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The aim of this study is to evaluate the effects of regular Turkish regional dances, in addition to conventional exercises given with a home program, on the quality of life, balance, aerobic capacity, bone mineral density (femoral neck, total and lumbar L1-4 and L2-4 T scores) and bone turnover markers (Type 1 collagen C-telopeptide [CTX-1] and Serum Procollagen 1 N-terminal peptide [P1NP]) of postmenopausal osteopenic women aged 50-60 years. Our study also aims to evaluate the compliance of patients to the exercise programs given to postmenopausal osteopenic women.
-What is the effect of regular Turkish regional dances on balance, aerobic capacity, muscle strength, quality of life, Bone Mineral Densitometry and Bone Turnover Markers in postmenopausal osteopenic women?
Patients who meet the criteria of our study will first be divided into 2 different groups by a closed envelope drawing method performed by a clinic secretary who is not involved in the study. Both groups will be asked to do a home exercise program 3-5 days a week. This home program will include the movements in the attached exercise sheets (Warm-up, Cool-down, Balance and Strengthening exercises, which were created from the sheets taken from https://theros.org.uk). It will be shown by the physiotherapist at the beginning of the study.
In addition to home exercises, participants in the first group will be asked to dance to dance videos from various regions, lasting 30 minutes, at a tempo determined by the study team before the study.
The dance videos will consist of rhythmic and tempo Turkish Regional Dances such as horon, Ankara Dance Tunes, and halay varieties. These videos have been uploaded to the ''Osteopeni folk dances'' YouTube channel and the links to these videos will be shared with the participants. (The videos will be closed to access during the study and only the video link owners will be able to access these videos. Links https://youtube.com/playlist?list=PLxRTiZv\_4GGMtNYzIuGVsde6T\_bzLt0V\&si=W XRPO-GA1iWtGHuw, https://youtube.com/playlist?list=PLxRTiZv\_4GGMVXcRx7uhntLdU4LtvmVC5\&si =nvxk1VGbPia04xQF, https://youtube.com/playlist?list=PLxRTiZv\_4GGMccS\_iYDW3I\_ ODCODEdTx&si=lD-7_fU1vWJ-ZQOn)
Before dancing, 10 minutes of warm-up, 30 minutes of dancing, and 10 minutes of cooling down exercises will be performed. It is planned that patients will dance at least 2 days a week for a minimum of 50 minutes. In addition, it is planned to reach a minimum of 150 minutes/week aerobic exercise target by having them walk briskly for at least 50 minutes once a week.
Participants in the 2nd group will not be prescribed dance, in addition to the home exercise program, they will be recommended to walk only 3 days a week, for a total of 150 minutes per week.
Participants in the 1st group will be given the FORM-1, and participants in the 2nd group will be given the FORM-2, and they will be asked to fill out these forms daily. The form-1 in will ask for the duration of the home exercises or Turkish folk dances that were performed that day. The form in FORM-2 will also ask for the duration of the home exercises that were performed that day. Both groups will also be given the FORM-3, and they will be asked to write down the complications that occurred during the daily exercise.
Only the study group (1st group) will be called monthly and issues such as whether the forms are filled out daily and compliance with the exercises will be discussed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EXERCISE GROUP | Active Comparator | Patients are asked to do a home exercise program 3-5 days a week In addition to the exercises, they are asked to walk only 3 days a week, a total of at least 150 minutes per week |
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| DANCE GROUP | Active Comparator | A home exercise program will be done 3-5 days a week In addition to home exercises, patients will be asked to dance with a tempo determined by the study team before the study, lasting 30 minutes, accompanied by dance videos from various regions Before the dance, 10 minutes of WARM-UP EXERCISES will be asked, followed by 30 minutes of dance and 10 minutes of COOL-DOWN EXERCISES. Thus, it is aimed for you to dance at least 50 minutes at least 2 days a week. In addition, it is asked to walk at least 50 minutes at a pace once a week |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DANCE GROUP | Other | home exercise program + 50 min/week brisk walking + 100 min/week dance |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Bone Turnover Markers(Type 1 collagen C-telopeptide) | Serum Type 1 collagen C-telopeptide (CTX-1) will be used for bone resorption. | three month |
| Bone Turnover Markers(Serum Procollagen 1 N-terminal peptide) | Serum Procollagen 1 N-terminal peptide (P1NP) will be used for bone formation | three month |
| Bone Mineral Density(Femoral Neck T scores) | In our study, femoral neck T scores bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry .Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points). | six month |
| Bone Mineral Density(Femoral total T scores) | In our study, femoral total T scores and bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry.Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points). |
| Measure | Description | Time Frame |
|---|---|---|
| BALANCE | Static and balance indicators will be checked with Tecnobody PK 252 isokinetic balance measurement system and additionally functional reach test will be noted. | three month |
| muscle strength |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Etlik Ciy Hospital | Ankara | Yenimahalle | 060000 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| ID | Term |
|---|---|
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| EXERCISE GROUP |
| Other |
home exercise program + 150 min/week brisk walking |
|
| six month |
| bone mineral density(lumbar 1-4 Tscores) | In our study, lumbar 1-4 T scores bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry .Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points). | six month |
| bone mineral density(lumbar 2-4 T scores) | In our study, lumbar 2-4 T scores bone mineral densities in g/cm2 will be noted with Dual-energy X-ray absorptiometry .Values obtained by bone mineral density (BMD) measurement are divided into diagnostic classification by the World Health Organization (WHO) as normal bone mass, low bone mass (osteopenia) and osteoporosis. Normal bone mass is above -1 standard deviation point relative to the mean bone mineral density of the young adult reference population (T score -1 and above). Osteopenia (low bone mass) is when the bone mineral density is below -1 standard deviation score and above -2.5 standard deviation points compared to the average bone mineral density of the young adult reference population (T score between -1 and -2.5). Osteoporosis is defined as bone mineral density below -2.5 standard deviation points compared to the average of the young adult reference population (T score below -2.5 points). | six month |
Quadriceps muscle strength of the dominant side will be checked with the Lafayette device.
| three month |
| aerobic capacity | Aerobic capacity will be measured with a 6-minute walk test | three month |
| quality of life measurement | Quality of life will be measured with the Quality Of Life Questionnaire of the European Foundation for Osteoporosis-41 (QUALEFFO-41) Scale. QUALEFFO-41 consists of 5 subscales examining the five dimensions of health, such as pain (5 items), physical function (17 items), social function (7 items), general health assessment (3 items) and mental function (9 items). Validity and reliability for Turkish was done by Koçyiğit and his colleagues. The answers to the questions in the QUALEFFO-41 scale are scored from 1 (healthy) to 5 (unhealthy) in the order of options. The section score and total score are calculated by transferring the scores to a measurement out of 100. For each subgroup and total result in the scale, a score of 0 indicates the best health status, while a score of 100 indicates the worst health status | three month |