Association Between Physical Performance and Bone Mineral Density in Elderly Women

여성 노인에서 운동 수행능력과 골밀도의 관계

  • Shin, Hwa-Kyung (Department of Physical Therapy, College of Health Science, Catholic University of Daegu) ;
  • Cho, Kwang-Ho (Department of radiology, College of Health Science, Catholic University of Daegu)
  • 신화경 (대구가톨릭대학교 보건과학대학 물리치료학과) ;
  • 조광호 (대구가톨릭대학교 보건과학대학 방사선학과)
  • Received : 2009.08.04
  • Accepted : 2009.10.27
  • Published : 2009.12.25

Abstract

Purpose: The purpose of this study was to determine the effect of physical performance on bone mineral density (BMD) in elderly women. Methods: Twenty-one elderly women participated in this study. After testing functional ambulation category (FAC), they were classified into two groups: dependent walking group, those who could not walk independently (FAC 0~2, n=11) and independent walking group those who could walk independently (FAC 3~5, n=10). Outcome measures were: general characteristics, physical performance and BMD. General characteristics included age, body mass index (BMI) and waist-hip ratio. Physical performance included the chair rise test (CRT) and the modified fall efficacy scale (MFES). BMD was represented in the osteoporosis index (OI), T-score and Z-score. BMD was evaluated in calcaneal bone, using OsteoPro. The data was analyzed using SPSS 12.0 software and the Mann-Whitney U test and the Spearman correlation. Results: Age, BMI and waist hip ratio, which all affect BMD, showed no significant differences between groups (p>0.05). But the FAC 3~5 group showed a significantly higher score for CRT, MFES and T-score, compared with the FAC 0~2 group (p<0.05). The T-score was correlated with CRT and MFES scores (p<0.05). Conclusion: There is a positive relationship between physical performance and BMD. Therefore, improved physical performance can have a beneficial effect by reducing osteoporosis in elderly women, considering a positive relationship between physical performance and BMD.

Keywords

References

  1. Bae JH, Lee HK, Kim HS et al. A study on activities of daily living, mental status and life satisfaction of the elderly living in home and in institutions. J Kor Soc Phys Ther. 2008;20(2):33-41.
  2. Hourigan SR, Nitz JC, Brauer SG et al. Positive effects of exercise on falls and fracture risk in osteopenic women. Osteoporos Int. 2008;19(7):1077-86. https://doi.org/10.1007/s00198-007-0541-7
  3. LaFleur J, McAdam-Marx C, Kirkness C et al. Clinical risk factors for fracture in postmenopausal osteoporotic women: A review of the recent literature. Ann Pharmacother. 2008;42 (3):375-86. https://doi.org/10.1345/aph.1K203
  4. Sosa M, Saavedra P, Jodar E et al. Bone mineral density and risk of fractures in aging, obese post-menopausal women with type 2 diabetes. The GIUMO Study. Aging Clin Exp Res. 2009;21(1):27-32.
  5. Miyabara Y, Onoe Y, Harada A et al. Effect of physical activity and nutrition on bone mineral density in young japanese women. J Bone Miner Metab. 2007;25(6):414-8. https://doi.org/10.1007/s00774-007-0780-x
  6. Crepaldi G, Romanato G, Tonin P et al. Osteoporosis and body composition. J Endocrinol Invest. 2007;30(6 Suppl): 42-7.
  7. Coin A, Perissinotto E, Enzi G et al. Predictors of low bone mineral density in the elderly: The role of dietary intake, nutritional status and sarcopenia. Eur J Clin Nutr. 2008; 62(6):802-9. https://doi.org/10.1038/sj.ejcn.1602779
  8. Weeks BK, Beck BR. The bpaq: A bone-specific physical activity assessment instrument. Osteoporos Int. 2008;19(11): 1567-77. https://doi.org/10.1007/s00198-008-0606-2
  9. Karkkainen M, Rikkonen T, Kroger H et al. Physical tests for patient selection for bone mineral density measurements in postmenopausal women. Bone. 2009;44(4):660-5. https://doi.org/10.1016/j.bone.2008.12.010
  10. Daly RM, Ahlborg HG, Ringsberg K et al. Association between changes in habitual physical activity and changes in bone density, muscle strength, and functional performance in elderly men and women. J Am Geriatr Soc. 2008;56(12): 2252-60. https://doi.org/10.1111/j.1532-5415.2008.02039.x
  11. Bergstrom I, Brinck J, Saaf M. Effects of physical training on bone mineral density in fertile women with idiopathic osteoporosis. Clin Rheumatol. 2008;27(8):1035-8. https://doi.org/10.1007/s10067-008-0894-0
  12. Thieme H, Ritschel C, Zange C. Reliability and validity of the functional gait assessment in subacute stroke patients. Arch Phys Med Rehabil. 2009;90(9):1565-70. https://doi.org/10.1016/j.apmr.2009.03.007
  13. Ritchie C, Trost SG, Brown W et al. Reliability and validity of physical fitness field tests for adults aged 55 to 70 years. J Sci Med Sport. 2005;8(1):61-70. https://doi.org/10.1016/S1440-2440(05)80025-8
  14. Hill KD, Schwarz JA, Kalogeropoulos AJ et al. Fear of falling revisited. Arch Phys Med Rehabil. 1996;77(10):1025-9. https://doi.org/10.1016/S0003-9993(96)90063-5
  15. Cameron ID, Stafford B, Cumming RG et al. Hip protectors improve falls self-efficacy. Age Ageing. 2000;29(1):57-62. https://doi.org/10.1093/ageing/29.1.57
  16. Maatta M, Moilanen P, Nicholson P et al. Correlation of tibial low-frequency ultrasound velocity with femoral radiographic measurements and BMD in elderly women. Ultrasound Med Biol. 2009;35(6):903-11. https://doi.org/10.1016/j.ultrasmedbio.2008.12.003
  17. Brooke-Wavell K, Khan AS, Taylor R et al. Lower calcaneal bone mineral density and broadband ultrasonic attenuation, but not speed of sound, in South Asian than white European women. Ann Hum Biol. 2008;35(4):386-93. https://doi.org/10.1080/03014460802089817
  18. Kim JH. Reliability and validity of gait assessment tools for elderly person. J Kor Soc Phys Ther. 2009;21(1):41-8.
  19. Shan PF, Wu XP, Zhang H et al. Bone mineral density and its relationship with body mass index in postmenopausal women with type 2 diabetes mellitus in mainland China. J Bone Miner Metab. 2009;27(2):190-7. https://doi.org/10.1007/s00774-008-0023-9
  20. Silva HG, Mendonca LM, Conceicao FL et al. Influence of obesity on bone density in postmenopausal women. Arq Bras Endocrinol Metabol. 2007;51(6):943-9.
  21. Pikkarainen E, Lehtonen-Veromaa M, Kautiainen H et al. Exercise-induced training effects on bone mineral content: A 7-year follow-up study with adolescent female gymnasts and runners. Scand J Med Sci Sports. 2009;19(2):166-73. https://doi.org/10.1111/j.1600-0838.2008.00773.x
  22. Park H, Kim KJ, Komatsu T et al. Effect of combined exercise training on bone, body balance, and gait ability: A randomized controlled study in community-dwelling elderly women. J Bone Miner Metab. 2008;26(3):254-9. https://doi.org/10.1007/s00774-007-0819-z
  23. Bergstrom I, Landgren B, Brinck J et al. Physical training preserves bone mineral density in postmenopausal women with forearm fractures and low bone mineral density.Osteoporos Int. 2008;19(2):177-83. https://doi.org/10.1007/s00198-007-0445-6
  24. Prior JC, Barr SI, Chow R et al. Prevention and management of osteoporosis: consensus statements from the Scientific Advisory Board of the Osteoporosis Society of Canada. Physical activity as therapy for osteoporosis. CMAJ. 1996;155 (7):940-4.
  25. Burnett-Bowie SA, Saag K, Sebba A et al. Prediction of changes in bone mineral density in postmenopausal women treated with once-weekly bisphosphonates. J Clin Endocrinol Metab. 2009;94(4):1097-103. https://doi.org/10.1210/jc.2008-1122
  26. Brentano MA, Cadore EL, Da Silva EM et al. Physiological adaptations to strength and circuit training in postmenopausal women with bone loss. J Strength Cond Res. 2008;22(6): 1816-25. https://doi.org/10.1519/JSC.0b013e31817ae3f1
  27. Blain H, Jaussent A, Thomas E et al. Low sit-to-stand performance is associated with low femoral neck bone mineral density in healthy women. Calcif Tissue Int. 2009;84(4):266-75.
  28. Miyakoshi N, Hongo M, Maekawa S et al. Back extensor strength and lumbar spinal mobility are predictors of quality of life in patients with postmenopausal osteoporosis. Osteoporos Int. 2007;18(10):1397-403. https://doi.org/10.1007/s00198-007-0383-3
  29. Pang MY, Mak MK. Muscle strength is significantly associated with hip bone mineral density in women with Parkinson's disease: a cross-sectional study. J Rehabil Med. 2009;41(4):223-30. https://doi.org/10.2340/16501977-0311
  30. Sirola J, Rikkonen T, Tuppurainen M et al. Grip strength may facilitate fracture prediction in perimenopausal women with normal bmd: A 15-year population-based study. Calcif Tissue Int. 2008;83(2):93-100. https://doi.org/10.1007/s00223-008-9155-0