High-Intensity Resistance and High-Impact Training and Bone Mineral Density—a Narrative Review: Part 1
by Thomas Lafantaine, PHD, CSCS, NSCA-CPT, FACSM, and Shellaine Frazier, DO
NSCA Coach
May 2019
Vol 6, Issue 1
This article is part one of a two part series. This article will discuss the basic science of BMD and the implications for programming will be discussed in the second article.
Introduction
Osteoporosis is defined as a disease characterized by low bone mineral density (BMD) and microarchitectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture (20). Fractures of the hip and spine result in disability, decreased independence, and increased risk of death (19,20). This article is part one of a two part series. This article will discuss the basic science of BMD and the implications for programming will be discussed in the second article.
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This article originally appeared in NSCA Coach, a quarterly publication for NSCA Members that provides valuable takeaways for every level of strength and conditioning coach. You can find scientifically based articles specific to a wide variety of your athletes’ needs with Nutrition, Programming, and Youth columns. Read more articles from NSCA Coach »
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References
1. Beatriz, L, Salinero, JJ, Gutiérrez, J, Areces, F, Vicén, JA, RuizVicente, D, et al. Influence of endurance running on calcaneal bone stiffness in male and female runners. European Journal of Applied Physiology 116: 327-333, 2016.
2. Bemben, DA, and Bemben, MG. Dose-response effect of 40 weeks of resistance training on bone mineral density in older adults. Osteoporosis International 22: 179-186, 2011.
3. Bocalini, DS, Serra, AJ, dos Santos, L, Murad, N, and Levy, RF. Strength training preserves bone mineral density of postmenopausal women without hormone replacement therapy. Journal Aging and Health 21: 519-527, 2009.
4. Brentano, MA, Cadore, EL, Da Silva, EM, Ambrosini, AD, Coertens, M, Petkowicz, R, et al. Physiological adaptations to strength and circuit training in postmenopausal women with bone loss. Journal of Strength and Conditioning Research 22(6): 1816-1825, 2008.
5. Chilibeck, PD, Candow, DG, Landeryou, T, Kaviani, M, and PausJenssen, L. Effects of creatine and resistance training on bone health in postmenopausal women. Medicine and Science in Sports Exercise 47: 1587-1595, 2015.
6. Conroy, BP, Kraemer, WJ, Maresh, CM, Fleck, SJ, Stone, MH, Fry, AC, et al. Bone mineral density of elite junior Olympic weightlifters. Medicine and Science in Sports and Exercise 25:1103-1109, 1993.
7. Gupta, A. Treating osteoporosis. Australia Prescription 39: 40-46, 2016.
8. Howe, TE, Shea, B, Dawson, LJ, Downie, F, Murray, A, Ross, C, et al. Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Systematic Reviews 6(7): 2011.
9. Katz, S. Prevention, detection, and treatment of osteopenia and osteoporosis. Gastroenterology Hepatology 9: 176-178, 2013.
10. Kemmler, W, von Sengel, S, Engelke, K, Haberle, L, and Kalendar, WA. Exercise effects on bone mineral density, coronary risk factors, and health care costs in older women. Archives Internal Medicine 170: 179-185, 2010.
11. Kim, JE, Moon H, and Jin, HM. The effects of exercise training and type of exercise training on changes in bone mineral density in Korean postmenopausal women: a systematic review. Journal of Exercise Nutrition and Biochemistry 20: 7-15, 2016.
12. Kruskall, LJ, Manore, MM, Eickhoff-Shemek, JM, and Ehrman, JK. Drawing the line: Understanding the scope of practice among registered dietitian, nutritionists, and exercise professionals. Health and Fitness Journal 21: 23-32, 2017.
13. Leigey, D, Irrgang, J, Francis, K, Cohen, P, and Wright V. Participation in high impact sports predicts bone mineral density in senior athletes. Sports Health 1: 508-513, 2009.
14. Lems, WF, and Geusens, P. Established and forthcoming drugs for the treatment of osteoporosis. Current Opinion Rheumatology 26: 245-251, 2014.
15. Martyn-St James, M, and Carroll, S. A meta-analysis of impact exercise on postmenopausal bone loss: The case for mixed loading exercise programmes. British Journal of Sports Medicine. 43: 898-908, 2009.
16. Martyn-St James, M, and Carroll, S. Effects of different impact exercise modalities on bone mineral density in postmenopausal women: a meta-analysis. Journal of Bone Mineral Metababolism 28: 251-267, 2010.
17. Moreira, LD, Oliveira, ML, Lirani-Galvao, AP, Marin-Mio, RV, Santos, RN, and Lazaretti-Castro, M. Physical exercise and osteoporosis: Effects of different types of exercise on bone and physical function of postmenopausal women. Arquivos Brasileiros de Endocrinologia & Metabologia 58: 514-522, 2014.
18. Mosti, MP, Kaehler, N, Stunes, AK, Hoff, J, and Syverson, U. Maximal strength training in postmenopausal women with osteoporosis or osteopenia. Journal of Strength and Conditioning Research 27(10): 2879-2886, 2013.
19. National Health and Nutrition Examination Survey. Osteoporosis. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for health statistics. Retrieved November 2016 from http://www.cdc.gov
20. Nichols, DL, Trudelle-Jackson, E, and Fleisher, L. Osteoporosis. In: Myers, J, and Neiman, D (Eds.), ACSM’s Resources for Clinical Exercise Physiology. Baltimore, MD: Wolters Kluwer/Lippincott, Williams, & Wilkins; 162-174, 2010.
21. Nicholson, VP, McKean, MR, Slater, GJ, Kerr, A, and Burkett, BJ. Low-load very high repetition resistance training attenuates bone loss at the lumbar spine in active postmenopausal women. Calcified Tissue International 96: 490-499, 2015.
22. Osteoporosis: Practice Essentials, Background, Pathophysiology. Retrieved October 2016 from http://emedicine. medscape.com/article/330598-overview.
23. Reid, IR. Short-term and long-term effects of osteoporosis therapies. National Review of Endocrinology 11: 418-428, 2015.
24. Schwartz, A. Impact + resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors: A randomized controlled trial. Osteoporosis International 24(5): 1637-1646, 2012.
25. Walters, PH, Jezequel, JJ, and Grove, MB. Case study: Bone mineral density of two elite senior female powerlifters. Journal Strength and Conditioning Research 26(3): 867-872, 2012.
26. Waltman, NL, Twiss, JJ, Ott, CD, Gross, GJ, Lindsey, AM, Moore, et al. The effect of weight training on bone mineral density and bone turnover in postmenopausal breast cancer survivors with bone loss: A 24-month randomized controlled trial. Osteoporosis International 21: 1361-1369, 2010.
27. Watson, SL, Weeks, BK, Weis, LJ, Harding AT, Horan, SA, and Beck, BR. Heavy resistance training and impact training improves bone mineral density and physical function in postmenopausal women with osteopenia and osteoporosis: The LIFTMOR randomized controlled trial. Journal of Bone and Mineral Research 33(2): 211-220, 2018.
28. Winter-Stone, KM, Dobek, J, Nail, IM, Bennett, JA, Leo, MC, Torgrimson-Ojerio, B, Luoh, SW. Impact + resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors: a randomized controlled trial. Osteoporosis International 24: 1637-46, 2013.
29. Winters-Stone, KM, Cobek, J, Nail, L, Bennett, JA, Leo, MC, Naik, A, and Schwartz, A. Strength training stops bone loss and builds muscle in postmenopausal breast cancer survivors: A randomized controlled trial. Breast Cancer Research Treatment 127: 447-456, 2011.
30. World Health Organization (WHO). Who scientific group on the assessment of osteoporosis at the primary health care level: Summary meeting report. Retrieved October 2016 from https:// www.who.int/chp/topics/Osteoporosis.pdf.
31. Zhao, R, Zhao, M, and Xu, Z. The effects of differing resistance training modes on the preservation of bone mineral density in postmenopausal women: A meta-analysis. Osteoporosis International 26: 1605-1618, 2015.
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