Osteoporosis & bone health

Exercise and the prevention of major osteoporotic fractures in adults: a systematic review and meta-analysis with special emphasis on intensity progression and study duration

Osteoporos IntPublished Systematic review and meta-analysis

Pooled result · Major osteoporotic fracturesResult — go to the resultRelative risk 0.75 95% CI 0.54–0.94

Authors' conclusion

The present systematic review and meta-analysis provided significant evidence for the favorable effect of exercise on major osteoporotic fractures.

Study context

Population
Adults in controlled exercise studies reporting low-trauma major osteoporotic fractures separately for exercise and control groups11 studies
Comparison
Exercise vs control
Outcome
Incidence ratio (IR) for major osteoporotic fractures
Methodological detailsPRISMA guideline, six literature databases, mixed-effects conditional Poisson regression
  • PRISMA guideline
  • Six literature databases
  • Mixed-effects conditional Poisson regression

Pooled result

Major osteoporotic fractures

Relative risk

0.75

95% CI 0.54–0.94

P = 0.006

EGvs CG
RR 0.75 (95% CI 0.54–0.94); P = 0.006

As reported in the abstract

Further pooled results

Major osteoporotic fractures by intensity progression (yes vs no) (subgroup)

No significant difference for diverging intensity progression, although studies with intensity progression were more favorable
P = 0.133

Major osteoporotic fractures by study duration (≤ 12 months vs > 12 months) (subgroup)

No significant difference for study duration
P = 0.883

Heterogeneity among trials of the subgroups

I2 (negligible)
≤ 0-7.1%

Original publication

Exercise and the prevention of major osteoporotic fractures in adults: a systematic review and meta-analysis with special emphasis on intensity progression and study duration. Osteoporos Int. Published 10 November 2022. doi:10.1007/s00198-022-06592-8

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