Falls, Osteopenia, Sarcopenia
Conditions
Keywords
exercise, whole-body electromyostimulation, bone mineral density, falls, physical fitness, pain
Brief summary
Although there is some evidence that whole body electromyostimulation(WB-EMS) affect bone via its acute and longitudinal effects on muscle mass and strength, the corresponding impact on bone density and falls in older adults has not been assessed yet. The investigators hypothesize that WB-EMS significantly affects bone parameters as assessed by DXA, and significantly reduce fall rate and ratio in a cohort of frail elderly women.
Interventions
Light physical exercise and relaxation program once a week in blocks of 10 weeks with breaks of 10 weeks between the blocks. The low-intensity, low-volume program was designed to avoid impact on our endpoints.
3 sessions of 18 min/14 (1,5 x week)days over 12 months. 10 low-intensity/low amplitude exercises with electromyostimulation equipment with 85 Hz with periods of 6 sec of current and 4 sec of rest.
Sponsors
Study design
Eligibility
Inclusion criteria
* female gender * 70 years and older * osteopenia according to WHO * BMI \< 24 kg/m2 * living independently in the area of Erlangen-Nurnberg
Exclusion criteria
* medication or diseases affecting bone metabolism (including HRT) * \> 1 hour/week of exercise * epilepsy, grave neurologic disturbances, * cardiac pacemaker, grave circulatory disorders, * abdomen/groin hernia, * tuberculosis, * cancer, * inflammable diseases, * bleeding tendencies,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bone Mineral Density at the lumbar spine and femoral neck region | baseline - after 12 months | Bone Mineral Density as assessed by Dual Energy X-ray Absorptiometry |
| Falls | throughout the 12 month study period | Fall frequency and fall related injuries as assessed by the calendar method |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maximum strength (trunk and leg extension, grip strength) | baseline - after 12 months | — |
| Pain frequency and magnitude at various skeletal sites (including low back pain) | baseline - after 12 months | as assessed by questionnaires |
Countries
Germany