Impact of Tai Chi exercise on multiple fracture-related risk factors in post-menopausal osteopenic women: A pilot pragmatic, randomized trial

BMC Complementary and Alternative Medicine

Volumn 12, Issue , 2012, Pages

  Wayne, Peter M ^a   Kiel, Douglas P ^b   Buring, Julie E ^a   Connors, Ellen M ^c   Bonato, Paolo ^c   Yeh, Gloria Y ^d   Cohen, Calvin J ^e   Mancinelli, Chiara ^c   Davis, Roger B ^e  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c and Red Sox Foundation and Massachusetts General Hospital Home Base Program   (United States)

^d BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^e HARVARD VANGUARD MEDICAL ASSOCIATES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COLLAGEN TYPE 1; OSTEOCALCIN; BIOLOGICAL MARKER;

ADULT; AGED; ARTICLE; BONE DENSITY; CLINICAL ASSESSMENT; CONTROLLED STUDY; DUAL ENERGY X RAY ABSORPTIOMETRY; FEMALE; FEMUR NECK; FRACTURE; HEALTH CARE; HUMAN; LUMBAR SPINE; MAJOR CLINICAL STUDY; MENOPAUSAL SYNDROME; OSSIFICATION; OSTEOLYSIS; OSTEOPENIA; PILOT STUDY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; TAI CHI; BODY EQUILIBRIUM; BONE DEVELOPMENT; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; DAILY LIFE ACTIVITY; FALLING; INTENTION TO TREAT ANALYSIS; KINESIOTHERAPY; METABOLIC BONE DISEASE; MIDDLE AGED; MOVEMENT (PHYSIOLOGY); PATHOPHYSIOLOGY; POSTMENOPAUSE; POSTMENOPAUSE OSTEOPOROSIS;

ACCIDENTAL FALLS; ACTIVITIES OF DAILY LIVING; ADULT; AGED; BIOLOGICAL MARKERS; BONE DENSITY; BONE DISEASES, METABOLIC; EXERCISE THERAPY; FEMALE; FEMUR NECK; HUMANS; INTENTION TO TREAT ANALYSIS; MIDDLE AGED; MOVEMENT; OSTEOGENESIS; OSTEOPOROSIS, POSTMENOPAUSAL; PILOT PROJECTS; POSTMENOPAUSE; POSTURAL BALANCE; QUALITY OF LIFE; RISK FACTORS; TAI JI;

EID: 84856239294     PISSN: None     EISSN: 14726882     Source Type: Journal    
DOI: 10.1186/1472-6882-12-7     Document Type: Article

References (70)

1. Melton L. Adverse outcomes of osteoporotic fractures in the general population. J Bone Miner Res 2003, 18(6):1139-41. 10.1359/jbmr.2003.18.6.1139, 12817771.
2. Greendale G, Barrett-Connor E, Ingles S, Haile R. Late physical and functional effects of osteoporotic fracture in women: the Rancho Bernardo study. J Am Geriatr Soc 1995, 43:955-61.
3. McClung MR. Osteopenia: to treat or not to treat?. Ann Intern Med 2005, 142(9):796-7.
4. Bone Health and Osteoporosis A report of the Surgeon General. 2004, Rockville, MD: U.S: U.S. Department of Health and Human Services, Bone Health and Osteoporosis.
5. Harmer PA, Li F. Tai Chi and falls prevention in older people. Med Sport Sci 2008, 52:124-34.
6. Wayne P, Krebs D, Wolf S, Gill-Body K, Scarborough D, McGibbon C, Kaptchuk T, Parker S. Can Tai-Chi improve vestibulopathic postural control?. Arch Phys Med Rehabil 2004, 85(1):142-52. 10.1016/S0003-9993(03)00652-X, 14970982.
7. Wolf S, Barnhart H, Kutner N, McNeely E, Coogler C, Xu T. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. J Am Geriatr Soc 1996, 44(5):489-97.
8. Logghe IH, Verhagen AP, Rademaker AC, Bierma-Zeinstra SM, van Rossum E, Faber MJ, Koes BW. The effects of Tai Chi on fall prevention, fear of falling and balance in older people: a meta-analysis. Prev Med 2010, 51(3-4):222-7. 10.1016/j.ypmed.2010.06.003, 20558197.
9. Shen CL, Williams JS, Chyu MC, Paige RL, Stephens AL, Chauncey KB, Prabhu FR, Ferris LT, Yeh JK. Comparison of the effects of Tai Chi and resistance training on bone metabolism in the elderly: a feasibility study. Am J Chin Med 2007, 35(3):369-81. 10.1142/S0192415X07004898, 17597496.
10. Chan K, Qin L, Lau M, Woo J, Au S, Choy W, Lee K, Lee S. A randomized, prospective study of the effects of Tai Chi Chun exercise on bone mineral density in postmenopausal women. Arch Phys Med Rehabil 2004, 85:717-22. 10.1016/j.apmr.2003.08.091, 15129394.
11. Qin L, Au S, Choy W, Leung P, Neff M, Lee K, Lau M, Woo J, Chan K. Regular Tai Chi Chuan exercise may retard bone loss in postmenopausal women: a case-control study. Arch Phys Med Rehabil 2002, 83:1355-9. 10.1053/apmr.2002.35098, 12370867.
12. Xu H, Lawson D, Kras A. A study on Tai Ji exercise and traditional Chinese medical modalities in relation to bone structure, bone function and menopausal symptoms. Journal of Chinese Medicine 2004, 74:3-7.
13. Zhou Y. The effect of traditional sports on the bone density of menopause women. Journal of Beijing Sport University 2004, 27(3):354-60.
14. Wayne PM, Kiel DP, Krebs DE, Davis RB, Savetsky-German J, Connelly M, Buring JE. The effects of Tai Chi on bone mineral density in postmenopausal women: a systematic review. Arch Phys Med Rehabil 2007, 88(5):673-80. 10.1016/j.apmr.2007.02.012, 17466739.
15. Lee MS, Pittler MH, Shin BC, Ernst E. Tai chi for osteoporosis: a systematic review. Osteoporos Int 2008, 19(2):139-46. 10.1007/s00198-007-0486-x, 17955276.
16. Wayne PM, Buring JE, Davis RB, Connors EM, Bonato P, Patritti B, Fischer M, Yeh GY, Cohen CJ, Carroll D, Kiel DP. Tai Chi for osteopenic women: design and rationale of a pragmatic randomized controlled trial. BMC Musculoskelet Disord 2010, 11:40. 10.1186/1471-2474-11-40, 2845096, 20193083.
17. Garnero P, Delmas P. Biochemical markers of bone turnover. Applications for osteoporosis. Endocrinol Metab Clin North Am 1998, 27(2):303-23. 10.1016/S0889-8529(05)70007-4, 9669140.
18. Fall PM, Kennedy D, Smith JA, Seibel MJ, Raisz LG. Comparison of serum and urine assays for biochemical markers of bone resorption in postmenopausal women with and without hormone replacement therapy and in men. Osteoporos Int 2000, 11(6):481-5. 10.1007/s001980070089, 10982162.
19. Looker A, Bauer D, Chesnut C, Gundberg C, Hochberg M, Klee G, Kleerekoper M, Watts NB, Bell NH. Clinical use of biochemical markers of bone remodeling: Current status and future directions. Osteoporosis Int 2000, 11(6):467-80.
20. Eastell R, Delmas PD, Hodgson SF, Eriksen EF, Mann KG, Riggs BL. Bone formation rate in older normal women: concurrent assessment with bone histomorphometry, calcium kinetics, and biochemical markers. J Clin Endocrinol Metab 1988, 67(4):741-8. 10.1210/jcem-67-4-741, 3262119.
21. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): a conceptual framework and item selection. Med Care 1992, 30:473-83. 10.1097/00005650-199206000-00002, 1593914.
22. Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, Guyatt GH, Norton PG, Dunn E. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas 1996, 24(3):161-75. 10.1016/S0378-5122(96)82006-8, 8844630.
23. Lewis JE, Hilditch JR, Wong CJ. Further psychometric property development of the Menopause-Specific Quality of Life questionnaire and development of a modified version, MENQOL-Intervention questionnaire. Maturitas 2005, 50(3):209-21. 10.1016/j.maturitas.2004.06.015, 15734602.
24. Gross L, Sallis J, Buono M, Roby J, Nelson J. Reliability of interviewers using the seven-day activity recall. Res Q Exerc Sport 1990, 61:321-5.
25. Blair S. How to assess exercise habits and physical fitness. Behavioral Health 1984, 424-47. New York: Wiley, Matarazzo J.
26. Sarkin J, Nichols J, Sallis J, Calfas R. Self-report measures and scoring protocols affect prevalence estimates of meeting physical activity guidelines. Med Sci Sports Exerc 2000, 32:149-56.
27. Kalish LA, Buczynski B, Connell P, Gemmel A, Goertz C, Macklin EA, Pian-Smith M, Stevens S, Thompson J, Valaskatgis P, Wayne PM, Zusman RM. Stop Hypertension with the Acupuncture Research Program (SHARP): clinical trial design and screening results. Control Clin Trials 2004, 25(1):76-103. 10.1016/j.cct.2003.08.006, 14980754.
28. Thapa PB, Gideon P, Brockman KG, Fought RL, Ray WA. Clinical and biomechanical measures of balance as fall predictors in ambulatory nursing home residents. J Gerontol A Biol Sci Med Sci 1996, 51(5):M239-46.
29. Fernie GR, Gryfe CI, Holliday PJ, Llewellyn A. The relationship of postural sway in standing to the incidence of falls in geriatric subjects. Age Ageing 1982, 11(1):11-6. 10.1093/ageing/11.1.11, 7072557.
30. Buchner DM, Larson EB. Falls and fractures in patients with Alzheimer-type dementia. JAMA 1987, 257(11):1492-5. 10.1001/jama.1987.03390110068028, 3820464.
31. Runge M, Hunter G. Determinants of musculoskeletal frailty and the risk of falls in old age. J Musculoskelet Neuronal Interact 2006, 6(2):167-73.
32. Nevitt MC, Cummings SR, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA 1989, 261(18):2663-8.
33. Cho CY, Kamen G. Detecting balance deficits in frequent fallers using clinical and quantitative evaluation tools. J Am Geriatr Soc 1998, 46(4):426-30.
34. Hurvitz EA, Richardson JK, Werner RA, Ruhl AM, Dixon MR. Unipedal stance testing as an indicator of fall risk among older outpatients. Arch Phys Med Rehabil 2000, 81(5):587-91. 10.1016/S0003-9993(00)90039-X, 10807096.
35. Brotherton SS, Williams HG, Gossard JL, Hussey JR, McClenaghan BA, Eleazer P. Are measures employed in the assessment of balance useful for detecting differences among groups that vary by age and disease state?. J Geriatr Phys Ther 2005, 28(1):14-9.
36. Yamazaki S, Ichimura S, Iwamoto J, Takeda T, Toyama Y. Effect of walking exercise on bone metabolism in postmenopausal women with osteopenia/osteoporosis. J Bone Miner Metab 2004, 22:500-8.
37. Gong M, Zhang SZ, Wang B, Wang DH. Effects of long-term shadowboxing exercise on bone mineral density in the aged. Chinese Journal of Clinical Rehabilitation 2003, 7(15):2238-9.
38. Qin L, Choy W, Leung K, Leung PC, Au S, Hung W, Dambacher M, Chan K. Beneficial effects of regular Tai Chi exercise on musculoskeletal system. J Bone Miner Metab 2005, 23(2):186-90. 10.1007/s00774-004-0559-2, 15750699.
39. Zhou Y. The effect of traditional sports on the bone density of menopause women. Journal of Beijing Sport University 2004, 27:354-360.
40. Woo J, Hong A, Lau E, Lynn H. A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Age Ageing 2007, 36(3):262-8. 10.1093/ageing/afm005, 17356003.
41. Cummings SR, Black DM, Thompson DE, Applegate WB, Barrett-Connor E, Musliner TA, Palermo L, Prineas R, Rubin SM, Scott JC, Vogt T, Wallacc R, Yates AJ, LaCroix AZ. Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures: results from the Fracture Intervention Trial. JAMA 1998, 280(24):2077-82. 10.1001/jama.280.24.2077, 9875874.
42. Shen CL, Chyu MC, Pence BC, Yeh JK, Zhang Y, Felton CK, Xu KT, Pence BC, Wang JS. Green tea polyphenols supplementation and Tai Chi exercise for postmenopausal osteopenic women: safety and quality of life report. BMC Complem Alt Med 2010, 10:76.
43. Shen CL, Chyu MC, Yeh JK, Zhang Y, Pence BC, Felton CK, Brismee JM, Arjmandi BH, Doctolero S, Wang JS. Effect of green tea and Tai Chi exercise on bone health in postmenopausal osteopenic women: a 6 month randomized placebo-controlled trial. Osteopor Int 2011,
44. Kemmler W, Engelke K, Lauber D, Weineck J, Hensen J, Kalender WA. Exercise effects on fitness and bone mineral density in early postmenopausal women: 1-year EFOPS results. Med Sci Sports Exerc 2002, 34(12):2115-23. 10.1097/00005768-200212000-00038, 12471325.
45. Kemmler W, Lauber D, Weineck J, Hensen J, Kalender W, Engelke K. Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women: results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Arch Intern Med 2004, 164(10):1084-91. 10.1001/archinte.164.10.1084, 15159265.
46. Tse SK, Bailey DM. T'ai chi and postural control in the well elderly. Am J Occup Ther 1991, 46:295-300.
47. Forrest WR. Anticipatory postural adjustment and T'ai Chi Ch'uan. Biomed Sci Instrum 1997, 33:65-70.
48. Wolf SL, Barnhart H, Ellison GL, Coogler CE. The effect of Tai Chi Quan and computerized balance training on postural stability in older subjects. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies on Intervention Techniques. Phys Ther 1997, 77(4):371-81.
49. Li F, Harmer P, Fisher KJ, McAuley E. Tai Chi: improving functional balance and predicting subsequent falls in older persons. Med Sci Sports Exerc 2004, 36(12):2046-52.
50. Tsang WW, Hui-Chan CW. Comparison of muscle torque, balance, and confidence in older tai chi and healthy adults. Med Sci Sports Exerc 2005, 37(2):280-9. 10.1249/01.MSS.0000152735.06282.58, 15692325.
51. Lan C, Lai JS, Chen SY, Wong MK. Tai Chi Chuan to improve muscular strength and endurance in elderly individuals: a pilot study. Arch Phys Med Rehabil 2000, 81:601-7.
52. Xu DQ, Li JX, Hong Y. Effects of long term Tai Chi practice and jogging exercise on muscle strength and endurance in older people. Br J Sports Med 2006, 40(1):50-4. discussion -4, 10.1136/bjsm.2005.019273, 2491912, 16371491.
53. Song R, Roberts BL, Lee EO, Lam P, Bae SC. A randomized study of the effects of t'ai chi on muscle strength, bone mineral density, and fear of falling in women with osteoarthritis. J Altern Complement Med 2010, 16(3):227-33. 10.1089/acm.2009.0165, 20192907.
54. Sattin RW, Easley KA, Wolf SL, Chen Y, Kutner MH. Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults. J Am Geriatr Soc 2005, 53(7):1168-78. 10.1111/j.1532-5415.2005.53375.x, 16108935.
55. Chyu MC, James CR, Sawyer SF, Brismee JM, Xu KT, Poklikuha G, Dunn DM, Shen CL. Effects of tai chi exercise on posturography, gait, physical function and quality of life in postmenopausal women with osteopenia: a randomized clinical study. Clin Rehabil 2010, 24:1080-1090. 10.1177/0269215510375902, 20702512.
56. Wayne PM, Kaptchuk TJ. Challenges inherent to Tai Chi research: Part I--Tai Chi as a complex multi-component intervention. J Altern Complement Med 2008, 14:95-102. 10.1089/acm.2007.7170A, 18199021.
57. Macpherson H. Pragmatic clinical trials. Complement Ther Med 2004, 12(2-3):136-40. 10.1016/j.ctim.2004.07.043, 15561524.
58. Wu G, Liu W, Hitt J, Millon D. Spatial, temporal and muscle action patterns of Tai Chi gate. Journal of Electromyography and Kinesiology 2004, 14:343-54. 10.1016/j.jelekin.2003.09.002, 15094148.
59. Mao de W, Li JX, Hong Y. Plantar pressure distribution during Tai Chi exercise. Arch Phys Med Rehabil 2006, 87(6):814-20. 10.1016/j.apmr.2006.02.035, 16731217.
60. Mao DW, Hong Y, Li JX. Characteristics of foot movement in Tai Chi exercise. Phys Ther 2006, 86(2):215-22.
61. Mao DW, Li JX, Hong Y. The duration and plantar pressure distribution during one-leg stance in Tai Chi exercise. Clin Biomech (Bristol, Avon) 2006, 21(6):640-5.
62. Wu G, Hitt J. Ground contact characteristics of Tai Chi gait. Gait Posture 2005, 22(1):32-9. 10.1016/j.gaitpost.2004.06.005, 15996589.
63. Wu G, Millon D. Joint kinetics during Tai Chi gait and normal walking gait in young and elderly Tai Chi Chuan practitioners. Clin Biomech (Bristol, Avon) 2008, 23(6):787-95.
64. McGibbon CA, Krebs DE, Parker SW, Scarborough DM, Wayne PM, Wolf SL. Tai Chi and vestibular rehabilitation improve vestibulopathic gait via different neuromuscular mechanisms: preliminary report. BMC Neurology 2005, 5(1):3. 10.1186/1471-2377-5-3, 552306, 15717934.
65. Yeh GY, Wood MJ, Lorell BH, Stevenson LW, Eisenberg DM, Wayne PM, Goldberger AL, Davis RB, Phillips RS. Effects of tai chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: a randomized controlled trial. Am J Med 2004, 117(8):541-8. 10.1016/j.amjmed.2004.04.016, 15465501.
66. Yeh GY, McCarthy EP, Wayne PM, Stevenson LW, Wood MJ, Forman D, Davis RB, Phillips RS. Tai chi exercise in patients with chronic heart failure: a randomized clinical trial. Arch Intern Med 2011, 171(8):750-7. 10.1001/archinternmed.2011.150, 21518942.
67. Wang C, Schmid CH, Rones R, Kalish R, Yinh J, Goldenberg DL, Lee Y, McAlinden T. A randomized trial of tai chi for fibromyalgia. N Engl J Med 2010, 363(8):743-54. 10.1056/NEJMoa0912611, 3023168, 20818876.
68. Wang C, Schmid CH, Hibberd PL, Kalish R, Roubenoff R, Rones R, McAlinden T. Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial. Arthritis Rheum 2009, 61(11):1545-53. 10.1002/art.24832, 3023169, 19877092.
69. Li F, Harmer P, Fisher KJ, McAuley E, Chaumeton N, Eckstrom E, Wilson NL. Tai Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 2005, 60(2):187-94. 10.1093/gerona/60.2.187, 15814861.
70. Pols HA, Felsenberg D, Hanley DA, Štepa'n J, Muñoz-Torres M, Wilkin TJ, Qin-Sheng G, Galich AM, Vandormael K, Yates AJ, Stych B. Multinational, Placebo-Controlled, Randomized Trial of the Effects of Alendronate on Bone Density and Fracture Risk in Postmenopausal Women with Low Bone Mass: Results of the FOSIT Study. Osteoporos Int 1999, 9:461-468. 10.1007/PL00004171, 10550467.