The effect of online resistance training along with educational text messages based on the health belief model on bone health and preventive behaviors of osteoporosis in postmenopausal women with osteopenia

The closure of sports centers during the Covid-19 pandemic exposed women to osteoporosis. The aim of the present study was the effectiveness of 24 weeks of resistance exercises with online supervision along with educational text messages on bone health indicators and preventive behaviors of osteoporosis in postmenopausal women with osteopenia during the Corona era. In this clinical trial, 20 postmenopausal women with osteopenia with an average age (52±3.46) performed a bone density test using a DXA device and completed the health belief pattern questionnaire. Then they were randomly divided into two groups of 10 people. The experimental group did resistance exercises online for 6 months and received educational text messages based on the health belief model, and the control group returned to their normal lives without intervention. The results of the research showed that during 6 months of resistance training of the experimental group, there was a significant increase in the mineral density of the femur and lumbar vertebrae, the mineral content of the femur and lumbar vertebrae, the T score of the femur and lumbar vertebrae, and the Z score of the femur and lumbar vertebrae. Lumbar vertebrae compared to the control group (p<0.005). Educational text messages increased the average scores in the structure of perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, and self-efficacy in the experimental group (p<0.05). Considering the effectiveness of resistance exercises and educational text messages on bone index and preventive behaviors of osteoporosis, this type of intervention is an effective strategy for preventing osteoporosis in women prone to this disease.