Effect of exercises with weight vests and a patient education programme for women with osteopenia and a healed wrist fracture: a randomized, controlled trial of the OsteoACTIVE programme

Abstract

BackgroundExercise programmes have shown to be important for the prevention of fractures in patients with established osteoporosis. However, few studies have evaluated the effect of such programmes for women with low bone mineral density (BMD) (osteoporosis or osteopenia) who have already suffered a fracture. Studies have indicated that exercise programmes concentrating on muscular strength and dynamic balance have a positive effect on significant risk factors for falls such as quadriceps strength and balance. The aim of the present study was to assess the effect of a 6-month exercise programme and a patient education component (OsteoACTIVE) on quadriceps strength, BMD, dynamic balance, walking capacity, physical activity level and quality of life in postmenopausal women with osteopenia and a previous wrist fracture.MethodsEighty postmenopausal women with low BMD and a healed wrist fracture were randomized to OsteoACTIVE (n = 42) (age 65.5, range 51.2–79.2 years) or patient education only (control group) (n = 38) (age 63.9, range 52.7–86.8 years). Follow-up was conducted after 6 months (end of intervention) and 1 year. Outcome measures included quadriceps strength, BMD, dynamic balance, walking capacity, physical activity level and quality of life.ResultsThirty-five participants (83 %) completed the OsteoACTIVE programme. Mean adherence to OsteoACTIVE was 87 % (range 48–100 %). Twenty-five participants (72 %) met the a priori goal of 80 % adherence to the program. No adverse events were reported. There were no significant differences between the two groups over the 1-year follow-up for any of the outcome measures.ConclusionThe OsteoACTIVE rehabilitation programme revealed no significant effect on quadriceps strength, BMD, dynamic balance, walking capacity or self-reported functional outcomes over the 1-year follow-up.Trial registrationNCT01357278 at ClinicalTrials.gov (date of registration2010-04-21).

Effect of physical activity on the sequelae of osteoporosis in female residents of residential care facilities

“…22 Hakestad et al, working for the OsteoACTIVE program, reported that exercises with weight vests and a patient education program were effective in the case of women with osteopenia and a healed wrist fracture. 23 Most studies on osteoporosis recommend walking in addition to other physical exercises. Dawson-Hughes et al established that post-climacteric women walking approx.…”

Long-term clinical and socio-economic outcomes following wrist fracture: a systematic review and meta-analysis

“…27,39 Sample sizes of included studies ranged from 18 to 119 participants. 26,39 On average, study samples consisted of a greater proportion of females compared to males: mean proportion of females was 75.9%; this ranged from 34% to 100% 26,28 . One study did not give data on sex.…”

“…22,[25][26][27]29,31,32,35,[37][38][39][40][41] Though 14 studies had a low risk of selective reporting of outcomes, this domain also accounted for the highest number of studies (n = 6) having a high risk of bias. Reasons contributing to other sources of bias in included studies were deviation from protocol, 38 not presenting data on baseline characteristics 23 , not clearly stating how patients were recruited 28 and selective presentation of significant outcomes. 25,28,31,33,37,39 Summary of risk of bias for each included study is presented in Figure 3.…”

“…Reasons contributing to other sources of bias in included studies were deviation from protocol, 38 not presenting data on baseline characteristics 23 , not clearly stating how patients were recruited 28 and selective presentation of significant outcomes. 25,28,31,33,37,39 Summary of risk of bias for each included study is presented in Figure 3.…”

Relationship between Oral Health Status and Bone Mineral Density in Community-Dwelling Elderly Individuals: A Cross-Sectional Study

“…Every year, two million people experience fractures due to osteoporosis, and such fractures affect not only physical functions but also psychological functions causing conditions such as depression [ 4 ]. In addition, fragility fractures lead to physical disability, pain, impaired quality of life, increased mortality, and higher healthcare costs [ 5 ]. Therefore, treatment as well as preventive countermeasures for fractures should be instituted, as more elderly individuals are expected to experience fractures in the coming decade [ 6 ].…”