Posted on April 10, 2014 by Stone Hearth News
Newswise — WACO, Texas (March 31, 2014) – Early strengthening activities can lead to a decrease in cardiometabolic health risks in children and adolescents, according to results of a new study by a Baylor University professor and a team of researchers.
Until recently, treatment for adolescent obesity and associated health problems has focused mostly on diet modifications and aerobic exercise such as walking or swimming.
But a recent research study appearing this month in Pediatrics by Paul M. Gordon, Ph.D., professor and chair of health, human performance and recreation department in Baylor’s School of Education concludes that adding strength-building exercises will help adolescents reduce the risks of cardiometabolic diseases such as heart disease, diabetes and other health problems. The study can be found at http://pediatrics.aappublications.org/content/early/2014/03/25/peds.2013-3169.full.pdf+html?sid=593dcdec-772e-47a8-b46d-1445d5b44109.
With these findings, the research team demonstrated for the first time that strength capacity is robustly associated with lower cardiometabolic risk in adolescents, even after controlling for the influence of BMI, physical activity participation, and cardiorespiratory fitness.
The findings contradict a popular belief that only high BMI, low cardiorespiratory fitness, and excessive sedentary behaviors are the primary drivers of cardiometabolic abnormalities, Gordon said. “Our study bolsters support for early strength acquisition and strategies to maintain healthy BMIs (body-mass index measurements) and body compositions among children and adolescents,” Gordon said.
“Unfortunately, to date, most clinical reports have focused on the safety or efficacy of strength training in pediatrics, rather than its potential viability for health outcomes.”
Gordon and his team of researchers collected data from over 1,400 boys and girls, ages 10-12. Results of the study showed that boys and girls with greater strength-to-body mass ratios had lower BMIs, lower percent body fat, smaller waist circumferences, higher levels of cardiorespiratory fitness, and significantly lower clinical markers of risk.
To reach those conclusions, researchers used measurements of the child’s cardiometabolic risk components – percentage of body fat, fasting glucose levels, blood pressure, plasma triglycerides levels and HDL cholesterol.
The research team examined numerous potential predictors of positive and negative health, such as fitness, physiologic parameters and behavioral factors. “We were specifically interested in how BMI, physical activity, cardiorespiratory fitness and muscular strength were related to the cardiometabolic risk,” Gordon said.
Combined with other recent research, Gordon said the results of this study provide “strong support” for the use of strengthening exercises to supplement traditional weight loss interventions among pediatric populations.
Other contributing authors to the study include: Mark Peterson of University of Michigan; William Saltarelli of Central Michigan University; and Paul Visich of University of New England.
- See more at: http://www.stonehearthnewsletters.com/early-strength-training-can-decrease-heart-health-risks-in-children/benefits-exercise/#sthash.DtTB7c5K.dpuf
Friday, April 11, 2014
Vibration may help heal chronic wounds
Posted on April 10, 2014 by Stone Hearth News
Newswise — Wounds may heal more quickly if exposed to low-intensity vibration, report researchers at the University of Illinois at Chicago.
The finding, in mice, may hold promise for the 18 million Americans who have type 2 diabetes, and especially the quarter of them who will eventually suffer from foot ulcers. Their wounds tend to heal slowly and can become chronic or worsen rapidly.
Timothy Koh, UIC professor of kinesiology and nutrition in the UIC College of Applied Health Sciences, was intrigued by studies at Stony Brook University in New York that used very low-intensity signals to accelerate bone regeneration.
“This technique is already in clinical trials to see if vibration can improve bone health and prevent osteoporosis,” Koh said.
Koh and his coworkers at UIC collaborated with Stefan Judex of Stony Brook to investigate whether the same technique might improve wound healing in diabetes. The new study, using an experimental mouse model of diabetes, is published online in the journal PLOS One.
The low-amplitude vibrations are barely perceptible to touch.
“It’s more like a buzz than an earthquake,” said Eileen Weinheimer-Haus, UIC postdoctoral fellow in kinesiology and nutrition, the first author of the study. The researchers found that wounds exposed to vibration five times a week for 30 minutes healed more quickly than wounds in mice of a control group.
Wounds exposed to vibration formed more granulation tissue, a type of tissue important early in the wound-healing process. Vibration helped tissue to form new blood vessels — a process called angiogenesis — and also led to increased expression of pro-healing growth factors and signaling molecules called chemokines, Weinheimer-Haus said.
“We know that chronic wounds in people with diabetes fail to form granulation tissue and have poor angiogenesis, and we believe these factors contribute to their wounds’ failure to heal,” said Koh.
He and his colleagues want to determine whether the changes they see in cell populations and gene expression at wound sites underlie the observed improvement in healing.
“The exciting thing about this intervention is how easily it could be translated to people,” Koh said.
“It’s a procedure that’s non-invasive, doesn’t require any drugs, and is already being tested in human trials to see if it’s protective of bone loss.” A clinical study, in collaboration with Dr. William Ennis, director of the Wound Healing Clinic at UIC, is planned, Koh said.
Ennis and Judex are co-authors on the PLOS One study, which was supported by National Institutes of Health grants R01GM092850 and T32DE018381.
- See more at: http://www.stonehearthnewsletters.com/vibration-may-help-heal-chronic-wounds/wound-care/#sthash.8fesSj1x.dpuf
Newswise — Wounds may heal more quickly if exposed to low-intensity vibration, report researchers at the University of Illinois at Chicago.
The finding, in mice, may hold promise for the 18 million Americans who have type 2 diabetes, and especially the quarter of them who will eventually suffer from foot ulcers. Their wounds tend to heal slowly and can become chronic or worsen rapidly.
Timothy Koh, UIC professor of kinesiology and nutrition in the UIC College of Applied Health Sciences, was intrigued by studies at Stony Brook University in New York that used very low-intensity signals to accelerate bone regeneration.
“This technique is already in clinical trials to see if vibration can improve bone health and prevent osteoporosis,” Koh said.
Koh and his coworkers at UIC collaborated with Stefan Judex of Stony Brook to investigate whether the same technique might improve wound healing in diabetes. The new study, using an experimental mouse model of diabetes, is published online in the journal PLOS One.
The low-amplitude vibrations are barely perceptible to touch.
“It’s more like a buzz than an earthquake,” said Eileen Weinheimer-Haus, UIC postdoctoral fellow in kinesiology and nutrition, the first author of the study. The researchers found that wounds exposed to vibration five times a week for 30 minutes healed more quickly than wounds in mice of a control group.
Wounds exposed to vibration formed more granulation tissue, a type of tissue important early in the wound-healing process. Vibration helped tissue to form new blood vessels — a process called angiogenesis — and also led to increased expression of pro-healing growth factors and signaling molecules called chemokines, Weinheimer-Haus said.
“We know that chronic wounds in people with diabetes fail to form granulation tissue and have poor angiogenesis, and we believe these factors contribute to their wounds’ failure to heal,” said Koh.
He and his colleagues want to determine whether the changes they see in cell populations and gene expression at wound sites underlie the observed improvement in healing.
“The exciting thing about this intervention is how easily it could be translated to people,” Koh said.
“It’s a procedure that’s non-invasive, doesn’t require any drugs, and is already being tested in human trials to see if it’s protective of bone loss.” A clinical study, in collaboration with Dr. William Ennis, director of the Wound Healing Clinic at UIC, is planned, Koh said.
Ennis and Judex are co-authors on the PLOS One study, which was supported by National Institutes of Health grants R01GM092850 and T32DE018381.
- See more at: http://www.stonehearthnewsletters.com/vibration-may-help-heal-chronic-wounds/wound-care/#sthash.8fesSj1x.dpuf
Tuesday, April 8, 2014
Green tea said to boost brain: new research in psychopharmacology journal
Posted on April 7, 2014 by Stone Hearth News
Green tea is said to have many putative positive effects on health. Now, researchers at the University of Basel are reporting first evidence that green tea extract enhances the cognitive functions, in particular the working memory. The Swiss findings suggest promising clinical implications for the treatment of cognitive impairments in psychiatric disorders such as dementia. The academic journal Psychopharmacology has published their results.
In the past the main ingredients of green tea have been thoroughly studied in cancer research. Recently, scientists have also been inquiring into the beverage’s positive impact on the human brain. Different studies were able to link green tea to beneficial effects on the cognitive performance. However, the neural mechanisms underlying this cognitive enhancing effect of green tea remained unknown.
Better memory
In a new study, the researcher teams of Prof. Christoph Beglinger from the University Hospital of Basel and Prof. Stefan Borgwardt from the Psychiatric University Clinics found that green tea extract increases the brain’s effective connectivity, meaning the causal influence that one brain area exerts over another. This effect on connectivity also led to improvement in actual cognitive performance: Subjects tested significantly better for working memory tasks after the admission of green tea extract.
Green tea: our other posts
For the study healthy male volunteers received a soft drink containing several grams of green tea extract before they solved working memory tasks. The scientists then analyzed how this affected the brain activity of the men using magnetic resonance imaging (MRI). The MRI showed increased connectivity between the parietal and the frontal cortex of the brain. These neuronal findings correlated positively with improvement in task performance of the participants. «Our findings suggest that green tea might increase the short-term synaptic plasticity of the brain», says Borgwardt.
Clinical implications
The research results suggest promising clinical implications: Modeling effective connectivity among frontal and parietal brain regions during working memory processing might help to assess the efficacy of green tea for the treatment of cognitive impairments in neuropsychiatric disorders such as dementia.
Source - See more at: http://www.stonehearthnewsletters.com/green-tea-said-to-boost-brain-new-research-in-psychopharmacology-journal/green-tea-2/#sthash.IhzeT4bW.dpuf
Green tea is said to have many putative positive effects on health. Now, researchers at the University of Basel are reporting first evidence that green tea extract enhances the cognitive functions, in particular the working memory. The Swiss findings suggest promising clinical implications for the treatment of cognitive impairments in psychiatric disorders such as dementia. The academic journal Psychopharmacology has published their results.
In the past the main ingredients of green tea have been thoroughly studied in cancer research. Recently, scientists have also been inquiring into the beverage’s positive impact on the human brain. Different studies were able to link green tea to beneficial effects on the cognitive performance. However, the neural mechanisms underlying this cognitive enhancing effect of green tea remained unknown.
Better memory
In a new study, the researcher teams of Prof. Christoph Beglinger from the University Hospital of Basel and Prof. Stefan Borgwardt from the Psychiatric University Clinics found that green tea extract increases the brain’s effective connectivity, meaning the causal influence that one brain area exerts over another. This effect on connectivity also led to improvement in actual cognitive performance: Subjects tested significantly better for working memory tasks after the admission of green tea extract.
Green tea: our other posts
For the study healthy male volunteers received a soft drink containing several grams of green tea extract before they solved working memory tasks. The scientists then analyzed how this affected the brain activity of the men using magnetic resonance imaging (MRI). The MRI showed increased connectivity between the parietal and the frontal cortex of the brain. These neuronal findings correlated positively with improvement in task performance of the participants. «Our findings suggest that green tea might increase the short-term synaptic plasticity of the brain», says Borgwardt.
Clinical implications
The research results suggest promising clinical implications: Modeling effective connectivity among frontal and parietal brain regions during working memory processing might help to assess the efficacy of green tea for the treatment of cognitive impairments in neuropsychiatric disorders such as dementia.
Source - See more at: http://www.stonehearthnewsletters.com/green-tea-said-to-boost-brain-new-research-in-psychopharmacology-journal/green-tea-2/#sthash.IhzeT4bW.dpuf
Monday, April 7, 2014
Chronic fatigue syndrome: Toward a clearer diagnosis
Chronic fatigue syndrome, which is also known as myalgic encephalomyelitis, is a debilitating condition characterized by chronic, profound, and disabling fatigue. Unfortunately, the causes are not well understood.
Neuroinflammation – the inflammation of nerve cells – has been hypothesized to be a cause of the condition, but no clear evidence has been put forth to support this idea. Now, in this clinically important study, published in The Journal of Nuclear Medicine, the researchers found that indeed the levels of neuroinflammation markers are elevated in CFS/ME patients compared to the healthy controls.
The researchers found that neuroinflammation is higher in CFS/ME patients than in healthy people. They also found that inflammation in certain areas of the brain – the cingulate cortex, hippocampus, amygdala, thalamus, midbrain, and pons – was elevated in a way that correlated with the symptoms, so that for instance, patients who reported impaired cognition tended to demonstrate neuroinflammation in the amygdala, which is known to be involved in cognition. This provides clear evidence of the association between neuroinflammation and the symptoms experienced by patients with CFS/ME.
Though the study was a small one, confirmation of the concept that PET scanning could be used as an objective test for CFS/ME could lead to better diagnosis and ultimately to the development of new therapies to provide relief to the many people around the world afflicted by this condition.
Source
For whiplash, intense treatment no better than advice and exercise at reducing pain
Posted on April 6, 2014 by Stone Hearth News
Results of a new trial of treatments for chronic whiplash pain, published in The Lancet, suggest that expensive, intense physiotherapy sessions do not show any additional benefit over a single physiotherapy session of education and advice with phone follow-up.
The findings are in line with previous studies on the subject, which have reported minimal additional benefit of longer physiotherapy programmes over briefer physiotherapy programmes for acute whiplash-associated disorders. The current study supports those claims, finding that while intensive physiotherapy has remained the recommended intervention, a briefer programme encouraging self-management might be equally effective.*
Study participants were solicited in Sydney and Brisbane, Australia, through advertisements in local newspapers, radio, and online, and via referral from a statutory authority set up to monitor motor vehicle and personal injury insurance plans.
The study included participants who had suffered a motor vehicle accident resulting in chronic whiplash, recruiting patients whose accident occurred no sooner than three months prior to signing up to the study, and no later than five years after the accident. Patients were enrolled between September 2009 and February 2012.
A total of 172 people were enrolled into the study, with participants randomly divided into two groups. The advice group received a single half-hour consultation with a trained physiotherapist who went over a pamphlet that provided information on whiplash-related disorders, suggestions on how to self-manage pain, and a simple exercise routine. Participants assigned to this group could have two additional phone consultations with the physiotherapists if desired.
Study participants included in the exercise group received a more complex treatment, including twenty individually tailored physiotherapy sessions lasting one hour each, over the course of twelve weeks. These sessions included a comprehensive exercise programme, posture re-education, stretching training and exercises, scapular training, aerobic exercise, and strength training.
The primary outcome of the study, in which the authors had expected to see a difference between groups of patients, was reduction in pain reported during the previous week, measured at 14 weeks, six months, and 12 months after the intervention. Secondary outcomes included pain during the previous twenty four hours, self-reported recovery, and an improvement in flexibility. However, no clinically meaningful differences were reported between groups for either primary or secondary outcomes during any of the reporting periods.
According to study author Dr Zoe Michaleff, of The University of Sydney, Australia, “Musculoskeletal disorders are one of the leading causes of disability and chronic pain globally. The need to identify effective and affordable strategies to prevent and treat musculoskeletal disorders should be an important health priority. This is especially true for those with chronic whiplash-associated disorders because most patients have tried and failed previous treatments, and their continuing symptoms mean they would be unlikely to pursue more of the same approaches. The need for an extended course of treatment for whiplash-associated disorders is being challenged, and our study provides further evidence that prolonged expensive clinical interventions for chronic whiplash injury are no more effective than briefer treatment programs that teach the patient how to self-manage their pain.”**
Writing in a linked Comment, Jo Nijs and Kelly Ickmans, of Vrije Universiteit Brussel, in Brussels, Belgium, said, “The study by Michaleff and colleagues advances our understanding of whiplash-associated disorders and provides physiotherapists with clear information about how to treat patients with chronic whiplash-associated disorders. These findings should not be interpreted as encouragement to abandon exercise therapy in these patients: the question is how and when to exercise people with chronic whiplash-associated disorders.”
Source - See more at: http://www.stonehearthnewsletters.com/for-whiplash-intense-treatment-no-better-than-advice-and-exercise-at-reducing-pain/updates/#sthash.ob6omltk.dpuf
Results of a new trial of treatments for chronic whiplash pain, published in The Lancet, suggest that expensive, intense physiotherapy sessions do not show any additional benefit over a single physiotherapy session of education and advice with phone follow-up.
The findings are in line with previous studies on the subject, which have reported minimal additional benefit of longer physiotherapy programmes over briefer physiotherapy programmes for acute whiplash-associated disorders. The current study supports those claims, finding that while intensive physiotherapy has remained the recommended intervention, a briefer programme encouraging self-management might be equally effective.*
Study participants were solicited in Sydney and Brisbane, Australia, through advertisements in local newspapers, radio, and online, and via referral from a statutory authority set up to monitor motor vehicle and personal injury insurance plans.
The study included participants who had suffered a motor vehicle accident resulting in chronic whiplash, recruiting patients whose accident occurred no sooner than three months prior to signing up to the study, and no later than five years after the accident. Patients were enrolled between September 2009 and February 2012.
A total of 172 people were enrolled into the study, with participants randomly divided into two groups. The advice group received a single half-hour consultation with a trained physiotherapist who went over a pamphlet that provided information on whiplash-related disorders, suggestions on how to self-manage pain, and a simple exercise routine. Participants assigned to this group could have two additional phone consultations with the physiotherapists if desired.
Study participants included in the exercise group received a more complex treatment, including twenty individually tailored physiotherapy sessions lasting one hour each, over the course of twelve weeks. These sessions included a comprehensive exercise programme, posture re-education, stretching training and exercises, scapular training, aerobic exercise, and strength training.
The primary outcome of the study, in which the authors had expected to see a difference between groups of patients, was reduction in pain reported during the previous week, measured at 14 weeks, six months, and 12 months after the intervention. Secondary outcomes included pain during the previous twenty four hours, self-reported recovery, and an improvement in flexibility. However, no clinically meaningful differences were reported between groups for either primary or secondary outcomes during any of the reporting periods.
According to study author Dr Zoe Michaleff, of The University of Sydney, Australia, “Musculoskeletal disorders are one of the leading causes of disability and chronic pain globally. The need to identify effective and affordable strategies to prevent and treat musculoskeletal disorders should be an important health priority. This is especially true for those with chronic whiplash-associated disorders because most patients have tried and failed previous treatments, and their continuing symptoms mean they would be unlikely to pursue more of the same approaches. The need for an extended course of treatment for whiplash-associated disorders is being challenged, and our study provides further evidence that prolonged expensive clinical interventions for chronic whiplash injury are no more effective than briefer treatment programs that teach the patient how to self-manage their pain.”**
Writing in a linked Comment, Jo Nijs and Kelly Ickmans, of Vrije Universiteit Brussel, in Brussels, Belgium, said, “The study by Michaleff and colleagues advances our understanding of whiplash-associated disorders and provides physiotherapists with clear information about how to treat patients with chronic whiplash-associated disorders. These findings should not be interpreted as encouragement to abandon exercise therapy in these patients: the question is how and when to exercise people with chronic whiplash-associated disorders.”
Source - See more at: http://www.stonehearthnewsletters.com/for-whiplash-intense-treatment-no-better-than-advice-and-exercise-at-reducing-pain/updates/#sthash.ob6omltk.dpuf
Does too much time at the computer lead to lower bone mineral density in adolescents?
Posted on April 6, 2014 by Stone Hearth News
Results of a study presented today at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases, showed that in boys, higher screen time was adversely associated to bone mineral density (BMD) at all sites even when adjusted for specific lifestyle factors.
The skeleton grows continually from birth to the end of the teenage years, reaching peak bone mass – maximum strength and size– in early adulthood. Along with nutritional factors, physical activity can also greatly impact on this process. There is consequently growing concern regarding the possible adverse effects of sedentary lifestyles in youth on bone health and on obesity.
The Norwegian study explored the hypothesis that greater computer use at weekends is associated with lower BMD. The data was obtained from 463 girls and 484 boys aged 15–18 years in the Tromsø region of Norway. The students participated in the Fit Futures study from 2010–2011 which assessed more than 90% of all first year high school students in the region.
BMD at total hip, femoral neck and total body was measured by DXA (dual-energy X-ray absorptiometry). Lifestyle variables were collected by self-administered questionnaires and interviews, including questions on time per day during weekends spent in front of the television or computer, and time spent on leisure time physical activities.
The associations between BMD and screen time were analyzed in a multiple regression model that included adjustment for age, sexual maturation, BMI, leisure time physical activity, smoking, alcohol, cod liver oil and carbonated drink consumption.
Not surprisingly, the researchers found that boys spent more time in front of the computer than girls. As well as high screen time being adversely associated to BMD, in boys screen time was also positively related to higher body mass index (BMI) levels. In contrast to the boys, girls who spent 4–6 hours in front of the computer, had higher BMD than counterparts who spend less than 1.5 hours screen time each day – and this could not be explained by adjustments for the different parameters measured.
Lead author of the study Dr Anne Winther, Arctic University of Norway, Tromsø, stated, “Bone mineral density is a strong predictor of future fracture risk. Our findings for girls are intriguing and definitely merit further exploration in other studies and population groups. The findings for boys on the other hand clearly show that sedentary lifestyle during adolescence can impact on BMD and thus compromise the acquisition of peak bone mass. This can have a negative impact in terms of osteoporosis and fracture risk later in life.”
According to the International Osteoporosis Foundation (IOF), approximately one in five men over the age of fifty worldwide will suffer a fracture as a result of osteoporosis. Very low levels of awareness about osteoporosis risk and bone health in males has prompted IOF to focus on osteoporosis in men as a key World Osteoporosis Day theme in 2014.
Source - See more at: http://www.stonehearthnewsletters.com/does-too-much-time-at-the-computer-lead-to-lower-bone-mineral-density-in-adolescents/updates/#sthash.0Jd9UWSu.dpuf
Results of a study presented today at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases, showed that in boys, higher screen time was adversely associated to bone mineral density (BMD) at all sites even when adjusted for specific lifestyle factors.
The skeleton grows continually from birth to the end of the teenage years, reaching peak bone mass – maximum strength and size– in early adulthood. Along with nutritional factors, physical activity can also greatly impact on this process. There is consequently growing concern regarding the possible adverse effects of sedentary lifestyles in youth on bone health and on obesity.
The Norwegian study explored the hypothesis that greater computer use at weekends is associated with lower BMD. The data was obtained from 463 girls and 484 boys aged 15–18 years in the Tromsø region of Norway. The students participated in the Fit Futures study from 2010–2011 which assessed more than 90% of all first year high school students in the region.
BMD at total hip, femoral neck and total body was measured by DXA (dual-energy X-ray absorptiometry). Lifestyle variables were collected by self-administered questionnaires and interviews, including questions on time per day during weekends spent in front of the television or computer, and time spent on leisure time physical activities.
The associations between BMD and screen time were analyzed in a multiple regression model that included adjustment for age, sexual maturation, BMI, leisure time physical activity, smoking, alcohol, cod liver oil and carbonated drink consumption.
Not surprisingly, the researchers found that boys spent more time in front of the computer than girls. As well as high screen time being adversely associated to BMD, in boys screen time was also positively related to higher body mass index (BMI) levels. In contrast to the boys, girls who spent 4–6 hours in front of the computer, had higher BMD than counterparts who spend less than 1.5 hours screen time each day – and this could not be explained by adjustments for the different parameters measured.
Lead author of the study Dr Anne Winther, Arctic University of Norway, Tromsø, stated, “Bone mineral density is a strong predictor of future fracture risk. Our findings for girls are intriguing and definitely merit further exploration in other studies and population groups. The findings for boys on the other hand clearly show that sedentary lifestyle during adolescence can impact on BMD and thus compromise the acquisition of peak bone mass. This can have a negative impact in terms of osteoporosis and fracture risk later in life.”
According to the International Osteoporosis Foundation (IOF), approximately one in five men over the age of fifty worldwide will suffer a fracture as a result of osteoporosis. Very low levels of awareness about osteoporosis risk and bone health in males has prompted IOF to focus on osteoporosis in men as a key World Osteoporosis Day theme in 2014.
Source - See more at: http://www.stonehearthnewsletters.com/does-too-much-time-at-the-computer-lead-to-lower-bone-mineral-density-in-adolescents/updates/#sthash.0Jd9UWSu.dpuf
New exercise recommendations for people with osteoporosis and spine fractures
New exercise recommendations for people with osteoporosis and spine fractures
Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method, the international multidisciplinary panel examined literature on exercise effects on: 1) falls, fractures, BMD, and adverse events for individuals with osteoporosis or spine fractures; and 2) pain, quality of life, and physical function after spine fracture. Evidence was rated as high, moderate, low, or very low.
In addition, a consensus process was used to established recommendations on assessment, exercise, and physical activity in the context of three cases with varying risk – one having osteoporosis based on bone density; one having osteoporosis and 1 spine fracture; and one having osteoporosis and multiple spine fractures, hyperkyphosis and pain.
Other key points included:
- current national physical activity guidelines are appropriate for individuals with osteoporosis in the absence of spine fracture, but not for those with spine fracture;
- after spine fracture, aerobic activity of moderate intensity is preferred to vigorous; physical therapy consultation is recommended;
- daily balance training and endurance training for spinal extensor muscles are recommended for all individuals with osteoporosis;
- restrictions are a disincentive to activity participation, and for people with osteoporosis but no history of spine fracture, desired activities should be encouraged if they can be performed safely or modified;
- health care providers should provide guidance on safe movement, rather than providing generic restrictions (e.g., lifting);
- physical or occupational therapist consult is recommended for advice on exercise and physical activity among those with a history of spine fracture, particularly in the presence of balance or posture impairments, pain, comorbid conditions or that increase the risk of adverse events with exercise or activity, or unsafe movement patterns.
###
Abstract reference
OC 48 Too Fit to Fracture: International Consensus to Establish Recommendations on Exercise and Safe Movement for Individuals with Osteoporosis and Spine Fractures. L. M. Giangregorio, A.M. Cheung, A. Heinonen, S. McGill, J. Laprade, M. C. Ashe, K. Shipp, J. D. Wark, N. J. Macintyre, H. Keller, R. Jain, A. Papaioannou. Osteoporos Int. Vol 25, Suppl. 2, 2014
Abstracts from the IOF-ESCEO World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases are available on the congress website http://www.wco-iof-esceo.org
Friday, April 4, 2014
PAULIE MALIGNAGGI, PETER QUILLIN, SHAWN PORTER AND LUKAS KONECNY MEDIA CONFERENCE CALL TRANSCRIPT
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