McMillan Lachlan B, Zengin Ayse, Ebeling Peter R, Scott David
School of Clinical Sciences at Monash Health, Monash Medical Centre, Monash University, Clayton, VIC 3168, Australia.
Department of Medicine, Melbourne Medical School (Western Campus), The University of Melbourne, St Albans, Melbourne, VIC 3021, Australia.
Healthcare (Basel). 2017 Nov 6;5(4):85. doi: 10.3390/healthcare5040085.
Osteoporosis is an age-related disease, characterised by low bone mineral density (BMD) and compromised bone geometry and microarchitecture, leading to reduced bone strength. Physical activity (PA) has potential as a therapy for osteoporosis, yet different modalities of PA have varying influences on bone health. This review explores current evidence for the benefits of PA, and targeted exercise regimes for the prevention and treatment of osteoporosis in older adults. In particular, the outcomes of interventions involving resistance training, low- and high-impact weight bearing activities, and whole-body vibration therapy are discussed. Finally, we present recommendations for future research that may maximise the potential of exercise in primary and secondary prevention of osteoporosis in the ageing population.
骨质疏松症是一种与年龄相关的疾病,其特征是骨矿物质密度(BMD)低、骨几何结构和微结构受损,导致骨强度降低。体育活动(PA)有作为骨质疏松症治疗方法的潜力,然而不同形式的体育活动对骨骼健康有不同影响。本综述探讨了体育活动益处的现有证据,以及针对老年人预防和治疗骨质疏松症的有针对性的运动方案。特别是,讨论了涉及抗阻训练、低冲击和高冲击负重活动以及全身振动疗法的干预结果。最后,我们提出了未来研究的建议,这些研究可能会最大限度地发挥运动在老年人群原发性和继发性骨质疏松症预防中的潜力。