{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:36Z","timestamp":1763463576185,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We investigated the effects of group exercise on bone mineral density (BMD), pain, and quality of life in postmenopausal women with osteoporosis and osteopenia.\\r\\nMethods: The study included 16 osteoporotic (mean age 55.2 years) and 17 osteopenic (mean age 55.4 years) postmenopausal women whose diagnoses were made by dual energy X-ray absorptiometry (DEXA) showing T-scores of less than -2.5 and in a range of -1 to -2.5, respectively. Subjects having orthopedic, neurological, respiratory, vascular, metabolic, or mental problems were excluded. Each group received the same group exercise program for one hour three times a week for 21 weeks, supervised by a physiotherapist, and including breathing, warm-up, stretching, strengthening, balance, stabilization, and cooling exercises. All participants were evaluated before and after the exercise program by a visual analog scale for pain severity, by DEXA for BMD, and by QUALEFFO-41 (Quality of Life Questionnaire of the European Foundation for Osteoporosis) for quality of life.\\r\\nResults: The two groups were similar with respect to age, height, and body mass index (p&gt;0.05), but osteopenic women had a higher body weight (p&lt;0.05). After the exercise program, both groups exhibited significant improvements in T-score, pain score, BMD, and all parameters of the QUALEFFO-41 (p&lt;0.05). The mean T-scores before and after exercise were -2.7\u00b10.2 and -2.4\u00b10.5 in osteoporotic women, and -1.8\u00b10.5 and -1.4\u00b10.5 in osteopenic women, respectively. Following exercise, 43.8% of osteoporotic women had a T-score showing osteopenia, and 23.5% of osteopenic women had a T-score falling within the normal range. The two groups did not differ significantly with respect to the differences between the mean improvements obtained after the exercise program (p&gt;0.05).\\r\\nConclusion: This pilot study demonstrates the effectiveness of physiotherapist-supervised group exercise programs in decreasing pain and increasing BMD and quality of life of both osteoporotic and osteopenic women.\n\n\u00d6zet\n\nAma\u00e7: Menopoz sonras\u0131 osteoporoz ve osteopeni tan\u0131s\u0131 konmu\u015f kad\u0131nlarda grup egzersizinin kemik mineral yo\u011funlu\u011fu (KMY), a\u011fr\u0131 ve ya\u015fam kalitesi \u00fczerindeki etkileri incelendi. \\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, DEXA (Dual Energy X-ray Absorptiometry) y\u00f6ntemi ile s\u0131ras\u0131yla osteoporoz (T-skoru &lt; -2.5) ve osteopeni (T-skoru -1 ile -2.5 aras\u0131) tan\u0131s\u0131 konan 16 osteoporotik (ort. ya\u015f 55.2) ve 17 osteopenik (ort. ya\u015f 55.4) kad\u0131n al\u0131nd\u0131. Kat\u0131l\u0131mc\u0131lar ortopedik, n\u00f6rolojik, respiratuvar, vask\u00fcler, metabolik veya mental sorunlar\u0131 olmayan bireylerden se\u00e7ildi. Her bir gruba 21 hafta s\u00fcreyle, haftada \u00fc\u00e7 g\u00fcn bir saat s\u00fcre ile, fizyoterapist e\u015fli\u011finde, solunum, \u0131s\u0131nma, germe, kuvvetlendirme, denge, stabilizasyon ve so\u011fuma egzersizlerini kapsayan grup egzersiz program\u0131 uyguland\u0131. T\u00fcm olgularda tedavi \u00f6ncesi ve sonras\u0131nda a\u011fr\u0131 \u015fiddeti g\u00f6rsel analog skala ile, femur boynunda \u00f6l\u00e7\u00fclen KMY, DEXA ile ve ya\u015fam kalitesi QUALEFFO-41 (Quality of Life Questionnaire of the European Foundation for Osteoporosis) anketi ile de\u011ferlendirildi.\\r\\nSonu\u00e7lar: \u0130ki grup aras\u0131nda, osteopeni grubunda v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n daha fazla (p&lt;0.05) olmas\u0131 d\u0131\u015f\u0131nda, ya\u015f, boy ve beden k\u00fctle indeksi a\u00e7\u0131s\u0131ndan fark bulunmad\u0131 (p&gt;0.05). Her iki grupta egzersiz sonras\u0131nda T-skoru, KMY ve ya\u015fam kalitesi anketinin t\u00fcm parametrelerinde art\u0131\u015f, a\u011fr\u0131 \u015fiddetinde ise azalma g\u00f6r\u00fcld\u00fc (p&lt;0.05). Osteoporoz ve osteopeni gruplar\u0131nda ortalama T-skoru egzersiz \u00f6ncesinde s\u0131ras\u0131yla -2.7\u00b10.2 ve -1.8\u00b10.5, egzersiz sonras\u0131nda -2.4\u00b10.5 ve -1.4\u00b10.5 \u00f6l\u00e7\u00fcld\u00fc. Egzersiz sonras\u0131nda osteoporoz grubunda olgular\u0131n %43.8\u2019inde osteopeni i\u00e7in ge\u00e7erli T de\u011ferlerine; osteopeni grubunda ise olgular\u0131n %23.5\u2019inde sa\u011fl\u0131kl\u0131 ki\u015filer i\u00e7in kabul edilen T de\u011ferlerine ula\u015f\u0131ld\u0131. Tedavi sonras\u0131 de\u011fi\u015fimler a\u00e7\u0131s\u0131ndan gruplar aras\u0131nda anlaml\u0131 farka rastlanmad\u0131 (p&gt;0.05).\\r\\n\u00c7\u0131kar\u0131mlar: Bu pilot \u00e7al\u0131\u015fma, hem osteoporoz hem de osteopeni gruplar\u0131nda fizyoterapist e\u015fli\u011finde yap\u0131lan grup egzersizlerinin a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131, KMY ve ya\u015fam kalitesinin art\u0131r\u0131lmas\u0131nda etkin oldu\u011funu g\u00f6stermektedir.<\/jats:p>","DOI":"10.3944\/aott.2009.343","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T07:42:43Z","timestamp":1254382963000},"page":"343-350","source":"Crossref","is-referenced-by-count":14,"title":["The effect of group exercise on postmenopausal osteoporosis and osteopenia"],"prefix":"10.5152","volume":"43","author":[{"given":"Ender","family":"Angin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zafer","family":"Erden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2293\/2250","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:27Z","timestamp":1763463447000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2009,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.343","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}