Osteoporosis International

, Volume 16, Issue 3, pp 325–331 | Cite as

Predictors of compliance with a home-based exercise program added to usual medical care in preventing postmenopausal osteoporosis: an 18-month prospective study

  • M. A. Mayoux-Benhamou
  • C. Roux
  • A. Perraud
  • J. Fermanian
  • H. Rahali-Kachlouf
  • M. Revel
Original Article

Abstract

This prospective 18-month study was designed to assess long-term compliance with a program of exercise aimed to prevent osteoporosis after an educational intervention and to uncover determinants of compliance. A total of 135 postmenopausal women were recruited by flyers or instructed by their physicians to participate in an educational session added to usual medical care. After a baseline visit and dual-energy X-ray absorptiometry, volunteers participated in a 1-day educational session consisting of a lecture and discussion on guidelines for appropriate physical activity and training in a home-based exercise program taught by a physical therapist. Scheduled follow-up visits were 1, 6, and 18 months after the educational session. Compliance with the exercise program was defined as an exercise practice rate 50% or greater than the prescribed training. The 18-month compliance rate was 17.8% (24/135). The main reason for withdrawal from the program was lack of motivation. Two variables predicted compliance: contraindication for hormone replacement therapy (odds ratio [OR] = 0.13; 95% confidence interval [95% CI], 0.04 to 0.46) and general physical function scores from an SF-36 questionnaire (OR=1.26; 95% CI, 1.03 to 1.5). To a lesser extent, osteoporosis risk, defined as a femoral T-score ≤−2.5, predicted compliance (OR=0.34; 95% CI, 0.10 to 1.16). Despite the addition of an educational session to usual medical care to inform participants about the benefits of exercise, only a minority of postmenopausal women adhered to a home-based exercise program after 18 months.

Keywords

Compliance Determinants Education Exercise Osteoporosis Quality of life 

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2004

Authors and Affiliations

  • M. A. Mayoux-Benhamou
    • 1
    • 5
  • C. Roux
    • 2
  • A. Perraud
    • 3
  • J. Fermanian
    • 4
  • H. Rahali-Kachlouf
    • 1
  • M. Revel
    • 1
  1. 1.Rehabilitation Department, Cochin Hospital, Assistance Publique-Hôpitaux de ParisRené Descartes UniversityParis CedexFrance
  2. 2.Rheumatology Department, Hôpital Cochin, Assistance Publique-Hôpitaux de ParisRené Descartes UniversityParis CedexFrance
  3. 3.National School of Statistics and Economic Administration (ENSAE)Malakoff CedexFrance
  4. 4.Statistics Laboratory, Necker Hospital, Assistance Publique-Hôpitaux de ParisRené Descartes UniversityParis CedexFrance
  5. 5.Service de RééducationHôpital CochinParisFrance

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