The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients
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The authors reviewed the current literature to define the most appropriate features of exercise for increasing bone density in osteoporotic patients and found weight-bearing aerobic exercises alone did not appear to improve bone mass; however it is able to limit its progressive loss.Abstract:
Physical exercise is considered an effective means to stimulate bone osteogenesis in osteoporotic patients. The authors reviewed the current literature to define the most appropriate features of exercise for increasing bone density in osteoporotic patients. Two types emerged: (1) weight-bearing aerobic exercises, i.e., walking, stair climbing, jogging, and Tai Chi. Walking alone did not appear to improve bone mass; however it is able to limit its progressive loss. In fact, in order for the weight-bearing exercises to be effective, they must reach the mechanical intensity useful to determine an important ground reaction force. (2) Strength and resistance exercises: these are carried out with loading (lifting weights) or without (swimming, cycling). For this type of exercise to be effective a joint reaction force superior to common daily activity with sensitive muscle strengthening must be determined. These exercises appear extremely site-specific, able to increase muscle mass and BMD only in the stimulated body regions. Other suggested protocols are multicomponent exercises and whole body vibration. Multicomponent exercises consist of a combination of different methods (aerobics, strengthening, progressive resistance, balancing, and dancing) aimed at increasing or preserving bone mass. These exercises seem particularly indicated in deteriorating elderly patients, often not able to perform exercises of pure reinforcement. However, for these protocols to be effective they must always contain a proportion of strengthening and resistance exercises. Given the variability of the protocols and outcome measures, the results of these methods are difficult to quantify. Training with whole body vibration (WBV): these exercises are performed with dedicated devices, and while it seems they have effect on enhancing muscle strength, controversial findings on improvement of BMD were reported. WBV seems to provide good results, especially in improving balance and reducing the risk of falling; in this, WBV appears more efficient than simply walking. Nevertheless, contraindications typical of senility should be taken into account.read more
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References
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Journal ArticleDOI
Physical Activity and Public Health in Older Adults Recommendation From the American College of Sports Medicine and the American Heart Association
Miriam E. Nelson,W. Jack Rejeski,Steven N. Blair,Pamela W. Duncan,James O. Judge,Abby C. King,Carol A. Macera,Carmen Castaneda-Sceppa +7 more
TL;DR: The recommendation for older adults is similar to the updated ACSM/AHA recommendation for adults, but has several important differences including: the recommended intensity of aerobic activity takes into account the older adult's aerobic fitness; activities that maintain or increase flexibility are recommended; and balance exercises are recommended for Older adults at risk of falls.
Journal ArticleDOI
Exercise for preventing and treating osteoporosis in postmenopausal women
Tracey E. Howe,Beverley Shea,Lesley J. Dawson,Fiona Downie,Ann Murray,Craig Ross,Robin Harbour,Lynn M. Caldwell,Gisela Creed +8 more
TL;DR: Aerobics, weight bearing and resistance exercises are all effective in increasing the BMD of the spine in postmenopausal women and walking is also effective on the hip.
Journal ArticleDOI
Physical Activity and Bone Health
TL;DR: Evidence from multiple small randomized, controlled trials suggests that the following exercise prescription will augment bone mineral accrual in children and adolescents.