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21-06-2018 | Osteoporosis | Review | Article

Physical Activity for Fall and Fracture Prevention

Journal: Current Treatment Options in Rheumatology

Authors: Matteo Ponzano, MSc, Isabel B. Rodrigues, MSc, Lora M. Giangregorio, PhD

Publisher: Springer International Publishing

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Abstract

Purpose of review

The aim of this review is to provide healthcare professionals with evidence-based physical activity recommendations, and tips for implementing them in practice.

Recent findings

Individuals with osteoporosis should engage in a multicomponent exercise program that includes twice-weekly resistance training, balance exercises, and 150 min per week of moderate to vigorous intensity aerobic physical activity. There is strong evidence that exercise programs that include challenging balance exercises and include at least 3 h a week of exercise can prevent falls. Resistance training is encouraged to increase muscle strength and prevent bone loss.

Summary

Because of the strong evidence supporting challenging balance exercises for fall prevention, and multicomponent exercise programs that include resistance training for prevention of bone loss, aerobic physical activity should not be recommended to the exclusion of resistance and balance exercises. Examples and tips are provided to support exercise counseling.
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