Effects of Turkish Traditional Dances on Bone Mineral Density, Bone Turnover Markers, Balance, Aerobic Capacity and Quality of Life in Postmenopausal Osteopenic Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 81
- 试验地点
- 1
- 主要终点
- Bone Turnover Markers(Type 1 collagen C-telopeptide)
研究概览
简要总结
The aim of this study is to evaluate the effects of regular Turkish regional dances, in addition to conventional exercises given with a home program, on the quality of life, balance, aerobic capacity, bone mineral density (femoral neck, total and lumbar L1-4 and L2-4 T scores) and bone turnover markers (Type 1 collagen C-telopeptide [CTX-1] and Serum Procollagen 1 N-terminal peptide [P1NP]) of postmenopausal osteopenic women aged 50-60 years. Our study also aims to evaluate the compliance of patients to the exercise programs given to postmenopausal osteopenic women.
-What is the effect of regular Turkish regional dances on balance, aerobic capacity, muscle strength, quality of life, Bone Mineral Densitometry and Bone Turnover Markers in postmenopausal osteopenic women?
详细描述
Patients who meet the criteria of our study will first be divided into 2 different groups by a closed envelope drawing method performed by a clinic secretary who is not involved in the study. Both groups will be asked to do a home exercise program 3-5 days a week. This home program will include the movements in the attached exercise sheets (Warm-up, Cool-down, Balance and Strengthening exercises, which were created from the sheets taken from https://theros.org.uk). It will be shown by the physiotherapist at the beginning of the study.
In addition to home exercises, participants in the first group will be asked to dance to dance videos from various regions, lasting 30 minutes, at a tempo determined by the study team before the study.
The dance videos will consist of rhythmic and tempo Turkish Regional Dances such as horon, Ankara Dance Tunes, and halay varieties. These videos have been uploaded to the ''Osteopeni folk dances'' YouTube channel and the links to these videos will be shared with the participants. (The videos will be closed to access during the study and only the video link owners will be able to access these videos. Links https://youtube.com/playlist?list=PLxRTiZv\_4GGMtNYzIuGVsde6T\_bzLt0V\&si=W XRPO-GA1iWtGHuw, https://youtube.com/playlist?list=PLxRTiZv\_4GGMVXcRx7uhntLdU4LtvmVC5\&si =nvxk1VGbPia04xQF, https://youtube.com/playlist?list=PLxRTiZv\_4GGMccS\_iYDW3I\_ ODCODEdTx&si=lD-7_fU1vWJ-ZQOn)
Before dancing, 10 minutes of warm-up, 30 minutes of dancing, and 10 minutes of cooling down exercises will be performed. It is planned that patients will dance at least 2 days a week for a minimum of 50 minutes. In addition, it is planned to reach a minimum of 150 minutes/week aerobic exercise target by having them walk briskly for at least 50 minutes once a week.
Participants in the 2nd group will not be prescribed dance, in addition to the home exercise program, they will be recommended to walk only 3 days a week, for a total of 150 minutes per week.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Being a postmenopausal woman between the ages of 50-60
- •Not having a known diagnosis of osteoporosis and not having taken any antiresorptive or anabolic agents before
- •Being diagnosed with osteopenia with DEXA taken in the last 6 months at Etlik City Hospital (femoral neck, femoral total L1-4 or L2-4 T score between -1 and -2.5)
- •Being literate
- •Having a 25-Hydroxy vitamin D level in the blood >20 µg/L
- •Having a phone that can be used for communication for oneself or one of the family members, as well as having a smart phone, tablet or computer that can be used to watch videos
- •Being willing to participate in the study
排除标准
- •Having a body mass index >30 kg/m2
- •Having an extremely sedentary lifestyle (International Physical Activity Scale-Inactive according to Short Form)
- •Presence of fragility fracture
- •Presence of malignancy
- •Presence of cardiovascular or respiratory system disease that will prevent exercise (unstable angina, uncontrolled atrial or ventricular arrhythmia, 3rd degree atrioventricular block, severe aortic stenosis, severe asthma-COPD)
- •Presence of current neurological disease that will prevent exercise (CVA, MS)
- •Presence of psychiatric disease that will prevent exercise or cause non-compliance in follow-ups
- •Presence of musculoskeletal system disease that will prevent exercise (Stage 3-4 osteoarthritis, severe spinal stenosis, severe radiculopathy, lumbar surgery within the last 1 year)
- •Presence of known inflammatory joint disease
- •Presence of advanced vision, hearing loss or vertigo etc. that will prevent the patient from doing exercises or regional dances. Having any disease that will disrupt harmony by causing balance problems
- •Using active estrogen or progesterone containing preparations
- •Presence of hyperthyroidism
研究组 & 干预措施
EXERCISE GROUP
Patients are asked to do a home exercise program 3-5 days a week
In addition to the exercises, they are asked to walk only 3 days a week, a total of at least 150 minutes per week
干预措施: EXERCISE GROUP (Other)
DANCE GROUP
A home exercise program will be done 3-5 days a week In addition to home exercises, patients will be asked to dance with a tempo determined by the study team before the study, lasting 30 minutes, accompanied by dance videos from various regions Before the dance, 10 minutes of WARM-UP EXERCISES will be asked, followed by 30 minutes of dance and 10 minutes of COOL-DOWN EXERCISES. Thus, it is aimed for you to dance at least 50 minutes at least 2 days a week. In addition, it is asked to walk at least 50 minutes at a pace once a week
干预措施: DANCE GROUP (Other)
结局指标
主要结局
Bone Turnover Markers(Type 1 collagen C-telopeptide)
时间窗: three month
Serum Type 1 collagen C-telopeptide (CTX-1) will be used for bone resorption.
Bone Mineral Density(Femoral Neck T scores)
时间窗: six month
In our study, femoral neck T scores bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry .Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points).
Bone Mineral Density(Femoral total T scores)
时间窗: six month
In our study, femoral total T scores and bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry.Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points).
Bone Turnover Markers(Serum Procollagen 1 N-terminal peptide)
时间窗: three month
Serum Procollagen 1 N-terminal peptide (P1NP) will be used for bone formation
bone mineral density(lumbar 1-4 Tscores)
时间窗: six month
In our study, lumbar 1-4 T scores bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry .Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points).
bone mineral density(lumbar 2-4 T scores)
时间窗: six month
In our study, lumbar 2-4 T scores bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry .Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points).
次要结局
- quality of life measurement(three month)
- BALANCE(three month)
- aerobic capacity(three month)
- muscle strength(three month)
研究者
Ahmet Faik Ulusoy
RESEARCH ASSISTANT
Ankara Etlik City Hospital