Exercise Programs for Treating Post Menopausal Osteoporotic Women; Which is Best?
Subscribe/Renew Journal
The current study was conducted to determine the ideal type of exercise to be used in the treatment of post menopausal osteoporotic women. A total of sixty non obese post menopausal osteoporotic women, aged 55 to 65 years old with natural menopause for at least five years and their parity not more than three times. They were assigned randomly into three equal groups: group (A) brisk walked in fresh air daily for 30 minutes, group (B) performed specific exercise program for the muscles around hip and lumbar spine and group (C) performed weight bearing exercise program on treadmill for 30 minutes. All groups were received the same daily regular regimen of calcium bicarbonate supplementation (1000mg) and diet rich in calcium all through the study period. Before and after six months of treatment all groups were studied for differences in their bone mineral density (BMD) at lumbar spine as well as, neck of the femur as well as serum calcium and alkaline phosphates.
The results of this study demonstrated that exercise produced significant increase in all the tested parameters of the three exercise groups. The highest results was recorded in exercise group (C) which performed weight bearing exercise on treadmill and the least improvement was recorded in group (A) that brisk walked in fresh air. The results also showed significant increase in group (B) and (C) compared to group (A), while there was a non significant difference between group (B) and (C).
This study demonstrated that specific exercises as well as weight bearing exercise are pronounced to treat post menopausal osteoporotic women with the superior effect for weight bearing exercise.
Keywords
- Bachmann A. and Leiblum R. (2004):”Menopause.”, Journal of the North American Menopause Society, 11(1): 120-130.
- Bennell K., Matthews B., Greig A., Andrew B., Kelly A. and Sherburn M.(2010):” Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture “, BMC Musculoskeletal Disorders, 11 (1):36-39.
- Body J., Bergmann P., Boonen S., Boutsen Y., Bruyere O., Devogelaer S., Hollevoet N., Kaufman M., Milisen K. and Rozenberg S.(2011):” Nonpharmacological management of osteoporosis: a consensus of the Belgian Bone Club”, Osteoporos Int., 22:2769–2788.
- Borer T.(2005): “Physical activity in the prevention and amelioration of osteoporosis in women: interaction of mechanical, hormonal and dietary factors.”, Sports Med.; 35(9):779-830.
- Charlington L.(2008):”Exercise and women’s health”, 1st ed, nova publisher Inc, p.p: 45-66
- Clinical guideline :Clinical guideline for the prevention and treatment of osteoporosis in postmenopausal women and older men., February 2010, The National Health and Medical Research Council
- Compston J., Bhambhanl M., Laskey A. Murphy S. and Khaw T. (2008): “Body composition and bone mass in post-menopausal women.”,Clinical Endocrinology; 37(5): 426 – 431.
- Englund U., Littbrand H., Sondell A., Bucht G. and Pettersson U. (2009): “The beneficial effects of exercise on BMD are lost after cessation: a 5-year follow-up in older post-menopausal women”, Scandinavian Journal of Medicine & Science in Sports, 19(3): 381–388.
- Eun J., Tae W. and Steven A.(2010):” The Effects of a Walking Exercise Program on Fall-Related Fitness, Bone Metabolism, and Fall-Related Psychological Factors in Elderly Women.”, Research in Sports Medicine: An International Journal , 18 (4):236 – 250.
- Gerhard W., Swanenburg J. and Uebelhar D.(2010):”Low Bone Mass and Osteoporosis in Women Referring themselves to Dual X-Ray Absorptiometry - Experience with a Health Promotion Action.”, The Open Epidemiology Journal, 3(29): 29-33.
- Hamilton C., Swan V. and Jamal S. (2010):” The effects of exercise and physical activity participation on bone mass and geometry in postmenopausal women: a systematic review.”, Osteoporos Int., 21(1):11–23.
- Heikki K., Matti K. and Risto H.(2010):” Calcium and vitamin D in promotion of postmenopausal bone health.”, Women’s Health, 6(6): 773-776.
- Judy, A. & Larson, M. (2000):” Exercise and osteoporosis”, Australian Famil Physician, 29(8): 761-764.
- Kanemaru A., Kazumi A., Ohta T., Katoh T. , Tobimatsu H. and Horiuchi T.( 2010):” The efficacy of home-based muscle training for the elderly osteoporotic women.”, Archives of Gerontology and Geriatrics, 51(2):169-172
- Karacan S.(2010):” Effects of long-term aerobic exercise on physical fitness and postmenopausal symptoms with menopausal rating scale.”, Science & Sports, 25(1): 39-46.
- Marcus R.,Feldman D, Nelson D. and Rosen C.(2008):”osteoporosis”, 3rd Ed, Elsevier Academic press, p.p.:27-33.
- McGarry, K.& Kiel, D. (2000):” Strategies for preventing bone loss”, Postgrad Med, 108(3): 79-9.
- Pinkerton J., Stovall V. and Dale W. (2010):”Reproductive aging, menopause, and health outcomes”, Annals of the New York Academy of Sciences, 1204( 1) :169-178.
- Scott P. , Sale C., Julie P., Greeves A., John U. and William D. (2010):” The role of exercise intensity in the bone metabolic response to an acute bout of weight-bearing exercise.”, Journal of Applied Physiology, 110(2): 423-43.
- Wolfgang, K. & Johannes, H.(2004):” Benefits of 2 years of intense exercise on bone density, physical fitness and blood lipids in early postmenopausal osteopenic women”, Arch Intern Med, 164: 1084-1091.
Abstract Views: 478
PDF Views: 0