None listed
Conditions
Brief summary
Osteoporosis and low trauma fractures currently affect 2.2 million Australians, which is projected to rise to three million people by 2021, with a fracture occurring every 3½ minutes. Currently the medical paradigm of ‘cure’ for osteoporosis is less than ideal because the limited pharmacological agents available are directed to those who already have the disease or are at increased risk. A more effective approach to reduce the burden of this disease is prevention at the population level. That is, defining models that are efficacious, safe, and can be implemented to a large cross-section of the community. Exercise fulfils most of these criteria, with the added advantage of having beneficial effects on multiple health outcomes. The aim of this 18 month RCT is to evaluate the feasibility and effectiveness of a community-based exercise (high velocity resistance and weight-bearing exercise) and osteoporosis education/awareness program for optimising musculoskeletal health and function and general well-being in older Australians at increased risk of osteoporosis and fractures.
Interventions
An 18 month randomised controlled trial (12 month intervention with 6 month follow-up) consisting of a multi-component exercise program involving resistance (strength) and power training, balance and mobility activities (60 minutes, 3 times per week for 12 months) combined with osteoporosis education sessions. These interactive education sessions (~60 minutes) will be held every 3 months (4 sessions over 12 months) at a local community/recreation centre and will include information (presentation
An 18 month randomised controlled trial (12 month intervention with 6 month follow-up) consisting of a multi-component exercise program involving resistance (strength) and power training, balance and mobility activities (60 minutes, 3 times per week for 12 months) combined with osteoporosis education sessions. These interactive education sessions (~60 minutes) will be held every 3 months (4 sessions over 12 months) at a local community/recreation centre and will include information (presentation and handout material) related to: risk factors for osteoporosis; best practice exercise and nutrition guidelines; understanding bone density results; strategies to reduce the risk of falling; communicating clearly with your doctor, and medications for the treatment of osteoporosis. All participants will receive daily calcium (700 mg) and vitamin D (1200 IU) supplements. Follow-up testing will be conducted 6 months after the intervention to assess any residual benefits.
Sponsors
The University of Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
60 Years to 85 Years
Healthy volunteers
Yes
Inclusion criteria
Osteopenia in the hip (Femoral neck or total hip BMD T-score: -1.0 to -2.5 SD)
Exclusion criteria
Current or prior (6 months) participation in resistance training or a structured weight-bearing exercise program, acute or terminal illness, moderate or severe cognitive impairment (inability to understand and provide written informed consent and/or follow instructions), unstable or ongoing cardiovascular/respiratory disorders, musculoskeletal or neurological disease disrupting voluntary movement or that might limit training, upper or lower extremity fracture in the past 3 months, unwillingness to be randomised to one of the two groups or complete the study requirements.
Outcome results
None listed