| Predictors of compliance with a home-based exercise program added to usual medical care in preventing postmenopausal osteoporosis: an 18-month prospective study. | |
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MedLine Citation:
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PMID: 15726237 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This prospective 18-month study was designed to assess long-term compliance with a program of exercise aimed to prevent osteoporosis after an educational intervention and to uncover determinants of compliance. A total of 135 postmenopausal women were recruited by flyers or instructed by their physicians to participate in an educational session added to usual medical care. After a baseline visit and dual-energy X-ray absorptiometry, volunteers participated in a 1-day educational session consisting of a lecture and discussion on guidelines for appropriate physical activity and training in a home-based exercise program taught by a physical therapist. Scheduled follow-up visits were 1, 6, and 18 months after the educational session. Compliance with the exercise program was defined as an exercise practice rate 50% or greater than the prescribed training. The 18-month compliance rate was 17.8% (24/135). The main reason for withdrawal from the program was lack of motivation. Two variables predicted compliance: contraindication for hormone replacement therapy (odds ratio [OR] = 0.13; 95% confidence interval [95% CI], 0.04 to 0.46) and general physical function scores from an SF-36 questionnaire (OR=1.26; 95% CI, 1.03 to 1.5). To a lesser extent, osteoporosis risk, defined as a femoral T-score < or =-2.5, predicted compliance (OR=0.34; 95% CI, 0.10 to 1.16). Despite the addition of an educational session to usual medical care to inform participants about the benefits of exercise, only a minority of postmenopausal women adhered to a home-based exercise program after 18 months. |
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Authors:
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M A Mayoux-Benhamou; C Roux; A Perraud; J Fermanian; H Rahali-Kachlouf; M Revel |
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Publication Detail:
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Type: Journal Article Date: 2004-07-29 |
Journal Detail:
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Title: Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA Volume: 16 ISSN: 0937-941X ISO Abbreviation: Osteoporos Int Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-02-23 Completed Date: 2005-07-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9100105 Medline TA: Osteoporos Int Country: England |
Other Details:
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Languages: eng Pagination: 325-31 Citation Subset: IM |
Affiliation:
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Rehabilitation Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, René Descartes University, F-75014 Paris Cedex, France. anne.mayoux-benhamou@cch.ap-hop-paris.fr |
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| MeSH Terms | |
Descriptor/Qualifier:
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Exercise Therapy* Female Follow-Up Studies Humans Middle Aged Osteoporosis, Postmenopausal / prevention & control*, psychology Patient Compliance* Prospective Studies Risk Factors Time |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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