The DOI matches its Crossref record; 80 of the 80 references it cites were found in a registry or an index.
Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis
Open accessAbstract
Objectives Osteoporotic fractures are associated with substantial morbidity and mortality. Although exercise has long been recommended for the prevention and management of osteoporosis, existing guidelines are often non-specific and do not account for individual differences in bone health, fracture risk and functional capacity. The aim of the current position statement is to provide health practitioners with specific, evidence-based guidelines for safe and effective exercise prescription for the prevention or management of osteoporosis, accommodating a range of potential comorbidities.Design Position statement.Methods Interpretation and application of research reports describing the effects of exercise interventions for the prevention and management of low bone mass, osteoporosis and osteoporotic fracture.Results Evidence from animal and human trials indicates that bone responds positively to impact activities and high intensity progressive resistance training. Furthermore, the optimisation of muscle strength, balance and mobility minimises the risk of falls (and thereby fracture), which is particularly relevant for individuals with limited functional capacity and/or a very high risk of osteoporotic fracture. It is important that all exercise programs be accompanied by sufficient calcium and vitamin D, and address issues of comorbidity and safety. For example, loaded spine flexion is not recommended, and impact activities may require modification in the presence of osteoarthritis or frailty.Conclusions Specific guidelines for safe and effective exercise for bone health are presented. Individual exercise prescription must take into account existing bone health status, co-morbidities, and functional or clinical risk factors for falls and fracture.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“However, recent studies suggest optimal adaptations continue to accrue with high-intensity resistance and power training in older adults [309].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [309]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Interventions for preventing falls in older people living in the community
Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L., & Lamb, S. E. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007146.pub3 · Cited by 3,966
Marshall, D., Johnell, O., & Wedel, H. (1996) · BMJ · doi:10.1136/bmj.312.7041.1254 · Cited by 3,709
Pollock, M. L., Gaesser, G. A., Butcher, J. D., Despr??s, J.-P., Dishman, R. K., Franklin, B. A., & Garber, C. E. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199806000-00032 · Cited by 3,051
ASSESSMENT OF FRACTURE RISK AND ITS APPLICATION TO SCREENING FOR POSTMENOPAUSAL OSTEOPOROSIS
Alexeeva, L. P., Burkhardt, P., Christiansen, C., Cooper, C. C., Delmas, P. D., Johnell, O., Johnston, C. C., Kanis, J. A., Lips, P. T. A. M., Melton, L. J., et al. (1994) · Cited by 2,655
Regulation of bone formation by applied dynamic loads.
Rubin, C. T., & Lanyon, L. E. (1984) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-198466030-00012 · Cited by 1,550
Regulation of bone mass by mechanical strain magnitude
Rubin, C. T., & Lanyon, L. E. (1985) · Calcified Tissue International · doi:10.1007/bf02553711 · Cited by 1,297
Williams, M. A., Haskell, W. L., Ades, P. A., Amsterdam, E. A., Bittner, V., Franklin, B. A., Gulanick, M., Laing, S. T., & Stewart, K. J. (2007) · Circulation · doi:10.1161/circulationaha.107.185214 · Cited by 1,211
Exercise for preventing and treating osteoporosis in postmenopausal women
Howe, T. E., Shea, B., Dawson, L., Downie, F., Murray, A., Ross, C., Harbour, R., Caldwell, L. M., & Creed, G. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000333.pub2 · Cited by 1,090
Static vs dynamic loads as an influence on bone remodelling
Lanyon, L. E., & Rubin, C. T. (1984) · Journal of Biomechanics · doi:10.1016/0021-9290(84)90003-4 · Cited by 892
Sherrington, C., Tiedemann, A., Fairhall, N., Close, J., & Lord, S. R. (2011) · New South Wales Public Health Bulletin · doi:10.1071/nb10056 · Cited by 796
Flagged first, then by citations
Cited by
Sorted by citations
Items 301–362 of 362
The Beneficial Effects of Aerobic Exercise on Human Systems and Organs: A Literature Review
Koman, A. M., Chamera-Cyrek, K., Pliszka, M., Janik, I., Gadżała, K., Palacz, K. A., Kułak, K. B., & Sztybór, I. (2024) · Journal of Education Health and Sport · doi:10.12775/jehs.2024.73.51710 · Cited by 3
“It provides a non-pharmacological method of maintaining musculoskeletal health [59].”
MethodComparative Analysis of Vertebral Body and Local Infiltration Anesthesia in PVP ProceduresPreprint
Hossain, M., Sun, H. X., Baral, S., Yeasin, A., & Wang, Y. (2024) · Research Square · doi:10.21203/rs.3.rs-5341267/v1
Liu, Z., Tian, M., & Duan, L. (2025) · Osteoporosis International · doi:10.1007/s00198-024-07371-3
“For osteoporotic patients, balance and resistance training are particularly critical due to their well-documented benefits in enhancing bone strength and reducing fall risk [3].”
She, D., Zhang, Y., Gong, Y., Wang, Z., Wang, H., Yu, L., Huang, J., Suolang, D., Zhou, S., Wu, H., et al. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5159009
Alnasser, S. M., Nuhmani, S., Elsodany, A. M., & Muaidi, Q. I. (2025) · Electronic Journal of General Medicine · doi:10.29333/ejgm/16174
“PLP is adapted and modified based on exercise and sports science Australia ’ s position statement on exercise prescription for the prevention and management of osteoporosis [5, 25].”
Lee, J. K., Pande, K. C., & Pande, S. (2025) · Springer eBooks · doi:10.1007/978-3-031-58351-3_330
Adaptación del hueso a las tensiones mecánicas y al esfuerzo
Vico, L. (2025) · EMC - Aparato Locomotor · doi:10.1016/s1286-935x(25)50472-0
Collier, J., Beck, B. R., Sabapathy, S., & Weeks, B. K. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-095743
“6 17 In the absence of a direct mechanical stimulus, these results may be explained by the indirect effects of the autonomic nervous system.”
Self-citationAdaptation de l’os aux contraintes mécaniques et à l’effort
Vico, L. (2025) · EMC - Kinésithérapie - Médecine physique - Réadaptation · doi:10.1016/s1283-0887(25)50562-5
Rahman, A., & Palaneeswaran, E. (2025) · Theoretical Issues in Ergonomics Science · doi:10.1080/1463922x.2025.2522418
“The International Organization for Standardization (International Organization for Standardization 2000) categorised back movement frequency into two levels of exposure—less than and more than five times per minute and relates that to BMSDs. Studies by Beck and Daly (Beck et al. 2017), Beach, Coke (Beach, Coke, and Ca…”
Panchal, L., Kaushik, R., Ali, N., Prajapati, B. G., Goyal, M., & Kumar, A. (2025) · Current Women s Health Reviews · doi:10.2174/0115734048394729250718040347
Does weightlifting improve bone density?
Bennett, H. (2025) · doi:10.64628/aa.wm37ks9jx
Aphale, P., Dokania, S., & Shekhar, H. (2025) · International Urogynecology Journal · doi:10.1007/s00192-025-06320-w
RetractedMokrzycka, A., Żuczek, A., Dyndał, K., Broda, M., Żuczek, O., Urbańska, K., Szczap, I., Hawryluk, A., & Marzec, K. (2025) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.3(47).2025.3893
Adaptación del hueso a las tensiones mecánicas y al esfuerzo
Vico, L. (2025) · EMC - Kinesiterapia - Medicina Física · doi:10.1016/s1293-2965(25)51021-6
Stimpfig, S., Kob, R., Kohl, M., von Stengel, S., Obermayer-Pietsch, B. M., Uder, M., & KEMMLER, W. K. (2025) · Osteology · doi:10.3390/osteology5040033
“After a systematic review and meta-analysis, Dolan et al. [14] summarized that markers of bone resorption and formation seem to be less responsive to high-impact and high-resistance exercise, i.e., training contents with proven osteogenic effects [9,25].”
La musculation améliore-t-elle la densité osseuse ?
Bennett, H. (2025) · doi:10.64628/aap.c9nvwshyy
Stapley, P. J., Bailey, J.-P., Yousef, K. M., Lepers, R., & Robertson-Malt, S. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1682177
“This unique expertise enables them to guide individuals toward sustainable health improvements safely and effectively (20).”
Adattamento dell'osso alle sollecitazioni meccaniche e allo sforzo
Vico, L. (2025) · EMC - Medicina Riabilitativa · doi:10.1016/s1283-078x(25)51129-x
Meigh, N. J., Keogh, J., Schram, B., Hing, W., & Rathbone, E. N. (2022) · Figshare · doi:10.6084/m9.figshare.19641875
Meigh, N. J., Keogh, J., Schram, B., Hing, W., & Rathbone, E. N. (2022) · Figshare · doi:10.6084/m9.figshare.19641893
Dolan, E., Dumas, A., Keane, K. M., Bestetti, G. C., Freitas, L. H. M., Gualano, B., Kohrt, W., Kelley, G. A., Pereira, R. M. R., Sale, C., et al. (2020) · Figshare · doi:10.6084/m9.figshare.13468195
Beck, B. R., Rubin, C. T., Harding, A. T., Paul, S. K., & Forwood, M. R. (2022) · Figshare · doi:10.6084/m9.figshare.17982178
Self-citationMeigh, N. J., Keogh, J., Schram, B., Hing, W. A., & Rathbone, E. N. (2022) · Figshare · doi:10.6084/m9.figshare.19641881
Dolan, E., Dumas, A., Keane, K. M., Bestetti, G. C., Freitas, L. H. M., Gualano, B., Kohrt, W., Kelley, G. A., Pereira, R. M. R., Sale, C., et al. (2020) · Figshare · doi:10.6084/m9.figshare.13468189
Meigh, N. J., Keogh, J., Schram, B., Hing, W., & Rathbone, E. N. (2022) · Figshare · doi:10.6084/m9.figshare.19641884
Meigh, N. J., Keogh, J., Schram, B., Hing, W. A., & Rathbone, E. N. (2022) · Figshare · doi:10.6084/m9.figshare.19641887
Dolan, E., Dumas, A., Keane, K. M., Bestetti, G. C., Freitas, L. H. M., Gualano, B., Kohrt, W., Kelley, G. A., Pereira, R. M. R., Sale, C., et al. (2020) · Figshare · doi:10.6084/m9.figshare.13468203
Dolan, E., Dumas, A., Keane, K. M., Bestetti, G. C., Freitas, L. H. M., Gualano, B., Kohrt, W., Kelley, G. A., Pereira, R. M. R., Sale, C., et al. (2020) · Figshare · doi:10.6084/m9.figshare.13468199
Meigh, N. J., Keogh, J., Schram, B., Hing, W. A., & Rathbone, E. N. (2022) · Figshare · doi:10.6084/m9.figshare.19641890
Watanabe, K., Kamijo, Y., Yanagi, M., Ishibashi, Y., Harada, T., & Kohzuki, M. (2021) · Figshare · doi:10.6084/m9.figshare.14247548
Koh, K. B. (2026) · Springer eBooks · doi:10.1007/978-3-032-11214-9_3
Multimodal high-intensity gymnastics induced marked osteogenic impact for postmenopausal women
Helge, E. W., LUND, M. T., Pedersen, M. T., Vestergaard, S., SØNDERGAARD, C. A., Esrup, S., Bendtsen, M. G., MADSEN, A. O., Bundgaard, A., Quardon, N., et al. (2026) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.25.16995-8
Pinto, D., Bruyère, O., Sharma, M., Blomme, S., Blank, R. D., Buehring, B., Camargos, B. M., Chapurlat, R. D., Chevalley, T., Dennison, E. M., et al. (2026) · Osteoporosis International · doi:10.1007/s00198-025-07836-z
“A comprehensive literature review identified 34 common exercises recommended to treat osteoporosis or post hip fracture [1, 12–14].”
Grech, L., Beck, B. R., Scott, D. M., Sim, M., Mesinovic, J., Jansons, P., Fonseca, F. R., Abimanyi-Ochom, J., Allan, M., Blum, S., et al. (2026) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2025-003181
“23 24 Moreover, falls and fracture prevention are not addressed sufficiently by the physical activity guidelines 25 ; currently, balance and resistance training should be prioritised as they are considered to be the most beneficial.”
Self-citationXu, C., Chen, M., Lu, E., Zhang, X., You, H., Zhao, X., Sun, Y., & Xu, X. (2026) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2026.1746050
Wang, X., Geng, Z., & Pan, Z. (2026) · Science & Sports · doi:10.1016/j.scispo.2025.12.002
Brailey, G., Metcalf, B. S., Price, L., & Stiles, V. H. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1748455
“In adults, mechanical loading thresholds have been proposed to classify impact intensity - for example, activities producing >4 body weights (BW) are typically considered ‘ high-impact ’ (7, 8), yet comparable thresholds for youth have not been established.”
Safety considerations and adverse events associated with exercise across medical disciplines
Soliman, A. R., Maghraby, G. G., Faris, F., Abouzeid, A., Ahmed, R. M., Fahmy, E. M., Hegazy, M., Saleh, A. A., Abdelghaffar, S., & Shaltout, I. (2026) · The Egyptian Journal of Internal Medicine · doi:10.1186/s43162-026-00623-0
Strength unseen: confronting prejudice in women’s resistance and weight training
Hong, J., Singh, S., Gupta, V., Singh, B., & Jain, R. (2026) · Annals of Medicine · doi:10.1080/07853890.2026.2661150
“Evidence demonstrates that resistance training improves BMD at clinically significant sites such as the lumbar spine and femoral neck, mitigates age-related muscle loss, and reduces fracture risk [11].”
Anatomy and Function of the Skeletal Muscle, Skin, and Fascia
Ko, H.-Y. (2026) · Springer eBooks · doi:10.1007/978-981-95-6457-6_4
Lu, Y. M., Zhang, S. W., Wang, Z. Z., Hou, C., & Zhang, G. Z. (2026) · Discover Public Health · doi:10.1186/s12982-026-01949-4
Das, R. K., Thayer, W. P., Elmaraghi, S., Hill, J. B., & Drolet, B. C. (2026) · Journal of Hand and Microsurgery · doi:10.1016/j.jham.2026.100472
“21,22 One previous single-center retrospective study similarly highlighted the predominance of wrist injuries among pickleball players aligning with this study's nationally representative results.”
ATAKAN, M. M., & Ergün, Z. (2026) · Women in Sport and Physical Activity Journal · doi:10.1123/wspaj.2025-0127
Bagińska, M., Morawska-Tota, M., Pałka, T., & Tota, Ł. M. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15124662
Sterringer, T. M., Sale, C., Morozov, A., Liang, J., & Larson‐Meyer, D. E. (2026) · Calcified Tissue International · doi:10.1007/s00223-026-01564-0 · Cited by 1
“A 60-s recovery period was taken between each set [28] during which participants sat or stood stationary.”
Kraemer, W. J., Amadon, G., Graham, J. H., Kackley, M. L., Sapper, T. N., Volek, J., Hayes, J. P., & Hayes, S. M. (2026) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000004074
Prevention of Osteoporotic Fractures in the Elderly: A Comprehensive Narrative Review
Almohammadi, A. A. (2026) · Journal of Orthopaedic Association of South Indian States · doi:10.4103/joasis.joasis_1_26
Sánchez-Trigo, H., Silva, L., Mollaei, N., Gamboa, H. F. S., & Sañudo, B. (2026) · Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine · doi:10.1177/09544119261475010
Zhang, W., Mei, J., Li, X., Chen, K., Zhang, D., & Liu, J. (2026) · Calcified Tissue International · doi:10.1007/s00223-026-01578-8
Li, S., Pan, N., Niu, L., Yao, M., Zhao, S., Liu, C., & Li, D. (2026) · Frontiers in Physiology · doi:10.3389/fphys.2026.1903705
“Relevant guidelines commonly combine progressive resistance, balance, and weight-bearing or impact activities and emphasise safety and progression to improve skeletal and physical function (Giangregorio et al., 2014, 2015; Beck et al., 2017; Exercise Is Medicine, 2021).”
Expert consensus on osteoporosis risk management in patients with sleep disorders
Leng, S., Yang, J., Jin, Y., Shi, J., Zhang, Y., Zhou, J., Tan, L., Li, T., Ni, P., Hu, K., et al. (2026) · Bone Research · doi:10.1038/s41413-026-00562-0
“116 Prolonged sleep duration reduces waking time and thereby limits engagement in routine exercise.”
Pinelli, S., Reverte-Pagola, G., Tejero, S., Bragonzoni, L., & Sañudo, B. (2026) · Sports · doi:10.3390/sports14090373
“More recent syntheses indicate that moderate-to-high intensity loading ( ≥ 70–85% 1RM), combined with controlled movement tempos, is particularly effective for promoting bone strength and structural adaptations [41,42].”
Reverte-Pagola, G., Sánchez-Trigo, H., Rangel-Cascajosa, C., Tejero, S., & Sañudo, B. (2026) · Archives of Osteoporosis · doi:10.1007/s11657-026-01715-8
“For instance, Bassey et al. (1998) investigated the effects of a high-impact exercise intervention involving 50 vertical jumps per session, 6 days per week, with a mean jump height of 8.5 cm and GRF of approximately 3BW [24].”
InfluentialDr. Sugivan, S. P., Vinayagamoorthy, D. A., VishnuVardhan, D. B., & Garg, D. R. (2026) · PAIN JOINTS SPINE · doi:10.1922/pjs.16.5s.2026.686
Lu, C., Li, L., Zhang, L., Gao, Q., Meng, J., Xue, Y., Jiang, H., Yuan, T., Qian, H., Bao, N., et al. (2026) · BMJ · doi:10.1136/bmj-2026-100561
“These findings are consistent with mechanostat theory, which posits that bone responds to mechanical loading only when strain magnitude, 31 rate, and frequency exceed a critical threshold, 32 and with the known site and mode specific effects of resistance versus impact or weightbearing activities.”
Reverte-Pagola, G., Delgado, J. L. G., Wing, D., & Sañudo, B. (2026) · Current Osteoporosis Reports · doi:10.1007/s11914-026-00988-9
Exercise for Health: The Use of Digital Tools from Activity Tracking Through to Guided Delivery
Buist, B. D., Wright, K. E., Kramer, B., Borges, N., Petrofes, A. M., & Furzer, B. J. (2026) · Springer eBooks · doi:10.1007/978-3-032-32552-5_10
Xu, H., & Tang, X. (2026) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2026.101291
Metadata
- Authors
- Beck, B. R., Daly, R. M., Singh, M. A. F., & Taaffe, D. R.
- Affiliations
- Griffith University (AU)
- Deakin University (AU)
- The University of Sydney (AU)
- Edith Cowan University (AU)
- Corresponding author
- Beck, Belinda R.
- Venue
- Journal of Science and Medicine in Sport
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 20
- Issue
- 5
- Pages
- 438-445
- ISSN
- 1440-2440 (ISSN-L)
- OpenAlex
- W2548243806
- Cited by
- 366
- References
- 80
- Citations by year
- 2026: 37 · 2025: 34 · 2024: 41 · 2023: 51 · 2022: 62 · 2021: 40 · 2020: 44 · 2019: 26 · 2018: 17 · 2017: 14
- FWCI
- 23.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of science and medicine in sport (publishedVersion)
- PubMed (publishedVersion)
- Research Online (Edith Cowan University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- exercise prescription, osteoporosis, osteoporotic fracture prevention, osteopenia, resistance training, fall risk, balance and mobility, muscle strength, calcium and vitamin D supplementation, comorbidities, osteoarthritis, frailty, spinal loading
- MeSH terms
- Accidental Falls, Animals, Australia, Calcium, Dietary, Exercise Therapy, Female, Humans, Male, Osteoporosis, Risk Factors, Vitamin D, Exercise, Bone Density, Consensus, Resistance Training, Osteoporotic Fractures
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review