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Exercise for the prevention of osteoporosis in postmenopausal women: an evidence-based guide to the optimal prescription

Published on Mar 1, 2019in Revista Brasileira De Fisioterapia
· DOI :10.1016/j.bjpt.2018.11.011
Robin M. Daly39
Estimated H-index: 39
(Deakin University),
Jack Dalla Via1
Estimated H-index: 1
(Deakin University)
+ 2 AuthorsEva Wulff Helge12
Estimated H-index: 12
(UCPH: University of Copenhagen)
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Abstract
Abstract Background Osteoporosis and related fragility fractures are a global public health problem in which pharmaceutical agents targeting bone mineral density (BMD) are the first line of treatment. However, pharmaceuticals have no effect on improving other key fracture risk factors, including low muscle strength, power and functional capacity, all of which are associated with an increased risk for falls and fracture, independent of BMD. Targeted exercise training is the only strategy that can simultaneously improve multiple skeletal and fall-related risk factors, but it must be appropriately prescribed and tailored to the desired outcome(s) and the specified target group. Objectives In this review, we provide an overview of the general principles of training and specific loading characteristics underlying current exercise guidelines for the prevention of osteoporosis, and an update on the latest scientific evidence with regard to the type and dose of exercise shown to positively influence bone mass, structure and strength and reduce fracture risk in postmenopausal women.
  • References (90)
  • Citations (1)
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References90
Newest
Published on Jun 22, 2018in British Journal of Sports Medicine11.64
Alessio Bricca2
Estimated H-index: 2
,
Carsten Bogh Juhl15
Estimated H-index: 15
(UCPH: University of Copenhagen)
+ 2 AuthorsEwa M. Roos63
Estimated H-index: 63
Objective To investigate the impact of knee joint loading exercise on articular cartilage in people at risk of, or with established, knee osteoarthritis (OA) by conducting a systematic review of randomised controlled trials (RCTs). Design We followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Data sources We performed a literature search with no restriction on publication year or language in MEDLINE, EMBASE, CINAHL, the Cochrane Central Register of Control...
Published on Nov 1, 2018in Journal of Bone and Mineral Research5.71
Mariana Elizabeth Kersh7
Estimated H-index: 7
(Urbana University),
Saulo Martelli14
Estimated H-index: 14
+ 2 AuthorsMarcus G. Pandy57
Estimated H-index: 57
Published on Apr 4, 2018in PLOS ONE2.78
Pim Pellikaan2
Estimated H-index: 2
,
Georgios Giarmatzis2
Estimated H-index: 2
+ 2 AuthorsIlse Jonkers19
Estimated H-index: 19
Published on Feb 1, 2018in Journal of Bone and Mineral Research5.71
Steven L Watson3
Estimated H-index: 3
,
Benjamin Kurt Weeks12
Estimated H-index: 12
+ 3 AuthorsBelinda Ruth Beck19
Estimated H-index: 19
Optimal osteogenic mechanical loading requires the application of high-magnitude strains at high rates. High-intensity resistance and impact training (HiRIT) applies such loads but is not traditionally recommended for individuals with osteoporosis because of a perceived high risk of fracture. The purpose of the LIFTMOR trial was to determine the efficacy and to monitor adverse events of HiRIT to reduce parameters of risk for fracture in postmenopausal women with low bone mass. Postmenopausal wom...
Published on Dec 1, 2017in BMJ Open2.38
Ditte Beck Jepsen3
Estimated H-index: 3
,
Katja Thomsen3
Estimated H-index: 3
+ 3 AuthorsJesper Ryg9
Estimated H-index: 9
Objective To investigate the effect of whole-body vibration exercise (WBV) on fracture risk in adults ≥50 years of age. Design A systematic review and meta-analysis calculating relative risk ratios, fall rate ratio and absolute weighted mean difference using random effects models. Heterogeneity was estimated using I 2 statistics, and the Cochrane Collaboration’s risk of bias tool and the GRADE approach were used to evaluate quality of evidence and summarise conclusions. Data sources The database...
Published on Dec 1, 2017in British Journal of Sports Medicine11.64
Catherine Sherrington52
Estimated H-index: 52
(The George Institute for Global Health),
Zoe A Michaleff10
Estimated H-index: 10
(Arthritis Research UK)
+ 7 AuthorsStephen R. Lord92
Estimated H-index: 92
(UNSW: University of New South Wales)
Objective Previous meta-analyses have found that exercise prevents falls in older people. This study aimed to test whether this effect is still present when new trials are added, and it explores whether characteristics of the trial design, sample or intervention are associated with greater fall prevention effects. Design Update of a systematic review with random effects meta-analysis and meta-regression. Data sources Cochrane Library, CINAHL, MEDLINE, EMBASE, PubMed, PEDro and SafetyLit were sea...
Published on May 1, 2017in Journal of Science and Medicine in Sport3.62
Belinda Ruth Beck19
Estimated H-index: 19
(Griffith University),
Robin M. Daly39
Estimated H-index: 39
(Deakin University)
+ 1 AuthorsDennis Taafe50
Estimated H-index: 50
(ECU: Edith Cowan University)
Abstract Objectives Osteoporotic fractures are associated with substantial morbidity and mortality. Although exercise has long been recommended for the prevention and management of osteoporosis, existing guidelines are often non-specific and do not account for individual differences in bone health, fracture risk and functional capacity. The aim of the current position statement is to provide health practitioners with specific, evidence-based guidelines for safe and effective exercise prescriptio...
Published on Apr 1, 2017in British Journal of Sports Medicine11.64
Yoshiro Okubo3
Estimated H-index: 3
(UNSW: University of New South Wales),
Daniel Schoene18
Estimated H-index: 18
(FAU: University of Erlangen-Nuremberg),
Stephen R. Lord92
Estimated H-index: 92
(UNSW: University of New South Wales)
Objective To examine the effects of stepping interventions on fall risk factors and fall incidence in older people. Data source Electronic databases (PubMed, EMBASE, CINAHL, Cochrane, CENTRAL) and reference lists of included articles from inception to March 2015. Study selection Randomised (RCT) or clinical controlled trials (CCT) of volitional and reactive stepping interventions that included older (minimum age 60) people providing data on falls or fall risk factors. Results Meta-analyses of se...
Cited By1
Newest
Bolaji Lilian Ilesanmi-Oyelere1
Estimated H-index: 1
,
Nicole C. Roy23
Estimated H-index: 23
+ 1 AuthorsMarlena C. Kruger26
Estimated H-index: 26
Physical activity plays an important role in the maintenance of bone health from childhood through adulthood. This study aimed to explore the associations between self-reported physical activity (PA), activity energy expenditure (AEE), heel ultrasound parameters and bone health measures among older adult women. The AEE was estimated from the responses of questionnaires for 125 older adult women aged 54–81 years. The bone parameters were measured by dual energy x-ray absorptiometry (DXA) and heel...