运动预防和控制虚弱和脆性骨折。

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Osteoporosis Reports Pub Date : 2023-04-01 Epub Date: 2023-03-28 DOI:10.1007/s11914-023-00777-8
Elsa Dent, Robin M Daly, Emiel O Hoogendijk, David Scott
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引用次数: 0

摘要

综述目的:本综述从当前的临床实践指南中确定了以运动为基础的预防和管理虚弱和脆性骨折的建议。我们还对近期发表的有关运动干预减轻虚弱和脆性骨折的文献进行了批判性评估:大多数指南都提出了类似的建议,包括为个人量身定制多成分的运动计划,不鼓励久坐和不运动,以及将运动与最佳营养相结合。针对虚弱问题,指南建议进行有监督的渐进阻力训练(PRT)。对于骨质疏松症和脆性骨折患者,运动应包括负重冲击活动和渐进阻力训练,以提高髋部和脊柱的骨质密度(BMD),还应将平衡和活动能力训练、姿势练习以及与日常生活活动相关的功能锻炼结合起来,以降低跌倒风险。步行作为一种单一的干预措施,对虚弱和脆性骨折预防和管理的益处有限。目前以证据为基础的虚弱、骨质疏松症和骨折预防临床实践指南建议采用多方面、有针对性的方法来优化肌肉质量、力量、动力、功能性活动能力以及 BMD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exercise to Prevent and Manage Frailty and Fragility Fractures.

Purpose of review: This review identifies exercise-based recommendations to prevent and manage frailty and fragility fractures from current clinical practice guidelines. We also critically assess recently published literature in relation to exercise interventions to mitigate frailty and fragility fractures.

Recent findings: Most guidelines presented similar recommendations that included the prescription of individually tailored, multicomponent exercise programs, discouragement of prolonged sitting and inactivity, and combining exercise with optimal nutrition. To target frailty, guidelines recommend supervised progressive resistance training (PRT). For osteoporosis and fragility fractures, exercise should include weight-bearing impact activities and PRT to target bone mineral density (BMD) at the hip and spine, and also incorporate balance and mobility training, posture exercises, and functional exercise relevant to activities of daily living to reduce falls risk. Walking as a singular intervention has limited benefits for frailty and fragility fracture prevention and management. Current evidence-based clinical practice guidelines for frailty, osteoporosis, and fracture prevention recommend a multifaceted and targeted approach to optimise muscle mass, strength, power, and functional mobility as well as BMD.

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来源期刊
Current Osteoporosis Reports
Current Osteoporosis Reports Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
8.80
自引率
2.30%
发文量
44
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of osteoporosis. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as current and future therapeutics, epidemiology and pathophysiology, and evaluation and management. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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