Universität zu Köln

Sanchez-Trigo, H., Rittweger, J. and Sanudo, B. (2022). Effects of non-supervised exercise interventions on bone mineral density in adult women: a systematic review and meta-analysis. Osteoporosis Int., 33 (7). S. 1415 - 1428. LONDON: SPRINGER LONDON LTD. ISSN 1433-2965

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Abstract

Mini abstract Osteoporosis is a major health issue worldwide. This study analyzes the effects of non-supervised osteoporosis prevention programs on bone mineral density. Non-supervised exercise increases femoral neck and lumbar spine bone mineral density in adult women. Thus, it might be effective for preventing or treating osteoporosis or osteopenia in this population. Introduction Osteoporosis is a major health issue worldwide. Social distancing measures due to COVID-19 have hindered the chances to take part in supervised osteoporosis prevention exercise programs. The purpose of the present study is to systematically review and meta-analyze the effects of non-supervised osteoporosis prevention exercise programs on bone mineral density (BMD) in adult women. Methods A comprehensive search of electronic databases (n = 7) was conducted including (a) prospective randomized controlled trials (RCTs) comparing at least one exercise group vs. a control group with sedentary lifestyle or sham exercises; (b) baseline and follow-up BMD values, or BMD changes from baseline, at any skeletal site; (c) women over 30 years old; and (d) non-supervised exercise programs only. Subgroup analyses were performed for menopausal status, intervention duration, type of exercise, and osteopenia/osteoporosis status. Results Ten studies were included (n = 668). Random effect analyses showed that unsupervised exercise had beneficial effects on lumbar spine (LS) BMD with standardized mean difference (SMD) = 0.40 (95% confidence interval (CI): 0.03-0.77), and femoral neck (FN) BMD with SMD = 0.51 (95% CI: 0.16-0.85). Unsupervised exercise increased LS (SMD = 0.73 (95% CI: 0.13-1.33)) and FN BMD (SMD = 0.85 (95% CI: 0.33-1.37)) in women with osteopenia/osteoporosis, but not in healthy counterparts. Conclusion Non-supervised exercise improves FN and LS BMD in adult women. Beneficial effects of exercise on FN and LS BMD might be more pronounced in those with poor bone health compared with healthy counterparts. More RCTs prescribing non-supervised, osteogenic exercise are required in this population. It is necessary to investigate the efficacy of remote/assistive technologies for delivering and monitoring non-supervised exercise interventions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sanchez-Trigo, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rittweger, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sanudo, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-676974
DOI:	10.1007/s00198-022-06357-3
Journal or Publication Title:	Osteoporosis Int.
Volume:	33
Number:	7
Page Range:	S. 1415 - 1428
Date:	2022
Publisher:	SPRINGER LONDON LTD
Place of Publication:	LONDON
ISSN:	1433-2965
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OSTEOPOROSIS PREVENTION; POSTMENOPAUSAL WOMEN; OLDER-ADULTS; PHYSICAL FUNCTION; IMPACT EXERCISE; META-REGRESSION; BRISK WALKING; FRACTURE RISK; PROGRAMS; ADHERENCE Multiple languages Endocrinology & Metabolism Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67697