Maqola

OsteoStrong and dynamic exercise in older women: rethinking comparative effectiveness

Furkat RuzmetovUrgench State Pedagogical Institute, Urgench, UzbekistanRizaev JasurDepartment of Public Health and Healthcare Management, Samarkand State Medical University, Samarkand, UzbekistanLaziz JumayevDepartment of Surgical Dentistry, Bukhara State Medical Institute named after Abu Ali ibn Sino, Bukhara, UzbekistanAminjon AmonovDepartment of Otorhinolaryngology, Tashkent State Medical University, Tashkent, UzbekistanXondamir AhmadovBukhara State Medical Institute named after Abu Ali ibn SinoBaxodir UsmanovDepartment of Theory and Methodology of Sports, Namangan State University, Tashkent, UzbekistanFarrukh NarzullayevDepartment of Sports Activities, Bukhara State University, Bukhara, UzbekistanTarazi NaghashidiDepartment of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. [email protected]

2026en

Ochiq kirishGibrid

Litsenziya: cc-by-nc-nd

ABI

Annotatsiya

Exercise is a cornerstone of osteoporosis management, yet the comparative effectiveness of isometric machine‑based training versus dynamic multicomponent exercise remains unclear. Lindberg and colleagues conducted a randomized trial comparing OsteoStrong (OS) to dynamic multicomponent exercise (DME) in 194 older women with osteopenia or osteoporosis, finding superior improvements in gait speed, back endurance, and balance with DME. While these findings are clinically relevant, several methodological considerations warrant attention: the six‑fold difference in training volume (20 vs. 120 min/week) confounds modality comparisons; functional outcomes were interpreted as superiority evidence despite the trial's non‑inferiority design; participants' high baseline activity may limit generalizability; and unblinded follow‑up assessments risk detection bias. We offer a perspective on these methodological challenges and proposes directions for future research to refine exercise recommendations for this population.

Hali tarjima qilinmagan

Identifikatorlar

DOI: 10.1007/s40520-026-03536-8

Iqtiboslar va manbalar

0 ta iqtibos10 ta foydalanilgan manba