Effects of resistance exercises on bone mineral density in older adults with osteopenia or osteoporosis

Authors

DOI:

https://doi.org/10.33448/rsd-v15i5.51025

Keywords:

Resistance exercise, Bone mineral density, Older adults.

Abstract

Aging is associated with physiological changes that compromise bone health, especially the reduction of Bone Mineral Density (BMD), a factor directly related to the development of osteoporosis and osteopenia. In this context, resistance exercise has been widely used as a non-pharmacological strategy for the prevention and treatment of these conditions. This study aimed to analyze the influence of resistance exercise on bone mineral density in older adults with osteoporosis or osteopenia, considering its benefits in preventing bone loss and promoting functional health.This is a descriptive literature review with a qualitative approach, conducted through searches in the PubMed, SciELO, and PEDro databases, covering the period from 2014 to 2025. Eight full-text studies in Portuguese and English were included, prioritizing randomized clinical trials, systematic reviews, and meta-analyses.The results showed that resistance exercise promotes positive effects on bone mineral density, especially in the lumbar spine, with varying magnitudes across different bone regions. It was also observed that parameters such as intensity, frequency, and duration of training directly influence bone response, while gains in muscle strength and functionality were more consistent and occurred earlier, contributing to the reduction of fall and fracture risk.It is concluded that resistance exercise, when properly prescribed, is an effective strategy for preventing bone loss and promoting functional health in older adults.

References

Eslamipour, F. et al. (2023). High versus low-intensity resistance training on bone mineral density and content acquisition by postmenopausal women with osteopenia: a randomized controlled trial. Medical Journal of the Islamic Republic of Iran, 37, 126, 2023.

Hejazi, K., Askari, R. & Hofmeister, M. (2022). Efeitos do exercício físico na densidade mineral óssea em mulheres idosas na pós-menopausa: uma revisão sistemática e meta-análise de ensaios clínicos randomizados. Archives of Osteoporosis. 17, 102.

Kemmler, W. et al. (2020). Effects of high-intensity resistance training on osteopenia and sarcopenia parameters in older men with osteosarcopenia: one-year results of the randomized controlled Franconian Osteopenia and Sarcopenia Trial (FrOST). Journal of Bone and Mineral Research. 35(9), 1634-44. doi: 10.1002/jbmr.4027.

Massini, D. A. et al. (2022). O efeito do treinamento de resistência na densidade mineral óssea em idosos: uma revisão sistemática e meta-análise. Healthcare. 10(6), 1129.

O’Bryan, S. J. et al. (2022). Progressive resistance training for concomitant increases in muscle strength and bone mineral density in older adults: a systematic review and meta-analysis. Sports Medicine. 52, 1939–60.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [Free ebook]. Santa Maria. Editora da UFSM.

Risemberg, R. I. C., Wakin, M. & Shitsuka, R. (2026). A importância da metodologia científica no desenvolvimento de artigos científicos. Revis-ta E-Acadêmica. 7(1), e0171675. https://doi.org/10.52076/eacad-v7i1.675. https://eacademica.org/eacademica/article/view/675.

Shojaa, M. et al. (2020). Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters. Osteoporosis International. 31, 1427–44.

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, Elsevier. 104(C), 333-9. Doi: 10.1016/j.jbusres.2019.07.039.

Wright, N. C. et al. (2014). The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. Journal of Bone and Mineral Research. 29(11), 2520–6.

Zhao, F. et al. (2025). Optimal resistance training parameters for improving bone mineral density in postmenopausal women: a systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research. 20, 523.

Published

2026-05-02

Issue

Section

Review Article

How to Cite

Effects of resistance exercises on bone mineral density in older adults with osteopenia or osteoporosis. Research, Society and Development, [S. l.], v. 15, n. 5, p. e1115551025, 2026. DOI: 10.33448/rsd-v15i5.51025. Disponível em: https://rsdjournal.org/rsd/article/view/51025. Acesso em: 4 may. 2026.