| Peer-Reviewed

Response of Bone Mineral Density to Physical Exercises after Thyroidectomy

Received: 7 February 2015    Accepted: 13 February 2015    Published: 9 May 2015
Views:       Downloads:
Abstract

Introduction: Thyroidectomy could be associated with bone loss because of an endogenous excess of thyroxin, over enthusiastic thyroid replacement therapy following surgery, deregulation of bone resorption as consequence of calcitonin deficiency or some combination of these factors. The aim was to investigate the effect of weight bearing exercises on Improving bone mineral density in post thyroidectomy patients suffering from osteoporosis. Subjects and methods: Thirty osteoporotic patients were assigned randomly into two equal groups; their ages ranged from 20-45 years. The study group received weight bearing exercises program in addition to routine medical treatment. Control group received medical treatment only. Study group received two sessions per week for two successful months. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to evaluate the bone mineral density using Dual Energy X-ray Absorptiometry. Results: Post treatment both groups showed a variant improvement in bone mineral density, but a significant improvement difference was recorded between the two groups in favor of the study group. Percentage of improvement of bone mineral density in the study group was 10.69%, while it was 2.8% in the control group. Conclusion: Weight bearing exercises were considered to be an effective modality for improving bone mineral density in subjects suffering from osteoporosis following thyroidectomy.

Published in Journal of Surgery (Volume 3, Issue 2-1)

This article belongs to the Special Issue Postoperative Pain Syndrome

DOI 10.11648/j.js.s.2015030201.15
Page(s) 23-26
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Thyroidectomy, Osteoporosis, Weight Bearing Exercises, Dual Energy X-Ray Absorptiometry

References
[1] Cummings S.R, Nevitt M.C, Browner W.S, Stone K.m, Fox K.M, Ensrud K.E, Cauley J, Black D, Vogt T.M. Risk factors for hip fracture in white women: The study of osteoprotic fractures research group. N Engl J MED, 1995, 322: 267-773.
[2] Lawrence G, RaisZ.Pathogenesis of osteoporosis: Concepts, Conflicts and Prospects. J Clin Invest, 2005,115 (12): 3318-3325.
[3] Mc Dermott M.T, Kidd C.T.S, Blue P, G Head V, Hofeldt F.D. Reduced bone mineral content in totally thyroidectomized patients : possible effect of calcitonin deficiency. J Clin. Endocrinal Metab, 1983, 56: 936-939.
[4] Dhanwal DK. Thyroid disorders and bone mineral metabolism. Indian J EndocrinolMetab. 2011; 15(Suppl2): S107–S112.
[5] Welten D.C., Kemper H.C. and Post G.B. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. WHO technical Report Series, 1994, 843: 120-129.
[6] Valimaki M.J, Tiihonen M, Laitinen K. Bone mineral density measured by dual-energy x-ray absorptiometry and novel markers of bone formation and resorption in patients on antiepileptic drugs. J Bone Miner Res, 1994, 9: 631-637.
[7] Eriksen E.F. Normal and pathological remodeling of human trabecular bone. Three-dimensional reconstruction of the remodeling sequence in normal and in metabolic bone disease."Endocr Rev, 1986,7: 379-381.
[8] Andredi A, Monteleone M, Van Loan M, Proncenzio L, Tarantino U, De Lorenzo A. Effects of different sports on bone density and muscle mass in highly trained athletes. Med. Sci. sports Exer, 2001: 33(4): 507-511.
[9] Hara S, Yanagi H, Amagai H. Effect of physical activity during teenage years, based on type of sport and duration of exercise, on bone mineral density of young, premenopausal Japanese women. Calcif Tissue Int, 2001, 68: 23-30.
[10] Pfeifer M, Minne H.W. Vitamin D and hip fracture." Trends in Endocrinology and Metabolism, 1999, 10: 417-420.
[11] 11.Schoenau E, Werhahn E, Schiedermaier U, Mokow E, Schiessl H, Scheidhauer K, Michalk D. Influence of muscle strength on bone strength during childhood and adolescence. Hormone Research, 1996,45 (1): 63-66.
[12] Seigrist M. Role of physical activity in the prevention of osteoporosis. Mineral Res, 2008,10: 1303-1311.
[13] Beck B.R, Snow C.M.Bone health across the lifespan exercising our options. Exerc Sport Sci Rev, 2003, 31: 117-122.
[14] Nikander R. Femoral neck structure in adult female athletes subjected to different loading modalities. J. Bone Min. Res, 2005,20: 520-528.
[15] Bass S.L. The prepubertal years, a uniquely opportune stage of growth. When the skeleton is most responsive to exercise?.Sports Med,2000, 30(2): 73-80.
[16] Hakan L, Anna S, Ulrika P, Gustaf B. (2005): ''Wight bearing exercise and osteoporosis." Osteo Int,2005, 16: 1117-1123.
[17] Mishra L, Mahavir B, Shanu N, Ranu S. Dental care in the patients with bisphosphonates therapy.International Journal of Dental Clinics,2011, 3 (1): 60-64.
[18] Blake G.M, Glen M, Fogelman, Ignac .Effect of bone strontium on BMD measurements. Journal of Clinical Densitometry,2007, 10 (1): 34-38.
[19] Kulaçoglu H, Dener C, Ziraman I, Kama N.A. Thyroxine prophylaxis after bilateral subtotal thyroidectomy for multinodular goiter. Endocr. J,2000, Jun.; 47 (3): 349-352.
[20] Wilmar M, Wiersinga .Hypothyroidism and myxedema coma. In: Degroot L.S. Endocrinology. 4th ed. Saunders,2001, 30: 1494.
[21] Bischoff H.A, Dawson H.B, Willett W.C. Effect of vitamin D on falls: a meta-analysis. JAMA, 2004, 291(16): 1999-2006.
[22] De Laet C, Kanis J, Oden A, Johanson H, Johnell O, Delmas P. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int,2005, 16: 1330-1338.
[23] Kogianni G, Noble B.S. The biology of osteocytes. Curr Osteoporos Rep,2007, 5(2): 81-86.
[24] Meka N, Katragadda S, Cherian B. Endurance exercise and resistance traning in cardiovascular disease. Cardiovas Disorders, 2008, 7: 21-26.
Cite This Article
  • APA Style

    Heba M. Mohamady, Manar H. Abdel Sattar, Ashraf H. Mohammed, Ahmed M. Abdellatif. (2015). Response of Bone Mineral Density to Physical Exercises after Thyroidectomy. Journal of Surgery, 3(2-1), 23-26. https://doi.org/10.11648/j.js.s.2015030201.15

    Copy | Download

    ACS Style

    Heba M. Mohamady; Manar H. Abdel Sattar; Ashraf H. Mohammed; Ahmed M. Abdellatif. Response of Bone Mineral Density to Physical Exercises after Thyroidectomy. J. Surg. 2015, 3(2-1), 23-26. doi: 10.11648/j.js.s.2015030201.15

    Copy | Download

    AMA Style

    Heba M. Mohamady, Manar H. Abdel Sattar, Ashraf H. Mohammed, Ahmed M. Abdellatif. Response of Bone Mineral Density to Physical Exercises after Thyroidectomy. J Surg. 2015;3(2-1):23-26. doi: 10.11648/j.js.s.2015030201.15

    Copy | Download

  • @article{10.11648/j.js.s.2015030201.15,
      author = {Heba M. Mohamady and Manar H. Abdel Sattar and Ashraf H. Mohammed and Ahmed M. Abdellatif},
      title = {Response of Bone Mineral Density to Physical Exercises after Thyroidectomy},
      journal = {Journal of Surgery},
      volume = {3},
      number = {2-1},
      pages = {23-26},
      doi = {10.11648/j.js.s.2015030201.15},
      url = {https://doi.org/10.11648/j.js.s.2015030201.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.15},
      abstract = {Introduction: Thyroidectomy could be associated with bone loss because of an endogenous excess of thyroxin, over enthusiastic thyroid replacement therapy following surgery, deregulation of bone resorption as consequence of calcitonin deficiency or some combination of these factors. The aim was to investigate the effect of weight bearing exercises on Improving bone mineral density in post thyroidectomy patients suffering from osteoporosis. Subjects and methods: Thirty osteoporotic patients were assigned randomly into two equal groups; their ages ranged from 20-45 years. The study group received weight bearing exercises program in addition to routine medical treatment. Control group received medical treatment only. Study group received two sessions per week for two successful months. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to evaluate the bone mineral density using Dual Energy X-ray Absorptiometry. Results: Post treatment both groups showed a variant improvement in bone mineral density, but a significant improvement difference was recorded between the two groups in favor of the study group. Percentage of improvement of bone mineral density in the study group was 10.69%, while it was 2.8% in the control group. Conclusion: Weight bearing exercises were considered to be an effective modality for improving bone mineral density in subjects suffering from osteoporosis following thyroidectomy.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Response of Bone Mineral Density to Physical Exercises after Thyroidectomy
    AU  - Heba M. Mohamady
    AU  - Manar H. Abdel Sattar
    AU  - Ashraf H. Mohammed
    AU  - Ahmed M. Abdellatif
    Y1  - 2015/05/09
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2015030201.15
    DO  - 10.11648/j.js.s.2015030201.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 23
    EP  - 26
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2015030201.15
    AB  - Introduction: Thyroidectomy could be associated with bone loss because of an endogenous excess of thyroxin, over enthusiastic thyroid replacement therapy following surgery, deregulation of bone resorption as consequence of calcitonin deficiency or some combination of these factors. The aim was to investigate the effect of weight bearing exercises on Improving bone mineral density in post thyroidectomy patients suffering from osteoporosis. Subjects and methods: Thirty osteoporotic patients were assigned randomly into two equal groups; their ages ranged from 20-45 years. The study group received weight bearing exercises program in addition to routine medical treatment. Control group received medical treatment only. Study group received two sessions per week for two successful months. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to evaluate the bone mineral density using Dual Energy X-ray Absorptiometry. Results: Post treatment both groups showed a variant improvement in bone mineral density, but a significant improvement difference was recorded between the two groups in favor of the study group. Percentage of improvement of bone mineral density in the study group was 10.69%, while it was 2.8% in the control group. Conclusion: Weight bearing exercises were considered to be an effective modality for improving bone mineral density in subjects suffering from osteoporosis following thyroidectomy.
    VL  - 3
    IS  - 2-1
    ER  - 

    Copy | Download

Author Information
  • Department for Surgery, Faculty of Physical Therapy, Cairo , Cairo University, Egypt

  • Department of Radiology, Faculty of Medicine, Cairo, Cairo University, Egypt

  • Department for Surgery, Faculty of Physical Therapy, Cairo , Cairo University, Egypt

  • Sheikh Zayed Central Hospital, Giza, Egypt

  • Sections