6 months later. RESULTS：All the 97 women completed the examination, and entered the result analysis.①The total score of severity, and the average scores in the body building group were similar to those in the control group before exercise[ （42.5±13.2） , （41.9±18.4） points Rer case,P 〉 0.05： （3.21±0.26） , （3.27±0.31） points per case, P 〉 0.05]; however, the scores in the body building group after exercise were lower than those before treatment （t=2.929 -3.207;P 〈 0.01 ）.Amt there were no difference in the two re-suhs in the control group （P 〉 0.05）. ②In the body building group,body mass, body mass index, wais line, and waist-to-hip ration were all lower than those before exercise （t=2.370-3.182： P 〈 0.05-0.01 ） .However,all the bi-ologieal indexes had no changes in the control group after 6 months （P 〉 0.05）.③After exercise,the levels of estradiol and testosteone in the body building group were increased significantly as compared with those before exercise, while the levels of follicle stimulating hormone and inter-stitial cell stimulating hormone were decreased （t=2.327-3.170：P 〉 0.05-0.01 ） ,There were still no changes in the estrogen indexes in the control group（P 〉 0.05）. CONCLUSION：Body building can improve the common symptoms of body and mind, reduce biological indexes, increase the levels of estradiol and testosteone and decrease the levels of follicle stimulating hormone and interstitial cell stimulating hormone.
出处
《中国临床康复》
CSCD
北大核心
2005年第32期194-196,共3页
Chinese Journal of Clinical Rehabilitation
