Skip to main content

Research Repository

Advanced Search

Exercise interventions for preventing and treating low bone mass in the forearm: A systematic review and meta-analysis

Forsyth, J.; Evans, A.; Hind, K.; Paskins, Z.; Babatunde, O.

Exercise interventions for preventing and treating low bone mass in the forearm: A systematic review and meta-analysis Thumbnail


Authors

J. Forsyth

A. Evans

K. Hind

Z. Paskins

O. Babatunde



Abstract

Objective: To examine the effectiveness of exercises for improving forearm bone mass. Data Sources: MEDLINE, EMBASE, CINAHL, AMED, Web of Science, and Cochrane CENTRAL were searched from their inception until December 2018. Study Selection: Eligibility included adults undertaking upper limb exercise interventions (≥12wk) to improve bone mass. Data Extraction: Screening of titles, abstracts, and full texts and data extraction were undertaken independently by pairs of reviewers. Included studies were quality appraised using Cochrane risk of bias tool. Data Synthesis: Exercise interventions were classified into “resistance training” of high or low intensity (HIRT/LIRT, respectively) or “impact.” Random-effects meta-analysis of the percentage change in forearm bone mass from baseline was conducted. Twenty-six studies were included in the review, of which 21 provided suitable data for meta-analysis. Methodological quality ranged from “low” to “unclear” risk of bias. Exercise generally led to increases (moderate-quality evidence) in forearm bone mass (standard mean difference [SMD], 1.27; 95% CI, 0.66-1.88; overall effect Z value=4.10; P<.001). HIRT (SMD, 1.00; 95% CI, 0.37-1.62; Z value=3.11; P=.002), and LIRT (SMD, 2.36; 95% CI, 0.37-4.36; Z value=2.33; P<.001) led to moderate increases in forearm bone mass. Improvements resulting from impact exercises (SMD, 1.12; 95% CI, −1.27 to 3.50; Z value=0.92; P=.36) were not statistically significant (low-quality evidence). Conclusions: There is moderate-quality evidence that exercise is effective for improving forearm bone mass. There is moderate-quality evidence that upper body resistance exercise (HIRT/LIRT) promotes forearm bone mass but low-quality evidence for impact exercise. Current evidence is equivocal regarding which exercise is most effective for improving forearm bone mass.

Citation

Forsyth, J., Evans, A., Hind, K., Paskins, Z., & Babatunde, O. (2020). Exercise interventions for preventing and treating low bone mass in the forearm: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 101(3), 487-511. https://doi.org/10.1016/j.apmr.2019.07.007

Journal Article Type Article
Acceptance Date Jul 16, 2019
Online Publication Date Aug 26, 2019
Publication Date Mar 31, 2020
Deposit Date Aug 6, 2019
Publicly Available Date Aug 26, 2020
Journal Archives of Physical Medicine and Rehabilitation
Print ISSN 0003-9993
Publisher American Congress of Rehabilitation Medicine
Peer Reviewed Peer Reviewed
Volume 101
Issue 3
Pages 487-511
DOI https://doi.org/10.1016/j.apmr.2019.07.007

Files





You might also like



Downloadable Citations