Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis

Beck, Belinda R., Daly, Robin M., Singh, Maria A. Fiatarone and Taaffe, Dennis R. (2017) Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis. Journal of Science and Medicine in Sport, 20 5: 438-445. doi:10.1016/j.jsams.2016.10.001


Author Beck, Belinda R.
Daly, Robin M.
Singh, Maria A. Fiatarone
Taaffe, Dennis R.
Title Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis
Journal name Journal of Science and Medicine in Sport   Check publisher's open access policy
ISSN 1878-1861
1440-2440
Publication date 2017-05-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jsams.2016.10.001
Open Access Status Not yet assessed
Volume 20
Issue 5
Start page 438
End page 445
Total pages 8
Place of publication Chatswood, NSW, Australia
Publisher Elsevier
Collection year 2018
Language eng
Formatted abstract
Objectives: Osteoporotic fractures are associated with substantial morbidity and mortality. Although exercise has long been recommended for the prevention and management of osteoporosis, existing guidelines are often non-specific and do not account for individual differences in bone health, fracture risk and functional capacity. The aim of the current position statement is to provide health practitioners with specific, evidence-based guidelines for safe and effective exercise prescription for the prevention or management of osteoporosis, accommodating a range of potential comorbidities.

Design: Position statement.

Methods: Interpretation and application of research reports describing the effects of exercise interventions for the prevention and management of low bone mass, osteoporosis and osteoporotic fracture.

Results: Evidence from animal and human trials indicates that bone responds positively to impact activities and high intensity progressive resistance training. Furthermore, the optimisation of muscle strength, balance and mobility minimises the risk of falls (and thereby fracture), which is particularly relevant for individuals with limited functional capacity and/or a very high risk of osteoporotic fracture. It is important that all exercise programs be accompanied by sufficient calcium and vitamin D, and address issues of comorbidity and safety. For example, loaded spine flexion is not recommended, and impact activities may require modification in the presence of osteoarthritis or frailty.

Conclusions: Specific guidelines for safe and effective exercise for bone health are presented. Individual exercise prescription must take into account existing bone health status, co-morbidities, and functional or clinical risk factors for falls and fracture.
Keyword Ageing
Balance
Bone
Exercise guidelines
Falls
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Human Movement and Nutrition Sciences Publications
 
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