Bone Adaptation to Impact Loading

NCT ID: NCT00697957

Last Updated: 2008-06-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-05-31

Study Completion Date

2003-06-30

Brief Summary

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Ageing populations have made osteoporosis and fragility fractures a major public health concern worldwide. Half of all women and 30% of all men will suffer a fracture related to osteoporosis during their lifetime. While medical prevention of this immense problem is impossible at population level, it is necessary to find efficient preventive strategies. Exercise is one of the major prevention approaches because one reason behind the increasing burden of osteoporosis is the modern sedentary lifestyle. However, the optimal type, intensity, frequency, and duration of exercise that best enhances skeletal integrity are still largely unknown.

We conducted a 12-month population-based randomized controlled exercise intervention in 120 premenopausal women. The aim was to investigate the effect of impact exercise on bone mineral density, geometry and metabolism in healthy women with the intention of assessing the intensity and amount of impact loading with a novel accelerometer-based measurement device. Training effects on risk factors of osteoporotic fractures, physical performance and risk factors of cardiovascular diseases were also evaluated.

This study demonstrated that 12 months of regular impact exercise favoured bone formation, increased bone mineral density in weight-bearing bones, especially at the hip, and led to geometric adaptations by increasing periosteal circumference. Bone adaptations had a dose- and intensity-dependent relationship with measured impact loading. Changes in proximal femur were threshold-dependent, indicating the importance of high impacts exceeding acceleration of 4 g as an osteogenic stimulus. The number of impacts needed to achieve this stimulation was 60 per day. Impact exercise also had a favourable effect on physical performance and cardiorespiratory risk factors by increasing maximal oxygen uptake, dynamic leg strength and decreasing low-density lipoproteins and waist circumference. Changes were dose-dependent with impact loading at wide intensity range.

Bone adapts to impact loading through various mechanisms to ensure optimal bone strength. The number of impacts needed to achieve bone stimulation appeared to be 60 per day, comparable to the same number of daily jumps. If done on a regular basis, impact exercise may be an efficient and safe way of preventing osteoporosis.

Detailed Description

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Conditions

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Osteoporosis

Keywords

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acceleration bone density cardiovascular diseases exercise female fragility fractures impact intensity intervention studies osteoporosis premenopause

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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2

Control group

Group Type NO_INTERVENTION

No interventions assigned to this group

1

Exercise

Group Type EXPERIMENTAL

Exercise

Intervention Type BEHAVIORAL

Progressive impact exercise

Interventions

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Exercise

Progressive impact exercise

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Random population-based sample of women:

* Age 35-40 yr
* residing in the city of Oulu, Finland
* in March 2002

Exclusion Criteria

* cardiovascular, musculoskeletal, respiratory, or other chronic diseases that might limit training and testing
* diseases or medication affecting the bone
* pregnancy and breastfeeding
* regular current or previous participation in impact-type exercises and long-distance running more than three times a week
Minimum Eligible Age

35 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Oulu Deaconess Institute

OTHER

Sponsor Role collaborator

UKK Institute

OTHER

Sponsor Role collaborator

Finnish Institute of Occupational Health

OTHER

Sponsor Role collaborator

The Finnish Funding Agency for Technology and Innovation (TEKES)

OTHER_GOV

Sponsor Role collaborator

Newtest Ltd

UNKNOWN

Sponsor Role collaborator

CCC Group Ltd.

INDUSTRY

Sponsor Role collaborator

Fastrax Ltd.

INDUSTRY

Sponsor Role collaborator

University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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University of Oulu

Locations

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University of Oulu

Oulu, , Finland

Site Status

Countries

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Finland

References

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Ahola R, Korpelainen R, Vainionpaa A, Leppaluoto J, Jamsa T. Time-course of exercise and its association with 12-month bone changes. BMC Musculoskelet Disord. 2009 Nov 12;10:138. doi: 10.1186/1471-2474-10-138.

Reference Type DERIVED
PMID: 19909496 (View on PubMed)

Other Identifiers

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40093/02

Identifier Type: -

Identifier Source: org_study_id