Evidence map›Paper›PMID 41551858›Full record

ReviewInternational journal of nursing studies advances2026

Promoting and impeding factors for exercise in patients with osteopenia or osteoporosis: A systematic review.

Yi Liu, Chenxin Zhang, Liping Zhang, Xian Ma, Zhenghui Dong

Abstract readReview
In one paragraph

Review in International journal of nursing studies advances, 2026. 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. Article
  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

5 authors.

Yi LiuSchool of Nursing, Xinjiang Medical University, Urumqi 830017, Xinjiang, China.
Chenxin ZhangSchool of Nursing, Xinjiang Medical University, Urumqi 830017, Xinjiang, China.
Liping ZhangSchool of Nursing, Xinjiang Medical University, Urumqi 830017, Xinjiang, China.
Xian MaSchool of Nursing, Xinjiang Medical University, Urumqi 830017, Xinjiang, China.
Zhenghui DongThe Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi 830002, Xinjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteopenia and osteoporosis are pressing public health issues associated with aging. Objective: To systematically identify and synthesize the facilitators and barriers to exercise intervention adherence among individuals with osteopenia or osteoporosis. Design: Systematic review. Data Sources: PubMed, Cochrane, EMBASE, Medline (Ovid), and Web of Science from inception to 31 March 2025. Methods: Inclusion criteria: (1) Population: individuals with osteopenia/osteoporosis; (2) Intervention: exercise interventions targeting osteopenia/osteoporosis-related impairments; (3) Comparison: clear control group; (4) Outcomes: primary (adherence facilitators/barriers, e.g., pedometer/log data); secondary (dropout/adherence, adherence-promotion strategies, participant views); (5) Study type: randomized controlled trials. Exclusion criteria: (1) studies that were duplicates or had overlapping datasets; (2) incomplete publications/insufficient extractable data; (3) non-English literature. Two reviewers independently extracted data in duplicate and assessed bias risk. Results: Thirty randomized controlled trials tested median 31-week programs (aerobic, balance, resistance, flexibility, impact, or functional training). Participants adhered to 83 % (59-100 %) of sessions; "lack of time" was the primary barrier ( Conclusion: For individuals with osteopenia or osteoporosis, key barriers to activity were lack of time and existing health issues. Conversely, facilitators included expert coaching, engaging routines, group camaraderie, accessible facilities, and safety precautions. Future researchers should explore bone health-optimized exercises, identify activity facilitators/barriers, and develop tailored approaches to sustain patients' fitness regimens. Registration: The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO registration CRD420251013691). Tweetable Abstract: Exercise boosts bone health but poor adherence limits efficacy. Our systematic review identifies top facilitators and barriers to optimize adherence.

Indexed as

AdherenceBarriersBehavior change wheelExerciseFacilitatorsOsteoporosis

Identifiers

PMID41551858
PMCPMC12808829

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.