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[骨质疏松症的运动疗法与基础治疗]

[Exercise therapy and basic treatment for osteoporosis].

作者信息

Maus Uwe

机构信息

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

出版信息

Orthopadie (Heidelb). 2023 Oct;52(10):793-798. doi: 10.1007/s00132-023-04432-z. Epub 2023 Sep 1.

DOI:10.1007/s00132-023-04432-z
PMID:37658239
Abstract

Physical training is an important component in the prophylaxis of osteoporosis and the prevention of fractures. Physical training not only has a direct effect on muscle strength and muscular performance, but also on the risk of falling and the fear of falling. Therefore, physical training is also an integral part of the basic treatment for osteoporosis. The recommendations for basic treatment are an adequate intake of nutrients, including protein in particular. The intake of calcium and vitamin D in sufficient quantities is also important and, in the case of specific drug therapy, also to avoid side effects and to ensure the therapeutic effect. This article summarizes the recommendations of the updated S3 guideline on the diagnosis and treatment of osteoporosis and explains the background for the recommendations included.

摘要

体育锻炼是预防骨质疏松症和预防骨折的重要组成部分。体育锻炼不仅对肌肉力量和肌肉功能有直接影响,而且对跌倒风险和跌倒恐惧也有影响。因此,体育锻炼也是骨质疏松症基础治疗的一个组成部分。基础治疗的建议包括充足的营养摄入,特别是蛋白质的摄入。充足的钙和维生素D摄入也很重要,在进行特定药物治疗时,还能避免副作用并确保治疗效果。本文总结了更新后的S3骨质疏松症诊断和治疗指南的建议,并解释了其中所包含建议的背景。

相似文献

1
[Exercise therapy and basic treatment for osteoporosis].[骨质疏松症的运动疗法与基础治疗]
Orthopadie (Heidelb). 2023 Oct;52(10):793-798. doi: 10.1007/s00132-023-04432-z. Epub 2023 Sep 1.
2
Osteoporosis: new hope for the future.骨质疏松症:未来的新希望。
Int J Fertil Womens Med. 1997 Jul-Aug;42(4):245-54.
3
Summary of AHRQ's comparative effectiveness review of treatment to prevent fractures in men and women with low bone density or osteoporosis: update of the 2007 report.美国医疗保健研究与质量局(AHRQ)对低骨密度或骨质疏松症男性和女性预防骨折治疗的比较效果评价总结:2007年报告更新版
J Manag Care Pharm. 2012 May;18(4 Suppl B):S1-15; discussion S13. doi: 10.18553/jmcp.2012.18.s4-b.1.
4
The role of dietary protein and vitamin D in maintaining musculoskeletal health in postmenopausal women: a consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO).膳食蛋白质和维生素D在维持绝经后女性肌肉骨骼健康中的作用:来自欧洲骨质疏松症与骨关节炎临床与经济学会(ESCEO)的共识声明
Maturitas. 2014 Sep;79(1):122-32. doi: 10.1016/j.maturitas.2014.07.005. Epub 2014 Jul 17.
5
6
Calcium and vitamin D nutrition and bone disease of the elderly.老年人的钙和维生素D营养与骨病
Public Health Nutr. 2001 Apr;4(2B):547-59. doi: 10.1079/phn2001140.
7
Osteoporosis Clinical Guideline. South African Medical Association--Osteoporosis Working Group.骨质疏松症临床指南。南非医学协会——骨质疏松症工作组。
S Afr Med J. 2000 Sep;90(9 Pt 2):907-44.
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Physical activity in the prevention and amelioration of osteoporosis in women : interaction of mechanical, hormonal and dietary factors.体育活动在预防和改善女性骨质疏松症中的作用:机械、激素和饮食因素的相互作用
Sports Med. 2005;35(9):779-830. doi: 10.2165/00007256-200535090-00004.
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[Diagnosis and treatment of osteoporosis in patients with chronic kidney disease : Joint guidelines of the Austrian Society for Bone and Mineral Research (ÖGKM), the Austrian Society of Physical and Rehabilitation Medicine (ÖGPMR) and the Austrian Society of Nephrology (ÖGN)].慢性肾脏病患者骨质疏松症的诊断与治疗:奥地利骨与矿物质研究学会(ÖGKM)、奥地利物理与康复医学学会(ÖGPMR)及奥地利肾脏病学会(ÖGN)联合指南
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Prevention and management of osteoporosis: consensus statements from the Scientific Advisory Board of the Osteoporosis Society of Canada. 5. Physical activity as therapy for osteoporosis.骨质疏松症的预防与管理:加拿大骨质疏松症协会科学咨询委员会的共识声明。5. 体育活动作为骨质疏松症的治疗方法。
CMAJ. 1996 Oct 1;155(7):940-4.

本文引用的文献

1
Causal Association Between Tea Consumption and Bone Health: A Mendelian Randomization Study.饮茶与骨骼健康之间的因果关联:一项孟德尔随机化研究。
Front Nutr. 2022 Apr 26;9:872451. doi: 10.3389/fnut.2022.872451. eCollection 2022.
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The clinician's guide to prevention and treatment of osteoporosis.临床医生骨质疏松症防治指南。
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Effect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care: cluster randomised controlled trial.
膳食钙和蛋白质来源对老年人居住护理中髋部骨折和跌倒的影响: 集群随机对照试验。
BMJ. 2021 Oct 20;375:n2364. doi: 10.1136/bmj.n2364.
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Osteoporos Int. 2020 Nov;31(11):2269-2270. doi: 10.1007/s00198-020-05586-8.
9
Effects of Different Types of Exercise on Bone Mineral Density in Postmenopausal Women: A Systematic Review and Meta-analysis.不同类型运动对绝经后妇女骨密度的影响:系统评价和荟萃分析。
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10
Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters.动态抗阻运动对绝经后妇女骨密度的影响:系统评价和荟萃分析,特别强调运动参数。
Osteoporos Int. 2020 Aug;31(8):1427-1444. doi: 10.1007/s00198-020-05441-w. Epub 2020 May 12.