Osteoporosis International

, Volume 17, Issue 1, pp 133–142

Exercise maintains bone density at spine and hip EFOPS: a 3-year longitudinal study in early postmenopausal women

  • K. Engelke
  • W. Kemmler
  • D. Lauber
  • C. Beeskow
  • R. Pintag
  • W. A. Kalender
Original Article

DOI: 10.1007/s00198-005-1938-9

Cite this article as:
Engelke, K., Kemmler, W., Lauber, D. et al. Osteoporos Int (2006) 17: 133. doi:10.1007/s00198-005-1938-9

Abstract

It is an important aim in the prevention of osteoporosis to stop or decelerate bone loss during the early postmenopausal years. Here we report on results of the 3-year EFOPS exercise trial in osteopenic women. The exercise strategy emphasized low-volume high-resistance strength training and high-impact aerobics. Forty-eight fully compliant women (55.1±3.3 years) with no medication or illness affecting bone metabolism participated in the exercise group (EG); 30 women (55.5±3.0 years) served as non-training controls (CG). At baseline there were no significant between-group differences with respect to physical fitness, bone mineral density, pain and nutritional status. The training consisted of two group training and two home training sessions per week. The study participants of both groups were individually supplemented with calcium and vitamin D (cholecalciferol). Bone mineral density (BMD) was measured by DXA at the lumbar spine, proximal femur and distal forearm and by QCT at the lumbar spine. Speed of sound and broadband ultrasound attenuation were determined at the calcaneus by quantitative ultrasound (QUS). Pain frequency and intensity at different skeletal sites were assessed via questionnaire. After 38 months, the following within-group changes were measured: DXA lumbar spine, EG: 0.8% n.s.; CG: −3.3% P <0.001; QCT trabecular ROI, EG: 1.1% n.s; CG: −7.7% P <0.001; QCT cortical ROI, EG: 5.3% P <0.001; CG: −2.6% P <0.001; DXA total hip: EG: −0.2% n.s; CG −1.9%, P <0.001; DXA distal forearm, EG: −2.8% P <0.001; CG: −3.8% P <0.001; BUA, EG: −0.3% n.s; CG −5.4% P <0.001; SOS, EG: 0.3% n.s; CG −1.0% P <0.001. At year 3 between-group differences relative to the exercise group were: DXA lumbar spine: 4.1% P <0.001; QCT trabecular ROI: 8.8% P <0.001; QCT cortical ROI: 7.9% P <0.001; DXA total hip: 2.1%, P <0.001; DXA distal forearm: 1.0% n.s.; BUA: 5.8% P <0.05; SOS: 1.3% P <0.001. Pain frequency and intensity in the spine significantly decreased in the exercise group and increased in the control group, while no between-group differences were detected in the main joints. In summary, over a period of 3 years our low-volume/high-intensity exercise program was successful to maintain bone mineral density at the spine, hip and calcaneus, but not at the forearm.

Keywords

Bone loss BMD Early menopausal women Exercise Osteoporosis Resistance training 

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2005

Authors and Affiliations

  • K. Engelke
    • 1
  • W. Kemmler
    • 1
  • D. Lauber
    • 2
  • C. Beeskow
    • 1
  • R. Pintag
    • 1
  • W. A. Kalender
    • 1
  1. 1.Institute of Medical PhysicsUniversity of ErlangenErlangenGermany
  2. 2.Institute of Sport SciencesUniversity of ErlangenErlangenGermany

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