POSTMENOPOZAL OSTEOPOROZLU KADINLARDA EGZERSİZİN ETKİSİ / THE EFFECTOF EXERCISE IN POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS

Bu r;ali$ma postmenopozal oSleoporozlu (OP) kad!nlarda duzenli egzersiz programmm kemik mineralyogunlugu (KMY) uzerine olan elkisini ara$tlrmak amaclYla yapJldl. Vertebra ve viicul kemik mineralyogunlugu o/r;umleri dual energy x-ray absorptiometry (DEXA) yontemi ile yaplldJ. DEXA ile postmenopozalOP lamSJ konan 60 hasta raslgele seyilerek iki gruba aynldl. Birinci grup egzersiz, ikinci grup kontrol grubuolarak almd!. Olgularda 8 hafta sonra KMY diizeyleri tekrar o/r;iildtJ.Sekizinci hafta sonunda egzersiz grubunda lomber vertebra KMY'unda anlamiJ iyile$me elde edildi (p<0.05),ancak femur boynu ve distal radiusta elde edilen iyile$meler anlamslzdl (p>0.05).Sonur; olarak; duzenl; olarak yapilan egzersizlerin lomber vertebra KMY uzerinde olumlu etkilerinin bulundugu,bu nedenle postmenopozal OP tedavisinde medikal tedavi ile birlikte egzersiz program! verilmesinin faydal!olacag! kantslna vanldJ. SUMMARYThis study was performed to investigate the effects of aerobic exercise on bone mineral density (BMD) ofpostmenapausal women with osteoporosis (OP). BMD of the spine and whole body were measured by dualenergy x-ray absorptiometry (DEXA). Sixty patients diagnosed as postmenaupausal OP according to DEXAwere assigned randomly into two groups. The first group was given to exercise group and the second groupwas given to control group. Lomber spine, femoral neck and distal radius BMD were evaluated on the 8 thweek of the therapy.On the 8 th week exercise group was found significant improvement over control group with respect to lumbarBMD (p<0.05). But the improvement in femoral neck and distal radius BMD were not significant (p>0.05).It was concluded that; aerobic exercise is an effective method on lumbar spine BMD and should beconsidered exercise programme with medical therapy of postmenaupausal OP.