The effects of high impact exercise intervention on bone mineral density, physical fitness, and quality of life in postmenopausal women with osteopenia

Yu, Pei‐An; Hsu, Wei‐Hsiu; Kuo, Liang‐Tseng; Lin, Zin-Rong; Shen, Wun-Jer; Hsu, Robert Wen-Wei

doi:10.1097/md.0000000000014898

Cited by 32 publications

(33 citation statements)

References 27 publications

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“…It may also be that our participants did not engage in specific bone‐loading activities. Intervention studies show that regular physical activity several times a week is effective in increasing femoral neck BMD in women during their postmenopausal years . However, to induce osteogenic effects on the femoral neck, intensive physical exercise such as brisk walking, running and jumping, or high‐load resistance training targeting the hip region is required.…”

Section: Discussionmentioning

confidence: 99%

Muscle and bone mass in middle‐aged women: role of menopausal status and physical activity

Sipilä

Törmäkangas

Sillanpää

et al. 2020

J cachexia sarcopenia muscle

130

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Background Women experience drastic hormonal changes during midlife due to the menopausal transition. Menopausal hormonal changes are known to lead to bone loss and potentially also to loss of lean mass. The loss of muscle and bone tissue coincide due to the functional relationship and interaction between these tissues. If and how physical activity counteracts deterioration in muscle and bone during the menopausal transition remains partly unresolved. This study investigated differences between premenopausal, early perimenopausal, late perimenopausal, and postmenopausal women in appendicular lean mass (ALM), appendicular lean mass index (ALMI), femoral neck bone mineral density (BMD) and T score. Furthermore, we investigated the simultaneous associations of ALM and BMD with physical activity in the above‐mentioned menopausal groups. Methods Data from the Estrogen Regulation of Muscle Apoptosis study were utilized. In total, 1393 women aged 47–55 years were assigned to premenopausal, early perimenopausal, late perimenopausal, and postmenopausal groups based on follicle‐stimulating hormone concentration and bleeding diaries. Of them, 897 were scanned for ALM and femoral neck BMD by dual‐energy X‐ray absorptiometry and ALMI (ALM/height2) and neck T scores calculated. Current level of leisure‐time physical activity was estimated by a validated self‐report questionnaire and categorized as sedentary, low, medium, and high. Results Appendicular lean mass, appendicular lean mass index, femoral neck bone mineral density, and and T score showed a significant linear declining trend across all four menopausal groups. Compared with the postmenopausal women, the premenopausal women showed greater ALM (18.2, SD 2.2 vs. 17.8, SD 2.1, P < 0.001), ALMI (6.73, SD 0.64 vs. 6.52, SD 0.62, P < 0.001), neck BMD (0.969, SD 0.117 vs. 0.925, SD 0.108, P < 0.001), and T score (−0.093, SD 0.977 vs −0.459, SD 0.902, P < 0.001). After adjusting for potential confounding pathways, a higher level of physical activity was associated with greater ALM among the premenopausal [β = 0.171; confidence interval (CI) 95% 0.063–0.280], late perimenopausal (β = 0.289; CI 95% 0.174–0.403), and postmenopausal (β=0.278; CI 95% 0.179–0.376) women. The positive association between femoral neck BMD and level of physical activity was significant only among the late perimenopausal women (β = 0.227; CI 95% 0.097–0.356). Conclusions Skeletal muscle and bone losses were associated with the menopausal transition. A higher level of physical activity during the different menopausal phases was beneficial, especially for skeletal muscle. Menopause‐related hormonal changes predispose women to sarcopenia and osteoporosis and further to mobility disability and fall‐related fractures in later life. New strategies are needed to promote physical activity among middle‐aged women. Longitudinal studies are needed to confirm these results.

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Section: Discussionmentioning

confidence: 99%

Muscle and bone mass in middle‐aged women: role of menopausal status and physical activity

Sipilä

Törmäkangas

Sillanpää

et al. 2020

J cachexia sarcopenia muscle

130

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“…However many women are searching for different, alternative methods to reduce the severity of menopausal symptoms [5,6]. Nonpharmaceutical intervention such as physical activity was proven to be an effective method of reducing menopausal symptoms, decreasing bone loss and increasing muscle strength in menopausal women [5,6,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Other study suggested that higher doses of impact exercise attenuated natural age-related declines in total bone mineral density in postmenopausal women [18]. Physical activity, especially aerobic dance, was proven as an effective and efficient method in improving health, physical function and physical fitness in postmenopausal women [8]. The systematic review and meta-analysis published in 2018 recommended yoga for menopausal women.…”

Section: Introductionmentioning

confidence: 99%

High Physical Activity Level May Reduce Menopausal Symptoms

et al. 2019

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Background and Objectives: Menopause is a normal physiological change occurring at a woman’s mid-life. During this time, women experience vasomotor, physical and physiological problems, which reduce their quality of life. Many women are searching for different, alternative methods to reduce the severity of menopausal symptoms. Physical activity (PA) is one of the recommended methods to reduce menopausal symptoms. The purpose of this study was to investigate the association between specific domains (physical activity during leisure time, at work, during transportation and household activities) and the menopausal symptoms. Materials and Methods: We included 305 women aged 40–65 in the study. All participants were divided into three groups according to menopausal status. The research tools used were the International Physical Activity Questionnaire (IPAQ) to assess physical activity level in four domains and the Menopause Rating Scale (MRS) to assess the severity of menopausal symptoms. The data analysis was performed by Chi-square test and analysis of variance (ANOVA) with post hoc Tuckey test. Results: Menopausal stage was significantly associated with the total MRS score (p < 0.001) and specifically the urogenital and somato–vegetative subscores (p < 0.001). Physical activity was significantly associated (p < 0.001) with leisure time (according to IPAQ domains). Most postmenopausal women had high PA level (59.66%). Significantly less women with high PA levels had severe urogenital symptoms: 10.82% of participant with a low PA level, 11.15% with a moderate PA level and 4.26% with a high PA level (p = 0.046). Conclusions: Physical activity during leisure time is associated to menopausal symptoms in Polish women. Women with high and moderate PA levels have less severe menopausal symptoms compared to inactive women. Middle-aged women with low PA levels at work suffer from more severe somato–vegetative symptoms.

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“…The results suggested that, 24-week aerobic dance intervention could result in the lower the incidence of bone fracture through increasing BMD and decreasing fall risk for postmenopausal women. Grip strength, sidestep and physical functional domain of HRQoL in the exercise group were significantly improved compared to the contol group (26). Another single-blind randomized controlled prospective trial study (92 postmenopausal women) was consistent of 3 groups: First group of patients with exercises and physical modalities (gr.…”

Section: Effects Of Physical Activitymentioning

confidence: 94%

Still a Major Concern: Osteoporosis Has a Serious Impact on Quality of Life

Kutsal¹

2020

Tod

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ÖzOsteoporoz önemli bir halk sağlığı sorunudur ve osteoporotik kırıklara bağlı olarak gelişen sakatlıklar yaşam kalitesini olumsuz etkilemektedir. Fiziksel, duygusal ve psikolojik yeti kayıpları, kalça, omurga veya el bileği kırıklarından kaynaklanan ağrı ile birlikte yaşam kalitesini değiştirmektedir. Osteoporozlu erkeklerde ve kadınlarda, hastalığın tüm aşamalarının etkili bir şekilde yönetilmesini sağlayacak uygun müdahaleler geliştirmek için, kırık oluşmadan önce bile yaşam kalitesi iyice araştırılmalıdır. Bilinmelidir ki; kırığı olmayan osteoporotic hastalarda bile yaşam kalitesi skorları düşük bulunmaktadır. Ayrıca yaşam kalitesini değerlendirmek, osteoporoz ile ilgili sağlık araştırmaları ve klinik çalışmalar için de gereklidir. Yaşam kalitesini değerlendirmek için kullanılan ölçeklerin seçimi araştırmanın türüne ve sorulan araştırma sorusuna bağlıdır; her ölçeğin kendine özgü avantajları ve dezavantajları vardır. Avrupa Osteoporoz Vakfı Yaşam Kalitesi Anketi ve Osteoporoz Yaşam Kalitesi Anketi daha çok kırık değerlendirmesini hedeflemektedir ve Osteoporoz Fonksiyonel Engellilik Anketi ise, egzersizi içeren uzunlamasına çalışmalar için kullanılabilir. Osteoporotik kırıkların gerek bireylere, gerekse sağlık sistemlerine ve toplumlara verdiği büyük yükün, bu tür yaklaşımların ilerletilmesi için açık bir itici güç olması gerektiği belirtilmekte olup, bu bağlamda yaşam kalitesinin değerlendirilmesi de önemli bir ilk adım özelliği taşımaktadır.Osteoporosis constitutes a major public health problem and health consequences from osteoporotic fractures in patients include disability having a negative impact on the quality of life. Physical, emotional, and psychological incapacity, combined with the pain that results from hip, spine, or wrist fractures, can alter quality of life. Even in the absence of fragility fractures osteoporotic patients have substantially lower quality of life scales. Quality of life in men and women with osteoporosis should be thoroughly investigated even prior to the occurrence of fracture, to develop appropriate interventions that would empower patients to effectively manage all stages of the disease. Also assessing quality of life is essential to health research and clinical trials involving osteoporosis. And the choice of the instrument used to assess quality of life depends on the type of research and on the research question asked; each instrument has specific advantages and disadvantages. The Quality of Life Questionnaire of the European Foundation for Osteoporosis and the Osteoporosis Quality of Life Questionnaire are targeted more toward fracture assessment, and the Osteoporosis Functional Disability Questionnaire can be used for longitudinal studies involving exercise. It is stated that, the huge burden caused by osteoporosis related fractures to individuals, healthcare systems and societies should provide a clear impetus for the progression of such approaches and assessment of quality of life seems to be an essential initial step.

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The effects of high impact exercise intervention on bone mineral density, physical fitness, and quality of life in postmenopausal women with osteopenia

Cited by 32 publications

References 27 publications

Muscle and bone mass in middle‐aged women: role of menopausal status and physical activity

Muscle and bone mass in middle‐aged women: role of menopausal status and physical activity

High Physical Activity Level May Reduce Menopausal Symptoms

Still a Major Concern: Osteoporosis Has a Serious Impact on Quality of Life

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