Abstract：
Background Perimenopause is associated with a decline in estrogen levels, leading to decreased bone mineral density (BMD) and altered bone metabolism, increasing the risk of osteoporosis. Tai Chi Rouli Ball, a traditional Chinese sport, is thought to have beneficial effects on physical health, but its impact on bone health in perimenopausal women is not well understood. Methods This study involved a randomized controlled trial with 52 perimenopausal women aged 45-55 years from community senior centers. Participants were divided into two groups: the Tai Chi Rouli Ball group and the control group. Baseline assessments of bone density, bone mineral content (BMC), and bone metabolism markers, including estrogen levels, were conducted. The Tai Chi Rouli Ball group underwent regular training for a specific period, while the control group did not receive any intervention. Post-experiment assessments were then compared to the baseline. Results Post-intervention, the Tai Chi Rouli Ball group showed a significant increase in spine bone density and BMC in various body parts, including the whole body, trunk/torso, and spine, compared to the control group. Bone metabolism indicators also improved, with increased levels of estrogen and a decrease in follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Calcium levels showed a significant increase, while other markers like alkaline phosphatase (ALP), phosphorus (P), and magnesium (Mg) had non-significant changes. Conclusions Tai Chi Rouli Ball exercise may positively influence bone health by improving bone density, BMC, and altering bone metabolism markers in perimenopausal women. These findings suggest that Tai Chi Rouli Ball could be a viable non-pharmacological approach to prevent osteoporosis in this demographic.
摘要：
背景围绝经期与雌激素水平下降有关，导致骨矿物质密度（BMD）降低和骨代谢改变，增加骨质疏松症的风险。太极Rouli舞会,中国传统体育运动,被认为对身体健康有有益的影响，但其对围绝经期女性骨骼健康的影响尚不清楚。方法本研究纳入了来自社区老年中心的52名围绝经期45-55岁妇女的随机对照试验。参与者分为两组：太极拳Rouli球组和对照组。骨密度的基线评估，骨矿物质含量（BMC），和骨代谢标志物，包括雌激素水平,进行了。太极罗利球组接受了特定时期的定期训练,而对照组未接受任何干预。然后将实验后评估与基线进行比较。结果干预后,太极拳RouliBall组显示出脊柱骨密度和身体各个部位的BMC显着增加，包括整个身体,躯干/躯干，和脊柱，与对照组相比。骨代谢指标也有所改善，雌激素水平升高，卵泡刺激素（FSH）和黄体生成素（LH）降低。钙水平显着增加，而其他标记如碱性磷酸酶（ALP），磷（P），镁(Mg)变化不显著。结论太极拳Rouli球运动可通过改善骨密度对骨骼健康产生积极影响。BMC,和改变围绝经期妇女的骨代谢标志物。这些发现表明，太极拳RouliBall可能是预防这种人口统计学中骨质疏松症的可行非药物方法。
