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Bone Adaptation Process on Post-menopausal Women after Speed Play Walking Exercise with Medium & High Increased Cadence
February 26, 2025
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Background: Postmenopausal period is usually marked by dominancy of osteoclast activity, which leads to a decrease in bone mass. Speed Play Walking Exercise (SPWE) could be an important mechanical strategy for maintaining bone cell activity in postmenopausal women.
Aim(s): This study evaluated the rate of increased cadence in SPWE, which can reduce bone resorption and increase bone formation activities, associated with body mass index.
Material and methods: This was four group pre-post intervention design randomized clinical trial, included 32 postmenopausal women in normal-weight (NW) vs. overweight (OW) groups, divided into 2 groups of different walking speeds. The intervention is SPWE method with increased 15-35% or 50-80% from initial cadence as intervention target cadence, alternated with usual cadence, 3 times a week, for 4 weeks duration. Variables are baseline CTx and NMid osteocalcin serum taken on pre and post 4 weeks exercise.
Result: sNMid osteocalcin was increased in groups walked with 15-35% increased cadence compared to group walked with 50-80% increased cadence (p=0.002 for NW group and p=0.042 for OW group, respectively). NW group walked with 50-80% increased cadence showed the most decreased bone formation marker (p=0.019). CTx/NMid ratio is reduced in NW group walked with 15-35% increased cadence, on the other hand, OW group walked with 50-80% increased cadence showed the most increased trend of CTx/NMid ratio.
Conclusions: To maintain bone formation activity, SPWE with a rate of 15-35% increased from initial cadence is suggested for postmenopausal women, however the benefit is more visible in women with normal-weight.
Tinduh, D., Rosita, P. E., & Mei Wulan, S. M. (2025). Bone Adaptation Process on Post-menopausal Women after Speed Play Walking Exercise with Medium & High Increased Cadence. Surabaya Physical Medicine and Rehabilitation Journal, 7(1), 27–42. https://doi.org/10.20473/spmrj.v7i1.59596
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Copyright (c) 2025 Damayanti Tinduh, Primadita Esther Rosita, Sri Mardjiati Mei Wulan
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