Exercise and Health Maintenance in Menopausal Womena

Notelovitz, Morris

doi:10.1111/j.1749-6632.1990.tb30330.x

Annals of the New York Academy of Sciences

1990

DOI: 10.1111/j.1749-6632.1990.tb30330.x

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Exercise and Health Maintenance in Menopausal Womena

Morris Notelovitz

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Cited by 6 publications

References 47 publications

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Why do long-distance runners not have more bone? A vital biomechanical explanation and an estrogen effect

Frost

1997

J Bone Miner Metab

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Inanimate structures cannot detect and repair their fatigue damage or microdamage, so to minimize it they need more structural material and strength. Living bone handles this matter differently. Bone modeling drifts adapt bone architecture and strength to the loads on bones in ways that tend to keep strains from exceeding a "modeling threshold" range. Strains (or equivalent features) above that threshold switch mechanically controlled modeling ON. Where strains stay below that threshold, this modeling goes OFF. Repeatedly loading-deloading a bone causes microdamage in it, and basic multicellular unit (BMU)-based bone remodeling normally repairs it. Where strains stay below an operational "microdamage threshold," remodeling can repair whatever microdamage happens for as long as it happens. Strains above that threshold can cause too much microdamage to repair completely and lead to fatigue fractures of trabeculae or whole bones. The modeling threshold normally lies comfortably below the microdamage threshold. Since modeling normally adjusts bone architecture to keep strains from exceeding the modeling threshold, this keeps strains below the microdamage threshold, too, and voluntary activities do not cause more microdamage than remodeling can repair. Therefore, long-distance runners do not need more bone mass and strength than nonrunners of comparable age, sex, and body size.

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Why do long-distance runners not have more bone? A vital biomechanical explanation and an estrogen effect

Frost

1997

J Bone Miner Metab

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Diet, Exercise, and Lifestyle in Preparation for Menopause

Ravnikar¹

1993

Obstetrics and Gynecology Clinics of North America

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Alice in Menopauseland: The Jabberwocky of a Medicalized Middle Age

Cousins

Edwards²

2002

Health Care for Women International

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Active living is being advanced in the scientific literature as an essential and effective resource to sustained health and vitality in middle-aged women, with potent benefits to biological, social, and emotional health. At the same time, menopausal women are being counseled that hormone replacement therapy (HRT) is the treatment of choice for combating symptoms and diseases that accompany female aging. Assisted by the writing of Lewis Carroll, here we gaze "through the looking glass" on women's health choices as they are relayed through current medical practice. By exploring the jabberwocky of communications experienced by women as they consider the best pathway to late life health, we show that active living is a worthy alternative--potent for health promotion, broader than hormones in its benefits, and is the more empowering and ethical route for women's long-term health.

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Exercise and Health Maintenance in Menopausal Womena

Cited by 6 publications

References 47 publications

Why do long-distance runners not have more bone? A vital biomechanical explanation and an estrogen effect

Why do long-distance runners not have more bone? A vital biomechanical explanation and an estrogen effect

Diet, Exercise, and Lifestyle in Preparation for Menopause

Alice in Menopauseland: The Jabberwocky of a Medicalized Middle Age

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