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Paillard T, El Hage R, Rassy NA, Zouhal H, Kaabi S, Passelergue P. Effects of Different Levels of Weightlifting Training on Bone Mineral Density in a Group of Adolescents. J Clin Densitom 2022; 25:497-505. [PMID: 35973884 DOI: 10.1016/j.jocd.2022.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 06/13/2022] [Accepted: 06/22/2022] [Indexed: 11/17/2022]
Abstract
The aim of the current study was to evaluate the effects of different levels of weightlifting training on bone mineral density (BMD) at different body sites (whole body (WB), lumbar spine (LS), femoral neck (FN), upper limbs (UL) and lower limbs (LL)) in a group of adolescents. Three groups of pubertal boys aged 13-15 years were recruited, including a control group (which included 13 untrained adolescents), a moderately trained group (which included 13 non-elite weightlifters, with four sessions of 2 hours per week) and a highly trained group (which included 13 elite weightlifters, with eight sessions of 2 hours per week). The three groups were paired for age and maturation index (using Tanner stages). Body composition, bone mineral content (BMC) and BMD were evaluated by dual-energy X ray absorptiometry (DXA). Physical performance variables (including weightlifting specific exercises, counter movement jump and squat jump) were measured using validated methods. Results showed that the values of BMD and physical performance variables were greater in the group of elite weightlifters compared to the group of non-elite weightlifters and the control group. In addition, the values of BMD and physical performance variables were higher in the group of the non-elite weightlifters compared to those of the control group. After adjusting for lean mass and squat jump, lumbar spine BMD, FN BMD, UL BMD and LL BMD remained significantly higher in the elite weightlifters' group compared to the two other groups. In conclusion, the current study suggests that elite adolescent weightlifters have greater bone health parameters compared to moderately-trained adolescent weightlifters and untrained adolescents.
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Affiliation(s)
- Thierry Paillard
- Laboratoire Mouvement, Equilibre, Performance et Santé, EA 4445, Université de Pau et des Pays de l'Adour/E2S, Département STAPS, ZA Bastillac Sud, 65000 Tarbes, France
| | - Rawad El Hage
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon.
| | - Nathalie Al Rassy
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon
| | - Hassane Zouhal
- M2S (Laboratoire Mouvement, Sport, Santé), University of Rennes 2, Rennes F-35000, France; Institut International des Sciences du Sport (2I2S), 35850, Irodouer, France
| | - Sofiane Kaabi
- Laboratoire Mouvement, Equilibre, Performance et Santé, EA 4445, Université de Pau et des Pays de l'Adour/E2S, Département STAPS, ZA Bastillac Sud, 65000 Tarbes, France
| | - Philippe Passelergue
- Laboratoire Mouvement, Equilibre, Performance et Santé, EA 4445, Université de Pau et des Pays de l'Adour/E2S, Département STAPS, ZA Bastillac Sud, 65000 Tarbes, France
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Zakhem E, Sabbagh P, Khoury C, Zunquin G, Baquet G, El Hage R. Positive correlations between physical activity level and composite indices of femoral neck strength in a group of young overweight and obese men. Sci Sports 2021. [DOI: 10.1016/j.scispo.2020.06.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Finianos B, Zunquin G, El Hage R. Composite Indices of Femoral Neck Strength in Middle-Aged Inactive Subjects Vs Former Football Players. J Clin Densitom 2021; 24:214-224. [PMID: 32631739 DOI: 10.1016/j.jocd.2020.06.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 06/08/2020] [Accepted: 06/08/2020] [Indexed: 11/20/2022]
Abstract
The purpose of this study was to compare composite indices of femoral neck strength ((compression strength index [CSI], bending strength index [BSI], and impact strength index [ISI]) in inactive middle-aged men (n = 20) and middle-aged former football players (n = 15). 35 middle-aged men participated in this study. Body composition and bone variables were evaluated by dual-energy X-ray absorptiometry. Composite indices of femoral neck strength (CSI, BSI, and ISI) were calculated. Handgrip strength, vertical jump, maximum power of the lower limbs (watts), horizontal jump, maximal half-squat strength, maximal bench-press strength, sprint performance (10 meters), and maximum oxygen consumption (VO2 max, ml/min/kg) were evaluated using validated tests. CSI, BSI, and ISI were significantly higher in football players compared to inactive men. Vertical jump, horizontal jump, maximal half-squat strength, VO2 max and sprint performance were significantly different between the 2 groups. CSI, BSI, and ISI remained significantly higher in football players compared to inactive men after adjusting for physical activity level. The current study suggests that former football practice is associated with higher composite indices of femoral neck strength in middle-aged men.
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Affiliation(s)
- Boutros Finianos
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon; EA 7369 - URePSSS - unité de recherche pluridisciplinaire sport santé société, Université Littoral Côte d'Opale, France
| | - Gautier Zunquin
- EA 7369 - URePSSS - unité de recherche pluridisciplinaire sport santé société, Université Littoral Côte d'Opale, France; Laboratoire Mouvement, Equilibre, Performance, Santé (MEPS, EA-4445), Université de Pau et des Pays de l'Adour, Tarbes, France
| | - Rawad El Hage
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon.
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Zakhem E, Sabbagh P, Ghanem-Zakhem A, El Khoury C, El Khoury G, Zunquin G, Baquet G, El Hage R. Influence of Physical Activity Level on Composite Indices of Femoral Neck Strength in a Group of Young Overweight Men. J Clin Densitom 2020; 23:596-603. [PMID: 32037206 DOI: 10.1016/j.jocd.2020.01.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 12/30/2019] [Accepted: 01/06/2020] [Indexed: 01/05/2023]
Abstract
The aim of the present study was to explore the influence of physical activity level on composite indices of femoral neck strength (compression strength index [CSI], bending strength index, and impact strength index) in a group of young overweight men. To do so, we compared composite indices of femoral neck strength in active overweight men and insufficiently active overweight men. They were divided into 2 groups based on their physical activity level: 70 active overweight men (engaging in more than 150 minutes of physical activity per week; 8.7 ± 4.8 h/wk) and 26 insufficiently active overweight men (engaging in less than 150 minutes of physical activity per week; 1.2 ± 0.7 h/wk). Height (m) and weight (kg) were measured, and body mass index (kg/m2) was calculated. Bone mineral density was measured by dual-energy X-ray absorptiometry at whole body, lumbar spine, total hip, and femoral neck. Body weight, lean mass, fat mass, and body mass index were not significantly different between the 2 groups. CSI, bending strength index, and impact strength index were significantly higher in active overweight men compared to insufficiently active overweight men. After adjustment for age, physical activity (h/wk) and lean mass, only CSI remained higher in active overweight men compared to insufficiently active overweight men. This study suggests that, in young overweight men, being active (engaging in more than 150 minutes of physical activity per week) is associated with greater composite indices of femoral neck strength. To our knowledge, this is the first study that finds a significant difference regarding composite indices of femoral neck strength between 2 groups of young overweight men with different levels of physical activity.
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Affiliation(s)
- Eddy Zakhem
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon
| | - Patchina Sabbagh
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon; University of Lille, EA 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, Ronchin, France
| | - Aline Ghanem-Zakhem
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon
| | - César El Khoury
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon
| | - Georges El Khoury
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon
| | - Gautier Zunquin
- Université Littoral Côte d'Opale, EA 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, Dunkerque, France; Laboratoire Mouvement, Equilibre, Performance et Santé (UPRES EA 4445), Département STAPS, Université de Pau et des Pays de l'Adour, Tarbes, France
| | - Georges Baquet
- University of Lille, EA 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, Ronchin, France
| | - Rawad El Hage
- Department of Physical Education, Division of Education, Faculty of Arts and Sciences, University of Balamand, Kelhat El-Koura, Lebanon.
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Nasr R, Al Rassy N, Watelain E, Matta J, Frenn F, Rizkallah M, Maalouf G, El Khoury C, Berro AJ, El Hage R. Muscular Maximal Strength Indices and Bone Variables in a Group of Elderly Women. J Clin Densitom 2020; 23:465-471. [PMID: 29657026 DOI: 10.1016/j.jocd.2018.03.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 03/13/2018] [Indexed: 12/21/2022]
Abstract
The aim of the present study was to explore the relations between muscular maximal strength indices and bone parameters (bone mineral density [BMD], hip geometry indices, and trabecular bone score [TBS]) in a group of elderly women. This study included 35 healthy elderly women whose ages range between 65 and 75 yr (68.1 ± 3.1 yr). BMD (in gram per square centimeter) was determined for each individual by dual-energy X-ray absorptiometry at the whole body, lumbar spine (L1-L4), total hip (TH), and femoral neck (FN). L1-L4 TBS and hip geometry indices were also evaluated by dual-energy X-ray absorptiometry. Maximal muscle strength of bench press (1-repetition maximum [RM] bench press), maximal muscle strength of leg press (1-RM leg press), and handgrip were measured using validated methods. 1-RM bench press was positively correlated to TH BMD (r = 0.40; p < 0.05), FN BMD (r = 0.41; p < 0.05), FN section modulus (r = 0.33; p < 0.05), and FN cross-sectional moment of inertia (r = 0.35; p < 0.05). 1-RM leg press was positively correlated to TH BMD (r = 0.50; p < 0.01), FN BMD (r = 0.35; p < 0.05), FN cross-sectional area (r = 0.38; p < 0.05), and TBS (r = 0.37; p < 0.05). Handgrip was correlated only to FN cross-sectional moment of inertia (r = 0.43; p < 0.01). This study suggests that 1-RM bench press and 1-RM leg press are positive determinants of BMD in elderly women.
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Affiliation(s)
- Riad Nasr
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon; DeVisu-Design, Visuel, Urbain, EA 2445, UVHC, France
| | - Nathalie Al Rassy
- Laboratory of Pathophysiology of Inflammatory Bone Diseases PMOI EA4490, University of Littoral Opal Coast ULCO, Boulogne sur Mer and University of Lille, Lille, France
| | - Eric Watelain
- UMR, CNRS 8201, Valenciennes, France; UVHC, LAMIH-Département SHV, Université Lille Nord de France, Valenciennes, France
| | - Joseph Matta
- Industrial Research Institute, Baabda, Lebanon; Department of Nutrition, Faculty of Pharmacy, Saint Joseph University, Lebanon
| | | | - Maroun Rizkallah
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Ghassan Maalouf
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - César El Khoury
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon
| | - Abdel-Jalil Berro
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon
| | - Rawad El Hage
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon.
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Khawaja A, Sabbagh P, Prioux J, Zunquin G, Baquet G, Maalouf G, El Hage R. Does Muscular Power Predict Bone Mineral Density in Young Adults? J Clin Densitom 2019; 22:311-320. [PMID: 30773274 DOI: 10.1016/j.jocd.2019.01.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 01/21/2019] [Accepted: 01/22/2019] [Indexed: 12/26/2022]
Abstract
The aim of this study was to explore the relationships between maximum power and bone variables in a group of young adults. Two hundred and one young adults (53 men and 148 women) whose ages range from 18 to 35 years voluntarily participated in this study. Weight and height were measured, and body mass index was calculated. Body composition, bone mineral content (BMC) and bone mineral density (BMD) were determined for each individual by dual-energy X-ray absorptiometry. Vertical jump was evaluated using a validated field test (Sargent test). The highest vertical jump was selected. Maximum power (P max, in watts) of the lower limbs was calculated accordingly. In young men, maximum power was positively correlated to whole body (WB) BMC (r = 0.65; p < 0.001), WB BMD (r = 0.41; p < 0.01), L1-L4 BMC (r = 0.54; p < 0.001), total hip (TH) BMC (r = 0.50; p < 0.001), femoral neck (FN) BMC (r = 0.35; p < 0.01), FN cross-sectional area (CSA) (r = 0.33; p < 0.05) and FN cross-sectional moment of inertia (CSMI) (r = 0.50; p < 0.001). In young women, maximum power was positively correlated to WB BMC (r = 0.48; p < 0.001), WB BMD (r = 0.28; p < 0.001), L1-L4 BMC (r = 0.34; p < 0.001), TH BMC (r = 0.43; p < 0.001), TH BMD (r = 0.21; p < 0.01), FN BMC (r = 0.42; p < 0.001), FN BMD (r = 0.31; p < 0.001), FN CSA (r = 0.41; p < 0.001), FN CSMI (r = 0.40; p < 0.001) and FN Z (r = 0.41; p < 0.01). The current study suggests that maximum power is a positive determinant of WB BMC, WB BMD, FN CSA, and FN CSMI in young men. It also shows that maximum power is a positive determinant of WB BMC, WB BMD, TH BMD, FN BMD, FN CSA, FN CSMI, and FN Z in young women.
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Affiliation(s)
- Anthony Khawaja
- Department of Physical Education, FAS, University of Balamand, Kelhat El Koura, Lebanon; Movement, Sport, and Health Sciences Laboratory (M2S), UFR-STAPS, University of Rennes 2, Rennes, France
| | - Patchina Sabbagh
- Department of Physical Education, FAS, University of Balamand, Kelhat El Koura, Lebanon; Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS-EA 7369), Lille University, Ronchin, France
| | - Jacques Prioux
- Movement, Sport, and Health Sciences Laboratory (M2S), UFR-STAPS, University of Rennes 2, Rennes, France
| | - Gautier Zunquin
- Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS-EA 7369), University of the Littoral Opal Coast, Dunkerque, France
| | - Georges Baquet
- Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS-EA 7369), Lille University, Ronchin, France
| | - Ghassan Maalouf
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Rawad El Hage
- Department of Physical Education, FAS, University of Balamand, Kelhat El Koura, Lebanon.
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Al Rassy N, Bakouny Z, Matta J, Frenn F, Maalouf G, Rizkallah M, Bachour F, Sebaaly A, Hardouin P, Chauveau C, El Hage R. The relationships between bone variables and physical fitness across the BMI spectrum in young adult women. J Bone Miner Metab 2019; 37:520-528. [PMID: 30191458 DOI: 10.1007/s00774-018-0949-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2018] [Accepted: 08/07/2018] [Indexed: 10/28/2022]
Abstract
In this cross-sectional study we aimed to evaluate the relationship between physical fitness and bone variables across the body mass index (BMI) spectrum in women aged 20-35 years. The study included 13 underweight women (BMI < 18.5 kg/m2), 24 normal weight women (BMI 18.5-24.9 kg/m2), and 20 overweight/obese women (BMI ≥ 25 kg/m2) aged between 20 and 35 years. Bone mineral density (BMD) and content (BMC) at the whole body, lumbar spine, and femoral neck, lumbar spine trabecular bone score, femoral neck geometry were assessed using dual-energy X-ray absorptiometry. Cardiorespiratory fitness and lower limb muscle power were estimated using the 20-m shuttle run test and the Sargent jump test, respectively. The associations between bone variables and physical fitness were different according to BMI categories. Correlations between physical fitness and bone parameters are particularly significant in normal BMI and less significant in low and high BMI. Multivariate ANCOVA regression models demonstrated that absolute VO2max (L/min) is a strong determinant of all the bone parameters regardless of BMI. Implementing strategies for increasing VO2max (L/min) by increasing lean mass and promoting resistance and/or high-intensity interval training could be effective to optimize bone health in underweight and overweight young adult women.
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Affiliation(s)
- Nathalie Al Rassy
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon.
- Laboratory of Pathophysiology of Inflammatory Bone Diseases PMOI EA4490, University of Littoral Opal Coast ULCO, Boulogne sur Mer and University of Lille, Lille, France.
| | - Ziad Bakouny
- Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Joseph Matta
- Industrial Research Institute, Baabda, Lebanon
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University, Beirut, Lebanon
| | | | - Ghassan Maalouf
- Faculty of Medicine, Bellevue University Medical Center, Saint Joseph University, Beirut, Lebanon
| | - Maroun Rizkallah
- Faculty of Medicine, Bellevue University Medical Center, Saint Joseph University, Beirut, Lebanon
| | - Falah Bachour
- Faculty of Medicine, Bellevue University Medical Center, Saint Joseph University, Beirut, Lebanon
| | - Amer Sebaaly
- Faculty of Medicine, Bellevue University Medical Center, Saint Joseph University, Beirut, Lebanon
| | - Pierre Hardouin
- Laboratory of Pathophysiology of Inflammatory Bone Diseases PMOI EA4490, University of Littoral Opal Coast ULCO, Boulogne sur Mer and University of Lille, Lille, France
| | - Christophe Chauveau
- Laboratory of Pathophysiology of Inflammatory Bone Diseases PMOI EA4490, University of Littoral Opal Coast ULCO, Boulogne sur Mer and University of Lille, Lille, France
| | - Rawad El Hage
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon
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Alwan A, Rizkallah M, Maalouf G, Matta J, Frenn F, Barakat A, Bachour F, Sebaaly A, Berro AJ, Al Rassy N, Howayek M, Zouhal H, El Hage R. Positive Correlations Between Free Vitamin D and Bone Variables in a Group of Young Lebanese Women. J Clin Densitom 2018; 21:446-452. [PMID: 29678393 DOI: 10.1016/j.jocd.2018.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Accepted: 01/23/2018] [Indexed: 02/06/2023]
Abstract
Optimizing bone mass in adulthood is of great importance to prevent the occurrence of osteoporosis in later age. Vitamin D is an essential component of bone health. Low-serum vitamin D is associated with low bone mineral density (BMD), which is an important predictor of fracture risk. However, most cells, apart from renal tubular cells, are exposed to free rather than to total 25-hydroxyvitamin D. Whether free vitamin D would be a better marker than total vitamin D is still under debate. The aim of the present study was to explore the relationships between serum total vitamin D, vitamin D-binding protein (BP), free vitamin D, and bone parameters in a group of young Lebanese women. This study included 88 young female adults aged between 18 and 35 yr. Body composition and BMD were assessed by dual-energy X-ray absorptiometry, and the lumbar spine trabecular bone score was derived. Bone mineral content (BMC) and BMD were measured at the whole body (WB), the lumbar spine (L1-L4), the total hip (TH), and the femoral neck (FN). To evaluate hip bone geometry, dual-energy X-ray absorptiometry scans were analyzed at the FN, the intertrochanteric region, and the femoral shaft by the Hip Structure Analysis program. The cross-sectional area, the index of axial compression strength, and the section modulus (Z), as well as index of bending strength, were measured from bone mass profiles. Composite indices of FN strength (compressive strength index [CSI], bending strength index, and impact strength index [ISI]) were calculated as previously described. Direct measurement of free 25-hydroxyvitamin D concentrations was performed by immunoassay, which detects free vitamin D by ELISA on a microtiter plate. Serum vitamin D BP was measured using a Quantikine ELISA kit, which employed the quantitative sandwich enzyme immunoassay technique. Serum free vitamin D was positively correlated with WB BMC (r = 0.26, p < 0.05), WB BMD (r = 0.29, p < 0.05), L1-L4 BMD (r = 0.28, p < 0.05), TH BMD (r = 0.34, p < 0.01), FN BMD (r = 0.29, p < 0.05), CSI (r = 0.24, p < 0.05), and ISI (r = 0.28, p < 0.05). No positive correlations were detected between the total vitamin D level, the vitamin D BPs, and BMD. The positive associations between free vitamin D and several bone variables (WB BMC, WB BMD, L1-L4 BMD, TH BMD, FN BMD, CSI, bending strength index, and ISI) remained significant after adjustment for weight. In conclusion, the current study suggests that the free vitamin D serum level is a stronger positive determinant of bone parameters and hip bone strength indices in young female adults than total serum vitamin D.
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Affiliation(s)
- Abir Alwan
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon; Movement Sport and Health Sciences Laboratory, University of Rennes 2-ENS Cachan, Rennes, France
| | - Maroun Rizkallah
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Ghassan Maalouf
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Joseph Matta
- Industrial Research Institute, Baabda, Lebanon; Department of Nutrition, Faculty of Pharmacy, Saint Joseph University, Lebanon
| | - Fabienne Frenn
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University, Lebanon
| | - Angélique Barakat
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Falah Bachour
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Amer Sebaaly
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Abdel-Jalil Berro
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon; EA-3300: APERE, Exercise Physiology and Rehabilitation Laboratory, Sport Sciences Department, Picardie Jules Verne University, Amiens Cedex, France
| | - Nathalie Al Rassy
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon; Laboratory of Pathophysiology of Inflammatory Bone Diseases PMOI EA4490, University of Littoral Opal Coast ULCO, Boulogne sur Mer and University of Lille, Lille, France
| | - Mirza Howayek
- Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon
| | - Hassane Zouhal
- Movement Sport and Health Sciences Laboratory, University of Rennes 2-ENS Cachan, Rennes, France
| | - Rawad El Hage
- Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon.
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Saggini R, Ancona E, Carmignano SM, Supplizi M, Barassi G, Bellomo RG. Effect of combined treatment with focused mechano-acoustic vibration and pharmacological therapy on bone mineral density and muscle strength in post-menopausal women. ACTA ACUST UNITED AC 2017; 14:305-311. [PMID: 29354158 DOI: 10.11138/ccmbm/2017.14.3.305] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Osteoporosis is a systemic disease of the skeleton characterized by a reduction in bone mass and alterations in microarchitecture accompanied by increase in fracture risk, with a relevant decline in quality of life and important social, economic, and health implications, representing one of the most common causes of disability and a major financial item of health cost in many Countries. The best therapy for osteoporosis is prevention, consisting in measures to avoid or slow the onset of the disease. Treatment includes measures aimed at osteoporotic individuals, with or without previous fractures and a high risk of a first or additional fracture. Method We enrolled thirty post-menopausal osteoporotic women, allocated in the first group underwent a 6-month personalized drug therapy and focused mechanoacoustic vibration (2 sessions per week, each lasting 15 minutes); women allocated in the second group underwent only 6-month personalized drug therapy. Patients were evaluated performing dual-energy X-ray absorptiometry (DXA) and isokinetic machine evaluation, and administration of Tinetti scale and ECOS-16 questionnaire. Result Show improvement of bone mineral density (BMD) and T-score at the lumbar spine and femoral neck, handgrip strength and isokinetic strength of the knee estensors, balance and gait, and quality of life. Conclusion Hence, the combined treatment with focused mechano-acoustic vibration and pharmacological therapy has a beneficial effect on BMD and T-score as well as on the muscle strength and quality of life of osteoporotic subjects.
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Affiliation(s)
- Raoul Saggini
- Full Professor, Physical and Rehabilitation Medicine, Department of Medical Oral and Biotechnological Sciences, Director of the School of Specialty in Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University, Chieti-Pescara, Italy; National Coordinator of Schools of Specialty in Physical and Rehabilitation Medicine
| | - Emilio Ancona
- School of Specialty in Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Simona Maria Carmignano
- School of Specialty in Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Marco Supplizi
- Section of Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Giovanni Barassi
- Chair of Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Rosa Grazia Bellomo
- Associated Professor, Physical and Rehabilitation Medicine, Department of Medicine and Sciences of Aging, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
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