Zusammenfassung
Körperliches Training ist in der Prophylaxe der Osteoporose und zur Vermeidung von Frakturen ein wichtiger Baustein. Körperliches Training wirkt sich dabei nicht nur unmittelbar auf die Muskelkraft und die muskuläre Leistungsfähigkeit, sondern auch das Sturzrisiko und die Sturzangst aus. Daher ist körperliches Training auch fester Bestandteil der Basistherapie bei Osteoporose. Die Empfehlungen zur Basistherapie sind eine ausreichende Zufuhr an Nährstoffen, insbesondere auch an Eiweiß. Die Aufnahme von Kalzium und Vitamin D in ausreichender Menge ist in der Basistherapie wichtig, bei einer spezifischen medikamentösen Therapie auch zur Vermeidung von Nebenwirkungen und zur Sicherstellung des Therapieeffektes. Der vorliegende Beitrag fasst die Empfehlungen der aktualisierten S3-Leitlinie zur Diagnostik und Therapie der Osteoporose zusammen und erläutert die Hintergründe für die enthaltenen Empfehlungen.
Abstract
Physical training is an important component in the prophylaxis of osteoporosis and the prevention of fractures. Physical training not only has a direct effect on muscle strength and muscular performance, but also on the risk of falling and the fear of falling. Therefore, physical training is also an integral part of the basic treatment for osteoporosis. The recommendations for basic treatment are an adequate intake of nutrients, including protein in particular. The intake of calcium and vitamin D in sufficient quantities is also important and, in the case of specific drug therapy, also to avoid side effects and to ensure the therapeutic effect. This article summarizes the recommendations of the updated S3 guideline on the diagnosis and treatment of osteoporosis and explains the background for the recommendations included.
Abbreviations
- DVO:
-
Dachverband Osteologie
- LWS :
-
Lendenwirbelsäule
- OR :
-
Odds Ratio
- RCT :
-
„Randomized controlled trial“
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Maus, U. Trainingstherapie und Basistherapie bei Osteoporose. Orthopädie 52, 793–798 (2023). https://doi.org/10.1007/s00132-023-04432-z
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DOI: https://doi.org/10.1007/s00132-023-04432-z