Influences of Physical Fitness on Bone Mass in Women With Fibromyalgia

Gómez-Cabello, Alba; Vicente-Rodríguez, Germán; Navarro-Vera, Isabel; Martínez-Redondo, Diana; Dı́ez-Sánchez, Carmen

doi:10.1123/apaq.2014-0193

Cited by 8 publications

(6 citation statements)

References 24 publications

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“…Previous research has studied physical fitness, defined as a set of attributes that are either health- or skill-related [ 5 ], linked to bone mass in different populations such as children [ 6 ], adolescents [ 7 ], adults [ 8 ], or people with disabilities [ 9 ]. However, most of the studies have analysed bone parameters through dual-energy X-ray absorptiometry (DXA), which evaluates only areal bone mineral density (aBMD).…”

Section: Introductionmentioning

confidence: 99%

Associations between Physical Fitness, Bone Mass, and Structure in Older People

Moradell

Gómez-Cabello

Gómez-Bruton

et al. 2020

BioMed Research International

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The main aim was to analyse the associations between several physical fitness variables and bone parameters in a sample of elderly people. 129 participants (94 females and 35 males, 76.2±5.4 y) from the EXERNET cohort of Zaragoza (Spain) were included in the study. Physical fitness was assessed using the Senior Fitness Test Battery. Peripheral quantitative computed tomography (pQCT) at the tibia and dual-energy X-ray absorptiometry (DXA) at the hip and lumbar spine were used to assess bone and muscle parameters. Partial correlations were used to describe the associations between fitness and bone parameters. A stepwise regression analysis was used to determine the influence of fitness variables on bone parameters. In males, significant correlations were found between lower body strength and agility with bone total mineral density (Tt.BMD) (r=0.41 and -0.50) and cortical thickness (r=0.40 and -0.50, respectively) and walking speed with total and cortical density (r=−0.41 and -0.40, respectively), all measured at tibia (all p<0.05). Regarding DXA, neck areal bone mineral density (aBMD) correlated with flexibility (r=−0.37) and walking speed (r=0.39) and Ward’s triangle with walking speed (r=0.39). Agility predicted Tt.BMD and cortical thickness (r2 change=24.8% and 23.0%), while walking speed predicted cortical bone mineral density (r2 change=19.5%) (all p<0.05). Females showed correlations between balance and total hip aBMD (r=0.27) and trochanter aBMD (r=0.25). Balance predicted trochanter (r2 change=4.2%) and total hip aBMD (r2 change=4.9%) (both p<0.05). In conclusion, bone mass in elderly males seems to be more influenced by physical fitness than in females, being agility and walking speed the variables showing greater associations. Other variables should be taken into account in females for future research.

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Section: Introductionmentioning

confidence: 99%

Associations between Physical Fitness, Bone Mass, and Structure in Older People

Moradell

Gómez-Cabello

Gómez-Bruton

et al. 2020

BioMed Research International

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“…In another study, 116 premenopausal FMS women and 141 premenopausal women of control group were compared with calcaneus USG method and it was seen that BMD was lower in FMS group (24). In a study performed by Cabello in 2015 by means of Bone mass of women with fibromyalgia may be more susceptible to changes in physical fitness than that of the women without fibromyalgia (25). (28).…”

Section: Discussionmentioning

confidence: 96%

Effects of Pain, Depression and Quality of Life on Bone Mineral Density in Patients with Fibromyalgia

Demirbaş¹,

Kutlu²,

Ecesoy³

2020

J Basic Clin Health Sci

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Objective: In this study, we aimed to assess the effects of bone mineral density with fibromyalgia on pain, depression and quality of life.Methods: In this case-control study, 100 women who were diagnosed as FMS and 100 women who were not diagnosed as FMS were included. Visual Analog Scala (VAS), Fibromyalgia Impact Questionnaire (FIQ) and Hospital Anxiety and Depression Scala (HADS) were used for the patients. Bone mineral density (BMD) of the participants was measured with dual energy x ray absorptiometry (DXA) method.Results: The number of the tender points of the women with fibromyalgia and VAS, FIQ, HAD-A and HAD-D scores were found significantly higher than of the control group (p<0.001). Of the patients with fibromyalgia, 64.3% had anxiety and 59.9% of them had depression. No statistically significant difference was found when the averages of bone mineral density and T-Z scores were compared in two groups (p>0.05). When BMD measurements and HAD-A and HAD-D scores of the fibromyalgia patients were compared; in the L1-L4 region of the patients with anxiety and depression; BMD (mass, T score and Z score) were found respectively lower than of those without anxiety and depression (p=0.011) (p=0.040). Conclusions:The FIQ scores of the patients with low L1-L4 T scores were found higher than of the patients with normal T scores. The L1-L4 region of the patients with anxiety and depression; BMD (mass, T score and Z score) were found respectively lower than of those without anxiety and depression. This study confirmed the concept that FMS is a risk factor for osteoporosis.

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“…Secondly, all six studies [ 23 – 28 ] that did not demonstrate a lower CRF among participants with FM used cycle ergometer protocols, whereas cycle ergometers (n=7) [ 10 – 16 ] and treadmills (n=5) [ 17 – 21 ] were used in the studies that identified a lower CRF. Using a treadmill in a FM population might represent a more natural type of movement, and one that is more representative of daily activities and requires less muscle strength in the lower extremities than using a cycle ergometer [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Cardiorespiratory Fitness Levelmentioning

confidence: 99%

“…The remaining five studies [ 17 – 21 ] used a maximal exercise test on a treadmill instead of a cycle ergometer. The first study [ 17 ] included 28 women with FM and 22 age-matched women without FM as the control group. There was no significant difference between the groups for height but there was a significant difference for BMI (FM: 28.6±6.5 kg⋅m −2 versus control: 23.5±28.6 kg⋅m −2 ; p=0.001).…”

Section: Cardiorespiratory Fitness Levelmentioning

confidence: 99%

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Cardiorespiratory fitness among adults with fibromyalgia

Gaudreault

Boulay

2018

Breathe

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This review presents and addresses the conflicting results on cardiorespiratory fitness among adults with fibromyalgia. The heterogeneity in study designs, symptom severity and the assessment protocols might partly explain these conflicting results. It also presents the possible relationship between cardiorespiratory fitness and exercise prescription, attrition from exercise/rehabilitation programmes and independence with activities of daily living.Cardiorespiratory fitness might impact aerobic exercise and independence in daily activities of patients with fibromyalgia, which is often concomitantly diagnosed in patients with sleep disordered breathing, including patients with obstructive sleep apnoea. Therefore, cardiorespiratory fitness evaluation should be considered by general and respiratory physicians as well as physiotherapists who treat patients diagnosed with fibromyalgia for more accurate diagnosis, exercise prescription and monitoring of patients’ status.Key pointsAdults with fibromyalgia often present with reduced cardiorespiratory fitness.Reduced cardiorespiratory fitness might have an important impact on functional capacity and quality of life.Adults with fibromyalgia who have a secondary condition affecting their ventilatory anaerobic threshold and/or V′O2peak, for example chronic obstructive pulmonary disease, might present with a greater reduction of their cardiorespiratory fitness which may not be entirely related to their lung disease.Educational aimsTo better understand the cardiorespiratory fitness results among adults with fibromyalgia in general, and when taking into account differences in assessment protocol (maximal versus submaximal testing protocol; cycle ergometer versus treadmill testing protocol) and symptom severity (fibromyalgia severity level).To better understand how cardiorespiratory fitness among adults with fibromyalgia could: 1) assist in exercise prescription; 2) minimise dropout rates from exercise/rehabilitation programmes; and 3) promote independence with activities of daily living.To learn why fibromyalgia might be important to consider in adults who have concurrent fibromyalgia and lung disease.

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Influences of Physical Fitness on Bone Mass in Women With Fibromyalgia

Cited by 8 publications

References 24 publications

Associations between Physical Fitness, Bone Mass, and Structure in Older People

Associations between Physical Fitness, Bone Mass, and Structure in Older People

Effects of Pain, Depression and Quality of Life on Bone Mineral Density in Patients with Fibromyalgia

Cardiorespiratory fitness among adults with fibromyalgia

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