Document Detail


Predictors of compliance with a home-based exercise program added to usual medical care in preventing postmenopausal osteoporosis: an 18-month prospective study.
MedLine Citation:
PMID:  15726237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M A Mayoux-Benhamou; C Roux; A Perraud; J Fermanian; H Rahali-Kachlouf; M Revel
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Publication Detail:
Type:  Journal Article     Date:  2004-07-29
Journal Detail:
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:
Created Date:  2005-02-23     Completed Date:  2005-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100105     Medline TA:  Osteoporos Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  325-31     Citation Subset:  IM    
Affiliation:
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:
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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