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Position Statement: Exercise Guidelines for Osteoporosis Management and Fall Prevention in Osteoporosis Patients
Seongryu Bae1, Seungyong Lee2, Hyuntae Park3
1Department of Health Care and Science, Dong-A University, Busan, Korea.
Journal of Bone Metabolism
|July 14, 2023
Summary
Resistance and impact exercises are effective for improving bone strength and reducing falls in osteoporosis patients. These exercises, combined with individualized plans, can significantly lower osteoporosis risks and mortality.
Area of Science:
- Bone health and physical rehabilitation
- Geriatric medicine and exercise science
Background:
- Effectiveness of exercise for osteoporosis and fall prevention requires comprehensive summarization.
- Development of evidence-based exercise guidelines for osteoporosis and osteopenia patients.
Purpose of the Study:
- To systematically review and synthesize evidence on exercise interventions for osteoporosis and osteopenia.
- To provide evidence-based recommendations for exercise in managing osteoporosis and osteopenia.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) from January 2000 to August 2022.
- Searched databases: PubMed, Embase, KoreaMed, and RISS.
- Focused on resistance, impact, balance, and aerobic training effects on bone quality, physical performance, quality of life, and fall prevention.
Main Results:
- Resistance and impact training significantly improved bone strength, body strength, and balance, reducing fall incidence.
- Recommended resistance exercise: 3-10 types, 50-85% 1RM, 5-12 reps/set, 2-3 days/week, 3-12 months.
- Recommended impact exercise: Jumping chin-ups, jump rope (50 jumps/session), ≥3 days/week for ≥6 months.
Conclusions:
- Multi-component exercise, primarily resistance and impact training, effectively reduces osteoporosis and osteopenia risk factors.
- Integrating exercise guidelines and personalized plans can decrease osteoporosis morbidity and mortality.
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