nach oben

Osteoporosis International

Erschienen in:

09.10.2021 | Original Article

Effect of 6-month high-impact step aerobics and resistance training on BMD and tibial bending strength in sedentary premenopausal women

verfasst von: D. J. Dutto, M. T. C. Liang, W. A. Braun, S. L. Bassin, N. D. Wong, S. B. Arnaud

Erschienen in: Osteoporosis International | Ausgabe 3/2022

Einloggen, um Zugang zu erhalten

Abstract

Summary

The rationale of this study was to examine the effectiveness of 6-month high-impact step aerobics (SA) or moderate-intensity resistance training exercise (RT) on bone mineral density (BMD) and bone bending strength in sedentary women. Results show that SA enhanced BMD in the heel, lower leg, and lumbar spine 2.

Introduction

To determine the effectiveness of 6 months of high-impact step aerobics (SA) or moderate-intensity resistance training (RT) on areal bone mineral density (aBMD) and tibial bending strength in sedentary premenopausal women.

Methods

Sixty-nine women (20–35 years old) who were randomly assigned to RT (n = 22), SA (n = 26), or non-treatment control (CON, n = 21) groups completed the study. SA had a minimum of 50 high-impact landings each training session. RT had a periodized lower body resistance training program incorporating eight exercises (65–85% of 1 repetition maximum: 1-RM). Both RT and SA met 3 times weekly. aBMD was assessed using dual X-ray absorptiometry (DXA). Tibial bending strength was assessed using mechanical response tissue analysis (MRTA). Measurements at 6 months were compared to baseline using ANCOVA, adjusted for baseline measures and covariates with α = 0.05.

Results

Calcaneus aBMD (0.0176 vs -0.0019 or -0.0009 g/cm² relative to RT, p < 0.004, and CON, p < 0.006, respectively), lower leg aBMD (0.0105 vs -0.0036 g/cm², relative to RT, p = 0.02), and lumbar spine 2 (L2) aBMD (0.0082 vs -0.0157 g/cm² relative to CON, p < 0.02) were significantly greater in the SA group after 6 months. Tibial bending strength and bone resorption biomarkers were unchanged in all three groups after 6 months.

Conclusion

Sedentary premenopausal women engaging in 6 months of high-impact aerobic exercise improved aBMD in the calcaneus, lower leg, and L2.

Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22:465–475 CrossRef

Vainionpää A, Korpelainen R, Leppäluoto J, Jämsä T (2005) Effects of high-impact exercise on bone mineral density: a randomized controlled trial in premenopausal women. Osteoporos Int 16:191–197CrossRef

Gordon CM, Zemel BS, Wren TA, Leonard MB, Bachrach LK, Rauch F et al (2016) The determinants of peak bone mass. J Pediatrics 180:261–269. https://doi.org/10.1016/jjpeds.2016.09.056CrossRef

Riggs BL, Melton L Jr (1992) The prevention and treatment of osteoporosis. N Engl J Med 327:620–627CrossRef

Marcus R, Greendale G, Blunt BA et al (1994) Correlates on bone mineral density in postmenopausal estrogen/progestin intervention trial. J Bone Miner Res 9:1467–1476CrossRef

Center JR, Nguyen TV, Schneider D et al (1999) Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet 353:878–882CrossRef

Siris ES, Miller PD, Barrett-Connor E, Faulkner KG, Wehren LE, Abbott TA et al (2001) Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: results from the National Osteoporosis Risk Assessment. JAMA 286:2815–2822

Hauselmann HJ, Rizzoli R (2003) A comprehensive review of treatment for postmenopausal osteoporosis. Osteoporos Int 14:2–12CrossRef

Liang MTC, Bruan W, Basin SL, Dutton D, Pontello A, Wong ND, Spalding TW, Arnaud SB (2011) Effect of high-impact aerobics and strength training on BMD in young women aged 20–35 years. Int J Sports Med 32:100–108CrossRef

10.

Kelley GA, Kelley KS, Kohrt WM (2013) Exercise and bone mineral density in premenopausal women: a meta-analysis of randomized controlled trials. Int J Endocrinol 2013:741639. https://doi.org/10.1155/2013/741639CrossRefPubMedPubMedCentral

11.

Gourlay MC, Brown SA (2004) Clinical considerations in premenopausal osteoporosis. Arch Intern Med 164:603–606CrossRef

12.

Taaffe DR, Robinson TL, Snow CM, Marcus R (1997) High-impact exercise promotes bone gain in well-trained female athletes. J Bone Miner Res 12:255–260CrossRef

13.

Friedlander AL, Genant HK, Sadowsky S, Byl NN, Glüer CC (1995) A two-year program of aerobics and weight training enhances bone mineral density of young women. J Bone Miner Res 10:574–585CrossRef

14.

Gleeson PB, Protas EJ, LeBlanc AD, Schneider VS, Evans HJ (1990) Effects of weight lifting on bone mineral density in premenopausal women. J Bone Miner Res 5:153–158CrossRef

15.

Vuori I, Heinonen A, Sievänen H, Kannus P, Pasanen M, Oja P (1994) Effects of unilateral strength training and detraining on bone mineral density and content in young women: a study of mechanical loading and deloading on human bones. Calcif Tissue Int 55:59–67CrossRef

16.

Bassey EJ, Ramsdale SJ (1995) Weight-bearing exercise and ground reaction forces: a 12-month randomized controlled trial of effects on bone mineral density in healthy postmenopausal women. Bone 16:469–476PubMed

17.

Bassey EJ, Rothwell MC, Littlewood JJ, Pye DW (1998) Pre- and postmenopausal women have different bone mineral density responses to the same high-impact exercise. J Bone Miner Res 13:1805–1813CrossRef

18.

Heinonen A, Kannus P, Sievänen H, Oja P, Pasanen M, Rinne M, Uusi-Rasi K, Vuori I (1996) Randomised controlled trial of effect of high-impact exercise on selected risk factors for osteoporotic fractures. Lancet 348:1343–1347CrossRef

19.

Liang MTC, Arnaud SB, Steele CR, Hatch P, Moreno A (2005) Ulnar and tibial bending stiffness as an index of bone strength in synchronized swimmers and gymnasts. Eur J Appl Physiol 94:400–407CrossRef

20.

Hutchinson TM, Bakulin AV, Rakhmanov AS, Martin RB, Steele CR, Arnaud SB (2001) Effects of chair restraint on the strength of tibia in rhesus monkeys. J Med Primatol 30:313–321CrossRef

21.

Kiebzak GM, Box JH, Box P (1999) Decreased ulnar bending stiffness in osteoporotic Caucasian women. J Clin Densitom 2:143–152CrossRef

22.

Steele CR, Zhou L-Z, Guido D, Marcus R, Heinrichs WL (1988) Cheema C Noninvasive determination of ulnar stiffness from mechanical response – in vivo comparison of stiffness and bone mineral content in humans. J Biomech Eng 110:87–96CrossRef

23.

Arnaud SB, Steele CR, Zhou L-J, Hutchinson T (1991) Marcus R (1991) A direct non-invasive measure of long bone strength. Proc Ann Int Cong IEEE Eng Int Med Biol Soc 13:1984–1985

24.

Roberts SG, Hutchson TM, Arnaud SB, Kirati BJ, Martin RB (1996) Steele CR (1996) Noninvasive determination of bone mechanical properties using vibration response: a refined model and validation in vivo. J Biomech 29(1):91–98CrossRef

25.

American College of Sport Medicine, ACSM’s guideline for exercise testing and prescription, 10th edn. Wolters Kluwer, Philadelphia, p 4–8

26.

Thomas JR, Nelson JK (2001) Research methods in physical activity, 4th edn. Human Kinetics, Champaign, p 138–140

27.

Vainionpää A, Korpelainen R, Vihriala E, Rinta-Paavola A, Leppaluoto J, Jamsa T (2006) Intensity of exercise is associated with bone density change in premenopausal women. Osteoporos Int 17:455–463CrossRef

28.

Bassey EJ, Ramsdale SJ (1994) Increase in femoral bone density in young women following high-impact exercise. Osteoporos Int 4:72–75CrossRef

29.

Heinonen A, Sievänen H, Kannus P, Oja P, Vuori I (1996) Effects of unilateral strength training and detraining on bone mineral mass and estimated mechanical characteristics of the upper limb bones in young women. J Bone Miner Res 11:490–501CrossRef

30.

Frost HM (2003) Bone’s mechanostat: a 2003 update. Anat Rec A Discov Mol Cell Evol Biol 275:1081–1101CrossRef

31.

Stone MH (1990) Muscle conditioning and muscle injuries. Med Sci Sports Exerc 22:457–462CrossRef

32.

Pruitt LA, Taaffe DR, Marcus R (1995) Effects of a one-year high-intensity versus low-intensity resistance training program on bone mineral density in older women. J Bone Miner Res 10:1788–1795CrossRef

33.

Heinonen A, Oja P, Kannus P, Sievänen H, Mänttäri A, Vuori I (1993) Bone mineral density of female athletes in different sports. Bone Mineral 23:1–14CrossRef

34.

Tsuzuku S, Ikegami Y, Yabe K (1998) Effects of high-intensity resistance training on bone mineral density in young male powerlifters. Calcif Tissue Int 63:283–286CrossRef

35.

Chilibeck PD, Calder A, Sale DG, Webber CE (1996) Twenty weeks of weight training increases lean tissue mass but not bone mineral mass or density in healthy, active young women. Canadian J Physiol and Pharmaco 74:1180–1185CrossRef

36.

Sinaki M, Wahner HW, Bergstralh EJ, Hodgson SF, Offord KP, Squires RW, Swee RG, Kao PC (1996) Three-year controlled, randomized trial of the effect of dose-specified loading and strengthening exercises on bone mineral density of spine and femur in nonathletic, physically active women. Bone 19:233–244CrossRef

37.

Wang Q, Nicholson PH, Suuriniemi M, Lyytikainen A, Helkala E et al (2004) Relationship of sex hormones to bone geometric properties and mineral density in early pubertal girls. J Clin Endocrinol Metab 89(4):1698–1703CrossRef

38.

Ammann PR, Rizzoli R (2003) Bone strength and its determinant. Osteoporos Int 14:13–18CrossRef

Titel: Effect of 6-month high-impact step aerobics and resistance training on BMD and tibial bending strength in sedentary premenopausal women
verfasst von: D. J. Dutto
M. T. C. Liang
W. A. Braun
S. L. Bassin
N. D. Wong
S. B. Arnaud
Publikationsdatum: 09.10.2021
Verlag: Springer London
Erschienen in: Osteoporosis International / Ausgabe 3/2022
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-021-06106-y

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Summary

Introduction

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2022

The use of oral glucocorticoids and the risk of major osteoporotic fracture in patients with myasthenia gravis

Association between body mass index, bone bending strength, and BMD in young sedentary women

Costs of patient management over 18 months following a hip, clinical vertebral, distal forearm, or proximal humerus fragility fracture in France—results from the ICUROS study

Health-related quality of life of patients with a recent fracture attending a fracture liaison service: a 3-year follow-up study

Decreased cortical bone density and mechanical strength with associated elevated bone turnover markers at peri-pubertal peak height velocity: a cross-sectional and longitudinal cohort study of 396 girls with adolescent idiopathic scoliosis