File(s) under permanent embargo
Exercise to Prevent and Manage Frailty and Fragility Fractures
journal contributionposted on 2023-04-13, 05:50 authored by E Dent, Robin DalyRobin Daly, EO Hoogendijk, David ScottDavid Scott
Purpose of Review: This review identifies exercise-based recommendations to prevent and manage frailty and fragility fractures from current clinical practice guidelines. We also critically assess recently published literature in relation to exercise interventions to mitigate frailty and fragility fractures. Recent Findings: Most guidelines presented similar recommendations that included the prescription of individually tailored, multicomponent exercise programs, discouragement of prolonged sitting and inactivity, and combining exercise with optimal nutrition. To target frailty, guidelines recommend supervised progressive resistance training (PRT). For osteoporosis and fragility fractures, exercise should include weight-bearing impact activities and PRT to target bone mineral density (BMD) at the hip and spine, and also incorporate balance and mobility training, posture exercises, and functional exercise relevant to activities of daily living to reduce falls risk. Walking as a singular intervention has limited benefits for frailty and fragility fracture prevention and management. Summary: Current evidence-based clinical practice guidelines for frailty, osteoporosis, and fracture prevention recommend a multifaceted and targeted approach to optimise muscle mass, strength, power, and functional mobility as well as BMD.
Exercise trainingFracture preventionOsteoporosis, FrailtyOsteoporosisPhysical Injury - Accidents and Adverse EffectsAgingPreventionRehabilitation6.7 Physical6 Evaluation of treatments and therapeutic interventionsMusculoskeletalInjuries and accidentsPublic Health and Health Services not elsewhere classifiedClinical Sciences not elsewhere classified