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Disease-related factors associated with exercise adherence in postmenopausal women with osteoporosis.

Authors
  • Macías-Hernández, Salvador Israel1
  • Loya-García, Florentina2
  • Zepeda-Mora, Rafael1
  • Nava-Bringas, Tania Inés1
  • Morones-Alba, Juan Daniel2
  • 1 Department of Orthopedic Rehabilitation, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico. , (Mexico)
  • 2 Postgraduate Division, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico. , (Mexico)
Type
Published Article
Journal
Journal of frailty, sarcopenia and falls
Publication Date
Sep 01, 2020
Volume
5
Issue
3
Pages
72–78
Identifiers
DOI: 10.22540/JFSF-05-072
PMID: 32885104
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Exercise is the most widely-used intervention for reducing bone loss and the incidence of falls and fractures in osteoporosis patients. However, disease-related changes can alter these patients' adherence to exercise programs. This study attempted to describe the factors influencing exercise adherence in a group of postmenopausal women with osteoporosis. We conducted a retrospective cohort of postmenopausal women with osteoporosis. We collected data from each patient's last clinical evaluation, as well as from their clinical file of the previous year. A total of 288 women were included in the study, with an average age of 69.45 (Standard deviation ± 9.2 years). Around a quarter, 76 (26.3%), of the patients did not adhere to exercise, 91 (31.5%) did partially, and 121 (41.9%) did completely. In univariate analysis, the variables significantly associated with exercise adherence were age, height, spine pain intensity, joint pain, and prevalent fracture. In a logistic regression model, pharmacological treatment for osteoporosis and polypharmacy were associated with exercise adherence, while poor balance and hyperkyphosis were associated with non-adherence. Pharmacological treatment, polypharmacy, poor balance, and hyperkyphosis all appear to be associated with exercise adherence. As these findings are the significant predictors of exercise engagement, it is necessary to explore balance and postural changes and emphasize the importance of postural and balance training prescription in this group of patients. Copyright: © 2020 Hylonome Publications.

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