Effects of a targeted multimodal exercise program incorporating high-speed power training on falls and fracture risk factors in older adults: A community-based randomized controlled trial

Journal of Bone and Mineral Research

Volumn 29, Issue 1, 2014, Pages 182-191

  Gianoudis, Jenny ^a,b   Bailey, Christine A ^a   Ebeling, Peter R ^a   Nowson, Caryl A ^b   Sanders, Kerrie M ^a   Hill, Keith ^c   Daly, Robin M ^a,b  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b DEAKIN UNIVERSITY   (Australia)

^c CURTIN UNIVERSITY   (Australia)

Author keywords

bone mineral density; Exercise; high velocity power training; older adults; randomized controlled trial

Indexed keywords

AGED; ARTICLE; BEHAVIOR CHANGE; BODY COMPOSITION; BONE DENSITY; CONTROLLED STUDY; EXERCISE; FALLING; FEASIBILITY STUDY; FEMALE; FEMUR NECK; FRACTURE; HUMAN; LEAN BODY WEIGHT; LUMBAR SPINE; MAJOR CLINICAL STUDY; MALE; MUSCLE FUNCTION; MUSCLE MASS; MUSCLE STRENGTH; OSTEOPOROSIS; OUTCOME ASSESSMENT; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; WEIGHT BEARING; WRIST FRACTURE;

BONE MINERAL DENSITY; EXERCISE; HIGH VELOCITY POWER TRAINING; OLDER ADULTS; RANDOMIZED CONTROLLED TRIAL;

ACCIDENTAL FALLS; AGED; FEMALE; FRACTURES, BONE; HUMANS; MALE; MIDDLE AGED; MUSCLE STRENGTH; POSTURAL BALANCE; RESISTANCE TRAINING;

EID: 84890928338     PISSN: 08840431     EISSN: 15234681     Source Type: Journal    
DOI: 10.1002/jbmr.2014     Document Type: Article

References (43)

1. Kukuljan S, Nowson CA, Bass SL, Sanders K, Nicholson GC, Seibel MJ, Salmon J, Daly RM., Effects of a multi-component exercise program and calcium-vitamin-D-3-fortified milk on bone mineral density in older men: a randomised controlled trial. Osteoporos Int. 2009; 20 (7): 1241-51.
2. Kukuljan S, Nowson CA, Sanders KM, Nicholson GC, Seibel MJ, Salmon J, Daly RM., Independent and combined effects of calcium-vitamin D-3 and exercise on bone structure and strength in older men: an 18-month factorial design randomized controlled trial. J Clin Endocrinol Metab. 2011; 96 (4): 955-63.
3. Marques EA, Mota J, Machado L, Sousa F, Coelho M, Moreira P, Carvalho J., Multicomponent training program with weight-bearing exercises elicits favorable bone density, muscle strength, and balance adaptations in older women. Calcif Tissue Int. 2011; 88 (2): 117-29.
4. Martyn-St James M, Carroll S., A meta-analysis of impact exercise on postmenopausal bone loss: the case for mixed loading exercise programmes. Br J Sports Med. 2009; 43 (12): 898-08.
5. Orr R, Raymond J, Fiatarone Singh M., Efficacy of progressive resistance training on balance performance in older adults: a systematic review of randomized controlled trials. Sports Med. 2008; 38 (4): 317-43.
6. Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR., Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. N S W Public Health Bull. 2011; 22 (3-4): 78-83.
7. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT., Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008; 56 (12): 2234-43.
8. Foldvari M, Clark M, Laviolette LC, Bernstein MA, Kaliton D, Castaneda C, Pu CT, Hausdorff JM, Fielding RA, Singh MA., Association of muscle power with functional status in community-dwelling elderly women. J Gerontol A Biol Sci Med Sci. 2000; 55 (4): M192-9.
9. Skelton DA, Kennedy J, Rutherford OM., Explosive power and asymmetry in leg muscle function in frequent fallers and non-fallers aged over 65. Age Ageing. 2002; 31 (2): 119-25.
10. Steib S, Schoene D, Pfeifer K., Dose-response relationship of resistance training in older adults: a meta-analysis. Med Sci Sports Exerc. 2010; 42 (5): 902-14.
11. Tschopp M, Sattelmayer MK, Hilfiker R., Is power training or conventional resistance training better for function in elderly persons? A meta-analysis. Age Ageing. 2011; 40 (5): 549-56.
12. Gianoudis J, Bailey CA, Sanders KM, Nowson CA, Hill K, Ebeling PR, Daly RM., Osteo-cise: Strong Bones for Life: protocol for a community-based randomised controlled trial of a multi-modal exercise and osteoporosis education program for older adults at risk of falls and fractures. BMC Musculoskel Dis. 2012; 13: 78.
13. Sanders KM, Stuart AL, Merriman EN, Read ML, Kotowicz MA, Young D, Taylor R, Blair-Holt I, Mander AG, Nicholson GC., Trials and tribulations of recruiting 2,000 older women onto a clinical trial investigating falls and fractures: Vital D study. BMC Med Res Methodol. 2009; 9: 78.
14. American College of Sports Medicine. ACSM guidelines for exercise testing and prescription 6th ed. Philadelphia: Lippincott, Williams and Wilkins; 2000.
15. Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL., CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001; 33 (7): 1126-41.
16. Tinetti M, Baker D, Dutcher J, Vincent J, Rozett R., Reducing the risk of falls among older adults in the community. Berkeley, CA: Peaceable Kingdom Press; 1997.
17. Baker MK, Kennedy DJ, Bohle PL, Campbell DS, Knapman L, Grady J, Wiltshire J, McNamara M, Evans WJ, Atlantis E, Fiatarone Singh MA., Efficacy and feasibility of a novel tri-modal robust exercise prescription in a retirement community: a randomized, controlled trial. J Am Geriatr Soc. 2007; 55 (1): 1-10.
18. 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 Preventation Study (EFOPS). Arch Intern Med. 2004; 164 (10): 1084-91.
19. Kemmler W, von Stengel S, Engelke K, Haberle L, Kalender WA., Exercise effects on bone mineral density, falls, coronary risk factors, and health care costs in older women: the randomized controlled senior fitness and prevention (SEFIP) study. Arch Intern Med. 2010; 170 (2): 179-85.
20. Park H, Kim KJ, Komatsu T, Park SK, Mutoh Y., Effect of combined exercise training on bone, body balance, and gait ability: a randomized controlled study in community-dwelling elderly women. J Bone Miner Metab. 2008; 26 (3): 254-9.
21. Snow CM, Shaw JM, Winters KM, Witzke KA., Long-term exercise using weighted vests prevents hip bone loss in postmenopausal women. J Gerontol A Biol Sci Med Sci. 2000; 55 (9): M489-91.
22. de Kam D, Smulders E, Weerdesteyn V, Smits-Engelsman BCM., Exercise interventions to reduce fall-related fractures and their risk factors in individuals with low bone density: a systematic review of randomized controlled trials. Osteoporosis Int. 2009; 20 (12): 2111-25.
23. von Stengel S, Kemmler W, Pintag R, Beeskow C, Weineck J, Lauber D, Kalender WA, Engelke K., Power training is more effective than strength training for maintaining bone mineral density in postmenopausal women. J Appl Physiol. 2005; 99 (1): 181-8.
24. Lanyon LE, Rubin CT., Static vs dynamic loads as an influence on bone remodeling. J Biomech. 1984; 17 (12): 897-05.
25. O'Connor JA, Lanyon LE, MacFie H., The influence of strain rate on adaptive bone remodelling. J Biomech. 1982; 15 (10): 767-81.
26. Rubin CT, Lanyon LE., Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int. 1985; 37 (4): 411-7.
27. Turner CH., Three rules for bone adaptation to mechanical stimuli. Bone. 1998; 23 (5): 399-407.
28. Bailey CA, Brooke-Wavell K., Optimum frequency of exercise for bone health: randomised controlled trial of a high-impact unilateral intervention. Bone. 2010; 46 (4): 1043-9.
29. Bassey EJ, Rothwell MC, Littlewood JJ, Pye DW., Pre- and postmenopausal women have different bone mineral density responses to the same high-impact exercise. J Bone Miner Res. 1998; 13 (12): 1805-13.
30. Heinonen A, Kannus P, Sievanen H, Oja P, Pasanen M, Rinne M, Uusi-Rasi K, Vuori I., Randomised controlled trial of effect of high-impact exercise on selected risk factors for osteoporotic fractures. Lancet. 1996; 348 (9038): 1343-7.
31. 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.
32. Engelke K, Kemmler W, Lauber D, Beeskow C, Pintag R, Kalender WA., Exercise maintains bone density at spine and hip EFOPS: a 3-year longitudinal study in early postmenopausal women. Osteoporos Int. 2006; 17 (1): 133-42.
33. Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ., High-intensity strength training in nonagenarians: effects on skeletal muscle. JAMA. 1990; 263 (22): 3029-34.
34. Frontera WR, Meredith CN, Oreilly KP, Knuttgen HG, Evans WJ., Strength conditioning in older men: skeletal-muscle hypertrophy and improved function. J Appl Physiol. 1988; 64 (3): 1038-44.
35. Taaffe DR, Duret C, Wheeler S, Marcus R., Once-weekly resistance exercise improves muscle strength and neuromuscular performance in older adults. J Am Geriatr Soc. 1999; 47 (10): 1208-14.
36. Henwood TR, Riek S, Taaffe DR., Strength versus muscle power-specific resistance training in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2008; 63 (1): 83-91.
37. Henwood TR, Taaffe DR., Improved physical performance in older adults undertaking a short-term programme of high-velocity resistance training. Gerontology. 2005; 51 (2): 108-15.
38. Henwood TR, Taaffe DR., Short-term resistance training and the older adult: the effect of varied programmes for the enhancement of muscle strength and functional performance. Clin Physiol Funct Imaging. 2006; 26 (5): 305-13.
39. Bottaro M, Machado SN, Nogueira W, Scales R, Veloso J., Effect of high versus low-velocity resistance training on muscular fitness and functional performance in older men. Eur J Appl Physiol. 2007; 99 (3): 257-64.
40. Fielding RA, LeBrasseur NK, Cuoco A, Bean J, Mizer K, Singh MAF., High-velocity resistance training increases skeletal muscle peak power in older women. J Am Geriatr Soc. 2002; 50 (4): 655-62.
41. Marsh AP, Miller ME, Rejeski WJ, Hutton SL, Kritchevsky SB., Lower extremity muscle function after strength or power training in older adults. J Aging Phys Act. 2009; 17 (4): 416-43.
42. Sayers SP., High-speed power training: a novel approach to resistance training in older men and women. A brief review and pilot study. J Strength Cond Res. 2007; 21 (2): 518-26.
43. Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE., Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews. 2012; 9.