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Medical Hydrology and Balneology: Environmental Aspects

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Effectiveness of exercise program for<br />

osteoporosis on quality of life in relation to body<br />

mass index<br />

Martinec S (1) , Cesarec G (1) , Basic I (2) , Jakoplic D (1) , Jersek M (1)<br />

(1) Special Hospital. Krapinske Toplice. Croatia<br />

(2) APoSS. Zabok. Croatia<br />

suncica.martinec@sbkt.hr<br />

Introduction <strong>and</strong> Objectives<br />

Prevention of osteoporosis <strong>and</strong> osteoporotic fractures among others include adequate<br />

physical activity. Previous epidemiological studies indicate less break in<br />

active women, whether it is the result of direct effects on bone or improving coordination,<br />

balance <strong>and</strong> muscle strength. The aim of research was to examine the impact<br />

of exercise program for osteoporosis in the duration of four weeks on health <strong>and</strong><br />

psychological aspects of patient using quality of life questionnaire SF-36, used<br />

before <strong>and</strong> after the program, with considering the BMI (body mass index) of<br />

subjects.<br />

Materials <strong>and</strong> Methods<br />

The study included 39 subjects with osteopenia <strong>and</strong> osteoporosis. Participants<br />

were divided into two groups, patients with an ideal BMI (19.1-25.8), <strong>and</strong> patients<br />

with increased BMI (> 25.9). Program for osteoporosis in duration of four weeks<br />

was conducted. It consisted of exercises for osteoporosis, advice about diet, advice<br />

on preventing falls, interview <strong>and</strong> medical examination before <strong>and</strong> during program<br />

implementation. For self-assessment of health status generic questionnaire SF -36<br />

model was used. It is a multi-purpose, short form model containing 36 ordinal scale<br />

items on eight dimensions: physical functioning (PF), role-physical (RP), bodily<br />

pain (BP), general health (GH), vitality (VT), social functioning (SF), roleemotional<br />

(RE) <strong>and</strong> mental health (MH). The questionnaire items selected also<br />

represent two general concept of health as physical <strong>and</strong> mental health. Filled in by<br />

the subjects in the two time points, before the implementation of this program <strong>and</strong><br />

at the end of the program.<br />

Results<br />

Research results showed that in subjects with an ideal BMI improvement was<br />

recorded when it comes to quality of life in all dimensions, following a program,<br />

with greater improvement in mental (MCS) component summary in relation to the<br />

physical (PCS) component summary. In subjects with a BMI over normal range<br />

also showed an improvement in quality of life for all eight dimensions, with greater<br />

Balnea<br />

2012, núm. 6, 330-331<br />

330<br />

ISBN: 978-84-669-1887-0<br />

978-84-669-3482-4

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