Essay --

Learning objectives To provide exercise professionals with an overview of resistance training benefits, safety issues, and programming guidelines for patients who have been diagnosed with osteoporosis or at risk of getting it. Key words Osteoporosis, Bone Mineral Density, Resistance Exercise, Quality of life, Postmenopausal Women, Strength Training, Osteoporosis is a major public health problem that will likely escalate as the population ages. Osteoporosis is a skeletal disease characterized by a significant decrease in bone mass, which can lead to an increase in bone fragility and susceptibility to fracture. Women are three times more likely than men to be diagnosed with osteoporosis during their lifespan. 2,6,9,17,21,24,33,50 Bone is a dynamic tissue that continually adapts to its functional demands to produce a structure that is strong enough to prevent fractures during typical activities. 3,14,23,29,32,33, Studies have clearly shown the importance of regular physical activity for optimal skeletal growth during development and maintenance of mineral mass and density in adulthood. Because this disease is characterized by a progressive decline in bone density, resistance training is often recommended as a complementary treatment. This article will review both the current body of knowledge with respect to the effects of resista nce training on osteoporosis symptoms as well as the current recommendations for a resistance-training program. Disease Background Osteoporosis is a manifestation of bone atrophy that leads to great susceptibility to fractures, which occur even as a result of small trauma. The most common fractures occur in the spine, wrist and hip and are not uncommon in the ribs, humerus and pelvis.3, 18,20,26,3... ...ng is preferable to lower intensities and is generally safe because the load is relative to individual capacity. In middle-aged and older persons, especially postmenopausal women and patients treated with medications that may cause bone loss should be given an exercise prescription. Resistance exercise targeting major muscle groups is recommended 2 to 3 days per week at ~70% to 80% of 1 RM, 2 to 3 sets, and 6 to 8 repetitions per set. They should begin with lighter loads, adding weight in small increments until desired loads are achieved. Proper posture and lifting technique are crucial concerns, so that they do not injure themselves during exercises. Exercise programs for elderly women and men should include not only weight-bearing endurance and resistance activities aimed at preserving bone mass, but also activities designed to improve balance and prevent falls.