Prescribing Physical Activity for the Prevention and Treatment of Osteoporosis in Older Adults

McMillan, Lachlan; Zengin, Ayse; Ebeling, Peter R.; Scott, David

doi:10.3390/healthcare5040085

Cited by 88 publications

(73 citation statements)

References 97 publications

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“…Implementing the TPB-based educational program augmented the scores of the construct of attitudes towards behavior at 6-months follow-up in the intervention group. This result is consistent with the ndings of Lachlan et al [32]. A clinical trial by Darker et al on walking improvement based on TPB reported a similar increase in individuals' attitudes towards PA [33].…”

Section: Discussionsupporting

confidence: 92%

Improving physical activity in ‘Health Volunteers’: A randomized controlled trial

Jafarpour¹,

Arastoo²,

Gholammnia-Shirvani³

et al. 2020

Preprint

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Background Health volunteers are women who have humanistic cooperation with healthcare centers to prevent diseases. Health volunteers play an important role in the community. Thus if educated, they could be of great help to health care systems. Since physical inactivity and sedentary lifestyles increase the risk of all cause mortality, the aim of this study was to educate health volunteers on physical activity (PA) applying the theory of planned behavior (TPB). Methods This was a randomized controlled trial of an educational intervention to improve physical activity among health volunteers in Shushtar (a southern city), Iran in 2016. A sample of female health volunteers was entered into the study and randomly was assigned to the intervention and the control groups. The intervention included three educational sessions and a walking program. A questionnaire containing items on TPB constructs including: attitude, subjective norms, perceived behavioral control, intention and behavior constructs, the international physical activity questionnaire, and the physiological cost index (PCI- an objective measure of PA) were used to collect data at baseline and 6 months follow-up assessments. Then the data were compared within and between groups using t-test and paried test. Results In all 110 ‘Health Volunteers’ (55 per each group) were entered into the study. The mean age of participants was 35.65 ± 10.25 years. The results obtained from analysis showed that educational program improved attitude towards PA, perceived behavioral control, intention, behavior and PCI among the intervention group (P < 0.001). However, no significant changes occurred in the control group in terms of the study variables (P > 0.05). Additionally, comparison of score changes between two groups showed significant differences for all variables except for subjective norms and physical activity behavior (minute per day) group (P > 0.05). Conclusion The TPB-directed educational program improved physical activity and physiological cost index. The study framework might be used as a practical template for interventions aimed at improving physical activity among women.

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Section: Discussionsupporting

confidence: 92%

Improving physical activity in ‘Health Volunteers’: A randomized controlled trial

Jafarpour¹,

Arastoo²,

Gholammnia-Shirvani³

et al. 2020

Preprint

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“…Moreover, several studies [61][62][63] report that PA could also reduce the level of osteoporosis, resulting in a valid therapeutical approach for this disease in elderly people.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review

Vadalà

Russo

Salvatore

et al. 2020

JCM

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Chronic low back pain (CLBP) affects nearly 20–25% of the population older than 65 years, and it is currently the main cause of disability both in the developed and developing countries. It is crucial to reach an optimal management of this condition in older patients to improve their quality of life. This review evaluates the effectiveness of physical activity (PA) to improve disability and pain in older people with non-specific CLBP. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. Individual risk of bias of single studies was assessed using Rob 2 tool and ROBINS-I tool. The quality of evidence assessment was performed using GRADE analysis only in articles that presents full data. The articles were searched in different web portals (Medline, Scopus, CINAHL, EMBASE, and CENTRAL). All the articles reported respect the following inclusion criteria: patients > 65 years old who underwent physical activities for the treatment of CLBP. A total of 12 studies were included: 7 randomized controlled trials (RCT), 3 non-randomized controlled trials (NRCT), 1 pre and post intervention study (PPIS), and 1 case series (CS). The studies showed high heterogeneity in terms of study design, interventions, and outcome variables. In general, post-treatment data showed a trend in the improvement for disability and pain. However, considering the low quality of evidence of the studies, the high risk of bias, the languages limitations, the lack of significant results of some studies, and the lack of literature on this argument, further studies are necessary to improve the evidences on the topic.

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“…In recent years, about 20 million patients are prone to affecting osteoporotic VCFs [21]. The prevalence of VCFs in China increased from 15% in 50 years old to 36.6% among women aged 80 years or elderly [22,23]. VCFs would cause severe pain and confine spin activity and decrease quality of life.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of pulmonary complications after minimally invasive surgery for elderly patients with vertebral compression fractures

Zhang

Shen

Chen

et al. 2019

Preprint

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Purpose: To determine the risk factors for pulmonary complications after minimally invasive surgery in elderly patients with vertebral compression fractures (VCFs). Methods: We retrospectively analyzed 233 elderly patients (age ≥ 65 years) with VCFs who underwent percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) surgery at Hebei General Hospital from January 2011 to December 2016 . Risk factors and the effects of the model were determined by univariate logistic regression analyses and the receiver operating characteristic (ROC) curve, respectively. A risk assessment scale was established based on the risk factors and physiological and surgical scores for mortality and morbidity. The risk assessment scale prospectively evaluated risk factors of pulmonary complications after minimally invasive surgery for elderly patients with VCFs from January to June 2017. Results: A total of 27 patients diagnosed with pulmonary complications (11.59%) among 233 detected patients. There were statistically significant differences in age, body mass index (BMI), smoking, cardiovascular diseases and old fractures between patients with and without pulmonary complications (P<0.05). Logistic regression analysis showed that smoking, cardiovascular diseases and old fractures were risk factors of pulmonary complications after PVP or PKP for elderly patients with VCFs (P<0.05) and area under the curve was 0.738 (95% confidence intervals (CI): 0.648-0.828). We assessed 53 elderly patients with VCFs, 5 of whom occurred pulmonary complications after PVP or PKP. Areas under the curve of preoperative and total risk assessment values were all 0.925. Conclusions: Significant risk factors of pulmonary complications were BMI, cardiovascular diseases and old fractures for patients aged 65 years or elderly with VCFs after minimally invasive surgery. The risk assessment scale established by us gaining high accuracy.

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Prescribing Physical Activity for the Prevention and Treatment of Osteoporosis in Older Adults

Cited by 88 publications

References 97 publications

Improving physical activity in ‘Health Volunteers’: A randomized controlled trial

Improving physical activity in ‘Health Volunteers’: A randomized controlled trial

Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review

Risk factors of pulmonary complications after minimally invasive surgery for elderly patients with vertebral compression fractures

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