Effects on Balance, Falls, and Bone Mineral Density of a Home-based Exercise Program without Home Visits in Community-Dwelling Elderly Women: a Randomized Controlled Trial

Kamide, Naoto; Shiba, Yoshitaka; Shibata, Hiroshi

doi:10.2114/jpa2.28.115

Cited by 53 publications

(67 citation statements)

References 36 publications

(42 reference statements)

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“…Improvements in balance self-efficacy in women with osteoporosis have been reported after group-based exercise programs in the form of resistance training, weight-bearing exercises, tai chi, and task-oriented training programs [30,36,37].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Land versus Aquatic Exercise Program on Bone Mineral Density and Physical Function in Postmenopausal Women with Osteoporosis: a Randomized Controlled Trial

Murtezani¹,

Nevzati²,

Ibraimi³

et al. 2014

Ortop Traumatol Rehabil

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SUMMARYBackground. Osteoporosis is a multifactorial progressive skeletal disorder characterized by reduced bone mass. Exercise is widely recommended to reduce osteoporosis, falls and related fragility fractures. The purpose of this study was to investigate the effects of land exercise (LE) and aquatic exercise (AE) on physical function and bone mineral density (BMD).Material and methods. Fifty-eight postmenopausal women, aged 50-70 years, diagnosed with osteoporosis according to BMD measures, enrolled in this study. The subjects were randomly assigned to either the intervention group (LE group) or the control group (AE group). Physical function and BMD were assessed in all subjects in both groups before and after 10 months of intervention. Muscle strength, flexibility, balance, gait time and pain were measured to assess physical function. Bone mineral density at the lumbar spine was measured by dual energy X-ray absorptiometry (DEXA).Results. There were no significant differences between the two groups in the baseline anthropometric data. The two groups were similar with respect to age, weight, height, and body mass index (p>0.05). After the exercise program, muscle strength, flexibility, gait time, pain, and bone density (p<0.001) improved significantly with LE compared to AE. There was no significant difference between the two groups with regard to balance at the 10-month follow-up.Conclusion. Significant improvements in physical function and BMD suggest that LE is a possible alternative for postmenopausal women with OP.

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Section: Discussionmentioning

confidence: 99%

The Effect of Land versus Aquatic Exercise Program on Bone Mineral Density and Physical Function in Postmenopausal Women with Osteoporosis: a Randomized Controlled Trial

Murtezani¹,

Nevzati²,

Ibraimi³

et al. 2014

Ortop Traumatol Rehabil

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“…Where effects were non-significant, some instances of trends towards reductions in falls rates were observed [52,63]. In other cases, additional factors such as exercise type and intensity may have been influential [29,32,42].…”

Section: Frequencymentioning

confidence: 99%

Characteristics of optimum falls prevention exercise programmes for community-dwelling older adults using the FITT principle

Power

Clifford

2013

Eur Rev Aging Phys Act

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This review aims to identify the optimal exercise intervention characteristics for falls prevention among community-dwelling adults aged 60 years and over. Articles for inclusion were sourced by searching the Academic Search Premier, AMED, Biomedical Reference Collection: Expanded, CINAHL Plus, MEDLINE and SPORTDiscus databases with the key words 'falls', 'prevention', 'exercise' and 'community' and via reference lists of relevant articles. Only articles of level 1 or level 2 evidence (Howick et al. 2011) were included. Other inclusion criteria included recording falls incidence as an outcome measure, examining a communitydwelling population aged 60 years or over and implementing exercise as a single intervention in at least one group. Exercise programme characteristics from 31 articles were examined according to their frequency, intensity, time and type and their effects on falls incidence were reviewed. Exercising for a minimum of 1 h/week for at least 40 h over the course of an intervention is required to successfully reduce falls incidence. The optimal exercise frequency is three times per week, but the optimal duration per bout remains unclear. Specific balance training of sufficiently challenging intensity is a vital programme component, and strength training is most effective when combined with balance training. Flexibility and endurance training may also be included as part of a comprehensive programme. A combination of group and individual home exercise may be most effective for preventing falls and promoting exercise adherence.

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“…On the contrary, no significant improvement in femoral neck and lumbar spine BMD after 12 months of home-based strength training combined with aerobic training and stretching in elderly women with symptomatic osteoporosisrelated vertebral fractures (32).Similarly, strength training for lower limb in concert with balance and impact trainings in community-dwelling elderly women had no significant effect on bone mineral density (28). Plus, 30-months supervised home-based impact trainings resulted in non-significant impact on BMD.…”

Section: Bone Mineral Densitymentioning

confidence: 99%

“…Substantial number of studies have shown dramatic improvements in strength (22,24,25,33,(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48), balance (33,35,41,43,47), mobility (40,46), agility (43,47), flexibility (47), endurance (43), cardiovascular fitness (37,47), quality of life (32,36,40,49), and physical abilities (28,35,37,39,(44)(45)(46)(48)(49)(50) with various home-based resistance training programs.…”

Section: Functional Abilitiesmentioning

confidence: 99%

Home-based Resistance Training Health Benefits for Older Adults: An Evidence-Based Approach to Enhancing the Physiological Functions

Arazi¹,

Izadi²

2017

Ulutas Med J

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IntroductionThe declined human physiological capabilities are an inexorable implication of the biological aging process. Deficiencies in the function of cardiovascular, respiratory, metabolic and neuromuscular systems are responsible for decreased functional capacities, as well as fatigue and slow movements that occur with aging. These age-related declines in the capacities of physiological systems not only deteriorate exercise performance, but also causes lesser ability to perform the activities of daily living (1). Aging typically coincides with decrease in muscle mass and increase in fat mass. The decrements in muscle mass are associated with risk of osteoporosis, frequency of falls and fractures. Throughout the entire life span, maintaining a balance between muscle and fat mass is crucial. A decrease in muscle mass may impair the metabolic rate, and increased fat deposition exposes the individual to type II diabetes, hypertension and other cardiovascular and metabolic diseases (2). Thus, the more passed years of life, the greater probability of chronic diseases, putting people at risk of frailty, disability and loss of independence (3). This is an Open Access article distributed under the terms of Creative Commons Attribution NonCommercial License which permits unrestricted non-commercial use, distribution, and reproduction in any area, original work is properly cited. The Ulutas Medical Journal © 2017 R E V I E W A R T I C L E O P E N A C C E S S

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Effects on Balance, Falls, and Bone Mineral Density of a Home-based Exercise Program without Home Visits in Community-Dwelling Elderly Women: a Randomized Controlled Trial

Cited by 53 publications

References 36 publications

The Effect of Land versus Aquatic Exercise Program on Bone Mineral Density and Physical Function in Postmenopausal Women with Osteoporosis: a Randomized Controlled Trial

The Effect of Land versus Aquatic Exercise Program on Bone Mineral Density and Physical Function in Postmenopausal Women with Osteoporosis: a Randomized Controlled Trial

Characteristics of optimum falls prevention exercise programmes for community-dwelling older adults using the FITT principle

Home-based Resistance Training Health Benefits for Older Adults: An Evidence-Based Approach to Enhancing the Physiological Functions

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