Effects of Mind-Body Exercises for Osteoporosis in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2024;12(9):51 Geriatr Orthop Surg Rehabil . 2023 Aug 14:14:21514593231195237.What this means for my practice?
A clinician should remember that mind-body exercises can significantly benefit patients with osteoporosis, particularly in improving bone mineral density, bone mineral content, and quality of life. These exercises represent a safe, non-pharmacological intervention that can be integrated into treatment plans for elderly patients. However, the effectiveness varies among different types of mind-body exercises, and not all exercises may lead to improvements in all measured outcomes. The limitations of the study include high heterogeneity and small sample sizes in some trials, which may affect the generalizability of the findings.
Study Summary
Thirty-nine studies including 2325 patients with osteoporosis were included in this systematic review and meta-analysis comparing mind-body exercises vs. no exercise or other exercises. Pooled outcomes of interest included bone mineral density (BMD), bone mineral content (BMC), body balance (BB), pain, indicators of bone metabolism (BMI), lower extremity function, fearing level, and quality of life (QOL). The pooled results showed that mind-body exercises have encouraging effects, particularly in improving BMD, BMC, QOL, lower extremity function, reducing pain, and fearing level. However, some exercises like dance and eight-section brocade did not improve BMD or QOL. This study suggests that mind-body exercises could be a potential non-pharmacological intervention for managing osteoporosis in the elderly.
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