Osteoporosis, Postmenopausal Clinical Trial
Official title:
Effects of Whole-Body Vibration and High Impact Exercises on the Bone Metabolism and Fall Risk in Postmenopausal Women
We investigated the effects of whole body vibration (WBV) and high-impact (HI) exercises in postmenopausal women with low bone mineral density. In summary, WBV exercises are effective in preventing bone loss and WBV and HI exercise programs are effective in decreasing fall risk, increasing health-related quality of life and improving depressive symptoms
Purpose: The aim of this study was to determine the effects of six months of supervised
whole-body vibration (WBV) and high-impact (HI) exercises on bone mineral density (BMD),
serum bone turnover markers, fall risk, health-related quality of life (HRQoL) and depressive
symptoms in postmenopausal women, additionally, to evaluate the advantage of each training
program to another.
Methods: In a prospective, randomized controlled 6-month interventional trial 58 eligible
postmenopausal women were assigned to WBV training group (n=19), HI training group (n=19), or
control group (n=20). The patients in both training groups participated in a supervised
training program, which consisted of the one-hour exercise session three times a week for six
months. The WBV groups received vibration (30-35 Hz, 2-4 mm) in five different static
positions. The HI group jumped rope (10-50 jumps/day). All patients received calcium (1000
mg) and vitamin D (880 IU) supplementation per day. In all participants, baseline and
six-month BMD at the lumbar spine and femur were measured by Dual-energy X-ray Absorptiometry
(DXA). Serum osteocalcin (OC) and C-terminal telopeptide of type I collagen (CTx) were
measured at baseline, three- and six-month intervals. Fall risk was assessed by using the
Timed Up and Go (TUG) test and fall index measured by static posturography at baseline,
three- and six-month intervals. HRQoL and depressive symptoms were assessed using the Quality
of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO) and Beck
Depression Inventory (BDI), respectively, at baseline and six-month of the study.
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