Evidence map›Paper›PMID 41345714›Full record

ArticleSystematic reviews2025

Impact of multicomponent physical exercise and high-intensity interval training on osteoporosis in postmenopausal women: protocol for a systematic review and network meta-analysis of randomized controlled trials.

António Miguel Monteiro, André Schneider, Samuel Encarnação, Pedro Forte, Tiago Barbosa, Daniel Pecos Martín

Abstract read
In one paragraph

Article in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

António Miguel MonteiroInstituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253, Bragança, Portugal. mmonteiro@ipb.pt.
André SchneiderInstituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253, Bragança, Portugal. andrecschneider@gmail.com.ORCID 0009-0003-4856-9706
Samuel EncarnaçãoInstituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253, Bragança, Portugal.
Pedro ForteInstituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253, Bragança, Portugal.
Tiago BarbosaInstituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253, Bragança, Portugal.
Daniel Pecos MartínDepartamento de Enfermería yFisioterapia, Grupo de Investigación en Fisioterapia y Dolor, Facultad de Medicina y Ciencias de La Salud, Universidad de Alcalá, 28801, Alcalá de Henares, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis is a progressive degenerative bone condition leading to increased fracture risk. Therefore, osteoporosis acknowledges around 200 million cases, with about 70% of the cases occurring in postmenopausal women. Medicaments are often suggested to treat osteoporotic conditions, but physical exercise also plays an essential role. The current literature highlights multicomponent training (MCT) and high-intensity and high-impact exercises as physical exercise interventions that positively affect postmenopausal women's bone health. Furthermore, there is prior evidence of systematic reviews about the positive effects of both methods on the bone health of this population. Despite this prior evidence, no systematic reviews with metanalytic methods compare the effectiveness of the two interventions.

methodsand analysis. The study will follow the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and was registered at the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number (CRD42024604930). This systematic review and meta-analysis will include only randomized controlled clinical trials (RCTs), which have verified the effects of one or both physical exercise methods on postmenopausal women's bone mineral density (BMD). The systematic search will be implemented at eight electronic databases, namely PubMed/MEDLINE, Web of Science (WoS), EBSCO, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, CINAHL, and SPORTDiscus, which will be used to retrieve the data of interest. The RCTs' risk of bias (RoB) will be assessed with the RoB 2 Cochrane tool, and between-study heterogeneity will be checked through the analysis of Half-Cauchy distribution. Additionally, a network meta-analysis will be applied to compare the between-studies dose-response on the patients' bone health. The final database search was completed on January 18, 2025. DISCUSSION: In this study, we hope to find consistent results about the effects of MCT and HIIT in postmenopausal women with osteoporosis. Therefore, we also expect to observe between-intervention effects after the network meta-analysis approaches. A Bayesian network meta-analysis will be conducted using Markov Chain Monte Carlo simulations. Exercise dose will be modeled in METs-min/week to explore dose-response relationships. The deviance information criterion (DIC) will be used to compare model fit. Confidence in the results will be evaluated using the CINeMA framework. This way, this study will significantly impact this field of knowledge. ETHICS AND DISSEMINATION: The design of this review protocol did not involve patients. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42024604930.

Indexed as

ExerciseExercise TherapyHigh-Intensity Interval TrainingOsteoporosis, PostmenopausalBone DensityFemaleHumansNetwork Meta-Analysis as TopicPostmenopauseRandomized Controlled Trials as TopicSystematic Reviews as Topic

Identifiers

PMID41345714
PMCPMC12781636

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.