Evidence map›Paper›PMID 15754082›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2005

Home-based resistance training improves femoral bone mineral density in women on hormone therapy.

James Oat Judge, Alison Kleppinger, Anne Kenny, Jo-Anne Smith, Brad Biskup, Glenn Marcella

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Facilitators and barriers to exercise adherence in patients with osteopenia and osteoporosis: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Pooled it
  2. Pooled it
  3. Exercise for Smoking Cessation in Postmenopausal Women: A Randomized, Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Physical activity and health-related quality of life among postmenopausal women with breast cancer treated with aromatase inhibitors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  8. Article
  9. Grip strength cutpoints for the identification of clinically relevant weakness.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
    Article
  10. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
    Article
  11. Cutpoints for low appendicular lean mass that identify older adults with clinically significant weakness.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
    Article
  12. An evidence-based comparison of operational criteria for the presence of sarcopenia.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Femoral bone mineral density in patients with heart failure.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2006
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

James Oat JudgeUniversity of Connecticut School of Medicine, Farmington, Connecticut 01032, USA. jamesjudge@comcast.net
Alison Kleppinger
Anne Kenny
Jo-Anne Smith
Brad Biskup
Glenn Marcella

Funding

HORMONE REPLACEMENT THERAPY ON BONE TURNOVER AND DENSITY IN OLDER WOMENP60AG013631 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI PRESTWOOD, KAREN M · 1996 to 2002
$2.2M
NIA NIH HHS 5P60-AG13631
6 · The paper itself

Abstract

This study tested whether moderate resistance training would improve femoral bone mineral density (BMD) in long-term users of hormone therapy with low BMD. The study was a 2-year randomized, controlled, trial (RCT) of moderate resistance training of either the lower extremity or the upper extremity. Eighty-five women participated in a 6-month observation period. The setting was center-based and home-based training. The participants were 189 women aged 59-78 years, with total femur T-scores from -0.8 to -2.8 and on hormone therapy (HT) for a minimum of 2 years (mean 11.8 years); 153 completed the trial. Lower extremity training used weight belts (mean 7.8 kg) in step-ups and chair rises; upper extremity training used elastic bands and dumbbells. Measurements were BMD and body composition [dual-energy X-ray absorptiometry (DXA)], bone turnover markers. Total femoral BMD showed a downward trend during the observation period: 0.35%+/-0.18% (P=0.14). The response to training was similar in the upper and lower groups in the primary outcomes. At 2 years, total femoral BMD increased 1.5% (95% CI 0.8%-2.2%) in the lower group and 1.8% (95% CI 1.1%-2.5%) in the upper group. Trochanter BMD increased 2.4% (95% CI 1.3%-3.5%) in the lower group and 2.5% (95% CI 1.4%-3.6%) in the upper group (for both analyses time effect P<0.001). At 1 year, a bone resorption marker (C-telopeptide) decreased 9% (P=0.04). Bone formation markers, bone-specific alkaline phosphatase, decreased 5% (P<0.001), and N-terminal type I procollagen peptide decreased 7% (P=0.01). Body composition (percent lean and percent body fat) was maintained in both groups. We concluded that long-term moderate resistance training reversed bone loss, decreased bone turnover, increased femur BMD, and maintained body composition. The similarity of response in upper and lower groups supports a systemic response rather than a site-specific response to moderate resistance training.

Indexed as

Estrogen Replacement TherapyExercise TherapyAgedAnthropometryBody CompositionBone DensityBone RemodelingCalcium, DietaryFemaleFemurHome Care ServicesHumansMiddle AgedOsteoporosis, PostmenopausalPatient CompliancePostmenopauseCalcium, DietaryVitamin D

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.