PHYSICAL ACTIVITY AND BONE MINERAL DENSITY

  • Bojan Međedović Fakultet za sport i turizam, Novi Sad
  • Romana Romanov Fakultet za sport i turizam, Novi Sad
  • Zoran Đokić Fakultet za sport i turizam, Novi Sad
  • Dušan Perić Fakultet za sport i turizam, Novi Sad
  • Zlatko Ahmetović Fakultet za sport i turizam, Novi Sad

Abstract


The bones play an important structural role in the organism. They provide mobility, support, and protect the body, and the place where the storage essential minerals. Healthy bones have a crucial impact on the overall health of a person, and activities that promote health and preventive influence on the formation of bone disease are crucial in maintaining a strong and healthy skeletal system. Physical inactivity affects the decrease in function of bone, and the most common disease of bone osteoporosis. Osteoporosis is a systemic skeletal disorder that results in low bone density and micro-architectural deterioration of bone tissue. Furthermore, osteoporosis is a disease characterized by a reduction of the bone mineral density and a structural deterioration of bone tissue that results in less bone density, and may lead to fracture. Physical activity is essential for bone health and prevention of osteoporosis. Based on available information, the best effect to maintain and stimulate the formation of bone mineral density is a combination of dynamic exercises with resistance training that engage multiple joints, large muscle groups, and have influence on the spine and hips. The results suggest that exercises with axial loading, such as running, jumping, and power exercise, promote the best gains in bone mineral density. Therefore, training should focus on the adaptation of specific parts of the body that is most susceptible to injury, and should be sufficiently intense that exceeds the normal loads.

Keywords: Bones, Exercise, Osteoporosis

 

References

Adami, S., Gatti, D., Viapiana, O., Fiore, C., Nuti, R., & Luisetto, G. Physical activity and bone turnover markers; a cross-sectional and a longitudinal study. Calcified Tissue International, 83, 388–392.

American College of Sports Medicine. (2010). ACSM guidelines for exercise testing and prescription, 8th ed. Philadelphia, PA: Lippincott Williams and Wilkins.

American College of Sports Medicine Position Stand. (1998). Exercise and physical activity for older adults. Medicine and Science in Sports Exercise, 30(6), 992–1008.

American College of Sports Medicine, Garber, C.E., Blissmer, B., Deschenes, M.R., Franklin, B.A., Lamonte, M.J., Lee, I.M., Nieman, D.C., & Swain, D.P. (2011). American College of Sports Medicine Position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports Exercise, 43, 1334 – 1359.

American Thoracic Society and American College of Chest Physicians. (2003). ATS/ACCP statement on cardiopulmonary exercise testing. American Journal of Respiriratory and Critical Care Medicine, 167, 211–217.

Bass, S., et al. (1999). The differing tempo of growth in bone size, mass, and density in girls is regionspecific. Journal of Clinical Investigation, 104, 795 – 804.

Beck, B.R., & Snow, C.M. (2003). Bone health across the lifespan-exercising our options. Exercise and Sport Science Review, 31, 117–122.

Bessette, L., Ste-Marie, L.G., Jean, S., Davison, K.S., Beaulieu, M., Baranci, M., Bessant, J., & Brown, J.P. (2008). The care gap in diagnosis and treatment of women with a fragility fracture. Osteoporosis International, 19, 79–86.

Bonaiuti, D., Shea, B., Lovine, R., Negrini, S., Robinson, V., Kemper, H.C., Wells, G., Tugwell, P., & Cranney, A. (2002). Exercise for preventing osteoporosis in postmenopausal women. Cochrane Database of Systematic Reviews, 3, CD000333.

Borer, K.T. (2005). Physical activity in the prevention and amelioration of osteoporosis in women: Interaction of mechanical, hormonal and dietary factors. Sports Medicine, 35, 779–830.

Brynat, R.J., Cadogan, J., & Weaver, C.M. (1999). The new dietary reference intakes for calcium: implications for osteoporosis. Journal of American College Nutrition, 18(5), 406S – 412S.

Burge, R., Dawson-Hughes, B., Solomon, D.H., Wong, J.B., King, A., & Tosteson. (2005). A: Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. Journal of Bone Mineral Research, 22, 465–475.

Chien, M.Y., Wu, Y.T., Hsu, A.T., Yang, R.S., & Lai JS. (2000). Efficacy of a 24-week aerobic exercise program for osteopenic postmenopausal women. Calcified Tissue International, 67, 443–448.

Cooper, C. (1993). The epidemiology of fragility fractures: Is there a role for bone quality? Calcified Tissue International, 53, 23–26.

Fassler, A.C., Bonjour, J.P. (1995). Osteoporosis as a pediatric problem. Pediatric Nutrition, 42, 811 – 821.

Frost, H. (2001). From Wolff’s law to the Utah paradigm: Insights about bone physiology and its clinical applications. Anatomical Recearch, 262, 398–419.

Gillespie, L.D., Robertson, M.C., Gillespie, W.J., Lamb, S.E., Gates, S., Cumming, R.G, & Rowe, B.H. (2009). Interventions for preventing falls in older people living in the community. Cochrane Database Systematic Review, 15, CD007146.

Gomez-Cabello, A., Ara, I., Gonzalez-Aguero, A., Casajus, J.A., & Vicente-Rodriguez, G. (2012). Effects of training on bone mass in older adults: A systematic review. Sports Medicine, 42, 301–325.

Granacher, U., Muehlbauer, T., & Gruber, M. (2012). A qualitative review of balance and strength performance in healthy older adults: Impact for testing and training. Journal of Aging Research, 708905.

Guadalupe-Grau, A., Fuentes, T., Guerra, B., & Calbet, J.A. (2009). Exercise and bone mass in adults. Sports Medicine, 39, 439–468.

Howe, T.E., Shea, B., Dawson, L., Downie, F., Murray, A., Ross, C., Harbour, R., Caldwell, L., & Creed, G. (2011). Exercise for preventing and treating osteoporosis in postmenopausal women [review]. Cochrane Database Systematic Review, 6, CD000333.

Howe, T.E., Dawson, L.J., Downie, F., Murray, A., Ross, C., Harbour, R.T., Caldwell, L.M., & Creed G. (2011). Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Systematic Review, 7, CD000333.

Hind, K., & Burrows, M. (2007). Weight-bearing exercise and bone mineral accrual in children and adolescents: A review of controlled trials. Bone, 40, 14–27.

Hoozemans, M.J., Koppes, L.L., Twisk, J.W., & van Dieen, J.H. (2012). Lumbar bone mass predicts low back pain in males. Spine (Phila Pa 1976), 37, 1579–1585.

Jee, W.S.S., & Li, X.J. (1990). Adaptation of cancellous bone to overloading in the adult rat: A single photon absorptiometry and histomorphometry study. Anatomical Research, 227, 418 – 426.

Johnell, O., & Kanis, J.A. (2006). An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis International, 17, 1726–1733.

Johnell, O. (1997). The socioeconomic burden of fractures: Today and in the 21st century. American Journal of Medicine, 103, 20–26.

Jordan, K.M., & Cooper, C. (2002). Epidemiology of osteoporosis. Clinical Rheumatology, 16, 795–806.

Karlsson, M.K., & Rosengren, B.E. (2012). Training and bone – From health to injury. Scandinavian Journal of Medicine and Science in Sports, 22, 15–23.

Kiratli, B.J. (1996). Immobilization osteopenia. In Marcus, R., Feldman, D., Kesley, J. (Ed.). Osteporosis (pp. 833-850). Orlando, FL: Academic Press.

Kohrt, W.M., Bloomfield, S.A., Little, K.D., Nelson, M.E., & Yingling, V.R. (2004). American College of Sport Medicine Position stand: Physical activity and bone health. Medicine and Science in Sports Exercise, 36, 1985–1996.

Krall, E., & Dawson-Hughes, B. (1993). Heritable and lifestyle determinants of bone mineral density. Journal of Bone and Mineral Research, 8, 1 – 9.

Link, T.M. (2012). Osteoporosis imaging: State of the art advanced imaging. Radiology, 263, 3–17.

Marshall, D., & Hans, W.O. (1996). Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. British Medical Journal, 312, 1254–1339.

Metcalfe, L., Lohman, T., Going, S., Houtkooper, L., Ferreira, D., Flint-Wagner, H., Guido, T., Martin, J., Wright, J., & Cussler, E. (2001). Post-menopausal women and exercise for prevention of osteoporosis. ACSM’s Health & Fittnes Journal, 5, 6–14.

McGuigan, F.E., Murray, L., Gallagher, A., Davey-Smith, G., et al. (2002). Genetic and environmental determinants of peak bone mass in young men and women. Journal of Bone and Mineral Research, 17(7), 1273-9.

National Osteoporosis Foundation. (2012). National Osteoporosis Foundation Fast Facts. Washington, DC: National Osteoporosis Foundation.

Nelson, M.E., Rejeski, W.J., Blair, S.N., et al. (2007). Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports Exercise, 39(8), 1435–1445.

Osteoporosis Society of Canada. (1996). Osteoporosis to the Third Millennium: Priorities for Prevention and Treatment. Summary Report.

Papaioannou, A., Morin, S., Cheung, A.M., Atkinson, S., Brown, J.P., Feldman, S., Hanley, D.A., Hodsman, A., Jamal, S.A., Kaiser, S.M., Kvern, B., Siminoski, K., & Leslie W.D. (2010). Scientific Advisory Council of Osteoporosis Canada. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: Summary. Canadian Medical Association Journal, 182, 1829–1830.

Prevention of Osteoporosis. http://www.iofbonehealth.org/patients public/about osteoporosis/prevention.html.

Ratamess, N.A. (2008). Adaptations to anaerobic training programs. In: Essentials of Strength Training and Conditioning. Baechle TR and Earle RW, eds. Champaign, IL: Human Kinetics, pp. 93–120.

Report of the Osteoporosis Action Plan Committee to the Ministry of Health and Long-Term Care (2003). Osteoporosis Action Plan: An Osteoporosis Strategy for Ontario.

Robertson, M.C., Campbell, A.J., Gardner, M.M., & Devlin, N. (2002). Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. Journal of the American Geriatrics Society, 50, 905–911.

Roghani, T., Torkaman, G., Movasseghe, S., Hedayati, M., Goosheh, B., & Bayat, N. (2013). Effects of short-term aerobic exercise with and without external loading on bone metabolism and balance in postmenopausal women with osteoporosis. Rheumatology International, 33, 291–298.

Roghani, T., Torkaman, G., Movasseghe, S., Hedayati, M., Goosheh, B., & Bayat, N. (2013). Effects of short-term aerobic exercise with and without external loading on bone metabolism and balance in postmenopausal women with osteoporosis. Rheumatology International, 33, 291–298.

Ross, M.D., & Denegar, C.R. (2001). Effect of exercise on bone mineral density in postmenopausal women. Strength and Conditioning Journal, 23, 30.

See Tai, S., Parsons, T., Rutherford, O., & Lliffe, S. (2009). Physical activity for preventing and treating osteoporosis in men. Cochrane Database Systematic Review, 1, 1–5.

Sirola, J., Tuppurainen, M., Honkanen, R., Jurvelin, J.S., & Kroger, H. (2005). Associations between grip strength change and axial postmenopausal bone loss – a 10-year population-based follow-up study. Osteoporosis International, 16, 1841–1848.

Stengel, S.V., Kemmler, W., Pintag, R., Beeskow, C., Weineck, J., Lauber, D., Kalender, W.A., & Engelke, K. (2005). Power training is more effective than strength training for maintaining bone mineral density in postmenopausal women. Journal of Applied Physiology, 99, 181–188.

Teoman, N., Ozcan, A., & Acar, B. (2004). The effect of exercise on physical fitness and quality of life in postmenopausal women. Maturitas, 47, 71–77.

U.S. Department of Health and Human Services. (2004). Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville (MD): U.S. Department of Health and Human Services, Office of the Surgeon General.

Watts, N.B., Adler, R.A., Bilezikian, J.P., Drake, M.T., Eastell, R., Orowoll, E.S., & Finkelstein, J.S. (2012). Osteoporosis in men: An endocrine society clinical guideline. Journal of Clinical Endocrinology Metabolism, 97, 1802–1822.

Wolff, I., van Croonenborg, J.J., Kemper, H.C., Kostense, P.J., & Twisk, J.W. (1999). The effect of exercise training programs on bone mass: A meta-analysis of published controlled trials in pre- and postmenopausal women. Osteoporosis International, 9, 1–12.

Zehnacker, C.H., & Bemis-Dougherty, A. (2007). Effect of weighted exercises on bone mineral density in post menopausal women. A systematic review. Journal of Geriatric Physical Therapy, 30, 79–88.

Zerwekh, J.E., Ruml, L.A., Gottschalk, F., & Pak, C.Y.C. (1998). The effects of twelve weeks of bed rest on bone histology, biochemical markers of bone turnover, and calcium homeostasis in eleven normal subjects. Journal of Bone and Mineral Research, 13, 1594–1601.

Published
2015/01/26
Section
Review Paper