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Korean J Obes 2014; 23(1): 50-57

Published online March 30, 2014

Copyright © Korean Society for the Study of Obesity.

Changes of Bone Metabolic Markers after Exercise Training in 70's Elderly Women

Chang-Bum Kang, Na-Young Ahn, Kijin Kim*

Department of Physical Education, Keimyung University

Received: September 16, 2013; Reviewed : October 7, 2013; Accepted: November 26, 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Background: The purpose of this study was to investigate the responses of blood concentrations of bone metabolic markers, bone mineral density, and body composition after different exercise training in 70's elderly women.
Methods: Subjects were divided into three groups, yoga group (N = 11), strength training with theraband group (N = 10), and silver dance group (N = 12). The responses of blood concentrations of bone metabolic markers, bone mineral density, and body composition were compared between the groups after 12 weeks of each exercise training.
Results: After the 12 weeks exercise training program, body weight and body mass index (BMI) showed a significant (P < 0.05) decrease in the silver dance group and yoga group, whereas skinfold thickness showed a significant (P < 0.05) decrease in the silver dance group. Silver dance group showed the highest response in body composition among the three groups. Silver dance exercise or strength training with theraband for 12 weeks showed positive effects on bone mineral contents in 70's elderly women.
Conclusion: Therefore, both silver dance exercise and strength training with theraband may be effective exercise programs for improving bone metabolic markers and body composition in 70's elderly women.

Keywords: Exercise training, Elderly women, Bone metabolic marker, Body composition

Fig. 1. Characteristics of subjects
Fig. 2. Exercise program
Fig. 3. Comparison of body composition between group and time
Fig. 4. Comparison of body thickness and circumference between group and time
Fig. 5. Comparison of BMD-related variables between group and time
Fig. 6. Correlation coefficients between body composition and BMD-related variables in pre-test data
  1. Kim TH, Lee HH, Chung SH. A difference of bone fracture rate and frequency to have determined in diagnosis standards. Osteoporosis 2010;8:266-70.
  2. Marshall D, Johnell O, Wedel H. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 1996;312:1254-9.
    Pubmed KoreaMed CrossRef
  3. World Health Organization. WHO scientific group on the assessment of osteoporosis at primary health care level:Summary meeting report. Belgium: WHO; 2004. p. 5-7.
  4. Kim SR, Ha YC, Kim JR, Kim R, Kim SY, Koo KH. Incidence of hip fractures in Jeju Island, South Korea: a prospective study (2002-2006). Clin Orthop Surg 2010;2:64-8.
    Pubmed KoreaMed CrossRef
  5. Goldman L, Ausiello D. Cecil Textbook of medicine. 23rd ed. Philadelphia: Elsevier online; 2007.
  6. Leung KS, Fung KP, Sher AH, Li CK, Lee KM. Plasma bone-specific alkaline phosphatase as an indicator of osteoblastic activity. J Bone Joint Surg Br 1993;75:288-92.
    Pubmed
  7. Akesson K, Vergnaud P, Delmas PD, Obrant KJ. Serum osteocalcin increases during fracture healing in elderly women with hip fracture. Bone 1995;16:427-30.
    Pubmed
  8. Brown JP, Delmas PD, Malaval L, Edouard C, Chapuy MC, Meunier PJ. Serum bone Gla-protein: a specific marker for bone formation in postmenopausal osteoporosis. Lancet 1984;1:1091-3.
    CrossRef
  9. Bemben DA, Buchanan TD, Bemben MG, Knehans AW. Influence of type of mechanical loading, menstrual status, training season on bone density in young women athletes. J Strength Cond Res 2004;18:220-6.
    Pubmed CrossRef
  10. Kirchner EM, Lewis RD, O'Connor PJ. Bone mineral density and dietary intake of female college gymnasts. Med Sci Sports Exerc 1995;27:543-9.
    Pubmed CrossRef
  11. Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR; American College of Sports Medicine. American college of sports medicine position stand:physical activity and bone health. Med Sci Sports Exerc 2004;36:1985-96.
    CrossRef
  12. Taaffe DR, Marcus R. The muscle strength and bone density relationship in young women: dependence on exercise status. J Sports Med Phys Fitness 2004;44:98-103.
    Pubmed
  13. Frost HM. Bone “mass” and the “mechanostat”: a proposal. Anat Rec 1987;219:1-9.
    Pubmed CrossRef
  14. Riggs BL, Khosla S, Melton LJ 3rd. Sex steroids and the construction and conservation of the adult skeleton. Endocr Rev 2002;23:279-302.
    Pubmed CrossRef
  15. Bikle DD, Halloran BP, Morey-Holton E. Space flight and the skeleton: lessons for the earthbound. Gravit Space Biol Bull 1997;10:119-35.
    CrossRef
  16. Eser P, Frotzler A, Zehnder Y, Wick L, Knecht H, Denoth J, et al. Relationship between the duration of paralysis and bone structure: a pQCT study of spinal cord injured individuals. Bone 2004;34:869-80.
    Pubmed CrossRef
  17. Frost HM. On the estrogen-bone relationship and postmenopausal bone loss: A new model. J Bone Miner Res 1999;14:1473-7.
    Pubmed CrossRef
  18. Lang T, LeBlanc A, Evans H, Lu Y, Genant H, Yu A. Cortical and trabecular bone mineral loss from the spine and hip in long-duration spaceflight. J Bone Miner Res 2004;19:1006-12.
    Pubmed CrossRef
  19. LeBlanc A, Schneider V, Shackelford L, West S, Oganov V, Bakulin A, et al. Bone mineral and lean tissue loss after long duration space flight. J Musculoskelet Neuronal Interact 2000;1:157-60.
    Pubmed
  20. Bassey EJ, Rothwell MC, Littlewood JJ, Pye DW. Preand postmenopausal women have different bone mineral density responses to the same high-impact exercise. J Bone Miner Res 1998;13:1805-13.
    Pubmed CrossRef
  21. Snow-Harter C, Bouxsein ML, Lewis BT, Carter DR, Marcus R. Effects of resistance and endurance exercise on bone mineral status of young women: a randomized exercise intervention trial. J Bone Miner Res 1992;7:761-9.
    Pubmed CrossRef
  22. Honda A, Sogo N, Nagasawa S, Shimizu T, Umemura Y. High-impact exercise strengthens bone in osteopenic ovariectomized rats with the same outcome as Sham rats. J Appl Physiol 2003;95:1032-7.
    Pubmed CrossRef
  23. Nordsletten L, Kaastad TS, Madsen JE, Reiker?s O, Ovstebø R, Strømme JH, et al. The development of femoral osteopenia in ovariectomized rats is not reduced by high intensity treadmill training: a mechanical and densitometric study. Calcif Tissue Int 1994;55:436-42.
    Pubmed CrossRef
  24. Shin SM, Ahn NY, Kim KJ. Effect of resistance training with elastic band on the improvement of balance and gait in the elderly women. The Korean Journal of Growth and Development 2006;14:45-56.
  25. Cho WJ, Lim YR, Chung JY. Effects of yoga and resistance exercise programs on health-related physical fitness and blood lipids in obese middle-aged women. The Korean Journal of Physical Education 2011;50:571 -9.
  26. Jung SJ, Yoon ES, Son TY, Jae SY. Effects of recreational dance exercise on cardiovascular risk factors, vascular structure and function in older women. Exercise science 2011;20:36-47.
  27. Korkia P. Osteoporosis: process, prevention and treatment. J Bodyw Mov Ther 2002;6:156-69.
    CrossRef
  28. Khan K, McKay H, Kannus P, Bailey D, Wark J, Bennell K. Physical activity and bone health. Champaign: Human Kinetics; 2001.
  29. Cavanaugh DJ, Cann CE. Brisk walking does not stop bone loss in postmenopausal women. Bone 1988;9:201 -4.
    CrossRef
  30. Borer KT, Fogleman K, Gross M, La New JM, Dengel D. Walking intensity for postmenopausal bone mineral preservation and accrual. Bone 2007;41:713-21.
    Pubmed CrossRef
  31. Garnero P, Sornay-Rendu E, Chapuy MC, Delmas PD. Increased bone turnover in late postmenopausal women is a major determinant of osteoporosis. J Bone Miner Res 1996;11:337-49.
    Pubmed CrossRef
  32. Parfitt AM. The contribution of bone histology to understanding the pathogenesis and improving the management of osteoporosis. Clin Invest Med 1982;5:163-7.
    Pubmed
  33. Slovik DM, Gundberg CM, Neer RM, Lian JB. Clinical evaluation of bone turnover by serum osteocalcin measurements in a hospital setting. J Clin Endocrinol Metab 1984;59:228-30.
    Pubmed CrossRef
  34. Hauschka PV, Lian JB, Cole DE, Gundberg CM. Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone. Physiol Rev 1989;69:990-1047.
    Pubmed
  35. Murshed M, Schinke T, McKee MD, Karsenty G. Extracellular matrix mineralization is regulated locally;different roles of two gla-containing proteins. J Cell Biol 2004;165:625-30.
    Pubmed KoreaMed CrossRef
  36. Gundberg CM, Lian JB, Gallop PM, Steinberg JJ. Urinary gamma-carboxyglutamic acid and serum osteocalcin as bone markers: studies in osteoporosis and Paget's disease. J Clin Endocrinol Metab 1983;57:1221 -5.
    Pubmed CrossRef
  37. Delmas PD. Biochemical markers of bone turnover:methodology and clinical use in osteoporosis. 1991;91 (Suppl 5B):59-63.
  38. Banfi G, Lombardi G, Colombini A, Lippi G. Bone metabolism markers in sports medicine. Sports Med 2010;40:697-714.
    Pubmed CrossRef
  39. Smith MZ, Goettsch BM, Van Ramshorst RD, O'Brien JA, Jaque SV, Sumida KD. Resistance training and bone mineral density during growth. Int J Sports Med 2008;29:361-21.
    Pubmed CrossRef
  40. Kim MR, Kang BM, Yoon BK, Lee BS, Choi H, Chung HW, et al. Risk factors of osteoporosis in Korean menopause women. The Journal of Korean Society of Menopause 2005;11:143-9.
  41. Gundberg CM, Looker AC, Nieman SD, Calvo MS. Patterns of osteocalcin and bone specific alkaline phosphatase by age, gender, race or ethnicity. Bone 2002;31:703-8.
    CrossRef
  42. Delmas PD, Stenner D, Wahner HW, Mann KG, Riggs BL. Increase in serum bone gamma- carboxyglutamic acid protein with aging in women. Implications for the mechanism of age-related bone loss. J Clin Invest 1983;71:1316-21.
    Pubmed KoreaMed CrossRef
  43. Takahashi M, Kushida K, Hoshino H, Ohishi T, Inoue T. Evaluation of bone turnover in postmenopause, vertebral fracture, hip fracture using biochemical markers for bone formation and resorption. J Endocrinol Invest 1997;20:112-7.
    Pubmed CrossRef
  44. Silva HG, Mendon?a LM, Concei??o FL, Zahar SE, Farias ML. Influence of obesity on bone density in postmenopausal women. Arq Bras Endocrinol Metabol 2007;51:943-9.
    Pubmed CrossRef
  45. Slemenda CW, Hui SL, Williams CJ, Christian JC, Meaney FJ, Johnston CC Jr. Bone mass and anthropometric measurements in adult females. Bone Miner 1990;11:101-9.
    CrossRef