Evidence map›Paper›PMID 33469276›Full record

Trial reportClinical interventions in aging2021

Changes in Menopausal Risk Factors in Early Postmenopausal Osteopenic Women After 13 Months of High-Intensity Exercise: The Randomized Controlled ACTLIFE-RCT.

Michael Hettchen, Simon von Stengel, Matthias Kohl, Marie H Murphy, Mahdieh Shojaa, Mansour Ghasemikaram, Laura Bragonzoni, Francesco Benvenuti, Claudio Ripamonti, Maria Grazia Benedetti and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06866561 (The Effect of Aerobic Exercise on Bone Formation and Resorption Markers And The Quality of Life Tests in Postmenopausal Osteopenic Patients), which is not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 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.

NCT06866561 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effect of Aerobic Exercise on Bone Formation and Resorption Markers And The Quality of Life Tests in Postmenopausal Osteopenic Patients

TypeinterventionalSponsorBursa Yuksek Ihtisas Training and Research HospitalRan2022 to 2023Enrolled45ConditionsPostmenopausal OsteopeniaArmsaerobic exercise, cholecalciferol, calcium carbonate
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Exercise training and bone mineral density in postmenopausal women: an updated systematic review and meta-analysis of intervention studies with emphasis on potential moderators.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Review
  13. High-intensity resistance and impact exercise in menopausal women: a systematic review of intervention reporting quality and training content.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

13 authors.

Michael HettchenInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0001-8425-9148
Simon von StengelInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Matthias KohlDepartment of Medical and Life Sciences, University of Furtwangen, Schwenningen, Germany.ORCID 0000-0001-9514-8910
Marie H MurphyDoctoral College, Ulster University, Newtownabbey, Antrim, Northern Ireland, UK.ORCID 0000-0003-3482-3323
Mahdieh ShojaaInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Mansour GhasemikaramInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Laura BragonzoniUniversity of Bologna, Campus Rimini, Rimini, Italy.
Francesco BenvenutiUniversity of Bologna, Campus Rimini, Rimini, Italy.
Claudio RipamontiCenter for Osteoporosis and Bone Metabolic Disease, Rizzoli Orthopaedic Institute, Bologna, Italy.ORCID 0000-0001-6066-3808
Maria Grazia BenedettiPhysical Medicine and Rehabilitation Unit, IRCCS - Rizzoli Orthopaedic Institute, Bologna, Italy.
Mikko JulinLaurea University of Applied Sciences, Espoo, Finland.
Tapani RistoLaurea University of Applied Sciences, Espoo, Finland.
Wolfgang KemmlerInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0003-3515-0669

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The menopausal transition is a critical period in women's lives. Exercise might be the most promising non-pharmaceutic intervention to address the large variety of risk factors related to the pronounced estradiol decline during peri- and early-postmenopause. The aim of this study was to determine the effect of an 18-month multipurpose exercise program on risk factors and symptoms related to the menopausal transition. Fifty-four women 1-5 years postmenopause with osteopenia or osteoporosis were randomly assigned 1) to a high impact weight-bearing/high-intensity/velocity resistance training group (EG: n=27) exercising three times a week or 2) to an attendance control group (CG: n=27) that performed low-intensity exercise once a week. Both groups were supplemented with cholecalciferol and calcium. The primary study endpoint was bone mineral density (BMD) at lumbar spine (LS) and total hip, secondary outcomes were lean body mass (LBM), total and abdominal body percentage, metabolic syndrome Z-Score (MetS-Z), menopausal symptoms and muscle strength and power. Due to COVID-19, the study was stopped after 13 months. We observed significant effects for BMD-LS (EG: 0.002±.018 versus CG: -.009±0.018 mg/cm2, p=0.027) but not for BMD total hip (EG: -0.01±.016 versus CG: -.009±0.020 mg/cm2, p=0.129). LBM improved significantly in the EG and decreased in the CG (0.39±1.08 vs -0.37±1.34 kg, p=0.026). Total and abdominal body fat improved significantly in the EG and was maintained in the CG (-1.44±1.49 vs -0.02±1.55 kg, p=0.002 and -1.50±2.33 vs 0.08±2.07 kg, p=0.011). Significant effects in favor of the EG were also determined for menopausal symptoms (p=0.029), hip/leg extension strength (p<0.001) and power (p<0.001). However, changes of the MetS-Z did not differ significantly (p=0.149) between EG and CG. In summary, with minor exceptions, we demonstrated the effectiveness of a multipurpose exercise protocol dedicated to early-postmenopausal women on various risk factors and complaints related to the menopausal transition.

Indexed as

Bone Diseases, MetabolicOsteoporosis, PostmenopausalPostmenopauseBone DensityBone Density Conservation AgentsCOVID-19FemaleHigh-Intensity Interval TrainingHumansLumbar VertebraeMetabolic SyndromeMiddle AgedOutcome Assessment, Health CareRisk FactorsRisk Reduction BehaviorBone Density Conservation Agentsbone mineral densityearly postmenopausemultipurpose exercise

Identifiers

PMID33469276
PMCPMC7810823

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Registered trials

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.