Effectiveness of Exercise Loading on Bone Mineral Density and Quality of Life Among People Diagnosed with Osteoporosis, Osteopenia, and at Risk of Osteoporosis-A Systematic Review and Meta-Analysis.
Level 1 - systematic review of randomized trials
Systematic review and meta-analysis of randomized controlled trials
PubMed 40565855 · doi:10.3390/jcm14124109
What was done
Systematic review and meta-analysis searching multiple databases (including PubMed, Web of Science, Scopus, MEDLINE, CINAHL, and PEDro) to evaluate progressive exercise training (PET) in people diagnosed with osteoporosis, osteopenia, or at risk of osteoporosis. Twenty-four randomized controlled trials (RCTs) assessing diverse exercise modalities (resistance training, aerobic training, impact training, whole-body vibration, and tai chi; lasting 4 to 24 months, 2–5 sessions weekly) were included. Study quality was evaluated using the PEDro scale.
What was found
The abstract reports that PET showed favorable effects on bone mineral density (BMD) across the femoral neck, total hip, and lumbar spine across different age groups and sexes. Quality of life was assessed in a subset of trials via tools like SF-36, SOQLQ, and MENQOL. The abstract reports no numerical effect sizes, confidence intervals, p-values, or participant counts.
Why it matters
Synthesizes trial evidence showing that multi-modal progressive loading exercise supports bone density at critical skeletal sites in populations with compromised bone mass.
Limits
The abstract contains no quantitative effect estimates, heterogeneity measures, or participant totals. The included trials featured substantial clinical heterogeneity in exercise modality, frequency, and duration (ranging from 4 to 24 months).
Cited by
- supports Sedentary behavior accelerates bone loss, while placing bones under heavy loads stimulates bone growth.