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Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures

Received: 26 March 2013     Published: 2 May 2013
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Abstract

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.

Published in American Journal of Sports Science (Volume 1, Issue 1)
DOI 10.11648/j.ajss.20130101.11
Page(s) 1-6
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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), 2013. Published by Science Publishing Group

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Keywords

Postmenopausal, Spine, Fracture, Exercises, Aquatic

References
[1] 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.
[2] BORG, G. Borg’s perceived exertion and pain scales. Champaign: Human Kinetics, 1998.
[3] 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.
[4] 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.
[5] 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.
[6] 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.
[7] 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
[8] 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.
[9] HUSKISSON EC: Measurement of pain. Lancet 2, p. 1127-31, 1974.
[10] 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.
[11] IBGE. O perfil dos idosos responsáveis pelos domicílios no Brasil 2000. Rio de Janeiro, 2002.
[12] 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.
[13] 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.
[14] 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
[15] 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.
[16] 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.
[17] 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.
[18] .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.
[19] NATIONAL OSTEOPOROSIS FOUNDATION (NOF). Clinician’s Guide to Prevention and Treatment of Osteoporosis. Washington. NOF, 2008.
[20] 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
[21] 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
[22] 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.
[23] 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.
[24] 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.
[25] 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.
[26] TIDEIKSAAR, R. Falls in older people: Prevention and management. Baltimore, MD: Health Professions Press. p.15, 2002.
[27] 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.
[28] 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
[29] 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.
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  • APA Style

    Fernanda Cerveira Abuana Osorio Fronza, Linda Denise Fernandes Moreira-Pfrimer, Rodrigo Nolasco dos Santos, Luzimar Raimundo Teixeira, Diego Augusto Santos Silva, et al. (2013). Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures. American Journal of Sports Science, 1(1), 1-6. https://doi.org/10.11648/j.ajss.20130101.11

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    ACS Style

    Fernanda Cerveira Abuana Osorio Fronza; Linda Denise Fernandes Moreira-Pfrimer; Rodrigo Nolasco dos Santos; Luzimar Raimundo Teixeira; Diego Augusto Santos Silva, et al. Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures. Am. J. Sports Sci. 2013, 1(1), 1-6. doi: 10.11648/j.ajss.20130101.11

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    AMA Style

    Fernanda Cerveira Abuana Osorio Fronza, Linda Denise Fernandes Moreira-Pfrimer, Rodrigo Nolasco dos Santos, Luzimar Raimundo Teixeira, Diego Augusto Santos Silva, et al. Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures. Am J Sports Sci. 2013;1(1):1-6. doi: 10.11648/j.ajss.20130101.11

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  • @article{10.11648/j.ajss.20130101.11,
      author = {Fernanda Cerveira Abuana Osorio Fronza and Linda Denise Fernandes Moreira-Pfrimer and Rodrigo Nolasco dos Santos and Luzimar Raimundo Teixeira and Diego Augusto Santos Silva and Édio Luiz Petroski},
      title = {Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures},
      journal = {American Journal of Sports Science},
      volume = {1},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ajss.20130101.11},
      url = {https://doi.org/10.11648/j.ajss.20130101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajss.20130101.11},
      abstract = {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.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Effects of High-Intensity Aquatic Exercises on Bone Mineral Density in Postmenopausal Women with and without Vertebral Fractures
    AU  - Fernanda Cerveira Abuana Osorio Fronza
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    JF  - American Journal of Sports Science
    JO  - American Journal of Sports Science
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    AB  - 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.
    VL  - 1
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Author Information
  • School of Physical Education and Sports, University of S?o Paulo, S?o Paulo, Brazil

  • Division of Endocrinology School of Medicine, Federal University of S?o Paulo, S?o Paulo, Brazil

  • Division of Endocrinology School of Medicine, Federal University of S?o Paulo, S?o Paulo, Brazil

  • School of Physical Education and Sports, University of S?o Paulo, S?o Paulo, Brazil

  • Division of Physical Education, Federal University of Santa Catarina, S?o Paulo, Brazil

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