<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20221231056996N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-06-29</date_registration>
      <primary_sponsor>Islamic Azad University</primary_sponsor>
      <public_title>The Effects of Nordic Walking and Resistance Training on Balance and Functional Performance in Postmenopausal Women with Osteoporosis</public_title>
      <acronym></acronym>
      <scientific_title>The Effects of Nordic Walking and Resistance Training on Balance and Functional Performance in Postmenopausal Women with Osteoporosis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>39</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/91230</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this three-group study, after confirming the eligibility criteria, participants will be randomly assigned to three groups (two experimental groups and one control group) using simple randomization with an online random number generation software (such as Random Allocation Software or Sealed Envelope). To ensure allocation concealment, the randomization results will be placed in opaque, sealed envelopes, and until the intervention begins, neither the researcher nor the participants will be aware of the group assignments.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Osteoporosis.</hc_freetext>
      <i_freetext>Intervention 1: Nordic Walking Intervention Group: Participants in this group will perform Nordic walking exercises using specialized walking poles. This exercise includes coordination of arm and leg movements, maintaining proper body posture, and walking at moderate intensity, accompanied by warm-up and cool-down sessions. This group will perform Nordic walking training for 8 weeks, 3 sessions per week, with each session lasting 45 to 60 minutes. Intervention 2: Resistance Training Intervention Group: Participants in this group will perform strength training exercises using weights, resistance bands, and body weight. The exercises include strengthening the lower, upper, and core body muscles, such as squats, calf exercises, and exercises for the hips, arms, and shoulders. This group will perform resistance training for 8 weeks, 3 sessions per week. Each session will last 45 to 60 minutes. The exercise intensity will be approximately 50 to 70% of one-repetition maximum (1RM). Intervention 3: Control group: Participants in this group will not receive any exercise program and will continue their usual daily activities throughout the study period.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Data information will be published only in the form of articles and statistical results.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammadreza Seyedi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.3, 5th  Mir-Emad, Motahari St.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3166613903</zip>
        <telephone>+98 21 8874 7884</telephone>
        <email>seyedi@ssrc.ac.ir</email>
        <affiliation>Sport Sciences Research Institute</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammadreza Seyedi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.3, 5th  Mir-Emad, Motahari St.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3166613903</zip>
        <telephone>+98 21 8874 7884</telephone>
        <email>seyedi@ssrc.ac.ir</email>
        <affiliation>Sport Sciences Research Institute</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age range: 45 to 60 years old
Being menopausal (at least 12 months without menstruation)
Having osteoporosis (based on a DEXA T-score of less than −2.5 and confirmed by a specialist physician)
Ability to perform exercises and participate in training sessions
Participants referring to healthcare centers in the cities of Tehran and Karaj</inclusion_criteria>
      <agemin>45 years</agemin>
      <agemax>60 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Not missing more than 3 training sessions
Occurrence of severe pain, injury, or medical complications during exercise
Initiation of a new treatment or medication affecting bone during the study
Having diseases or medical conditions that prevent continuation of the exercise program</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Nordic Walking Intervention Group: Participants in this group will perform Nordic walking exercises using specialized walking poles. This exercise includes coordination of arm and leg movements, maintaining proper body posture, and walking at moderate intensity, accompanied by warm-up and cool-down sessions. This group will perform Nordic walking training for 8 weeks, 3 sessions per week, with each session lasting 45 to 60 minutes.</i_keyword>
      <i_keyword>Resistance Training Intervention Group: Participants in this group will perform strength training exercises using weights, resistance bands, and body weight. The exercises include strengthening the lower, upper, and core body muscles, such as squats, calf exercises, and exercises for the hips, arms, and shoulders. This group will perform resistance training for 8 weeks, 3 sessions per week. Each session will last 45 to 60 minutes. The exercise intensity will be approximately 50 to 70% of one-repetition maximum (1RM).</i_keyword>
      <i_keyword>Control group: Participants in this group will not receive any exercise program and will continue their usual daily activities throughout the study period.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Static Balance. Timepoint: pre and post test evaluation. Method of measurement: Romberg Test.</prim_outcome>
      <prim_outcome>Dynamic Balance. Timepoint: pre and post test evaluation. Method of measurement: Timed Up and Go Test (TUG).</prim_outcome>
      <prim_outcome>Physical Performance:. Timepoint: pre and post test evaluation. Method of measurement: Senior Fitness Tests.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Islamic Azad University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-05-20</approval_date>
        <contact_name>Research Ethics Committee of the Sport Sciences Research Institute</contact_name>
        <contact_address>Motahhari st. MirEmad 5th Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
