FRI0288 Role of Physical Exercice Program in Patients with Osteoporosis

Abstract

BackgroundHaving an important negative impact not only on bone health, but also on general health, with serious consequences as the fragility fractures, osteoporosis had became a major public health problem, with high socio-economic cost.ObjectivesThe aim of this study was to assess the efficacy of a 6 months ambulatory exercise program on functional status and quality of life in women with postmenopausal osteoporosis.MethodsThe randomized, controlled, observational study included 81 patients with postmenopausal osteoporosis, mean age 68.7±7.3 years, randomly assigned to a control group (40 patients) and an exercise group (42 patients). All patients were diagnosed with osteoporosis based on DEXA assessment and had a stable cardiovascular status. All patients continued to take their prescribed medication for osteoporosis. They followed exercise programs based on increasing spinal mobility, muscular strength and endurance, improving balance, coordination, respiratory exercises. The patients in the control group continued their daily living activities. The evaluation was made at the beginning of the study and after 6 months based on spinal mobility, muscular strength, pain assessment on a Visual Analogue Scale (VAS) and quality of life evaluation using SF-36 Questionnaire.ResultsThe benefits of the kinetic programs were shown by a significant improvement on spinal mobility and muscular strength for spinal extensor and abdominal flexor muscles. For muscular strength, the values we obtained followed an ascendant curve for all the tested muscular groups and the results had high statistic significance. Pain, evaluated on a Visual Analogue Scale, had a mean decrease of 3.558 points and the results were also high statistic significant (p=0.000054). For SF-36 Questionnaire, the best results were obtained for vitality (37.2% amelioration), mental health (20.8% amelioration) and body pain (53.5% amelioration) domains and were also statistic significant (p<0.05). The results for the control group remained basically unchanged. The compliance of the study participants was very good: only three patients did not completed the 6 months training program.ConclusionsThe physical exercise program improves both functional status and quality of life in patients with postmenopausal osteoporosis by increasing spinal mobility and muscular strength and by reducing pain. Kinetic programs that combine aerobic exercise with exercises for increasing muscular strength and endurance, balance and coordination should be introduced in the rehabilitation programs of patients with osteoporosis without medical contraindications for moderate level exercise.Disclosure of InterestNone declared

Comparisons of Interventions for Preventing Falls in Older Adults

“…Quality improvement initiatives targeting the health system include interventions with positive or negative financial incentives directed at clinicians (eg, linked to adherence to some process of care or achievement of some target outcome), positive or negative financial incentives directed at patients, or system-wide changes in reimbursement systems included (citations in eReferences in the Supplement), with a total of 159 910 participants (mean age 78.1 years; 74% women). Two included studies were available only as conference abstracts, 35,36 and 14 other studies were identified by scanning reference lists of included studies and relevant reviews. [37][38][39][40][41][42][43][44][45][46][47][48][49][50] Author Contact…”

Effects of exercise based on ACSM recommendations on bone mineral density in individuals with osteoporosis: a systematic review and meta-analyses of randomized controlled trials

“…Research has shown that after exercise intervention, individuals with OP demonstrate significant improvements in quality of life, pain scores, and balance performance ( Marcu et al, 2015 ; FILIPOVIĆ et al, 2021 ), but there is still controversy regarding changes in BMD ( Wei et al, 2015 ). BMD is an important indicator for diagnosing individuals with OP ( Sugerman, 2014 ), and increasing BMD through exercise is crucial for preventing and treating OP ( Gregson et al, 2022 ).…”