Osteogenic Quantification, Autoregulation and Reliability of the Modified Push Up Drop Exercise in Premenopausal Women

Osteogenic Quantification of the Modified Push Up Drop

Authors

  • Paul W. Winwood Toi Ohomai Institute of Technology; The University of Waikato https://orcid.org/0000-0003-0021-7739
  • Leon E. McAdams Toi Ohomai Institute of Technology; The University of Waikato https://orcid.org/0009-0006-8292-0194
  • Courtney J. Mitchell Toi Ohomai Institute of Technology; The University of Waikato; AUT University
  • John B. Cronin AUT University; Athlete Training and Health https://orcid.org/0000-0002-8889-0911
  • Tracey L. Clissold Toi Ohomai Institute of Technology; The University of Waikato

DOI:

https://doi.org/10.14288/hfjc.v17i4.854

Keywords:

Bone, Impact Exercise, Biomechanics, Osteogenic Thresholds

Abstract

Background: While lower body exercises have been well quantified for bone health programs, upper body exercises lack quantification. Purpose: This study aimed to quantify and assess the reliability of a modified push up drop exercise at different rates of perceived exertion (RPE) in premenopausal women. Methods: Twenty-two women (Mean ± SD: 33.1 ±10.0 years; 64.6 ±9.2kg; 163.8 ±5.9cm) performed modified push up drops on VALD ForceDecks at RPEs of 4, 7, and 10. To assess between-session reliability, testing was repeated 3-days later. Results: The modified push up drop exceeded the previously determined osteogenic rate of force threshold (43BW·s-1) in all RPE conditions (101.7 to 225.7BW·s-1), but only the RPE 10 condition (2.81BW’s) approached the previously determined magnitude of force threshold (3BW’s). Significant main effects (p<0.001) were observed for peak vertical force and peak rate of force development across the RPE conditions. Within-session reliability was moderate to good (ICC 0.5 to 0.76) for all RPE conditions, except for RPE 10, which showed excellent reliability for peak vertical force (ICC 0.9). Between-session reliability was poor (ICC -0.37 to 0.38) for all RPE conditions, except for RPE 4, which showed moderate reliability for peak vertical force (ICC 0.46 and 0.55). Conclusions: The modified push up drop exercise meets osteogenic thresholds necessary for bone growth in premenopausal women and can be reliably autoregulated within sessions. Longitudinal studies are needed to establish upper body thresholds associated with bone remodelling.

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References

Aagaard, P., Simonsen, E. B., Andersen, J. L., Magnusson, P., & Dyhre-Poulsen, P. (2002). Increased rate of force development and neural drive of human skeletal muscle following resistance training. Journal of Applied Physiology, 93(4), 1318-1326. https://doi.org/10.1152/japplphysiol.00283.2002

Adami, S., Gatti, D., Braga, V., Bianchini, D., & Rossini, M. (1999). Site‐specific effects of strength training on bone structure and geometry of ultradistal radius in postmenopausal women. Journal of Bone and Mineral Research, 14(1), 120-124. https://doi.org/10.1359/jbmr.1999.14.1.120

Alswat, K. A. (2017). Gender disparities in osteoporosis. Journal of Clinical Medicine Research, 9(5), 382. https://doi.org/10.14740/jocmr2970w

Ayalon, J., Simkin, A., Leichter, I., & Raifmann, S. (1987). Dynamic bone loading exercises for postmenopausal women: effect on the density of the distal radius. Archives of Physical Medicine and Rehabilitation, 68(5 Pt 1), 280-283.

Babatunde, O. O., Forsyth, J. J., & Gidlow, C. J. (2012). A meta-analysis of brief high-impact exercises for enhancing bone health in premenopausal women. Osteoporosis International, 23, 109-119. https://doi.org/10.1007/s00198-011-1801-0

Bassey, E. J., & Ramsdale, S. J. (1994). Increase in femoral bone density in young women following high-impact exercise. Osteoporosis International, 4, 72-75. https://doi.org/10.1007/bf01623226

Beck, B. R., Daly, R. M., Singh, M. A. F., & Taaffe, D. R. (2017). Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis. Journal of Science and Medicine in Sport, 20(5), 438-445. https://doi.org/10.1016/j.jsams.2016.10.001

Benedetti, M. G., Furlini, G., Zati, A., & Letizia Mauro, G. (2018). The effectiveness of physical exercise on bone density in osteoporotic patients. BioMed Research International, 2018(1), 4840531. https://doi.org/10.1155/2018/4840531

Chaabene, H., Hachana, Y., Franchini, E., Mkaouer, B., & Chamari, K. (2012). Physical and physiological profile of elite karate athletes. Sports Medicine, 42, 829-843. https://doi.org/10.1007/BF03262297

Clissold, T. L., Cronin, J. B., De Souza, M. J., Wilson, D., & Winwood, P. (2022). Multidirectional hop landings exceed osteogenic thresholds with and with instruction withdrawn in Premenopausal Women. American Journal of Sports Science, 10(1), 5-13. https://doi.org/10.11648/j.ajss.20221001.12

Clissold, T. L., Cronin, J. B., De Souza, M. J., Wilson, D., & Winwood, P. W. (2020). Bilateral multidirectional jumps with reactive jump-landings achieve osteogenic thresholds with and without instruction in premenopausal women. Clinical Biomechanics, 73, 1-8. https://doi.org/10.1016/j.clinbiomech.2019.12.025

Clissold, T. L., Cronin, J. B., De Souza, M. J., & Winwood, P. W. (2022a). The Chronic Effects of a Quantified Jump-Landing Program on Bone Health, Body Composition and Performance Parameters in Premenopausal Women. Journal of Family Medicine, 9(1), 1287.

Clissold, T. L., Cronin, J. B., De Souza, M. J., & Winwood, P. W. (2022b). Program design considerations for bone health in premenopausal women. Archives of Sports Medicine and Physiotherapy, 7(1), 007-015. http://dx.doi.org/10.17352/asmp.000015

Clissold, T. L., Winwood, P. W., Cronin, J. B., & De Souza, M. J. (2018). Do bilateral vertical jumps with reactive jump landings achieve osteogenic thresholds with and without instruction in premenopausal women? Journal of Applied Biomechanics, 34(2), 118-126. https://doi.org/10.1123/jab.2017-0114

Cohen, J. (1988). Cohen Statistical power analysis for the behavioral sciences. HillsDale, NJ.

Collings, T. J., Lima, Y. L., Dutaillis, B., & Bourne, M. N. (2024). Concurrent validity and test–retest reliability of VALD ForceDecks' strength, balance, and movement assessment tests. Journal of Science and Medicine in Sport. https://doi.org/10.1016/j.jsams.2024.04.014

Daly, L., & Bourke, G. J. (2008). Interpretation and uses of medical statistics. John Wiley & Sons.

Ducher, G., Courteix, D., Meme, S., Magni, C., Viala, J. F., & Benhamou, C. L. (2005). Bone geometry in response to long-term tennis playing and its relationship with muscle volume: a quantitative magnetic resonance imaging study in tennis players. Bone, 37(4), 457-466. https://doi.org/10.1016/j.bone.2005.05.014

Falahati-Nini, A., Riggs, B. L., Atkinson, E. J., O’Fallon, W. M., Eastell, R., & Khosla, S. (2000). Relative contributions of testosterone and estrogen in regulating bone resorption and formation in normal elderly men. The Journal of Clinical Investigation, 106(12), 1553-1560. https://doi.org/10.1172/jci10942

Genant, H. K., Cooper, C., Poor, G., Reid, I., Ehrlich, G., Kanis, J.,…Bonjour, J. P. (1999). Interim report and recommendations of the World Health Organization task-force for osteoporosis. Osteoporosis International, 10(4), 259. https://doi.org/10.1007/s001980050224

Hacker, E. (2009). Exercise and quality of life: strengthening the connections. Clinical Journal of Oncology Nursing, 13(1), 31. https://doi.org/10.1188/09.CJON.31-39

Hafeez, F., Zulfiqar, S., Hasan, S., & Khurshid, R. (2009). An assessment of osteoporosis and low bone density in postmenopausal women. Pakistan Journal of Physiology, 5(1).

Hong, A. R., & Kim, S. W. (2018). Effects of resistance exercise on bone health. Endocrinology and Metabolism, 33(4), 435-444. https://doi.org/10.3803/EnM.2018.33.4.435

Hopkins, W., Marshall, S., Batterham, A., & Hanin, J. (2009). Progressive statistics for studies in sports medicine and exercise science. Medicine & Science in Sports & Exercise, 41(1), 3. https://doi.org/10.1249/MSS.0b013e31818cb278

Kanis, J. A., Melton Iii, L. J., Christiansen, C., Johnston, C. C., & Khaltaev, N. (1994). The diagnosis of osteoporosis. Journal of Bone and Mineral Research, 9(8), 1137-1141. https://doi.org/10.1002/jbmr.5650090802

Kato, T., Terashima, T., Yamashita, T., Hatanaka, Y., Honda, A., & Umemura, Y. (2006). Effect of low-repetition jump training on bone mineral density in young women. Journal of Applied Physiology, 100(3), 839-843. https://doi.org/10.1152/japplphysiol.00666.2005

Kilpatrick, M., Foster, C., Robertson, R., & Green, M. (2020). Scientific rationale for RPE use in fitness assessment and exercise participation. ACSM's Health & Fitness Journal, 24(4), 24-30. https://doi.org/10.1249/FIT.0000000000000587

Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155-163. https://doi.org/10.1016/j.jcm.2016.02.012

Kraemer, W. J., Nindl, B. C., Ratamess, N. A., Gotshalk, L. A., Volek, J. S., Fleck, S. J.,…Häkkinen, K. (2004). Changes in muscle hypertrophy in women with periodized resistance training. Medicine & Science in Sports & Exercise, 36(4), 697-708. https://doi.org/10.1249/01.mss.0000122734.25411.cf

Lambert, C., Beck, B. R., Harding, A. T., Watson, S. L., & Weeks, B. K. (2020). Regional changes in indices of bone strength of upper and lower limbs in response to high-intensity impact loading or high-intensity resistance training. Bone, 132, 115192. https://doi.org/10.1016/j.bone.2019.115192

Lanyon, L. E. (1987). Functional strain in bone tissue as an objective, and controlling stimulus for adaptive bone remodelling. Journal of Biomechanics, 20(11-12), 1083-1093. https://doi.org/10.1016/0021-9290(87)90026-1

Lanyon, L. E. (1996). Using functional loading to influence bone mass and architecture: objectives, mechanisms, and relationship with estrogen of the mechanically adaptive process in bone. Bone, 18(1), S37-S43. https://doi.org/10.1016/8756-3282(95)00378-9

Larsen, S., Kristiansen, E., & van den Tillaar, R. (2021). Effects of subjective and objective autoregulation methods for intensity and volume on enhancing maximal strength during resistance-training interventions: a systematic review. PeerJ, 9, e10663. https://doi.org/10.7717/peerj.10663

Lin, J. T., & Lane, J. M. (2004). Osteoporosis: a review. Clinical Orthopaedics and Related Research®, 425, 126-134. https://doi.org/10.1097/01.blo.0000132404.30139.f2

Martyn-St James, M., & Carroll, S. (2010). Effects of different impact exercise modalities on bone mineral density in premenopausal women: a meta-analysis. Journal of Bone and Mineral Metabolism, 28, 251-267. https://doi.org/10.1007/s00774-009-0139-6

McGraw, K. O., & Wong, S. P. (1996). Forming inferences about some intraclass correlation coefficients. Psychological Methods, 1(1), 30. https://doi.org/10.1037/1082-989X.1.1.30

Melton, r. L. J., Achenbach, S. J., Atkinson, E. J., Therneau, T. M., & Amin, S. (2013). Long-term mortality following fractures at different skeletal sites: a population-based cohort study. Osteoporosis International, 24, 1689-1696. https://doi.org/10.1007/s00198-012-2225-1

O'Connor, J. A., Lanyon, L. E., & MacFie, H. (1982). The influence of strain rate on adaptive bone remodelling. Journal of Biomechanics, 15(10), 767-781. https://doi.org/10.1016/0021-9290(82)90092-6

Ryan, C., Clissold, T. L., & Winwood, P. W. (2021a). The Quantification, Autoregulation and Reliability of the Stomp as an Osteogenic Exercise. Sports Injuries and Medicine, 5, 168.

Ryan, C., Clissold, T. L., & Winwood, P. W. (2021b). The Osteogenic Quantification and Reliability of the Heel Drop and Press up Drop. International Journal of Science Technology and Society, 9(6), 294.

Salari, N., Ghasemi, H., Mohammadi, L., Behzadi, M. H., Rabieenia, E., Shohaimi, S., & Mohammadi, M. (2021). The global prevalence of osteoporosis in the world: a comprehensive systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research, 16, 1-20. https://doi.org/10.1186/s13018-021-02772-0

Sousa, F., Ishikawa, M., Vilas-Boas, J. P., & Komi, P. V. (2007). Intensity-and muscle-specific fascicle behavior during human drop jumps. Journal of Applied Physiology, 102(1), 382-389. https://doi.org/10.1152/japplphysiol.00274.2006

Sözen, T., Özışık, L., & Başaran, N. Ç. (2017). An overview and management of osteoporosis. European Journal of Rheumatology, 4(1), 46. https://doi.org/10.5152/eurjrheum.2016.048

Trutschnigg, B., Chong, C., Habermayerova, L., Karelis, A. D., & Komorowski, J. (2008). Female boxers have high bone mineral density despite low body fat mass, high energy expenditure, and a high incidence of oligomenorrhea. Applied Physiology, Nutrition, and Metabolism, 33(5), 863-869. https://doi.org/10.1139/H08-071

Tucker, L. A., Strong, J. E., LeCheminant, J. D., & Bailey, B. W. (2015). Effect of two jumping programs on hip bone mineral density in premenopausal women: a randomized controlled trial. American Journal of Health Promotion, 29(3), 158-164. https://doi.org/10.4278/ajhp.130430-QUAN-200

Turner, C. H., & Robling, A. G. (2003). Designing exercise regimens to increase bone strength. Exercise and Sport Sciences Reviews, 31(1), 45-50. https://doi.org/10.1097/00003677-200301000-00009

Turner, C. H., & Robling, A. G. (2004). Mechanical loading and bone formation. International Bone and Mineral Society BoneKEy, 1, 15.

Xiao, P. L., Cui, A. Y., Hsu, C. J., Peng, R., Jiang, N., Xu, X. H.,…Lu, H. D. (2022). Global, regional prevalence, and risk factors of osteoporosis according to the World Health Organization diagnostic criteria: a systematic review and meta-analysis. Osteoporosis International, 33(10), 2137-2153. https://doi.org/10.1007/s00198-022-06454-3

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Published

2024-12-30

How to Cite

Winwood, P., McAdams, L., Mitchell, C., Cronin, J. ., & Clissold, T. (2024). Osteogenic Quantification, Autoregulation and Reliability of the Modified Push Up Drop Exercise in Premenopausal Women: Osteogenic Quantification of the Modified Push Up Drop. The Health & Fitness Journal of Canada, 17(4), 16–32. https://doi.org/10.14288/hfjc.v17i4.854

Issue

Vol. 17 No. 4 (2024)

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ARTICLES

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Copyright (c) 2024 Paul W. Winwood, Leon E. McAdams, Courtney J. Mitchell, John B. Cronin, Tracey L. Clissold

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