The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial

The optimal type of exercise that simultaneously decreases body weight and preserves bone health in people with obesity is unknown. This parallel randomized trial aimed to compare the effect of endurance and endurance-strength training on bone mineral density (BMD) and content (BMC) in abdominally o...

Full description

Bibliographic Details
Main Authors: Małgorzata Jamka, Edyta Mądry, Paweł Bogdański, Jakub Kryściak, Radosław Mądry, Aleksandra Lisowska, Elnara Ismagulova, Anna Gotz-Więckowska, Izabela Chudzicka-Strugała, Ainur Amanzholkyzy, Jarosław Walkowiak
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/8/1074
_version_ 1797523686350127104
author Małgorzata Jamka
Edyta Mądry
Paweł Bogdański
Jakub Kryściak
Radosław Mądry
Aleksandra Lisowska
Elnara Ismagulova
Anna Gotz-Więckowska
Izabela Chudzicka-Strugała
Ainur Amanzholkyzy
Jarosław Walkowiak
author_facet Małgorzata Jamka
Edyta Mądry
Paweł Bogdański
Jakub Kryściak
Radosław Mądry
Aleksandra Lisowska
Elnara Ismagulova
Anna Gotz-Więckowska
Izabela Chudzicka-Strugała
Ainur Amanzholkyzy
Jarosław Walkowiak
author_sort Małgorzata Jamka
collection DOAJ
description The optimal type of exercise that simultaneously decreases body weight and preserves bone health in people with obesity is unknown. This parallel randomized trial aimed to compare the effect of endurance and endurance-strength training on bone mineral density (BMD) and content (BMC) in abdominally obese postmenopausal women. A total of 101 women were recruited and randomly assigned to endurance or endurance-strength training groups. Participants trained for 60 min per day, three times per week for 12 weeks. The endurance exercises were performed at an intensity of 50–75% of the maximum heart rate, whereas the strength exercises were at 50–60% of the one-repetition maximum. Pre- and post-intervention BMD and BMC of the total body, lumbar spine, and femoral neck and physical capacity were measured. There were no differences among the densitometric parameters in the endurance group, but a significant increase in whole-body BMD in the endurance-strength group was found. Moreover, there was a significant difference between the groups in the changes in the lumbar spine BMC. Furthermore, both training programs significantly improved physical capacity with no differences between groups. Endurance training was more effective in maintaining BMC at the lumbar spine. However, both groups did not differ in effect on BMD. Further studies with a long-term follow-up should be considered to confirm these findings. The study was registered with the German Clinical Trials Register within the number DRKS00019832, and the date of registration was 26 February 2020 (retrospective registration).
first_indexed 2024-03-10T08:46:33Z
format Article
id doaj.art-20267d07374f4ae480ad38a246183817
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-10T08:46:33Z
publishDate 2021-08-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-20267d07374f4ae480ad38a2461838172023-11-22T07:50:31ZengMDPI AGHealthcare2227-90322021-08-0198107410.3390/healthcare9081074The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized TrialMałgorzata Jamka0Edyta Mądry1Paweł Bogdański2Jakub Kryściak3Radosław Mądry4Aleksandra Lisowska5Elnara Ismagulova6Anna Gotz-Więckowska7Izabela Chudzicka-Strugała8Ainur Amanzholkyzy9Jarosław Walkowiak10Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznań, PolandDepartment of Physiology, Poznan University of Medical Sciences, Święcickiego Str. 6, 60-781 Poznań, PolandDepartment of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, Poznan University of Medical Sciences, Szamarzewskiego Str. 82, 60-569 Poznań, PolandDepartment of Physiology and Biochemistry, Poznan University of Physical Education, Królowej Jadwigi Str. 27/39, 61-871 Poznań, PolandDepartment of Oncology, Poznan University of Medical Sciences, Szamarzewskiego Str. 84, 60-569 Poznań, PolandDepartment of Clinical Auxology and Pediatric Nursing, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznań, PolandENT Diseases Department, West Kazakhstan Marat Ospanov State Medical University, Maresyev Str. 68, Aktobe 030019, KazakhstanDepartment of Ophthalmology, Poznan University of Medical Sciences, Szamarzewskiego Str. 84, 60-569 Poznań, PolandDepartment of Medical Microbiology, Poznan University of Medical Sciences, Wieniawskiego Str. 3, 61-712 Poznań, PolandDepartment of Normal Physiology, West Kazakhstan Marat Ospanov State Medical University, Maresyev Str. 68, Aktobe 030019, KazakhstanDepartment of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznań, PolandThe optimal type of exercise that simultaneously decreases body weight and preserves bone health in people with obesity is unknown. This parallel randomized trial aimed to compare the effect of endurance and endurance-strength training on bone mineral density (BMD) and content (BMC) in abdominally obese postmenopausal women. A total of 101 women were recruited and randomly assigned to endurance or endurance-strength training groups. Participants trained for 60 min per day, three times per week for 12 weeks. The endurance exercises were performed at an intensity of 50–75% of the maximum heart rate, whereas the strength exercises were at 50–60% of the one-repetition maximum. Pre- and post-intervention BMD and BMC of the total body, lumbar spine, and femoral neck and physical capacity were measured. There were no differences among the densitometric parameters in the endurance group, but a significant increase in whole-body BMD in the endurance-strength group was found. Moreover, there was a significant difference between the groups in the changes in the lumbar spine BMC. Furthermore, both training programs significantly improved physical capacity with no differences between groups. Endurance training was more effective in maintaining BMC at the lumbar spine. However, both groups did not differ in effect on BMD. Further studies with a long-term follow-up should be considered to confirm these findings. The study was registered with the German Clinical Trials Register within the number DRKS00019832, and the date of registration was 26 February 2020 (retrospective registration).https://www.mdpi.com/2227-9032/9/8/1074bonedensitometryexerciseobesitypostmenopause
spellingShingle Małgorzata Jamka
Edyta Mądry
Paweł Bogdański
Jakub Kryściak
Radosław Mądry
Aleksandra Lisowska
Elnara Ismagulova
Anna Gotz-Więckowska
Izabela Chudzicka-Strugała
Ainur Amanzholkyzy
Jarosław Walkowiak
The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial
Healthcare
bone
densitometry
exercise
obesity
postmenopause
title The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial
title_full The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial
title_fullStr The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial
title_full_unstemmed The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial
title_short The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial
title_sort effect of endurance and endurance strength training on bone mineral density and content in abdominally obese postmenopausal women a randomized trial
topic bone
densitometry
exercise
obesity
postmenopause
url https://www.mdpi.com/2227-9032/9/8/1074
work_keys_str_mv AT małgorzatajamka theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT edytamadry theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT pawełbogdanski theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT jakubkrysciak theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT radosławmadry theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT aleksandralisowska theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT elnaraismagulova theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT annagotzwieckowska theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT izabelachudzickastrugała theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT ainuramanzholkyzy theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT jarosławwalkowiak theeffectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT małgorzatajamka effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT edytamadry effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT pawełbogdanski effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT jakubkrysciak effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT radosławmadry effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT aleksandralisowska effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT elnaraismagulova effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT annagotzwieckowska effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT izabelachudzickastrugała effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT ainuramanzholkyzy effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial
AT jarosławwalkowiak effectofenduranceandendurancestrengthtrainingonbonemineraldensityandcontentinabdominallyobesepostmenopausalwomenarandomizedtrial