2013, Volume 9, Issue 2

Combining Adapted Judo Training and pharmacological treatment to improve Bone Mineral Density on postmenopausal women: a two years study.



Claudio J. Borba-Pinheiro1, Mauro C.G. A Carvalho2, Alexandre Drigo3, Nádia S.L. Silva4, Carlos S. Pernambuco5, Nébia Maria Almeida de Figueiredo5, Estélio H.M. Dantas5

1Federal Institute of Pará (IFPA), Tucuruí, Pará State University/UEPA, Tucuruí, Federal University of Rio de Janeiro State (UNIRIO/PPGEnfBio), Rio de Janeiro, Brazil
2Colégio Pedro II, Rio de Janeiro, Federal University of Rio de Janeiro State (UNIRIO/PPGEnfBio), Rio de Janeiro, Brazil
3State University Paulista (UNESP)/Júlio de Mesquita Filho, Rio Claro, Brazil
4Laboratory of Physical Activity for Health Promotion (LABSAU), State University of Rio de Janeiro, Brazil
5Federal University of Rio de Janeiro State (UNIRIO/PPGEnfBio), Rio de Janeiro, Brazil


Author for correspondence: Claudio J. Borba-Pinheiro; Federal Institute of Pará (IFPA), Tucuruí, Pará State University/UEPA, Tucuruí, Federal University of Rio de Janeiro State (UNIRIO/PPGEnfBio), Rio de Janeiro, Brazil; email: claudio.pinheiro[at]unirio.br


Full text

Abstract

Background and Study Aim: Physical activity has been an important factor to increase bone mineral density (BMD) and, consequently, to prevent and treat osteoporosis. The study aimed the effects of adapted Judo training on BMD in postmenopausal women, during pharmacological treatment.
Material and Methods: Eighteen female volunteers participated in this study. They were separated into two groups: Adapted Judo training (AJT) (n=11; 52.2±5.3 years) and control group (CG) (n=7; 53.8±4.4 years). Lunar GE Dual Energy X-Ray Absorptiometry (DXA) measured BMD at lumbar L2-L4, femoral neck and trochanter sites. The training period for AJT was two years, comprised 12 mesocycles with different intensities. ANOVA compared 2 groups in 3 moments of testing and Scheffé Test allowed multiple comparisons between groups for the L2-L4 and femoral neck sites, but at trochanter was Fisher LSD.
Results: ANOVA showed significant differences in the AJT group (F(2, 32)=15.187, p=0.000023). Scheffé Test showed significant increase on lumbar BMD after one year of AJT (Δ%=+8.9%, p=0.000017) and after two years this improvement stand still (p=0.33). The CG after one year presented significant decrease in BMD of femoral neck (Δ%= -6.9%, p=0.03) and trochanter (Δ%= -3.7%, p=0.0084). However, the CG recovered the loss of BMD of femoral neck (Δ%= +7.6%, p=0.02) and trochanter (Δ%= +3.8%, p=0.0079) after two years of study.
Conclusion: Drug therapy, without the physical activity practice, can aid the maintenance of BMD. AJT may be considered as an efficient physical activity for postmenopausal women with low BMD in pharmacological treatment.


Key words: adapted judo training, bisphosphonate, bone density, bone health, physical activity