Cited by 366Bone health and osteoporosis researchPhysical Activity and HealthBalance, Gait, and Falls Prevention

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Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis

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Beck, Belinda R., Daly, Robin M., Singh, Maria A. Fiatarone, Taaffe, Dennis R.·2017·Journal of Science and Medicine in Sport

DOI 10.1016/j.jsams.2016.10.001

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Abstract

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.

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Kanis, J. А., Harvey, N. C., McCloskey, E. V., Bruyère, O., Veronese, N., Lorentzon, M., Cooper, C. C., Rizzoli, R., Adib, G., Al‐Daghri, N. M., et al. (2019) · Osteoporosis International · doi:10.1007/s00198-019-05176-3 · Cited by 412

See all 366

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.
ORCID: Beck, Belinda R.
Daly, Robin M.
Taaffe, Dennis 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)
DOI: 10.1016/j.jsams.2016.10.001
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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

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