Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario
Background: Inadequate physical activity and dietary intake of calcium and vitamin D and other lifestyle factors contribute to the high prevalence of osteoporosis among elderly women. Objective: To find out the relation of Z score of the hip, and femoral neck using dual-energy x ray absorptiometry (...
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| Format: | Article |
| Language: | English |
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Al Ameen Medical College
2014-07-01
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| Series: | Al Ameen Journal of Medical Sciences |
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| Online Access: | http://ajms.alameenmedical.org/ArticlePDFs/4%20AJMS%20V7.N.3.2014%20p%20188-194.pdf |
| _version_ | 1818107995473575936 |
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| author | Mahesh Kumar Talele Deo Rishi Tripathi Amod Sharma |
| author_facet | Mahesh Kumar Talele Deo Rishi Tripathi Amod Sharma |
| author_sort | Mahesh Kumar Talele |
| collection | DOAJ |
| description | Background: Inadequate physical activity and dietary intake of calcium and vitamin D and other lifestyle factors contribute to the high prevalence of osteoporosis among elderly women. Objective: To find out the relation of Z score of the hip, and femoral neck using dual-energy x ray absorptiometry (DEXA) in healthy postmenopausal women with respect to duration since menopause, duration and type of physical activity and vitamin D3 level. Patients and methods: A 12 months cross sectional study. We screened elderly postmenopausal women (age >50 yrs) without any co-morbidities (subjects N=67) on OPD basis for bone mineral density (using DEXA scan of 3 sites spine, hip and neck of femur and total body). On BMD basis, the subjects were then classified into 2 groups A and B. Group A (N=23) included osteoporotic subjects (BMD T<-2.5) and Group B (N=34) included osteopenic/normal subjects (BMD T>-2.5). Detailed present and past history of diet (calcium content), physical activity levels (using duration and type of activity as per GPPAQ general practice physical activity questionnaire) and laboratory tests (serum calcium , serum phosphorus , vitamin D3 levels), we identified relative effects of each of them on bone mineral density (age matched Z scores). Bone mineral density (age matched Z scores) was measured by dual-energy x-ray absorptiometry every twelve months. Results: The correlation between physical activity, calcium, vitamin D3 levels and bone mineral density was determined by regression analysis. The strongest association was found between stair climbing and walking speed and duration of weight bearing activities and hip (femur) bone mineral densities. Approximately 95% of participants had insufficient serum 25-hydroxy vitamin D. Mean physical activity duration was 17.6 minutes/day. Conclusion: The positive association between stair climbing and walking speed and duration of weight bearing activities and hip (femur) cortical bone measures in postmenopausal women may indicate a lifestyle factor in addition to calcium and vitamin D3 supplementation that can help prevent bone loss. Given the significantly greater hours per week of weight bearing physical activity done by subjects, duration is an important determinant of the effect physical activity has on bone. |
| first_indexed | 2024-12-11T02:08:19Z |
| format | Article |
| id | doaj.art-d9964f9f73e947708cd79e1d2557e477 |
| institution | Directory Open Access Journal |
| issn | 0974-1143 0974-1143 |
| language | English |
| last_indexed | 2024-12-11T02:08:19Z |
| publishDate | 2014-07-01 |
| publisher | Al Ameen Medical College |
| record_format | Article |
| series | Al Ameen Journal of Medical Sciences |
| spelling | doaj.art-d9964f9f73e947708cd79e1d2557e4772022-12-22T01:24:20ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11430974-11432014-07-010703188194Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenarioMahesh Kumar Talele0Deo Rishi Tripathi1Amod Sharma2Department of Physical Medicine and Rehabilitation, Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi-110001 IndiaDepartment of Physical Medicine and Rehabilitation, Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi-110001 IndiaDepartment of Physical Medicine and Rehabilitation, Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi-110001 IndiaBackground: Inadequate physical activity and dietary intake of calcium and vitamin D and other lifestyle factors contribute to the high prevalence of osteoporosis among elderly women. Objective: To find out the relation of Z score of the hip, and femoral neck using dual-energy x ray absorptiometry (DEXA) in healthy postmenopausal women with respect to duration since menopause, duration and type of physical activity and vitamin D3 level. Patients and methods: A 12 months cross sectional study. We screened elderly postmenopausal women (age >50 yrs) without any co-morbidities (subjects N=67) on OPD basis for bone mineral density (using DEXA scan of 3 sites spine, hip and neck of femur and total body). On BMD basis, the subjects were then classified into 2 groups A and B. Group A (N=23) included osteoporotic subjects (BMD T<-2.5) and Group B (N=34) included osteopenic/normal subjects (BMD T>-2.5). Detailed present and past history of diet (calcium content), physical activity levels (using duration and type of activity as per GPPAQ general practice physical activity questionnaire) and laboratory tests (serum calcium , serum phosphorus , vitamin D3 levels), we identified relative effects of each of them on bone mineral density (age matched Z scores). Bone mineral density (age matched Z scores) was measured by dual-energy x-ray absorptiometry every twelve months. Results: The correlation between physical activity, calcium, vitamin D3 levels and bone mineral density was determined by regression analysis. The strongest association was found between stair climbing and walking speed and duration of weight bearing activities and hip (femur) bone mineral densities. Approximately 95% of participants had insufficient serum 25-hydroxy vitamin D. Mean physical activity duration was 17.6 minutes/day. Conclusion: The positive association between stair climbing and walking speed and duration of weight bearing activities and hip (femur) cortical bone measures in postmenopausal women may indicate a lifestyle factor in addition to calcium and vitamin D3 supplementation that can help prevent bone loss. Given the significantly greater hours per week of weight bearing physical activity done by subjects, duration is an important determinant of the effect physical activity has on bone.http://ajms.alameenmedical.org/ArticlePDFs/4%20AJMS%20V7.N.3.2014%20p%20188-194.pdfGeneral Practice Physical Activity Questionnairebone mineral density |
| spellingShingle | Mahesh Kumar Talele Deo Rishi Tripathi Amod Sharma Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario Al Ameen Journal of Medical Sciences General Practice Physical Activity Questionnaire bone mineral density |
| title | Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario |
| title_full | Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario |
| title_fullStr | Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario |
| title_full_unstemmed | Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario |
| title_short | Role of physical activity in addition to calcium and vitamin D supplementation in the prevention of osteoporosis in postmenopausal women: an Indian scenario |
| title_sort | role of physical activity in addition to calcium and vitamin d supplementation in the prevention of osteoporosis in postmenopausal women an indian scenario |
| topic | General Practice Physical Activity Questionnaire bone mineral density |
| url | http://ajms.alameenmedical.org/ArticlePDFs/4%20AJMS%20V7.N.3.2014%20p%20188-194.pdf |
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