Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures
American Journal of Sports Science
Volume 1, Issue 1, May 2013, Pages: 1-6
Received: Mar. 26, 2013;
Published: May 2, 2013
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Fernanda Cerveira Abuana Osorio Fronza, School of Physical Education and Sports, University of São Paulo, São Paulo, Brazil
Linda Denise Fernandes Moreira-Pfrimer, Division of Endocrinology School of Medicine, Federal University of São Paulo, São Paulo, Brazil
Rodrigo Nolasco dos Santos, Division of Endocrinology School of Medicine, Federal University of São Paulo, São Paulo, Brazil
Luzimar Raimundo Teixeira, School of Physical Education and Sports, University of São Paulo, São Paulo, Brazil
Diego Augusto Santos Silva, Division of Physical Education, Federal University of Santa Catarina, São Paulo, Brazil
Édio Luiz Petroski, Division of Physical Education, Federal University of Santa Catarina, São Paulo, Brazil
This prospective controlled study evaluated the efficacy of a high-intensity aquatic exercise program on the safety of vertebral parameters, anthropometry and physical fitness of 108 non exercising postmenopausal women with and without fractures. Participants were divided into intervention group (IG=64) and control group (DG=44) assessed in a first evaluation and after 24 weeks of intervention, data about bone densitometry, morpheme try(fractures), anthropometry, physical fitness, number of falls and pain perception. IG with fractures after training showed better results than CG with fractures for bone mineral density and t-score of the femoral head(p <0.05). Following protocol, IG without fractures showed better results than CG without fractures in flexibility tests, spine extension strength, hip flexor strength, left and right handgrip strength, and decrease in the number of fall sand pain perception (p <0.05). IG without fractures also obtained better results for right handgrip strength and decreased pain perception in comparison to CG with fractures. High-intensity aquatic exercises contribute to decrease pain and number of falls, improve physical fitness, and increase bone mineral density in postmenopausal women with and without vertebral fractures, with better performance in relation to group not submitted to exercises for the parameters studied.
Fernanda Cerveira Abuana Osorio Fronza,
Linda Denise Fernandes Moreira-Pfrimer,
Rodrigo Nolasco dos Santos,
Luzimar Raimundo Teixeira,
Diego Augusto Santos Silva,
Édio Luiz Petroski,
Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures, American Journal of Sports Science.
Vol. 1, No. 1,
2013, pp. 1-6.
AY, A.; YURTKURAN, M. Influence of aquatic and weight-bearing exercises on quantitative ultrasound variables in postmenopausal women. American JournalofPhysical Medicine & Rehabilitation. v.84, p. 52–61, 2005.
BORG, G. Borg’s perceived exertion and pain scales. Champaign: Human Kinetics, 1998.
BROWN, JP.; JOSSE, RG. Clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. Canadian Medical Association Journal. v.167, s. S1-S34. (10 suppl), november. 12, 2002.
DIXON,WG. LUNT,M; PYE, SR; REEVE,J; FELSENBERG,D;SILMAN,AJ; O’NEILL,TW. Low grip strength is associated with bone mineral density and vertebral fracture in women. Rheumatology. v.44, p.642–646, 2005.
DOO, TH; SHIN,DA; KIM,HI; SHIN,DG; KIM, HJ; CHUNG,JH; LEE,JO. Clinical Relevance of Pain Patterns in Osteoporotic Vertebral Compression Fractures.JournalofKorean Medical Science. v. 23, p. 1005-10, 2008.
GENANT, HK. WU, CY; VAN KUIJK, C; NEVITT, MC. Vertebral fracture assessment using a semiquantitativetechnique. Journal of bone and mineral research. v.8, n. 9, 1993.
GONÇALVES,I. Esforço máximo e supramáximo na hidroginástica. Caracterização e avaliação do risco cardiovascular. Porto: Dissertação de licenciatura apresentada a Faculdade de Desportos da Universidade do Porto.2008.158p
HAMILTON, C. J.; SWAN, V. J. D.; JAMAL, S. A. The effects of exercise and physical activity participation on bone mass and geometry in postmenopausal women: a systematic review of pQCT studies. OsteoporosisInternational. v. 21, p. 11–23, 2010.
HUSKISSON EC: Measurement of pain. Lancet 2, p. 1127-31, 1974.
HUNTER, G. R.; McCARTHY, J. P.; BAMMAN, M.M. Effects of resistance training on older adults. Sports Medicine, v.34, n.5, p.329-348, 2004.
IBGE. O perfil dos idosos responsáveis pelos domicílios no Brasil 2000. Rio de Janeiro, 2002.
LAZARETTI-CASTRO, M ; EIS, SR ; MARQUES NETO, JF . A prevenção da osteoporose levada a sério: uma necessidade nacional. Arquivos Brasileiros de Endocrinologia e Metabologia , v. 52, p. 712-713, 2008.
LEWIECKI, E. M.; LASTER, A. J. Clinical Applications of Vertebral Fracture Assessment by Dual-Energy X-Ray Absorptiometry.TheJournalofClinicalEndocrinology&Metabolism. v. 91, n. 11, p. 4215–4222, 2006.
KHAZZANI, H, ALLALI,F;BENNANI,L; ICHCHOU,L, EL MANSOURI,L; ABOURAZZAK, FE;REDOUANE ABOUQAL, R;HAJJAJ-HASSOUN, N. The relationship between physical performance measures, bone mineral density, falls, and the risk of peripheral fracture: a cross-sectional analysis.BMCpublichealth, v.9, p. 297, 2009
KEMMLER,W. LAUBER D, WEINECK J, HENSEN J, KALENDER W, ENGELKE K.Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women. Archivesinternationalofmedicine,v. 164,p. 1084-91, 2004.
KRUEL,LFM; GRAEF,FI. Freqüência cardíaca e percepção subjetiva do esforço no meio aquático: diferenças em relação ao meio terrestree aplicações na prescrição do exercício – uma revisão. RevistaBrasileira de Medicina do Esporte, v. 12, n. 4, 2006.
MIYAKOSHI, N.; HONGO, M.; MAEKAWA, S.; ISHIKAWA, Y.; SHIMADA, Y.; ITOI, E. Back extensor strength and lumbar spinal mobility are predictors of quality of life in patients with postmenopausal osteoporosis. Osteoporosis International. v. 18, p. 1397–1403, 2007.
.NARCISO, FV; SANTOS,SS; FERREIRA,F;LEMOS,VS; BARAUNA,MA; CHEIK,NA. CANTO,RST.Altura percentual do centro de gravidade e número de quedas em idosos ativos e sedentários.Revista brasileira de cineantropomometria e desempenho humano. v.12, n.4, p. 302-307, 2010.
NATIONAL OSTEOPOROSIS FOUNDATION (NOF). Clinician’s Guide to Prevention and Treatment of Osteoporosis. Washington. NOF, 2008.
NATIONAL INSTITUTE OF HEALTH CONSENSUS STATEMENT ONLINE.Osteoporosis Prevention, Diagnosis, and Therapy.March p. 27-29; [11/10/2009]; v.17(1): 1-36, 2000
PFEIFER, M; SINAKI, M; GEUSENS, P; BOONEN, S; PREISINGER, E; MINNE. Musculoskeletal Rehabilitation in Osteoporosis: A Review.Journal of Bone and Mineral Research. v 19, n. 8, 2004
SINAKI, M; BREY, E. R. H.; HUGHES, C. A.; LARSON, D. R.; KENTON R. KAUFMAN Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength. OsteoporosisInternational. v. 16, p. 1004–1010, 2005.
SINAKI, M. The Role of Physical Activity in Bone Health: A New Hypothesis to Reduce Risk of Vertebral Fracture. Physical Medicine and Rehabilitation Clinics of North America. v. 18, p. 593–608, 2007.
SINAKI, M. PFEIFER, M; PREISINGER, E; ITOI, E, RIZZOLI R, BOONEN,S, GEUSENS P, MINNE, HW.The Role of Exercise in the Treatment of Osteoporosis. Current Osteoporosis Reports. v. 8, p. 138–144, 2010.
SMITS-ENGELSMAN, BCM.; BEKKERING, GE; HENDRIKS,HJM. Clinical practice guidelines for physical therapy in patients with osteoporosis. KNGF-guidelines for physical therapy in patients with osteoporosis. v. 05, 2003.
TIDEIKSAAR, R. Falls in older people: Prevention and management. Baltimore, MD: Health Professions Press. p.15, 2002.
TOLOMIO, S; ERMOLAO, A; LALLI, A; ZACCARIA,M et al. The Effect of a Multicomponent Dual-Modality Exercise Program Targeting Osteoporosis on Bone Health Status and Physical Function Capacity of Postmenopausal Women. JournalofWomen&Aging. v. 22, n. 4, p. 241-254, 2010.
WELLS KF, DILLON EK. The sit and reach: a test of back and leg flexibility. ResearchQuarterly for Exercise&Sport, v 23 p.115-8, 1952
WILDER, RP.; BRENNAN, D.; SCHOTTE, D. E. A standard measure for exercise prescription for aqua running. American Journalof Sports Medicine, Baltimore, v. 21, p.45-48, 1993.