P-3-06-02
PHYSICAL ACTIVITIES AND HRT IN POSTMENOPAUSE
Vagic N., Potrebica S., (Med. Rehabilitat. Cent. Var. Toplice, Croatia)
In the last 12 years, with the introduction of HRT, the approach to treating menopausal problems has significantly changed. HRT plays an important part in preventing osteoporosis and cardiovascular diseases.
Our approach to problem is a multidisciplinary one. Middle aged women come for a weekand of medical treatment in our Center. They were treated by gynaecologists, physiatrists, cardiologists and as appropriate, have ultrasonics, physiotherapeutic and nutritional treatment (with laboratory and other dyagnostic back Up).
The authors use different HRT preparations with compulsory physical education therapy as a part of complementary method in preventing later postmenopausal problems. To conclude, we can say that HRT is not a complete method, in itself in preventing postmenopausal problems, especially in prevention of deterioration in the bone and muscular systems and the development of osteoporosis.
It is necessary to use sufficient physical activity combined with good nutrition and quality of life.
P-3-06-03
EFFECTS OF PHYSIQUE ON BONE MINERAL DENSITY AND SOFT TISSUE MASS
Shinjiro Takata, Takaaki Ikata, Shinji Kashiwaguchi, Naoyuki Yoshida (The University of Tokushima, Tokushima, Japan), Masanori Inatsugi (Inatsugi Orthopedic Hospital, Tokushima, Japan)
We studied the effects of physique on bone mineral density (BMD) and soft tissue mass in 92 patients. The patients, aged 45 to 85 years, were divided into three groups according to their body mass index (BMI): thin group (n=40, BMI<21 ), standard group (n=33, 21｡蕋MI<25, obese group (n=19, 25｡蕋MI). The mean BMD of the 2nd to 4th lumbar vertebrae (L2-4BMD), whole body BMD and soft tissue mass were measured by DXA. L2-4 BMD of the obese group was significantly greater than that of the thin group (p=0.0468), whereas there was no significant difference in lean mass between the standard group and the obese group. Fat mass of the obese group was significantly greater than that of the thin group or standard group (p=0.0001). There was a significant difference in lean mass between the thin group and the obese group (p=0.0039). There was a significant difference in whole body BMD between the thin group and the fat group (p=0.0398), but not between the standard group and the obese group. The results showed that obese patients had a larger mass of lean tissue and fat than thin patients and those with a standard BMI.
