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Exercise and nutritional approaches to prevent frail bones, falls and fractures: an update

Daly, R.M. 2017, Exercise and nutritional approaches to prevent frail bones, falls and fractures: an update, Climacteric, vol. 20, no. 2, pp. 119-124, doi: 10.1080/13697137.2017.1286890.

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Title Exercise and nutritional approaches to prevent frail bones, falls and fractures: an update
Author(s) Daly, R.M.ORCID iD for Daly, R.M. orcid.org/0000-0002-9897-1598
Journal name Climacteric
Volume number 20
Issue number 2
Start page 119
End page 124
Total pages 6
Publisher Taylor & Francis
Place of publication Abingdon, Eng.
Publication date 2017-04
ISSN 1473-0804
Keyword(s) Osteoporosis
exercise
falls
fracture
nutrition
older people
sarcopenia
Summary Osteoporosis (low bone strength) and sarcopenia (low muscle mass, strength and/or impaired function) often co-exist (hence the term 'sarco-osteoporosis') and have similar health consequences with regard to disability, falls, frailty and fractures. Exercise and adequate nutrition, particularly with regard to vitamin D, calcium and protein, are key lifestyle approaches that can simultaneously optimize bone, muscle and functional outcomes in older people, if they are individually tailored and appropriately prescribed in terms of the type and dose. Not all forms of exercise are equally effective for optimizing musculoskeletal health. Regular walking alone has little or no effect on bone or muscle. Traditional progressive resistance training (PRT) is effective for improving muscle mass, size and strength, but it has mixed effects on muscle function and falls which may be due to the common prescription of slow and controlled movement patterns. At present, targeted multi-modal programs incorporating traditional and high-velocity PRT, weight-bearing impact exercises and challenging balance/mobility activities appear to be most effective for optimizing musculoskeletal health and function. Reducing and breaking up sitting time may also help attenuate muscle loss. There is also evidence to support an interaction between exercise and various nutritional factors, particularly protein and some multi-nutrient supplements, on muscle and bone health in the elderly. This review summary provides an overview of the latest evidence with regard to the optimal type and dose of exercise and the role of various nutritional factors for preventing bone and muscle loss and improving functional capacity in older people.
Language eng
DOI 10.1080/13697137.2017.1286890
Field of Research 110399 Clinical Sciences not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, International Menopause Society
Persistent URL http://hdl.handle.net/10536/DRO/DU:30092951

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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Created: Tue, 04 Apr 2017, 15:18:07 EST

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