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The effects of progressive resistance training on bone density: a review
Abstract
Osteoporosis is a major public health problem that is characterized by low bone mass and increased susceptibility to fractures, primarily of the hip, spine, and wrist. It is estimated to cause 1.5 million fractures annually in the United States in people aged 50 yr and older. Physical activity, particularly weight-bearing exercise, is thought to provide the mechanical stimuli or "loading" important for the maintenance and improvement of bone health, whereas physical inactivity has been implicated in bone loss and its associated health costs. Both aerobic and resistance training exercise can provide weight-bearing stimulus to bone, yet research indicates that resistance training may have a more profound site specific effect than aerobic exercise. Over the past 10 years, nearly two dozen cross-sectional and longitudinal studies have shown a direct and positive relationship between the effects of resistance training and bone density. Conversely, a handful of other studies have reported little or no effect on bone density. However, these results may be partially attributable to the study design, intensity and duration of the exercise protocol, and the bone density measurement techniques used. High-intensity resistance training, in contrast to traditional pharmacological and nutritional approaches for improving bone health in older adults, has the added benefit of influencing multiple risk factors for osteoporosis including improved strength and balance and increased muscle mass.
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“Resistance exercise training, especially that which encompasses the both upper and lower body exercises has a profoundly positive impact on BMD.181, 184”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [184]
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Metadata
- Authors
- LAYNE, J. E., & NELSON, M. E.
- Affiliations
- Tufts University (US)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 1999-01
- Volume
- 31
- Issue
- 1
- Pages
- 25-30
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2026817661
- Cited by
- 329
- References
- 33
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 7 · 2023: 9 · 2022: 6 · 2021: 9 · 2020: 10 · 2019: 11 · 2018: 18 · 2017: 9 · 2016: 11 · 2015: 15 · 2014: 10 · 2013: 13 · 2012: 14
- FWCI
- 4.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- 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 › Medicine › Orthopedics and Sports Medicine › Effects of Vibration on Health
- Keywords
- progressive resistance training, bone mineral density, osteoporosis, weight-bearing exercise, mechanical loading, bone loss, physical inactivity, aerobic exercise, older adults, exercise intensity, muscle mass, balance
- MeSH terms
- Aged, Aging, Exercise Therapy, Female, Humans, Male, Middle Aged, Nutritional Status, Osteoporosis, Weight Lifting, Bone Density, Weight-Bearing, Muscle, Skeletal
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