ArticleArchives of osteoporosis2026
Weight-bearing exercise intensity and physiotherapy outcomes in older Nigerian women with osteoporosis: a multicenter a cross-sectional study.
Article in Archives of osteoporosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Weight-bearing exercise intensity in older Nigerian women with osteoporosis was mainly determined by age, not sociodemographic factors. Higher intensity was associated with better physiotherapy outcomes, highlighting the need for age-targeted rehabilitation strategies to improve bone health outcomes. PURPOSE: This study examined the association between weight-bearing exercise intensity and physiotherapy outcomes and identified associated factors of high-intensity exercise among older Nigerian women with osteoporosis.
methodsA multicenter cross-sectional study was conducted in 18 physiotherapy clinics across Nigeria (April 2025-March 2026). Women aged ≥ 50 years with clinically confirmed osteoporosis (n = 447) were recruited using multistage sampling. Data were collected using a structured interviewer-administered questionnaire (WBI-OQ) incorporating validated physical activity instruments (BPAQ, IPAQ). The primary outcome was physiotherapy satisfaction (satisfied vs dissatisfied). The exposure variable was weight-bearing exercise intensity (high vs low). Sociodemographic and clinical variables were assessed as covariates. Associations were tested using chi-square analysis and binary logistic regression (p < 0.05).
resultsMean age was 58.7 years; 57.1% engaged in high-intensity weight-bearing exercise and 76.7% reported satisfaction with physiotherapy. Age was the only independent predictor of exercise intensity. Women aged 55-59 years had higher odds of engaging in high-intensity exercise compared with those aged ≥ 60 years (OR = 2.33; 95% CI: 1.44-3.78; p < 0.01). A borderline association was observed for ages 50-54 years (OR = 1.74; 95% CI: 1.00-3.04). No significant associations were found for education, occupation, marital status, or parity.
conclusionHigher weight-bearing exercise intensity was moderately prevalent but not strongly influenced by sociodemographic factors. Age was the dominant determinant of exercise intensity. Findings highlight the need for age-targeted physiotherapy strategies to optimize osteogenic exercise engagement in older women with osteoporosis.
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