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Effect of Physical Activity on the Quality of Life in Osteoporotic Females Living in Residential Facilities

A Randomized Controlled Trial

Nawrat-Szołtysik, Agnieszka, PhD1,2; Miodońska, Zuzanna, MSc3; Opara, Józef, PhD1; Polak, Anna, PhD1; Matyja, Beata, MA2; Małecki, Andrzej, PhD1

Journal of Geriatric Physical Therapy: April/June 2019 - Volume 42 - Issue 2 - p 98–104
doi: 10.1519/JPT.0000000000000154
Research Reports

Background and Purpose: The study aimed to assess the effect of a program of modified Sinaki exercises and Nordic Walking on the life quality in osteoporotic and osteopenic females living in residential care facilities, taking into account their baseline level of activity and risk of falling. The study was designed as a randomized controlled trial.

Methods: A sample of 91 females 65 to 98 years of age, the residents of Upper Silesian residential care facilities, was randomized into 4 groups. All groups received the same pharmacological treatment. In group 1 (control group), drugs were the only therapy; in group 2, the therapy was enhanced by program of modified Sinaki exercises; group 3 participated in Nordic Walking workout; and group 4 did both Sinaki exercises and Nordic Walking. Locomotor activity of the participants was estimated from pedometer readings. The risk of falling was assessed with the “Timed Up and Go” Test and the Functional Reach Test. With the QUALEFFO-41 questionnaire, the life quality of the participants was evaluated at baseline and after 12 months of intervention.

Results and Discussion: The study revealed that the studied women were at high risk of falling and that their physical activity was relatively low, likewise the quality of their lives. Their satisfaction with life was reduced by poor health, limited mobility, and the lack of social activities. Life quality improved in all 3 intervention groups, but in the control group, it decreased. The results of Bonferroni's post hoc test pointed to statistically significantly better quality of life in groups 2 (P = .01) and 4 (P < .01).

Conclusion: Both modified Sinaki exercises and Nordic Walking significantly improved the participants' quality of life, but the most effective therapeutically was the combination of both these forms of physical activity.

1Faculty of Physiotherapy, Academy of Physical Education in Katowice im. Jerzego Kukuczki, Katowice, Poland.

2Center Saint Elizabeth, Ruda Śla˛ska, Poland.

3Faculty of Biomedical Engineering, Silesian University of Technology, Gliwice, Poland.

Address correspondence to: Agnieszka Nawrat-Szołtysik, PhD, Faculty of Physiotherapy, Academy of Physical Education in Katowice, Mikołowska 72a, Katowice 40-065 (

The authors declare no conflicts of interest and no sources of funding.

Richard Bohannon was the Decision Editor

© 2019 Academy of Geriatric Physical Therapy, APTA
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