التفاصيل البيبلوغرافية
| العنوان: |
Adverse events and safety issues associated with physical activity and exercise for adults with osteoporosis and osteopenia: A systematic review of observational studies and an updated review of interventional studies. |
| المؤلفون: |
Kunutsor, Setor K.1,2, Leyland, Sarah3, Skelton, Dawn A.4, James, Laura5, Cox, Matthew5, Gibbons, Nicola5, Whitney, Julie5, Clark, Emma M.6 emma.clark@bristol.ac.uk |
| المصدر: |
Journal of Frailty, Sarcopenia & Falls. 2018, Vol. 3 Issue 4, p155-178. 24p. |
| مصطلحات موضوعية: |
*OSTEOPOROSIS, *EXERCISE, *JOINT pain, *META-analysis, *PHYSICAL activity, *OSTEOPENIA |
| مستخلص: |
Objectives: We conducted a systematic review to identify adverse effects of physical activity and/or exercise for adults with osteoporosis/osteopenia. We synthesised evidence from observational studies, and updated three previously published systematic reviews. Methods: We searched MEDLINE, EMBASE, CINAHL, Web of Science, grey literature and reference lists of relevant studies. Selection criteria were: (1) observational studies in patients with osteoporosis/osteopenia; and (2) in accordance with the criteria used in the previous reviews. A narrative synthesis was conducted for the observational data. Random effects meta-analysis was undertaken for the review updates. Results: For the observational synthesis 14 studies were included. The majority of studies reported no adverse events, reduced incidence/improvement, or no significant change after physical activity or exercise. Activities that involved spinal flexion (certain yoga moves and sit-ups) were associated with a greater risk of vertebral fractures but these events were rare. For the update of reviews, 57 additional studies were identified. Exercise was generally associated with a greater number of minor adverse events including mild muscle/joint pain. Serious adverse events were rare and could not be attributed to the intervention. Conclusion: Patients with osteoporosis/osteopenia can safely participate in structured exercise programmes, whether at home or in supervised facilities. [ABSTRACT FROM AUTHOR] |
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