Posted: 29th March 2018
Posted in: News
Bone Mineral Density (BMD) loss is a normal part of the ageing process. However, sometimes this loss may be accelerated, leading to Osteoporosis. This is a condition which can result in bones that are more prone to fractures, even from low impact.
- 2.2 million Australians are affected by osteoporosis (Sambrook et al., 2002)
- 11% of men and 27% of women over the age of 60 have osteoporosis (Nguyen & Eisman, 1999)
- Post-menopause (women)
- Overactive thyroid
- Family history of osteoporosis
- History of corticosteroid use
- Sedentary lifestyle
- Decreased mobility
- Smoking history
- Excessive alcohol intake
- Low vitamin D levels
- Low calcium intake
What can Osteoporosis lead to?
- Increased risk of falls → increased risk of hip fracture, which may require surgical intervention
- Pain from fractures
- Decreased mobility due to fractures and pain, which can lead to further BMD loss
How can physiotherapy help?
- Implementing an evidence-based exercise program
- Weight-baring exercise: effective in increasing BMD of the lumbar spine and hip of postmenopausal women (Bonaiuti et al., 2002)
- Resistance exercise: high intensity resistance training is effective in improving BMD of the femoral neck (hip) in elderly men and women (Vincent & Braith, 2002)
- Walking: effective in increasing BMD of the hip (Bonaiuti et al., 2002)
- Providing advice and education that is specific to you, your needs and your goals
- Assisting with mobility
- Recommending, prescribing and fitting an appropriate mobility aid if you require one
- Implementing a safe and appropriate walking program to improve your cardiovascular fitness
Bonaiuti, D., Shea, B., Iovine, R., Negrini, S., Robinson, V., Kemper, H. C., … & Cranney, A. (2002). Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Syst Rev, 3(3).
Nguyen, T. V., & Eisman, J. A. (1999). Risk factors for low bone mass in men. In Osteoporosis in men (pp. 335-361).
Sambrook, P. N., Seeman, E., Phillips, S. R., & Ebeling, P. R. (2002). Preventing osteoporosis: outcomes of the Australian fracture prevention summit. Med J Aust, 176(8 Suppl), 1-16.
Vincent, K. R., & Braith, R. W. (2002). Resistance exercise and bone turnover in elderly men and women. Medicine & Science in Sports & Exercise, 34(1), 17-23.