Fragility fracture patients with a history of prior fractures more likely to present with multiple risk factors: findings from a province-wide fracture liaison service

Sujic, R.; Yang, Alan; Ansari, Hina; Bogoch, Earl R.; Jain, Ravi; Weldon, J; Elliot-Gibson, Victoria; Sale, Joanna

doi:10.1007/s00198-022-06384-0

Cited by 1 publication

(1 citation statement)

References 18 publications

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“…Risk factors for fragility fractures include low BMD, sex (female), a history of falls, and prior fracture [92,93] as well as muscle weakness, frailty, inactivity, low visual acuity, poor balance, and joint instability [5,6]. Bone geometry, bone quality, and microstructure also influence risk of a fragility fracture [94].…”

Section: Fragility Fracturesmentioning

confidence: 99%

Exercise to Prevent and Manage Frailty and Fragility Fractures

Dent

Daly

Hoogendijk

et al. 2023

Curr Osteoporos Rep

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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.

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