Exercise for the prevention of osteoporosis in postmenopausal women: an evidence-based guide to the optimal prescription.
Bone Mineral Density
Exercise
Fracture
Osteoporosis
Physical Therapy
Postmenopausal Women
Journal
Brazilian journal of physical therapy
ISSN: 1809-9246
Titre abrégé: Braz J Phys Ther
Pays: Brazil
ID NLM: 101615124
Informations de publication
Date de publication:
Historique:
received:
09
08
2018
revised:
07
11
2018
accepted:
08
11
2018
pubmed:
7
12
2018
medline:
26
7
2019
entrez:
4
12
2018
Statut:
ppublish
Résumé
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. 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.
Sections du résumé
BACKGROUND
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
OBJECTIVE
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.
Identifiants
pubmed: 30503353
pii: S1413-3555(18)30632-4
doi: 10.1016/j.bjpt.2018.11.011
pmc: PMC6429007
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
170-180Informations de copyright
Copyright © 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.
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