Today, experts from the Too Fit to Fracture Initiative presented the results of an international consensus process to establish exercise recommendations for people with osteoporosis, with or without spine fractures. The results were presented at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases in Seville, Spain.
Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method, the international multidisciplinary panel examined literature on exercise effects on: 1) falls, fractures, BMD, and adverse events for individuals with osteoporosis or spine fractures; and 2) pain, quality of life, and physical function after spine fracture. Evidence was rated as high, moderate, low, or very low.
In addition, a consensus process was used to established recommendations on assessment, exercise, and physical activity in the context of three cases with varying risk - one having osteoporosis based on bone density; one having osteoporosis and 1 spine fracture; and one having osteoporosis and multiple spine fractures, hyperkyphosis and pain.
The panel recommends that all individuals with osteoporosis should engage in a multicomponent exercise program that includes resistance and balance training; they should not engage in aerobic training to the exclusion of resistance or balance training.
Other key points included:
Lead author Dr Lora Giangregorio, University of Waterloo, Waterloo, Canada, stated, "People with osteoporosis and spinal fractures should be encouraged to participate in resistance training and balance training, as the strongest evidence we have supports multimodal exercise programs. We have developed evidence-based recommendations, as well as a report that addresses the "frequently asked questions" of patients and health care providers around physical activity. We hope that the recommendations are helpful to health professionals worldwide as they guide their osteoporosis patients in safe, effective - and enjoyable - exercise regimens."
OC 48 Too Fit to Fracture: International Consensus to Establish Recommendations on Exercise and Safe Movement for Individuals with Osteoporosis and Spine Fractures. L. M. Giangregorio, A.M. Cheung, A. Heinonen, S. McGill, J. Laprade, M. C. Ashe, K. Shipp, J. D. Wark, N. J. Macintyre, H. Keller, R. Jain, A. Papaioannou. Osteoporos Int. Vol 25, Suppl. 2, 2014
Abstracts from the IOF-ESCEO World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases are available on the congress website http://www.wco-iof-esceo.org
The International Osteoporosis Foundation (IOF) is the world's largest nongovernmental organization dedicated to the prevention, diagnosis and treatment of osteoporosis and related musculoskeletal diseases. IOF members, including committees of scientific researchers, leading companies, as well as more than 200 patient, medical and research societies, work together to make bone, joint and muscle health a worldwide heath care priority. http://www.iofbonehealth.org ; http://www.facebook.com/iofbonehealth; http://twitter.com/iofbonehealth
Charanjit K. Jagait, PhD
Communications Director, International Osteoporosis Foundation
Tel.: +41 22 994 01 02
Mob.: +41 79 874 52 08
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