Scientific evidence about the effects of physical exercise on old bone mineral density

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.8276

Keywords:

Elderly; Exercise; Bone Mineral Density.

Abstract

Introduction: Physical exercise is indicated as a prophylactic measure in the treatment of osteoporosis, decreasing the loss of bone mass, as well as, in some cases providing its remodeling. Objective: To analyze, through a systematic review, the scientific evidence about the effects of physical exercise on bone mineral density in the elderly. Method: This is a study of systematic review of the literature, carried out in the databases SciELO, BVS, PubMed, Web of Science through controlled descriptors, Elderly, Exercise and Bone Mineral Density, as well as their translations into Spanish and English, according to DeCS and Mesh, published between 2014 and 2019. Results: Taking into account the Exercise Protocol, the most applied tests were, Dual Energy X-Ray (DXA) with 66.66% following by calculating the body mass index (BMI) with 22.22%, in addition to the walking tests, Clinical Falls Risk Assessment Instrument (QuickScreen), Timed Up and Go (TUG), Functional Reach Test (FRT), 1 maximum repetition (1RM), vertical vibration Fitvibe Excel Pro platform, all with 11.12%. It is worth mentioning that there was a significant relationship between physical exercise and the increase in BMD, in the selected studies. Conclusion: According to the results obtained in this review, we can conclude that physical exercise plays a significant role in the prophylaxis and treatment of osteoporosis.

References

Alves, J. E. D. (2019). Envelhecimento populacional no Brasil e no mundo. Revista Longeviver.

Andreoli, A.., Monteleone, M., Van Loan, M., Promenzio, L.; Tarantino, U., & De Lorenzo, A.. (2001). Effects of different sports on bone density and muscle mass in highly trained athletes. Medicine and science in sports and exercise, 33(4), 507-511.

Barker, K., & Eickmeyer, S. (2020). Therapeutic exercise. Medical Clinics, 104(2), 189-198.

Barros, A. J., & Hirakata, V. N. (2003). Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC medical research methodology, 3(1), 21.

Beyea, S., & Nichll, L. H. (1998). Writing an integrative review. AORN journal, 67(4), 877-881.

Camara, M. B., Aidar, F. J., Matos, D. G. D., Gomes, A. A. B., Barros, N. D. A., Souza, R. F. D., ... & Cabral, B. G. A. T. (2016). Associação entre desmineralização óssea, atividade física e padrões antropométricos. Motricidade, 12(3), 45-55.

Carrasco, M., Martínez, I., & Navarro, M. D. (2015). Daily physical activity and bone mineral density in older women. Revista brasileira de medicina do esporte, 21(1), 22-26.

Chan, D. C., Chang, C. B., Han, D. S., Hong, C. H., Hwang, J. S., Tsai, K. S., & Yang, R. S. (2018). Effects of exercise improves muscle strength and fat mass in patients with high fracture risk: a randomized control trial. Journal of the Formosan Medical Association, 117(7), 572-582.

Cohen, T. (1988). Como enfrentar a osteoporose ou o enfraquecimento dos ossos. Icone.

Cook, J. A. (2009). The challenges faced in the design, conduct and analysis of surgical randomised controlled trials. Trials, 10(1), 1-9.

Cortez, A. C. L., Silva, C. R. L., Silva, R. C. L., & Dantas, E. H. M. (2019). Aspectos gerais sobre a transição demográfica e epidemiológica da população brasileira. Enfermagem Brasil, 18(5), 700-709.

Coutinho, E. S. F., & Cunha, G. M. D. (2005). Conceitos básicos de epidemiologia e estatística para a leitura de ensaios clínicos controlados. Brazilian Journal of Psychiatry, 27(2), 146-151.

Dalsky, G. P., Stocke, K. S., Ehsani, A. A., SLATOPOLSKY, E., LEE, W. C., & BIRGE Jr, S. J. (1988). Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. Annals of internal medicine, 108(6), 824-828.

De Kam, D., Smulders, E., Weerdesteyn, V., & Smits-Engelsman, B. C. M. (2009). Exercise interventions to reduce fall-related fractures and their risk factors in individuals with low bone density: a systematic review of randomized controlled trials. Osteoporosis International, 20(12), 2111-2125.

De Oliveira, M. A. P., & Parente, R. C. M. (2010). Entendendo ensaios clínicos randomizados. Brazilian Journal of Videoendoscopic Surgery, 3(4), 176-180.

dos Santos, V. R., Christofaro, D. G. D., Gomes, I. C., Júnior, I. F. F., & Gobbo, L. A. (2018). Relação entre obesidade, sarcopenia, obesidade sarcopênica e densidade mineral óssea em idosos com 80 anos ou mais. Revista brasileira de ortopedia, 53(3), 300-305.

Duan, Y., Turner, C. H., Kim, B. T., & Seeman, E. (2001). Sexual dimorphism in vertebral fragility is more the result of gender differences in age‐related bone gain than bone loss. Journal of Bone and Mineral Research, 16(12), 2267-2275.

Federação Internacional da Osteoporose (IOF) (2020). Osteoporosis & Musculoskeletal Disorders – Osteoporosis. https://www.iofbonehealth.org/osteoporosis

Fukada, E., & Yasuda, I. (1957). On the piezoelectric effect of bone. Journal of the physical society of Japan, 12(10), 1158-1162.

Garcia, P. A., Dias, J. M. D., Reis, R. L. D., & Dias, R. C. (2016). Multifactorial assessment of the risk of falls in low bone density older women. Fisioterapia em Movimento, 29(3), 439-448.

Gusmão, C. V. B. D., & Belangero, W. D. (2009). Como a célula óssea reconhece o estímulo mecânico?. Revista Brasileira de Ortopedia, 44(4), 299-305.

Hakestad, K. A., Torstveit, M. K., Nordsletten, L., & Risberg, M. A. (2015). Effect of exercises with weight vests and a patient education programme for women with osteopenia and a healed wrist fracture: a randomized, controlled trial of the OsteoACTIVE programme. BMC musculoskeletal disorders, 16(1), 352.

Karam, N., Lavoie, J. F., St-Jacques, B., Bouhanik, S., Franco, A., Ladoul, N., & Moreau, A. (2019). Bone-specific overexpression of PITX1 induces senile osteoporosis in mice through deficient self-renewal of mesenchymal progenitors and Wnt pathway inhibition. Scientific reports, 9(1), 1-15.

Khan, K., McKay, H. A., Kannus, P., Bailey, D. A., Wark, J. D., & Bennell, K. L. (2001). Physical activity and bone health: Human Kinetics. Champaign, IL.

Mazocco, L., & Chagas, P. (2017). Associação entre o índice de massa corporal e osteoporose em mulheres da região noroeste do Rio Grande do Sul. Revista Brasileira de Reumatologia, 57(4), 299-305.

Menkes, A., Mazel, S., Redmond, R. A., Koffler, K., Libanati, C. R., Gundberg, C. M., ... & Hurley, B. F. (1993). Strength training increases regional bone mineral density and bone remodeling in middle-aged and older men. Journal of Applied Physiology, 74(5), 2478-2484.

Mirza, F., & Canalis, E. (2015). Secondary osteoporosis: pathophysiology and management. European journal of endocrinology/European Federation of Endocrine Societies, 173(3), R131.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Prisma Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS med, 6(7), e1000097.

Navega, M. T., Aveiro, M. C., & Oishi, J. (2017). A influência de um programa de atividade física na qualidade de vida de mulheres com osteoporose. Fisioterapia em Movimento, 19(4).

Nawrat-Szołtysik, A. J., Polak, A., Małecki, A., Piejko, L., Grzybowska-Ganszczyk, D., Kręcichwost, M., & Opara, J. (2018). Effect of physical activity on the sequelae of osteoporosis in female residents of residential care facilities. Advances in Clinical and Experimental Medicine, 27(5), 633-642.

Nilsson, M., Ohlsson, C., Mellström, D., & Lorentzon, M. (2009). Previous sport activity during childhood and adolescence is associated with increased cortical bone size in young adult men. Journal of bone and mineral research, 24(1), 125-133.

Omram, A.R. (1971). The epidemiological transition: a theory of the epidemiology of population change. Milbank Memorial Fund Quarterly,49(4):509-583.

Organização das Nações Unidas – ONU (2019). Divisão de População da ONU, 2019. Disponível em: https://nacoesunidas.org/populacao-mundial-deve-chegar-a-97-bilhoes-de-pessoas-em-2050-diz-relatorio-da-onu/

Plataforma Sucupira (2019). Disponível em: https://sucupira.capes.gov.br

Raymond, C. J., Bosch, T. A., Bush, F. K., Chow, L. S., & Dengel, D. R. (2017). Accuracy and reliability of assessing lateral compartmental leg composition using DXA. Medicine and science in sports and exercise, 49(4), 833.

Santin-Medeiros, F., Santos-Lozano, A., Rey-López, J. P., & Garatachea, N. (2015). Effects of eight months of whole body vibration training on hip bone mass in older women. Nutrición Hospitalaria, 31(4), 1654-1659.

Santos, C. M. D. C., Pimenta, C. A. D. M., & Nobre, M. R. C. (2007). A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, 15(3), 508-511.

Santos, M. L. D., & Borges, G. F. (2010). Exercício físico no tratamento e prevenção de idosos com osteoporose: uma revisão sistemática. Fisioterapia em movimento, 23(2), 289-299.

Schramm, J. M. D. A., Oliveira, A. F. D., Leite, I. D. C., Valente, J. G., Gadelha, Â. M. J., Portela, M. C., & Campos, M. R. (2004). Transição epidemiológica e o estudo de carga de doença no Brasil. Ciência & Saúde Coletiva, 9, 897-908.

Scott, A., Khan, K. M., Duronio, V., & Hart, D. A. (2008). Mechanotransduction in human bone. Sports Medicine, 38(2), 139-160.

Simkin, A., & Ayalon, J. (1995). Osteoporoza: zapobieganie i zwalczanie ruchem. Wydawn. Siel.

SJR - SCImago Journal Rank. (2019). Disponível em: https://www.scimagojr.com/

Sociedade Brasileira de Endocrinologia e Metabologia (2017). Disponível em: https://www.sbemsp.org.br/imprensa/releases/127-conheca-os-numeros-da-osteoporose

Stenholm, S., Tiainen, K., Rantanen, T., Sainio, P., Heliövaara, M., Impivaara, O., & Koskinen, S. (2012). Long‐term determinants of muscle strength decline: prospective evidence from the 22‐year mini‐Finland follow‐up survey. Journal of the American Geriatrics Society, 60(1), 77-85.

Swanenburg, J., de Bruin, E. D., Stauffacher, M., Mulder, T., & Uebelhart, D. (2007). Effects of exercise and nutrition on postural balance and risk of falling in elderly people with decreased bone mineral density: randomized controlled trial pilot study. Clinical rehabilitation, 21(6), 523-534.

Tani G. Educação física: por uma política de publicação visando à qualidade dos periódicos. Revista Brasileira de Ciências do Esporte 2007;29(1).

Vasconcelos, A. M. N., & Gomes, M. M. F. (2012). Transição demográfica: a experiência brasileira. Epidemiologia e Serviços de Saúde, 21(4), 539-548.

Yazbek, M. A., & Marques Neto, J. F. (2008). Osteoporose e outras doenças osteometabólicas no idoso. Einstein, 6(1 sup), S74-S8.

Published

15/09/2020

How to Cite

CORTEZ, A. C. L.; PERNAMBUCO, C. S.; MASI, F. D. .; NOLETO, M. A. .; ABREU, M. A. de .; DANTAS, E. H. M. . Scientific evidence about the effects of physical exercise on old bone mineral density. Research, Society and Development, [S. l.], v. 9, n. 9, p. e987998276, 2020. DOI: 10.33448/rsd-v9i9.8276. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/8276. Acesso em: 26 apr. 2024.

Issue

Section

Review Article