Effects of Progressive Strength Training on Bone Health and Functional Fitness in Older Adults Aged Sixty and Above
DOI:
https://doi.org/10.71435/595695Keywords:
Bone Mineral Density, Bone Turnover Markers, Functional FitnessAbstract
The present research aims at evaluating the effectiveness of a 12-week progressive ST on bone and functional fitness of the older adults with limited evidence in the existing literature. In this experimental study, 100 sedentary elderly people who met the inclusion criteria were selected through purposive sampling and divided into two groups based on convenience sampling; experimental group n = 50 received supervised resistance training and the control group n = 50 continued with their normal daily activities with no exercise. BMD was measured by DXA at the lumbar spine, femoral neck, and the total hip. Osteocalcin and C-terminal telopeptide (CTX) were used also to determine bone formation and resorption rates. Basic and higher-level functional fitness was measured using the Timed Up and Go (TUG) test and the 30 second chair stand test. Significant results were noted in comparing the body composition, BMD, biomarkers of bone turnover, and functional fitness in the experimental group versus control group where p < 0.05 using pair sample t-test and two-way ANOVA. Taken together with prior research, these results offer strong confirmation of the value of strength training in building bone strength as well as increasing physical capabilities. In contrast to the previously mentioned studies this research encompasses a sample of older adults of different backgrounds, meaning the findings can enriched from a general perspective. This study highlights the need for broad integration of strength training in healthy aging framework for omorbidities of spine and fracture prevention along with functional dependency in elderly.
References
Bahat, G., Catikkas, N. M., Yavuz, D. G., Borman, P., Guzel, R., & Reginster, J. Y. (2021). The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations. Archives of osteoporosis, 16, 1-16.
Bland, V. L., Heatherington-Rauth, M., Howe, C., Going, S. B., & Bea, J. W. (2020). Association of objectively measured physical activity and bone health in children and adolescents: a systematic review and narrative synthesis. Osteoporosis International, 31(10), 1865-1894. https://doi.org/10.1007/s00198-020-05485-y
Conley, R. B., Adib, G., Adler, R. A., Åkesson, K. E., Alexander, I. M., Amenta, K. C., ... & Kiel, D. P. (2020). Secondary fracture prevention: consensus clinical recommendations from a multistakeholder coalition. Journal of bone and mineral research, 35(1), 36-52. https://doi.org/10.1002/jbmr.3877
Gao, H., Zhao, Y., Zhao, L., Wang, Z., Yan, K., Gao, B., & Zhang, L. (2023). The Role of Oxidative Stress in Multiple Exercise-Regulated Bone Homeostasis. Aging and Disease, 14(5), 1555. https://doi.org/10.14336/AD.2023.0223
Hargreaves, M., & Spriet, L. L. (2020). Skeletal muscle energy metabolism during exercise. Nature metabolism, 2(9), 817-828. https://doi.org/10.1038/s42255-020-0251-4
Hilkens, L., van Schijndel, N., Weijer, V. C., Decroix, L., Bons, J., van Loon, L. J., & van Dijk, J. W. (2023). Jumping Exercise Combined With Collagen Supplementation Preserves Bone Mineral Density in Elite Cyclists. International Journal of Sport Nutrition and Exercise Metabolism, 1(aop), 1-10. https://doi.org/10.1123/ijsnem.2023-0080
Isenmann, E., Kaluza, D., Havers, T., Elbeshausen, A., Geisler, S., Hofmann, K., ... & Gavanda, S. (2023). Resistance training alters body composition in middle-aged women depending on menopause-A 20-week control trial. BMC Women's Health, 23(1), 526. https://doi.org/10.1186/s12905-023-02671-y
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., ... & Singh, M. F. (2021). International exercise recommendations in older adults (ICFSR): expert consensus guidelines. The journal of nutrition, health & aging, 25(7), 824-853. https://doi.org/10.1007/s12603-021-1665-8
Kechichian, A., Lafrance, S., Matifat, E., Dube, F., Lussier, D., Benhaim, P., ... & Desmeules, F. (2022). Multimodal interventions including rehabilitation exercise for older adults with chronic musculoskeletal pain: a systematic review and meta-analyses of randomized controlled trials. Journal of Geriatric Physical Therapy, 45(1), 34-49.
Langel, C. R., & Bonnan, M. F. (2023). Ontogenetic Changes in the Cross-Sectional Geometry and Deltopectoral Crest of the Humerus in Alligator mississippiensis. Ruling Reptiles: Crocodylian Biology and Archosaur Paleobiology, 68.
Logerstedt, D. S., Ebert, J. R., MacLeod, T. D., Heiderscheit, B. C., Gabbett, T. J., & Eckenrode, B. J. (2022). Effects of and Response to Mechanical Loading on the Knee. Sports Medicine, 52(2), 201-235. https://doi.org/10.1007/s40279-021-01579-7
Malik, H. B., & Norman, J. B. (2023). Best practices and methodological strategies for addressing generalizability in neuropsychological Assessment. Journal of Pediatric Neuropsychology, 9(2), 47-63. https://doi.org/10.1007/s40817-023-00145-5
Marini, S., Barone, G., Masini, A., Dallolio, L., Bragonzoni, L., Longobucco, Y., & Maffei, F. (2020). The effect of physical activity on bone biomarkers in people with osteoporosis: a systematic review. Frontiers in endocrinology, 11, 585689. https://doi.org/10.3389/fendo.2020.585689
Osbeck, L. M., & Antczak, S. L. (2021). Generalizability and qualitative research: A new look at an ongoing controversy. Qualitative Psychology, 8(1), 62. https://psycnet.apa.org/doi/10.1037/qup0000194
Samuel, S. M., Varghese, E., Koklesová, L., Líšková, A., Kubatka, P., & Büsselberg, D. (2020). Counteracting chemoresistance with metformin in breast cancers: targeting cancer stem cells. Cancers, 12(9), 2482. https://doi.org/10.3390/cancers12092482
Shojaa, M., Von Stengel, S., Kohl, M., Schoene, D., & Kemmler, W. (2020). Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters. Osteoporosis International, 31, 1427-1444.
Smith, C., Tacey, A., Mesinovic, J., Scott, D., Lin, X., Brennan-Speranza, T. C., ... & Levinger, I. (2021). The effects of acute exercise on bone turnover markers in middle-aged and older adults: A systematic review. Bone, 143, 115766. https://doi.org/10.1016/j.bone.2020.115766
Smith, C., Tacey, A., Mesinovic, J., Scott, D., Lin, X., Brennan-Speranza, T. C., ... & Levinger, I. (2021). The effects of acute exercise on bone turnover markers in middle-aged and older adults: A systematic review. Bone, 143, 115766. https://doi.org/10.1016/j.bone.2020.115766
Yang, R. S. (2021). The Implications of Osteoporosis in Orthopedic Surgery. Osteoporosis Of the Spine: Asian Perspectives, 73.
Zouhal, H., Berro, A. J., Kazwini, S., Saeidi, A., Jayavel, A., Clark, C. C., ... & El Hage, R. (2022). Effects of exercise training on bone health parameters in individuals with obesity: A systematic review and meta-analysis. Frontiers in physiology, 12, 807110. https://doi.org/10.3389/fphys.2021.807110
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Asian-african Focus in Health

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



