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      The effect of brisk walking on postural stability, bone mineral density, body weight and composition in women over 50 years with a sedentary occupation: a randomized controlled trial

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          Abstract

          Background

          To assess the effect of brisk walking on postural stability, bone mineral density (BMD) and body composition in women over 50 years of age with a sedentary occupation.

          Methods

          A 10-week walking intervention based on self-regulated brisk walking (BW) to or from work of 30–35 min at least 5 times per week. The research included a total of 104 women (58 women in intervention group). The mean center of pressure (COP) velocity in medial-lateral and anterior-posterior directions, mean total COP velocity with eyes open and closed, BMD of the distal forearm and the calcaneus, body weight, fat mass, and lean body mass were assessed.

          Results

          The BW intervention was completed by 76 % of participants. A significant effect (time × group interaction) was confirmed only in the mean COP velocity in the anterior-posterior direction with eyes closed ( F = 7.41 , P = 0.008). The effect of BW was not confirmed in BMD, body weight, or body composition. The results indicate that the effect of the intervention is influenced by baseline body mass index in body weight, fat mass and visceral adipose tissue.

          Conclusions

          BW prevents the deterioration of postural stability with eyes closed, which can have a direct effect on reducing the risk of falls under worse spatial orientation and visibility. The presented intervention model is insufficient for weight loss, changes in BMD, or body composition, and its effect should be assessed during a longer period of time.

          Trial registration

          German Clinical Trials Register DRKS00007638, registered March 10, 2015 (retrospectively registered).

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          Most cited references51

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          2011 Compendium of Physical Activities: a second update of codes and MET values.

          The Compendium of Physical Activities was developed to enhance the comparability of results across studies using self-report physical activity (PA) and is used to quantify the energy cost of a wide variety of PA. We provide the second update of the Compendium, called the 2011 Compendium. The 2011 Compendium retains the previous coding scheme to identify the major category headings and specific PA by their rate of energy expenditure in MET. Modifications in the 2011 Compendium include cataloging measured MET values and their source references, when available; addition of new codes and specific activities; an update of the Compendium tracking guide that links information in the 1993, 2000, and 2011 compendia versions; and the creation of a Web site to facilitate easy access and downloading of Compendium documents. Measured MET values were obtained from a systematic search of databases using defined key words. The 2011 Compendium contains 821 codes for specific activities. Two hundred seventeen new codes were added, 68% (561/821) of which have measured MET values. Approximately half (317/604) of the codes from the 2000 Compendium were modified to improve the definitions and/or to consolidate specific activities and to update estimated MET values where measured values did not exist. Updated MET values accounted for 73% of all code changes. The Compendium is used globally to quantify the energy cost of PA in adults for surveillance activities, research studies, and, in clinical settings, to write PA recommendations and to assess energy expenditure in individuals. The 2011 Compendium is an update of a system for quantifying the energy cost of adult human PA and is a living document that is moving in the direction of being 100% evidence based.
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            Osteoporosis: now and the future.

            Osteoporosis is a common disease characterised by a systemic impairment of bone mass and microarchitecture that results in fragility fractures. With an ageing population, the medical and socioeconomic effect of osteoporosis, particularly postmenopausal osteoporosis, will increase further. A detailed knowledge of bone biology with molecular insights into the communication between bone-forming osteoblasts and bone-resorbing osteoclasts and the orchestrating signalling network has led to the identification of novel therapeutic targets. Novel treatment strategies have been developed that aim to inhibit excessive bone resorption and increase bone formation. The most promising novel treatments include: denosumab, a monoclonal antibody for receptor activator of NF-κB ligand, a key osteoclast cytokine; odanacatib, a specific inhibitor of the osteoclast protease cathepsin K; and antibodies against the proteins sclerostin and dickkopf-1, two endogenous inhibitors of bone formation. This overview discusses these novel therapies and explains their underlying physiology. Copyright © 2011 Elsevier Ltd. All rights reserved.
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              Osteoporosis

              The Lancet, 367(9527), 2010-2018
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                Author and article information

                Contributors
                ales.gaba@upol.cz
                roman.cuberek@upol.cz
                zdenk.svoboda@upol.cz
                frantisek.chmelik@upol.cz
                jana.pelclova@upol.cz
                michal.lehnert@upol.cz
                karel.fromel@upol.cz
                Journal
                BMC Womens Health
                BMC Womens Health
                BMC Women's Health
                BioMed Central (London )
                1472-6874
                21 September 2016
                21 September 2016
                2016
                : 16
                : 63
                Affiliations
                Faculty of Physical Culture, Palacký University Olomouc, třída Míru 117, Olomouc, 771 11 Czech Republic
                Author information
                http://orcid.org/0000-0002-7236-9072
                Article
                343
                10.1186/s12905-016-0343-1
                5031336
                27653632
                e3c8a0a9-bb40-472b-8f5e-ec6663c35b40
                © The Author(s). 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 4 August 2015
                : 16 September 2016
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001824, Czech Science Foundation (CZ);
                Award ID: GA13-32105S
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Obstetrics & Gynecology
                walking intervention,pedometer,osteoporosis,body composition,obesity,falls
                Obstetrics & Gynecology
                walking intervention, pedometer, osteoporosis, body composition, obesity, falls

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