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

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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.

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Authors and Affiliations

  1. Rehabilitation Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, René Descartes University, F-75014, Paris Cedex, France

    M. A. Mayoux-Benhamou, H. Rahali-Kachlouf & M. Revel

  2. Rheumatology Department, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, René Descartes University, F-75014, Paris Cedex, France

    C. Roux

  3. National School of Statistics and Economic Administration (ENSAE), F-92245, Malakoff Cedex, France

    A. Perraud

  4. Statistics Laboratory, Necker Hospital, Assistance Publique-Hôpitaux de Paris, René Descartes University, F-75015, Paris Cedex, France

    J. Fermanian

  5. Service de Rééducation, Hôpital Cochin, 27 rue du Faubourg Saint Jacques, Pavillon Hardy, F-75014, Paris, France

    M. A. Mayoux-Benhamou

Authors
  1. M. A. Mayoux-Benhamou
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  2. C. Roux
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  3. A. Perraud
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  6. M. Revel
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Correspondence to M. A. Mayoux-Benhamou.

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Mayoux-Benhamou, M.A., Roux, C., Perraud, A. et al. Predictors of compliance with a home-based exercise program added to usual medical care in preventing postmenopausal osteoporosis: an 18-month prospective study. Osteoporos Int 16, 325–331 (2005). https://doi.org/10.1007/s00198-004-1697-z

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  • DOI: https://doi.org/10.1007/s00198-004-1697-z

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