title: A 1-year combined weight-bearing training program is beneficial for bone mineral density and neuromuscular function in older women.
abstract: Forty-eight community living women 66-87 years old volunteered to participate in a 12-month prospective, randomized, controlled, trial. The aim was to determine if a combined weight-bearing training program twice a week would be beneficial to bone mineral density and neuromuscular function. The participants were pairwise age-matched and randomly assigned to either an exercise group (n=24) or a control group (n=24). Twenty-one subjects in the intervention group and 19 in the control group completed the study. The exercise program lasted for 50 min and consisted of a combination of strengthening, aerobic, balance and coordination exercises. The mean percentage of scheduled sessions attended for the exercise group was 67%. At the completion of the study, the intervention group showed significant increments in bone mineral density of the Ward's triangle (8.4%, P<0.01) as well as improvement in maximum walking speed (11.4%, P<0.001) and isometric grip strength (9.9%, P<0.05), as compared to the control group. The conclusion was that a combined weight-bearing training program might reduce fracture risk factors by improving bone density as well as muscle strength and walking ability. This program could be suitable for older community living women in general, and might, therefore, have important implications for fracture prevention.
authors.affiliation: Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, 90187 Umeå, Sweden. undis.englund@germed.umu.se
authors.forename: Undis
authors.initials: U
authors.lastname: Englund
authors.forename: Håkan
authors.initials: H
authors.lastname: Littbrand
authors.forename: Anna
authors.initials: A
authors.lastname: Sondell
authors.forename: Ulrika
authors.initials: U
authors.lastname: Pettersson
authors.forename: Gustaf
authors.initials: G
authors.lastname: Bucht
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D015519:Bone Density / Q000502:physiology*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000517:prevention & control; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D018482:Muscle, Skeletal / Q000502:physiology; D015663:Osteoporosis, Postmenopausal / Q000150:complications / Q000517:prevention & control*; D010349:Patient Compliance; D004856:Postural Balance / Q000502:physiology; D011446:Prospective Studies; D016138:Walking / Q000502:physiology; D016474:Weight-Bearing / Q000502:physiology*