Paola Machado - Exercise is important in the treatment of osteoporosis.  see what you're doing

Paola Machado – Exercise is important in the treatment of osteoporosis. see what you’re doing

Osteoporosis is a very common disease of the bones that affects more than 10 million people throughout Brazil. It occurs when cells get out of balance, which leads to increased bone erosion, which leads to bone thinning and its pores, making them more susceptible to fractures.

Women are affected much more than men: about 200 million women worldwide suffer from osteoporosis, because during menopause there is an imbalance caused by a decrease in estrogen production, which leads to a rapid decrease in bone mass, which can reach 10 times what is observed in the premenopausal period.

Other risk factors include genetic predisposition, lack of physical activity, poor diet with vitamins and nutrients, excessive alcohol and caffeine intake, smoking and aging itself.

In its initial stage, called osteopenia, it has no symptoms and the diagnosis is made by measuring bone density. From the moment the diagnosis is made, it is important to follow-up by specialists to control and promote the disease, because despite the silence in advanced stages, pain can arise as a result of bone deformities and fractures, which can lead to physical disability and even death in the event of complications, Especially in the elderly.

The importance of physical activity in osteoporosis

Regular physical activity is important for people with osteoporosis, as it reduces bone loss, reduces the risk of falls and improves quality of life.

There are a number of physical activity options for both prevention and treatment, but before starting any process, you need to know your limits, physical conditions, and stage of illness to avoid any risk of falls and fractures.

Do all exercises help in osteoporosis?

Currently, the literature shows that the most suitable exercises for increasing bone density are those that involve load, resistance and impact, because the stimuli caused by these types of exercises through resistance forces and muscle contraction are able to stimulate bone metabolism, which promotes bone regeneration. . Examples of resistance and pregnancy: Pilates and weightlifting exercises, always accompanied by professionals who can guide them.

In the case of Pilates, in addition to resistance, it plays an important role in posture, as it improves other conditions such as osteoporosis, disc herniation, limitations that are very common in people with osteoporosis.

Studies show that moderate to high-intensity resistance exercise can maintain or improve hip and thigh osteoporosis in postmenopausal women.

When we talk about influence activitiesAnd the We can mention all the activities that we constantly raise off the ground such as: basketball, volleyball, walking, running.

For those who have not demonstrated osteoporosis but have a predisposition, either due to genetic factors or premenopausal, impact activities are recommended. Studies show that people who have been physically active since childhood and whose impact activities include greater bone stores and a lower risk of osteoporosis in adults, because bone is constantly being recycled and produced.

But be careful! Here it is important to pay attention, as patients with already stable osteoporosis should avoid high-impact exercises due to the risk of falls and fractures. In these cases, it is important to continue static exercises to gain strength, balance and motor control, always accompanied by a health professional.

Other benefits of exercise

Aerobic exercise is also indicated without load, although it does not have a direct effect on increasing bone density, because it has an important role in strengthening and improving balance and movement control – this is the case for exercises such as swimming, cycling and tai. -something.

In a study of 100 women over 55 years of age, they performed resistance, body sense and balance exercises with the goal of reducing the number of falls and improving functional ability, dynamic balance and quality of life when compared to the control group. The results showed that the incidence of falls decreased by 38% in the training group, compared to a 16% decrease in the control group.

Thus, even aerobic and no-load exercises are important for the association in improving physical function, decreasing the chance of falls and generating more kinetic stability for activities of daily living.

Therefore, it is highly recommended, after consultation with the doctor, that the patient follow an exercise program prescribed by a specialist in the field: a physical education specialist or a physiotherapist.

Collaboration: Juliana Satake, Physiotherapist partner at Clínica La Posture and Dr. Renata Laurie, Physiotherapist, PhD from Unifesp.

References:

Anupama, Dr.; Our Light, Judith A; Acharya, Kiran K.; George Annis. Effect of exercise on bone mineral density and quality of life among postmenopausal women with osteoporosis without fracture: a systematic review. Int J Orthop Trauma Nurs; 39: 100796, 2020.

Castro, Juliana B. B. D.; Lima, Vicente B; Milo, Danielle B.D.; Lopez, Gustavo C.; Peixoto, Jacqueline C.; Santos, Andressa ob Doss; Nunes, Rodolfo MD; Sousa Valley, Rodrigo JD. Effects of Pilates with or without elastic resistance on health variables in postmenopausal women with low back pain. pain management; 12 (4): 509-520, 2022.

Fernandez-Rodriguez, Robin; Alvarez Bueno, Celia; Rina Gutierrez, Sarah; Torres Costoso, Anna; Nunez de Arenas-Arroyo, Sergio; Martínez-Vizcaino, Vicente. The efficacy of Pilates and yoga in improving bone density in adult women: a systematic review and meta-analysis. plus one; 16 (5): e0251391, 2021.

Garcia Garrow, Patricia Alexandra; Heta Contreras, Fidel; Martinez Amat, Antonio; Achalandabaso-Ochoa, Alexander; Jiménez Garcia, Jose Daniel; David Cruz Diaz; Aibar-Almazán, Agustín. Effectiveness of a Pilates training program on cognitive and functional abilities in postmenopausal women. Int J Environment; Res; Public Health; 17 (10) 2020 05 20.

Hook, M; Omar, note; Amburgy, J.W.; Self, D.M.; Schnell, A; Morgan, S.; Larius, Emerson A; Chambers, M R. Effect of exercise on bone mineral density, fall prevention, and osteoporosis in postmenopausal women with osteoporosis. J Clin Neurosci. 76:261-263, 2020 June.

Kestler Fischbacher, Melanie; Young, New S.; Weeks, Benjamin K; Beck, Belinda R. Comparison of bone-targeted exercise with and without bone antisense drugs to reduce indices of fracture risk in postmenopausal women with low bone mass: the MEDEX-OP randomized controlled trial. J Boone Miner Res; 36(9): 1680-1693, 2021

Liu, Feng. Zhao, Lulu. The effect of sport in enhancing adult bone density / The effect of sport in increasing bone density in adults Rev. Medium bras. sports ; 28(2): 130-132, March-April. 2022

Oliveira, Rafael Gonçalves; Anami, Gustavo Eiji Ueno; Coelho, Adeline Aparecida; De Oliveira, Las Campos. Effects of Pilates exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis. J Geriatr Phys Ther; 45 (2): 107-114, 2022.


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