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Osteoporosis is considered one of the most common chronic degenerative diseases in the elderly, and is currently recognized as a major public health problem in the world, characterized by reduced bone mass and deterioration of tissue microarchitecture, which weakens the bones making them more fragile and susceptible to fractures. Physical activity influences the maintenance of normal bone activities, being recommended in the treatment of osteoporosis, besides providing several benefits, both physical, psychological, and social, which are of great relevance for the promotion and maintenance of health and quality of life. Therefore, the interest in the subject of this article arises, which aims to verify in the scientific literature the influence of physical exercise in the treatment of osteoporosis in elders and the importance of the practice for the maintenance of life quality, as well as to identify which types of physical activities are more appropriate for the treatment of osteoporosis in seniors. For this study, a narrative literature review was carried out using the electronic databases SciELO, PubMed, and LILACS, with the following descriptors in Portuguese: osteoporose, idosos, atividade física e qualidade de vida; and in English: osteoporosis, physical activity, elderly, and quality of life. Regarding quality of life and physical aspects such as strength and balance, all the studies reported improvement in the quality of life and physical indicators of the participants, except for one. The adherence to a routine of physical exercises in the elderly population with osteoporosis proved to be essential for the maintenance of health and well being, acting both in the treatment and prevention of this pathology. The greatest benefits were evidenced with the association of resistance training to balance training, aerobic exercises, mobility, and stretching.
Referências
ALBINO, I. L. R. et al. Influência do treinamento de força muscular e de flexibilidade articular sobre o equilíbrio corporal em idosas. Revista Brasileira de Geriatria e Gerontologia, [s. l.], v. 15, n. 1, p. 17–25, 2012. Disponível em: <https://doi.org/10.1590/S180998232012000100003>. Acesso em 12 de outubro de 2020.
BENNEL, K.L. et al. Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial. BMC musculoskeletal disorders, v. 11, n. 1, p. 1-11, 2010. Disponível em: <https://doi.org/10.1186/1471-2474-11-36>. Acesso em 30 de Março de 2021.
BONJOUR J., CHEVALLEY T., FERRARI S., RIZZOLI R. Bone and its characteristics during childhood and adolescence up to peak bone mass. In C. Roux (Ed.), The Living Skeleton. Rueil-Malmaison: Wolters Kluwer Health, 2007. Disponível em:
BRAGONZONI, L. et al. A Randomized Clinical Trial to Evaluate the Efficacy and Safety of the ACTLIFE Exercise Program for Women with Post-menopausal Osteoporosis: Study Protocol. International journal of environmental research and public health, v. 17, n. 3, p. 809, 2020. Disponível em: <https://www.mdpi.com/627680>. Acesso em 7 de Março de 2021.
CAPUTO, E.L.; COSTA, M.Z. Influência do exercício físico na qualidade de vida de mulheres pós‐menopáusicas com osteoporose. Revista brasileira de reumatologia, v. 54, n. 6, p. 467473, 2014. Disponível em: <https://doi.org/10.1016/j.rbr.2014.02.008>. Acesso em 5 de Maio de 2021.
CRUZ, D.T et. al. Prevalência do medo de cair em uma população de idosos da comunidade. Rev. bras. geriatr. gerontol., Rio de Janeiro, v. 20, n.3, p.309-318, Maio 2017. Disponível em: <https://doi.org/10.1590/1981-22562017020.160176>. Acesso em 9 Maio 2021.
CARVALHO F. E.T, PAPALÉO N. M. Geriatria: fundamentos, clínica e terapêutica. 2ª ed. São Paulo (SP): Atheneu; 2006.
DOHRN, M. et al. Short-and long-term effects of balance training on physical activity in older adults with osteoporosis: a randomized controlled trial. Journal of geriatric physical therapy (2001), v. 40, n. 2, p. 102, 2017. Disponível em: <https://pubmed.ncbi.nlm.nih.gov/26859463/>. Acesso em 12 de Abril de 2021.
EGERMANN, M. et al. The potential of gene therapy for fracture healing in osteoporosis. Osteoporosis International, [s. l.], v. 16, n. SUPPL. 2, p. 120–128, 2005. Disponível em: <https://doi.org/10.1007/s00198-004-1817-9>. Acesso em 20 de Outubro de 2020.
FACTS and Statistics. International Osteoporosis Foundation. Suíça. s.d. Disponível em: <http://www.iofbonehealth.org/facts-statistics#category-14>. Acesso em: 26 de setembro de 2020.
GALI, J. C. Osteoporose - Um artigo de revisão. Acta Ortop Bras, [s. l.], v. 9, n. 2, p. 3–12, 2001. Disponível em: <http://www.ncbi.nlm.nih.gov/pubmed/22182816>. Acesso em 11 de Setembro de 2020.
GIANOUDIS, J. et al. Osteo-cise: strong bones for life: protocol for a community-based randomised controlled trial of a multi-modal exercise and osteoporosis education program for older adults at risk of falls and fractures. BMC musculoskeletal disorders, v. 13, n. 1, p. 1-16, 2012. Disponível em: <https://doi.org/10.1186/1471-2474-13-78>. Acesso em 02 de Maio de 2021.
HAKESTAD, K.A. et al. Effect of exercises with weight vests and a patient education programme for women with osteopenia and a healed wrist fracture: a randomized, controlled trial of the OsteoACTIVE programme. BMC musculoskeletal disorders, v. 16, n. 1, p. 1-9, 2015. Disponível em: <https://doi.org/10.1186/s12891-015-0811-z>. Acesso em 15 de Março de 2021.
IMAGAMA, Shiro et al. Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people. Archives of osteoporosis, v. 6, n. 1, p. 13-20, 2011. Disponível em: <https://doi.org/10.1007/s11657-011-0052-1>. Acesso em 11 de Maço de 2021.
LEMOS, M. C. D. et al. Qualidade de vida em pacientes com osteoporose: correlação entre OPAQ e SF-36. Revista Brasileira de Reumatologia, v. 46, n. 5, p. 323–328, 2006. Disponível em: <https://doi.org/10.1590/S0482-50042006000500004>. Acesso em 11 de de Novembro de 2020.
MARINI, S. et al. Proposal of an adapted physical activity exercise protocol for women with osteoporosis-related vertebral fractures: a pilot study to evaluate feasibility, safety, and effectiveness. International journal of environmental research and public health, v. 16, n. 14, p. 2562, 2019. Disponível em: <https://www.mdpi.com/498808>. Acesso em 21 de Fevereiro de 2021.
MATSUDO, S.M.; MATSUDO, V.K.R.; BARROS NETO, T.L. Atividade física e envelhecimento: aspectos epidemiológicos. Revista Brasileira de Medicina do Esporte, v. 7, n. 1, p. 2-13, 2001. Disponível em: <https://doi.org/10.1590/S1517-86922001000100002>. Acesso em 11 de Novembro de 2020.
MEIRELLES, E. de S. Diagnóstico por imagem na osteoporose. Arquivos Brasileiros de Endocrinologia & Metabologia, v. 43, n. 6, p. 423–427, 1999. Disponível em: <https://doi.org/10.1590/S0004-27301999000600006>. Acesso em 12 de Novembro de 2020.
REBELATTO, J. et al. Influência de um programa de atividade física de longa duração sobre a força muscular manual e a flexibilidade corporal de mulheres idosas. Revista Brasileira de Fisioterapia, [s. l.], v. 10, n. 1, p. 127–132, 2006. Disponível em: <https://doi.org/10.1590/S1413-35552006000100017>. Acesso em 10 de Outubro de 2020.
SANTOS, M. L. Dos; BORGES, G. F. Exercício físico no tratamento e prevenção de idosos com osteoporose: uma revisão sistemática. Fisioterapia em Movimento, v. 23, n. 2, p. 289– 299, 2010. Disponível em <https://doi.org/10.1590/S0103-51502010000200012>. Acesso em 11 de Outubro de 2020.
SCHRÖDER, G. et al. Effects of physical therapy on quality of life in osteoporosis patients-a randomized clinical trial. Health and quality of life outcomes, v. 10, n. 1, p. 1-8, 2012. Disponível em <https://doi.org/10.1186/1477-7525-10-101>. Acesso em 01 de Abril de 2021
SILVA, A.C.V. et al. Fatores associados à osteopenia e osteoporose em mulheres submetidas à densitometria óssea. Revista Brasileira de Reumatologia, v. 55, n. 3, p. 223-228, 2015. Disponível em: <https://doi.org/10.1016/j.rbr.2014.08.012>. Acesso em 28 de Outubro de 2020.
SMULDERS, E. et al. Efficacy of a short multidisciplinary falls prevention program for elderly persons with osteoporosis and a fall history: a randomized controlled trial. Archives of physical medicine and rehabilitation, v. 91, n. 11, p. 1705-1711, 2010. Disponível em: <https://doi.org/10.1016/j.apmr.2010.08.004>. Acesso em 5 de Abril de 2021.
STANGHELLE, B. et al. Associations between health-related quality of life, physical function and pain in older women with osteoporosis and vertebral fracture. BMC geriatrics, v. 19, n. 1, p. 1-10, 2019. Disponível em: <https://doi.org/10.1186/s12877-019-1268-y>. Acesso em 29 de Março de 2021.
STANGHELLE, B. et al. Effect of a resistance and balance exercise programme for women with osteoporosis and vertebral fracture: study protocol for a randomized controlled trial. BMC musculoskeletal disorders, v. 19, n. 1, p. 1-9, 2018. Disponível em: <https://doi.org/10.1186/s12891-018-2021-y>. Acesso em 30 de Março de 2021
YU, P. et al. The effects of high impact exercise intervention on bone mineral density, physical fitness, and quality of life in postmenopausal women with osteopenia: A retrospective cohort study. Medicine, v. 98, n. 11, 2019. Disponível em: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426501/>. Acesso em 20 de Abril de 2021.
ZAGO, A.S. Exercício físico e o processo saúde-doença no envelhecimento. Revista brasileira de geriatria e gerontologia, v. 13, n. 1, p. 153-158, 2010. Disponível em: <https://www.redalyc.org/articulo.oa?id=403838792016>. Acesso em 16 de Abril de 2021.
ZHANG, Y. et al. Effects of mind-body exercises for osteoporosis in older adults: Protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials. Medicine, v. 99, n. 11, 2020. Disponível em: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220417/>. Acesso em 19 de Abril de 2021.
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Copyright (c) 2023 André Luís Lopes Gomes de Siqueira, Carmem Laís Araújo da Silva, Maria Cristina Rolim Baggio