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

TY - JOUR

T1 - Exercise for the prevention of osteoporosis in postmenopausal women

T2 - an evidence-based guide to the optimal prescription

AU - Daly, Robin M

AU - Dalla Via, Jack

AU - Duckham, Rachel L

AU - Fraser, Steve F

AU - Helge, Eva Wulff

N1 - CURIS 2019 NEXS 107

PY - 2019/3/1

Y1 - 2019/3/1

N2 - 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.

AB - 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.

KW - Bone mineral density

KW - Exercise

KW - Fracture

KW - Osteoporosis

KW - Physical therapy

KW - Postmenopausal women

U2 - 10.1016/j.bjpt.2018.11.011

DO - 10.1016/j.bjpt.2018.11.011

M3 - Journal article

C2 - 30503353

AN - SCOPUS:85057251113

SN - 1413-3555

VL - 23

SP - 170

EP - 180

JO - Brazilian Journal of Physical Therapy

JF - Brazilian Journal of Physical Therapy

IS - 2

ER -