Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women Subjected to an Aqua Fitness Training Program

Wochna, Krystian; Nowak, Alicja; Huta-Osiecka, Anna; Sobczak, Katarzyna; Kasprzak, Zbigniew; Leszczyński, Piotr

doi:10.3390/ijerph16142505

Cited by 23 publications

(33 citation statements)

References 30 publications

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“…Moreover, Moreira et al found a positive effect of high-intensity aquatic exercise on P1NP and CTX among people with osteoporosis and osteopenia on P1NP and CTX (51). On the other hand, Wochna et al did not obtain effects on CTX in healthy post-menopausal women performing aqua fitness activities in deep water (52).…”

Section: Discussionmentioning

confidence: 91%

The Effect of Physical Activity on Bone Biomarkers in People With Osteoporosis: A Systematic Review

et al. 2020

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Background: Bone imbalance between anabolic and catabolic processes at the level of remodeling unit due to the prevalence of resorbing activity, represents a health problem of aging. The consequence is the negative balance of bone turnover that can lead to osteoporosis. Physical activity (PA) can play a central role in the comprehensive management of osteoporosis, since it induces the anabolism of bone tissue. Bone turnover biomarkers, reflecting the cellular activity linked to bone metabolism, can represent an evaluation tool to assess the efficacy of PA in the osteoporotic population. The aim of this systematic review, conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, was to investigate the effects of PA interventions on bone biomarkers in people with osteoporosis. Methods: A comprehensive literature search of electronic databases was conducted through PubMed, Cochrane, Cinahl, Embase, Trip, to find randomized controlled trials (RCTs) investigating the topic of PA and bone turnover biomarkers in the osteoporosis population. In accordance with the Cochrane risk-of-bias tool, the quality of each study was assessed. Results: Out of 992 identified articles, 136 full texts were screened. Only three RTCs matched the eligibility criteria. In one study, sub-maximal aerobic exercise improved Bone-specific alkaline phosphatase (bone formation biomarker) and Amino-terminal Crosslinked Telopeptide of type 1 collagen (bone resorption biomarker) in osteoporotic women. The other two studies showed a positive effect on total alkaline phosphatase (a non-specific bone formation biomarker) in women with osteoporosis. Conclusion: The systematic review revealed possible exercise benefits in terms of improving bone formation and decreasing bone resorption biomarkers in the osteoporotic population. However, these results should be interpreted with caution, especially due to the limited number and poor quality of the studies included. Further research is needed to estimate the influence of PA on bone biomarkers in the osteoporosis management.

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Section: Discussionmentioning

confidence: 91%

The Effect of Physical Activity on Bone Biomarkers in People With Osteoporosis: A Systematic Review

et al. 2020

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“…At present, many studies report on the effect of swimming on osteoporosis; most of which support that swimming does not improve BMD. However, some experiments have confirmed that it affects not only BMD but also the level of bone turnover markers, such as CTX (decreased bone resorption marker) [11].…”

Section: Discussionmentioning

confidence: 99%

Swimming as Treatment for Osteoporosis: A Systematic Review and Meta-analysis

Chen

Xie

2020

BioMed Research International

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Osteoporosis is a chronic disease that seriously affects human health and quality of life. This study is aimed at determining whether swimming had an effect on the bone mineral density (BMD) of the spine and femoral neck in postmenopausal and premenopausal osteoporosis patients. We retrieved relevant literature and analyzed data from randomized controlled trials to assess the effect of swimming on BMD in postmenopausal and premenopausal women. Relevant studies, with no language restrictions, from inception to September 2019, were retrieved from the PubMed, Cochrane, EMBASE, and EBSCO databases independently by two investigators. The keywords used for the literature search were “osteoporosis” and “swimming.” The main results included BMD and T-score. We searched 256 relevant articles and finally screened five articles, including 263 participants. Lumbar spine density was mentioned in three articles. Although the heterogeneity of lumbar vertebral density is moderate, the analysis of swimmers to nonswimmers shows that the lumbar vertebral density in swimmers is improved [heterogeneity: chi2=5.16, df=2 (P=0.08); I2=61%]. We analyzed the following heterogeneous subgroups: subgroup 1 (3–6 hours) and subgroup 2 (<3 hours). The BMD in subgroup 1 was significantly higher than that in the placebo, while no effect on BMD was found in subgroup 2 [heterogeneity: chi2=0.15, df=3 (P=0.70); I2=0%]. According to the current evidence, swimming may improve the BMD of postmenopausal women participants, if the swimming time is between 3 and 6 hours, especially in long-term swimmers. However, the effectiveness of swimming does require further investigation.

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“…Typically, there is a large population with osteopenia or osteoporosis in the community, which are undiagnosed before fractures occur, meaning that community-based health programs for OP screening could be of great significance to residents. For instance, bone mineral density (BMD) and bone turnover marker testing are necessary to ensure preventive interventions to reduce risks for populations with low bone mass, especially postmenopausal women, and elderly men ( 11 , 12 ). Therefore, community-dwelling middle-aged and elderly people are subjects for whom it is important to prevent and manage OP and its associated fractures.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and Risk Factors for Community-Based Osteoporosis and Associated Fractures in Beijing: Study Protocol for a Cross-Sectional and Prospective Study

Sun

Zhang

Shen³

et al. 2020

Front. Med.

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Background: Osteoporosis (OP) patients are usually asymptomatic until osteoporotic fractures occur, which makes early diagnosis and prevention difficult, and the associated fractures secondary to OP could be preventable with appropriate management. Therefore, early identification and relevant evidence-based management of OP could guide the prevention of subsequent fractures. This study will investigate the prevalence of OP and the incidence of osteoporotic fractures in Beijing community residents to further explore the related risk factors and put forward suggestions for people aged 45–80 years old.Methods: Over 2 years, this study will conduct an OP screening and a prospective follow-up in the Beijing community to investigate the incidence of osteoporotic fractures. The study will undertake bone mineral density detection, collect biological samples, and record information via questionnaires.Discussion: The study aims to investigate the potential risk factors for osteoporosis and explore syndromes from traditional Chinese medicine that are associated with this condition based on large samples from the Beijing community. Data on the incidence of osteoporotic fractures among community dwellers in Beijing over the two-years will be available on the Chinese clinical trial registry: ChiCTR-SOC-17013090.

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Bone Mineral Density and Bone Turnover Markers in Postmenopausal Women Subjected to an Aqua Fitness Training Program

Cited by 23 publications

References 30 publications

The Effect of Physical Activity on Bone Biomarkers in People With Osteoporosis: A Systematic Review

The Effect of Physical Activity on Bone Biomarkers in People With Osteoporosis: A Systematic Review

Swimming as Treatment for Osteoporosis: A Systematic Review and Meta-analysis

Prevalence of and Risk Factors for Community-Based Osteoporosis and Associated Fractures in Beijing: Study Protocol for a Cross-Sectional and Prospective Study

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