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Osteoporosis prevention and management: nonpharmacologic and lifestyle options.

Clinical obstetrics and gynecology
December 1, 2013
Mindy S Christianson et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of dietary and exercise interventions, including adequate calcium intake, in preventing fractures in postmenopausal women with osteoporosis.

Results Summary

The study found that a balanced diet with adequate calcium and vitamin D intake, along with regular weight-bearing exercise, can decrease fracture risk in postmenopausal women with osteoporosis. Other modifiable lifestyle factors, such as avoiding smoking and excessive alcohol, were also highlighted as critical for bone health.

Population

Postmenopausal women with osteoporosis.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
regular weight-bearing exercise
decrease
fracture risk
postmenopausal women with osteoporosis
-
can decrease risk
#1
balanced diet with adequate calcium and vitamin D intake
decrease
fracture risk
postmenopausal women with osteoporosis
-
can decrease risk
#2
avoidance of smoking
decrease
fracture risk
postmenopausal women with osteoporosis
-
critical to bone health and to decrease fracture risk
#3
avoidance of an excessively low body weight
decrease
fracture risk
postmenopausal women with osteoporosis
-
critical to bone health and to decrease fracture risk
#4
avoidance of excessive alcohol intake
decrease
fracture risk
postmenopausal women with osteoporosis
-
critical to bone health and to decrease fracture risk
#5
avoidance of fall risks at home
decrease
fracture risk
postmenopausal women with osteoporosis
-
critical to bone health and to decrease fracture risk
#6
B-vitamin supplementation
decrease
fracture risk
postmenopausal women with osteoporosis
-
may include
#7
omega-3 fatty acid supplementation
decrease
fracture risk
postmenopausal women with osteoporosis
-
may include
#8
soy isoflavone supplementation
decrease
fracture risk
postmenopausal women with osteoporosis
-
may include
#9
dehydroepiandrosterone supplementation
decrease
fracture risk
postmenopausal women with osteoporosis
-
may include
#10
Abstract

The purpose of this review is to evaluate current evidence regarding the use of dietary and exercise interventions to prevent fractures in postmenopausal women with osteoporosis. The key lifestyle modifications that can decrease risk of fracture in postmenopausal women include regular weight-bearing exercise and a balanced diet with adequate calcium and vitamin D intake. Other modifiable lifestyle factors critical to bone health and to decrease fracture risk include the avoidance of smoking, an excessively low body weight, excessive alcohol intake, and fall risks at home. Emerging modifiable factors may include B-vitamin, omega-3 fatty acid, soy isoflavone, and dehydroepiandrosterone supplementation.

Medical Subject Headings (MeSH)
Alcohol DrinkingBone Density Conservation AgentsCalcium, DietaryDietary SupplementsExercise TherapyFatty Acids, Omega-3FemaleHumansOsteoporosis, PostmenopausalOsteoporotic FracturesRisk Reduction BehaviorSmoking CessationVitamin B ComplexVitamin DVitamins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations48
Citations/Year4.0
Relative Citation Ratio1.87
NIH Percentile72.4%
Research Impact Scores
APT Score0.75
Weight Score1.62
Normalized Score0.66
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