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Arch Gen Intern Med 2017 | Volume 1 Issue 3
allied
academies
International Conference on
FAMILY MEDICINE AND FAMILY PHYSICIANS
October 16-17, 2017 | Toronto, Canada
Introduction:
The primary non-pharmacological management
recommended for patients with osteoporosis (OP) is exercise,
but whether it should be high force, resistive, or other means
can be obscure.
Objective:
To describe the role of exercises in osteoporotic
fracture prevention, identify effects and potential risks of high-
force exercises, detect the optimal exercises to combat OP, and
explore the challenges that might arise.
Methods:
A MEDLINE, and a Cochrane databases search was
conducted on the role of exercises in preventing osteoporotic
fractures from 1989 onwards, leading to 40 results, including
op-ed pieces, qualitative studies, randomized clinical trials
(RCTs) (n = 5), and RCT followup studies (n = 1). Articles deemed
relevant to the objective hands were analyzed and summarized.
Data on effects of vitamin D and calcium supplementation was
later gathered from different sources as well.
Results:
High-intensity, resistive strength training provided the
maximumbenefit in BoneMineral Density (BMD) levels, muscle
mass and reduction in fracture, while posture and balance
exercises only improved mobility. High force exercises did not
increase fractures, and were associated with increases in BMD.
Interventions including exercises, vitamin D and calcium intake
had limited effect when used as single interventions, while the
latter may potentially cause increases of cardiovascular events.
Conclusion:
A long term regular exercise program designed to
improve postural stability, mobility, and mechanical efficiency,
alongside vitamin D and dietary calcium intake is most effective
in preventing OP and reducing osteoporotic fractures
Speaker Biography
Senderovich is a Physician at Baycrest Health Science System with practice focused
on Palliative Care, Pain Medicine and Geriatrics. She is a Lecturer at the Department
of Family and Community Medicine, and Division of Palliative Care at the University
of Toronto who are actively involved in teaching medical students and residents. She
has a broad international experience and a solid research background. Her research
was accepted nationally and internationally. She is an Author of multiple manuscripts
focused on geriatrics, patient’s centered care, ethical and legal aspect of doctor patient
relationship, palliative and end-of-life care.
e:
hsenderovich@baycrest.orgHelen Senderovich
University of Toronto, Canada
The role of exercises in osteoporotic fracture prevention and current care gaps, where
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