from applicant?s Abstract) The purpose of this study is to examine the feasibility of a non-pharmacological nursing intenlennor designed to prevent bone loss, improve balance, and enhance self-efficacy in postmenopausal women. The goal is to reduce morbidity associated with falls and bone fractures in this population. The intervention consists of progressive load-bearing, strength-training, and balance exercises. Twenty women, age 60 to 75 years, will be recruited to participate in the study Following baseline testing, subjects will be randomly assigned to an exercise group (n = 10), or to a sedentary control group (n = 10) Subjects in the exercise group will participate in 32 weeks (three, 1-hour sessions/week) of supervised exercise training. Training will consist of stretching and flexibility calisthenics, strength training, walking and stair-climbing while wearing weighted vests. an; balance exercises consisting of toe-to-heel walking, and walking while negotiating obstacles. Measurements will include (1) dual-energy x-ray absorptiometry (DEXA) scans of the hip and lumbar spine. (2) strength measurements of the flexors and extensors of the trunk, arms, legs and hand grips, (3) postural balance and stability measured by clinical balance tests and force platforms, and (4) scores on the Osteoporosis Self-Efficacy Scale Strength and balance will be tested at baseline, 16 weeks, and 32 weeks DEXA scans and self-efficacy will be tested at baseline and at 32 weeks. Statistical analyses will compare changes in bone density of the femoral neck and lumbar spine, muscle strength, balance, and self-efficacy scores within and between the two groups.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Exploratory Grants (P20)
Project #
5P20NR007791-02
Application #
6642378
Study Section
Special Emphasis Panel (ZNR1)
Project Start
2002-08-01
Project End
2003-07-31
Budget Start
Budget End
Support Year
2
Fiscal Year
2002
Total Cost
Indirect Cost
Name
University of Florida
Department
Type
DUNS #
073130411
City
Gainesville
State
FL
Country
United States
Zip Code
32611
Krueger, Charlene; Horesh, Elan; Crossland, Brian Adam (2012) Safe sound exposure in the fetus and preterm infant. J Obstet Gynecol Neonatal Nurs 41:166-70
Krueger, Charlene (2010) Exposure to maternal voice in preterm infants: a review. Adv Neonatal Care 10:13-8; quiz 19-20
Krueger, Charlene; van Oostrom, JoHannes H; Shuster, Jonathan (2010) A longitudinal description of heart rate variability in 28--34-week-old preterm infants. Biol Res Nurs 11:261-8
Krueger, Charlene; Parker, Leslie; Chiu, Sheau-Huey et al. (2010) Maternal voice and short-term outcomes in preterm infants. Dev Psychobiol 52:205-12
Krueger, Charlene; Schue, Shirley; Parker, Leslie (2007) Neonatal intensive care unit sound levels before and after structural reconstruction. MCN Am J Matern Child Nurs 32:358-62
Beebe, Lora Humphrey (2006) Describing the health parameters of outpatients with schizophrenia. Appl Nurs Res 19:43-7
Elder, Jennifer Harrison; Shankar, Meena; Shuster, Jonathan et al. (2006) The gluten-free, casein-free diet in autism: results of a preliminary double blind clinical trial. J Autism Dev Disord 36:413-20
Krueger, Charlene; Wall, Susan; Parker, Leslie et al. (2005) Elevated sound levels within a busy NICU. Neonatal Netw 24:33-7
Schaffer, Susan D; Tian, Lili (2004) Promoting adherence: effects of theory-based asthma education. Clin Nurs Res 13:69-89
Kneipp, Shawn M; Drevdahl, Denise J (2003) Problems with parsimony in research on socioeconomic determinants of health. ANS Adv Nurs Sci 26:162-72

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