Bone density, balance and quality of life of postmenopausal women taking alendronate participating in different physical activity programs

Abstract

Abstract:Background: The objective of this study was to determine the effects of different physical activity (PA) programs on bone density, balance and quality of life of postmenopausal women taking concomitant alendronate. A quasi-experimental study was conducted with 35 volunteers divided into four groups: practitioners of resistance training (RTG, n ¼ 9, 49.8±4.2 years), judo (JUG, n ¼ 11, 52.2±5.3 years), water aerobics (WAG, n ¼ 8, 57.1±7.4 years) and the control group (CG, n ¼ 7, 53.8±4.4 years). Methods: The following assessment tools were used: bone mineral density (BMD) measured by dual X-ray absorptiometry of the spine and proximal femur, the 'Osteoporosis Assessment Questionnaire' (OPAQ) and the 'Static Balance Test with Visual Control'. The physical activities were planned for 12 months in cycles with different intensities. A two-way analysis of variance (ANOVA) was used for analysis between groups, and a Scheffé post-hoc test was used for multiple comparisons. Results: The multiple comparisons results showed that the RTG and JUG groups were significantly more efficient in the variables studied, including: lumbar BMD (Á% ¼ 6.8%, p ¼ 0.001), balance (Á% ¼ 21.4%, p ¼ 0.01), OPAQ (Á% ¼ 9.1%, p ¼ 0.005) and lumbar BMD (Á% ¼ 6.4%, p ¼ 0.003), balance (Á% ¼ 14%, p ¼ 0.02) and OPAQ (Á% ¼ 16.8%, p ¼ 0.000) compared with the CG. Furthermore, the RTG (Á% ¼ 4.8%, p ¼ 0.02) was significantly better than the WAG for the neck of femur BMD, and the JUG (Á% ¼ 16.8, p ¼ 0.0003) also demonstrated superiority to the WAG in the OPAQ. Conclusions: The physical activities studied appear to improve BMD, balance and quality of life of postmenopausal women taking a bisphosphonate. In this small sample, the RTG and the JUG groups were superior to the other groups.

Effects of water-based exercise on bone health of middle-aged and older adults: a systematic review and meta-analysis

“…After removing duplicates, 7,823 articles remained to be screened by title and abstract, with 7,737 of these being excluded because they clearly did not meet eligibility criteria and 86 articles then remaining to be assessed for eligibility in full text. From these full-text articles, 11 articles59–69 that met eligibility criteria were identified and included in this review. Results from the search, screening, and selection processes are summarized in a PRISMA flow diagram (Figure 1).…”

“…All participants in the studies were postmenopausal women. Four studies reported that the participants were previously sedentary 59,61,62,64. Regarding bone health, four studies recruited participants with low BMD (osteopenia or osteoporosis)59,60,63,65 and one recruited women with normal BMD 66.…”

“…Four studies reported that the participants were previously sedentary 59,61,62,64. Regarding bone health, four studies recruited participants with low BMD (osteopenia or osteoporosis)59,60,63,65 and one recruited women with normal BMD 66. Groups from one study received alendronate sodium,59 groups from two studies received a combination of alendronate sodium and vitamin D,60,65 and groups from another two studies received a combination of vitamin D and calcium 62,63.…”

“…Regarding bone health, four studies recruited participants with low BMD (osteopenia or osteoporosis)59,60,63,65 and one recruited women with normal BMD 66. Groups from one study received alendronate sodium,59 groups from two studies received a combination of alendronate sodium and vitamin D,60,65 and groups from another two studies received a combination of vitamin D and calcium 62,63. The studies were conducted in Brazil (n=5),59–62,65 Japan (n=2),67,69 Kosovo (n=1),63 Israel (n=1),66 Iran (n=1),68 and Portugal (n=1) 64.…”

“…Groups from one study received alendronate sodium,59 groups from two studies received a combination of alendronate sodium and vitamin D,60,65 and groups from another two studies received a combination of vitamin D and calcium 62,63. The studies were conducted in Brazil (n=5),59–62,65 Japan (n=2),67,69 Kosovo (n=1),63 Israel (n=1),66 Iran (n=1),68 and Portugal (n=1) 64. Nine studies were published in English,59,60,62–68 one article was translated from Portuguese,61 and one from Japanese 69.…”