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Delaying Osteoporosis in Early Postmenopausal Women: Exercise as the New Medicine,[object Object],Stefanie E. Farr,[object Object],Faculty of Health Sciences and Medicine Bond University, QLD 4229,[object Object],Introduction:,[object Object],As a condition that can be permanently disabling, there is little common education about the alternate therapies in the prevention, management and treatment of osteoporosis. Osteoporosis is a disease of the bone, characterized by a decrease in skeletal bone density1, which leads to an increased risk of fracture. In Australia, 2 in 5 women and 1 in 4 men over the age of 50 will experience an osteoporotic fracture2. ,[object Object],It has been observed in women of varying ethnicities that the fastest loss of bone mineral density occurs during the time of late perimenopause3, where the rate of bone loss is almost double in comparison to postmenopausal women4,5 (>5yrs post). The deterioration period between perimenopause and 5 years post-menopause has the greatest impact on bone strength3, and increases the propensity of fractures. It is estimated that 50% of all women over the age of 50 have osteopenia2: a decrease in bone mineral density, often a pre-cursor to osteoporosis.,[object Object],There is no cure for osteoporosis, as there is a natural decline in bone mineral density with age. Prevention and management of age-related bone loss is important, particularly during the period of rapid bone loss observed during the early stages of post-menopause. A recent meta-analysis6 in early postmenopausal women participating in exercise in the form of a combined impact and high-magnitude resistance training (such as jogging, climbing stairs and walking) showed a positive effect on the preservation of bone mineral density. However, there is still discrepancies within the literature regarding the types of weight bearing exercise that are beneficial in preserving postmenopausal bone density.,[object Object],Aims:,[object Object],This report aims to differentiate between the forms of weight-bearing exercise, and determine the most beneficial in slowing the bone deterioration in the critical phase of menopause.,[object Object],Methods:,[object Object],Subjects:,[object Object],48 postmenopausal women with osteoporosis completed this study (see Table 1 for baseline characteristics).,[object Object],Intervention,[object Object],All subjects acted as their own baselines and were assigned to a weight bearing exercise program over the duration of 2 years. Subjects were randomly assigned to a strength training (ST) or power-training (PT) group.,[object Object],A progressive, periodised protocol was used, which was characterized by 12 week periods of high intensity training, interspersed with 4-5 weeks of lower training intensity, allowing for adaption and regeneration.,[object Object],Note: the only difference between the strength training and power training groups is the speed in which the resistance exercises were performed.,[object Object],Results:,[object Object],[object Object]

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Delaying Osteoporosis in Early Postmenopausal Women: Exercise as the New Medicine

  • 1.
  • 2. Majority of ST group signal is in the 0-0.5 Hz range, whereas in the PT group there are high amplitudes from the 0-2.5 Hz range (Figure 2)
  • 3. The ST group lost BMD and area significantly in the lumbar spine from baseline values (Table 4), and there were no differences in the PT group (Figure 3)
  • 4.