The effect of endurance and endurance-strength training on bone mineral density and content in abdominally obese postmenopausal women: A randomized trial


Jamka M. Mądry E. Bogdański P. Kryściak J. Mądry R. Lisowska A. Ismagulova E. Gotz-Więckowska A. Chudzicka-Strugała I. Amanzholkyzy A. Walkowiak J.
August 2021MDPI AG

Healthcare (Switzerland)
2021#9Issue 8

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).

Bone , Densitometry , Exercise , Obesity , Postmenopause

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Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, Poznań, 60-572, Poland
Department of Physiology, Poznan University of Medical Sciences, Święcickiego Str. 6, Poznań, 60-781, Poland
Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, Poznan University of Medical Sciences, Szamarzewskiego Str. 82, Poznań, 60-569, Poland
Department of Physiology and Biochemistry, Poznan University of Physical Education, Królowej Jadwigi Str. 27/39, Poznań, 61-871, Poland
Department of Oncology, Poznan University of Medical Sciences, Szamarzewskiego Str. 84, Poznań, 60-569, Poland
Department of Clinical Auxology and Pediatric Nursing, Poznan University of Medical Sciences, Szpitalna Str. 27/33, Poznań, 60-572, Poland
ENT Diseases Department, West Kazakhstan Marat Ospanov State Medical University, Maresyev Str. 68, Aktobe, 030019, Kazakhstan
Department of Ophthalmology, Poznan University of Medical Sciences, Szamarzewskiego Str. 84, Poznań, 60-569, Poland
Department of Medical Microbiology, Poznan University of Medical Sciences, Wieniawskiego Str. 3, Poznań, 61-712, Poland
Department of Normal Physiology, West Kazakhstan Marat Ospanov State Medical University, Maresyev Str. 68, Aktobe, 030019, Kazakhstan

Department of Pediatric Gastroenterology and Metabolic Diseases
Department of Physiology
Department of Treatment of Obesity
Department of Physiology and Biochemistry
Department of Oncology
Department of Clinical Auxology and Pediatric Nursing
ENT Diseases Department
Department of Ophthalmology
Department of Medical Microbiology
Department of Normal Physiology

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