Evidence map›Paper›PMID 37669136›Full record

ArticlePhysical therapy2023

Finding the Optimal Resistance Training Intensity for Your Bones: Protocol for a Randomized Controlled Trial.

Lora M Giangregorio, Robert R Bleakney, Sheila Brien, Scotty J Butcher, Brian C F Chan, Philip D Chilibeck, Michaela C Devries, Larry Funnell, Ravi Jain, Heather H Keller and 5 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Physical therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Lora M GiangregorioSchlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0002-3739-1805
Robert R BleakneyDepartment of Medical Imaging, University of Toronto, Toronto, Ontario, Canada.
Sheila BrienCanadian Osteoporosis Patient Network, Toronto, Ontario, Canada.
Scotty J ButcherSchool of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Brian C F ChanKITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.
Philip D ChilibeckCollege of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Michaela C DevriesDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Larry FunnellCanadian Osteoporosis Patient Network, Toronto, Ontario, Canada.
Ravi JainOsteoporosis Strategy, Osteoporosis Canada, Toronto, Ontario, Canada.
Heather H KellerSchlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, Ontario, Canada.
James MilliganDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Marina MourtzakisDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Bonny S O'HarePro Motion Physiotherapy, Toronto, Ontario, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Angela M CheungDepartment of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Funding

CIHR 166042
6 · The paper itself

Abstract

objectiveThe purpose of this trial is to evaluate the effect of twice-weekly, moderate-to-high intensity progressive resistance training (PRT) for 1 year on lumbar spine bone mineral density (BMD) in individuals with low BMD, compared to attention control. Secondary analyses will examine if resistance training improves other health outcomes; if high intensity is more effective than moderate intensity resistance training for all outcomes; the cost of intervention versus benefit; the willingness to pay; and harms.

methodsFor this study, 324 men or postmenopausal women aged ≥50 years with a femoral neck, total hip, or lumbar spine BMD T-score of ≤-1, or a Fracture Risk Assessment Tool probability of ≥20% for major osteoporotic fracture or ≥ 3% for hip fracture are being recruited to participate in a randomized controlled trial with 1:1:1 randomization. Participants will be stratified by site (3 centers) to twice-weekly, supervised PRT at moderate intensity (about 10 repetitions maximum), to high intensity PRT (≤6 repetitions maximum), or to a home posture and balance exercise program (attention control) for 1 year (resistance training to comparator allocation ratio of 2:1). The primary outcome is lumbar spine BMD via dual-energy X-ray absorptiometry. Secondary outcomes include trabecular bone score, proximal femur and total hip BMD and structure, bone-free and appendicular lean mass, physical functioning, falls, fractures, glucose metabolism, cost per life-year gained, adverse events, and quality of life. Between-group differences will be tested in intention-to-treat and per-protocol analyses using analysis of covariance, chi-square tests, or negative binomial or logistic regression, adjusting for site and baseline values. IMPACT: The Finding the Optimal Resistance Training Intensity For Your Bones trial will support decision making on resistance training for people at risk of fracture.

Indexed as

Bone DensityResistance TrainingAgedFemaleHumansLumbar VertebraeMaleMiddle AgedOsteoporosisOsteoporotic FracturesRandomized Controlled Trials as TopicBone Mineral DensityFractureIntensityModerateOsteoporosisProgressive Resistance Training

Identifiers

PMID37669136
PMCPMC10549785

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.