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Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients
BACKGROUND: The effectiveness of exercise for improving osteoporosis and fall prevention in patients diagnosed with osteoporosis or osteopenia has not been fully summarized. The Korean Society for Bone and Mineral Research and the Korean Society of Exercise Physiology has developed exercise guidelin...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society for Bone and Mineral Research
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345999/ https://www.ncbi.nlm.nih.gov/pubmed/37449348 http://dx.doi.org/10.11005/jbm.2023.30.2.149 |
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author | Bae, Seongryu Lee, Seungyong Park, Hyuntae Ju, Yongin Min, Seok-Ki Cho, Jinkyung Kim, Hyojin Ha, Yong-Chan Rhee, Yumie Kim, Young-Pyo Kim, Changsun |
author_facet | Bae, Seongryu Lee, Seungyong Park, Hyuntae Ju, Yongin Min, Seok-Ki Cho, Jinkyung Kim, Hyojin Ha, Yong-Chan Rhee, Yumie Kim, Young-Pyo Kim, Changsun |
author_sort | Bae, Seongryu |
collection | PubMed |
description | BACKGROUND: The effectiveness of exercise for improving osteoporosis and fall prevention in patients diagnosed with osteoporosis or osteopenia has not been fully summarized. The Korean Society for Bone and Mineral Research and the Korean Society of Exercise Physiology has developed exercise guidelines for patients with osteoporosis or osteopenia and provide evidence-based recommendations. METHODS: A systematic review identified randomized controlled trials (RCT) assessing the effect of resistance, impact, balance, aerobic training, and physical activity in osteoporosis and osteopenia on bone quality, physical performance, quality of life, and fall prevention. PubMed, Embase, KoreaMed, and RISS were searched from January 2000 to August 2022. Ten key questions were established to review the evidence and formulate recommendations. RESULTS: The 50 RCTs reported that even with osteoporosis and osteopenia, resistance and impact training consistently maximized bone strength, improved body strength and balance, and eventually reduced fall incidences. Resistance exercise combining 3 to 10 types of free weight and mechanical exercise of major muscle groups performed with an intensity of 50% to 85% 1-repetition maximum, 5 to 12 repetitions/set, 2 to 3 days/week, for 3 to 12 months is recommended. Impact exercises such as jumping chin-ups with drop landings and jump rope performed 50 jumps/session for at least 6 months with 3 or more days/week are recommended. CONCLUSIONS: A multi-component exercise mainly comprised of resistance and impact exercise seems to be an effective strategy to attenuate the risk factors of osteoporosis and osteopenia. The integration of exercise guidelines and individualized exercise plans has significant potential to reduce the morbidity and mortality of osteoporosis. |
format | Online Article Text |
id | pubmed-10345999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Society for Bone and Mineral Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-103459992023-07-15 Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients Bae, Seongryu Lee, Seungyong Park, Hyuntae Ju, Yongin Min, Seok-Ki Cho, Jinkyung Kim, Hyojin Ha, Yong-Chan Rhee, Yumie Kim, Young-Pyo Kim, Changsun J Bone Metab Original Article BACKGROUND: The effectiveness of exercise for improving osteoporosis and fall prevention in patients diagnosed with osteoporosis or osteopenia has not been fully summarized. The Korean Society for Bone and Mineral Research and the Korean Society of Exercise Physiology has developed exercise guidelines for patients with osteoporosis or osteopenia and provide evidence-based recommendations. METHODS: A systematic review identified randomized controlled trials (RCT) assessing the effect of resistance, impact, balance, aerobic training, and physical activity in osteoporosis and osteopenia on bone quality, physical performance, quality of life, and fall prevention. PubMed, Embase, KoreaMed, and RISS were searched from January 2000 to August 2022. Ten key questions were established to review the evidence and formulate recommendations. RESULTS: The 50 RCTs reported that even with osteoporosis and osteopenia, resistance and impact training consistently maximized bone strength, improved body strength and balance, and eventually reduced fall incidences. Resistance exercise combining 3 to 10 types of free weight and mechanical exercise of major muscle groups performed with an intensity of 50% to 85% 1-repetition maximum, 5 to 12 repetitions/set, 2 to 3 days/week, for 3 to 12 months is recommended. Impact exercises such as jumping chin-ups with drop landings and jump rope performed 50 jumps/session for at least 6 months with 3 or more days/week are recommended. CONCLUSIONS: A multi-component exercise mainly comprised of resistance and impact exercise seems to be an effective strategy to attenuate the risk factors of osteoporosis and osteopenia. The integration of exercise guidelines and individualized exercise plans has significant potential to reduce the morbidity and mortality of osteoporosis. The Korean Society for Bone and Mineral Research 2023-05 2023-05-31 /pmc/articles/PMC10345999/ /pubmed/37449348 http://dx.doi.org/10.11005/jbm.2023.30.2.149 Text en Copyright © 2023 The Korean Society for Bone and Mineral Research https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Bae, Seongryu Lee, Seungyong Park, Hyuntae Ju, Yongin Min, Seok-Ki Cho, Jinkyung Kim, Hyojin Ha, Yong-Chan Rhee, Yumie Kim, Young-Pyo Kim, Changsun Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients |
title | Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients |
title_full | Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients |
title_fullStr | Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients |
title_full_unstemmed | Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients |
title_short | Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients |
title_sort | position statement: exercise guidelines for osteoporosis management and fall prevention in osteoporosis patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345999/ https://www.ncbi.nlm.nih.gov/pubmed/37449348 http://dx.doi.org/10.11005/jbm.2023.30.2.149 |
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