Exercise in Osteoporosis PreventionDeborah Greenberg, MD Literature reviewed April 17, 2006. Updated October 17, 2008
Click an answer under each question.
What is the quality of evidence linking exercise to osteoporosis prevention and treatment?
- Option A Multiple randomized controlled trials show that exercise reduces risk for initial and subsequent osteoporotic fractures
- Option B A few small randomized and non-randomized controlled trials suggest that exercise increases bone mineral density (BMD)
- Option C A few, small randomized trials show that load-bearing exercise in women with osteoporosis reduces the risk for subsequent fracture
How many risk factors does this patient have for osteoporosis?
Will the initiation of an exercise program now help this patient prevent a hip fracture later in life?
What type of exercise program should you recommend for this patient?
The patient has 9-year-old and 15-year-old daughters. Like their mother, they are sedentary. Would the initiation of a lifelong exercise program help them prevent osteoporosis?
The patient's 85-year-old grandmother comes to see you regarding osteoporosis. She has no history of fracture. She does have some balance problems due to diabetic neuropathy. Her DXA shows a T-score of -1.2 at the femoral neck. She is sedentary. Should you recommend an exercise program?
- Option A Yes. You should recommend a program of resistance training, light-intensity high-impact aerobics, and flexibility training under the supervision of a physical therapist.
- Option B No. Exercise has no benefit in the very old and may lead to injuries.
- Option C Yes. You should recommend weight lifting 2 to 3 days per week.