Osteopenia Clinical Trial
Official title:
Tai Chi for Osteopenic Women: A Pilot Randomized Controlled Trial
This study will assess the effectiveness of Tai Chi to affect the rate of bone loss in post-menopausal women who have been diagnosed with the initial stages of bone thinning.
Osteopenia is a serious and growing public health concern for women. Osteopenic women are at
greater risk for fractures than women with normal bone mineral densities (BMD). Low
BMD-related fractures are associated with significant long-term impairment, high morbidity
rates and high medical costs. Optimal preventive and sustainable interventions for
osteopenic women are not yet well-defined.
Tai Chi, a mind-body exercise that is growing in popularity in the U.S., shows may be an
effective, safe and practical intervention for women with low bone density. Preliminary
studies suggest Tai Chi can reduce rates of BMD decline in post-menopausal women. While
suggestive, these studies have numerous design limitations.
We propose a pilot randomized controlled trial to assess the efficacy and feasibility of Tai
Chi as an adjunct to standard care for post-menopausal osteopenic women. Eight-six
osteopenic women ages 45-70 will be recruited from a large multi-specialty group practice.
Our primary aim is to assess the feasibility for recruiting and retaining osteopenic women
into a randomized controlled trial of 9 months of Tai Chi. Our secondary aim is to collect
preliminary data on the efficacy of Tai Chi in reducing rates of bone loss in osteopenic
women using sensitive markers of bone turnover and dual-energy x-ray absorptiometry. The
results of this study will inform the design of a future trial evaluating the benefits and
safety for Tai Chi for osteopenic women, as well as the physiological and biomechanical
mechanisms through which Tai Chi may impact BMD and fracture risks associated with
osteopenia.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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