Feasibility of simple exercise interventions for men with osteoporosis - A prospective randomized controlled pilot study.
6MW, 6 min walk test
BIA, bioimpedance analysis
CRT, Chair-Rise-Test
HS, handgrip strength
Osteoporosis
QG, Qi Gong training
Qi gong
ROM, range of motion
RT, resistance training
Resistance training
SB, static balance
SMI, skeletal muscle index
SO, spinal orthosis training
SPPB, Short Physical Performance Battery
Sarcopenia
Spinal Orthosis
TSE, trunk strength for extension
TSF, trunk strength for flexion
TUG, timed up and go test
UGS, usual gait speed
WBV, Whole Body Vibration training
Whole Body Vibration
Journal
Bone reports
ISSN: 2352-1872
Titre abrégé: Bone Rep
Pays: United States
ID NLM: 101646176
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
16
11
2020
revised:
03
06
2021
accepted:
11
06
2021
entrez:
14
7
2021
pubmed:
15
7
2021
medline:
15
7
2021
Statut:
epublish
Résumé
Aging is associated with progressive loss of musculoskeletal performance. Exercise interventions can improve physical function in the elderly but there is a paucity of comparative assessments in order to understand what specific goals can be achieved particularly with less demanding exercise interventions readily accessible for untrained men. Prospective randomized, controlled, single center exploratory trial to compare four distinct exercise interventions, i.e. Resistance Training (RT), Whole Body Vibration Exercise (WBV), Qi Gong (QG) and wearing a Spinal orthosis (SO) for 6 months in men at risk for osteoporosis aged 65-90 years. Primary endpoint was change in isometric one repetition maximum force trunk strength for extension (TSE) and flexion (TSF) compared to baseline, secondary endpoints covered key parameters of geriatric functional assessment, including Handgrip Strength (HS), Chair-Rise-Test (CRT), Usual Gait Speed (UGS) and Timed-Up-and-Go (TUG). Altogether 47 men (mean age 77 ±6.1 years) were randomized to RT, ( In this exploratory trial we found that simple exercise interventions are feasible in elderly men eliciting specific benefits, i.e. improvements are attained in those tasks addressed with the respective exercise modality. While targeted resistance training is superior in increasing TSE, alternative simple exercise interventions also appear to elicit beneficial effects, even in vulnerable patients, i.e. those with low muscle mass, above 80 years of age or multimorbidity.
Sections du résumé
BACKGROUND
BACKGROUND
Aging is associated with progressive loss of musculoskeletal performance. Exercise interventions can improve physical function in the elderly but there is a paucity of comparative assessments in order to understand what specific goals can be achieved particularly with less demanding exercise interventions readily accessible for untrained men.
METHODS
METHODS
Prospective randomized, controlled, single center exploratory trial to compare four distinct exercise interventions, i.e. Resistance Training (RT), Whole Body Vibration Exercise (WBV), Qi Gong (QG) and wearing a Spinal orthosis (SO) for 6 months in men at risk for osteoporosis aged 65-90 years. Primary endpoint was change in isometric one repetition maximum force trunk strength for extension (TSE) and flexion (TSF) compared to baseline, secondary endpoints covered key parameters of geriatric functional assessment, including Handgrip Strength (HS), Chair-Rise-Test (CRT), Usual Gait Speed (UGS) and Timed-Up-and-Go (TUG).
RESULTS
RESULTS
Altogether 47 men (mean age 77 ±6.1 years) were randomized to RT, (
CONCLUSIONS
CONCLUSIONS
In this exploratory trial we found that simple exercise interventions are feasible in elderly men eliciting specific benefits, i.e. improvements are attained in those tasks addressed with the respective exercise modality. While targeted resistance training is superior in increasing TSE, alternative simple exercise interventions also appear to elicit beneficial effects, even in vulnerable patients, i.e. those with low muscle mass, above 80 years of age or multimorbidity.
Identifiants
pubmed: 34258330
doi: 10.1016/j.bonr.2021.101099
pii: S2352-1872(21)00355-7
pmc: PMC8255176
doi:
Types de publication
Journal Article
Langues
eng
Pagination
101099Informations de copyright
© 2021 The Author(s).
Déclaration de conflit d'intérêts
LS has received honoraria for lectures and advice from Abbvie, Amgen, Alexion, KyowaKirin, Lilly, Medi, MSD, Novartis, Servier and UCB and research grants to the Institution (University of Wuerzburg) from Alexion, Kyowa Kirin and Novartis. FG has received honoraria for lectures from Abbvie, Alexion and Lilly. SL, SS, and MS report no COI during the course of the study.
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