Evidence map›Paper›PMID 42154220›Full record

SynthesisOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2026

High-intensity resistance and impact exercise in menopausal women: a systematic review of intervention reporting quality and training content.

Emanuele Tortoli, Gennaro Riccio, Elisa Mattii, Simone Ghezzi, Giuseppe Giovannico, Matteo Cioeta

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Emanuele TortoliDepartment of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy. emanuele.tortoli@unimol.it.ORCID http://orcid.org/0000-0001-9470-4903
Gennaro RiccioPrivate Practice Physiotherapist, Naples, Italy.
Elisa MattiiDepartment of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Simone GhezziDepartment of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy.ORCID http://orcid.org/0009-0008-4187-7454
Giuseppe GiovannicoDepartment of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy.ORCID http://orcid.org/0000-0003-2385-6816
Matteo CioetaDepartment of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy.ORCID http://orcid.org/0000-0003-3861-6858

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-intensity resistance and impact training (HiRIT) has emerged as a promising strategy to counteract bone loss and functional decline in peri- and postmenopausal women. However, heterogeneity in intervention design and inadequate reporting limit reproducibility and clinical applicability. The Consensus on Exercise Reporting Template (CERT) provides a standardized framework for evaluating the completeness of exercise intervention reporting. Therefore, this review aimed to assess the reporting quality of HiRIT interventions using the CERT and to describe the key characteristics and training content of the implemented protocols.

methodsA systematic review was conducted following PRISMA guidelines and registered in PROSPERO. Six electronic databases were searched up to June 2025. Original studies investigating HiRIT interventions in peri- or postmenopausal women were included. Reporting quality was assessed using the 19-item CERT checklist by two independent reviewers.

resultsThirty-nine studies involving 3349 women (mean age 57.6 years) met the inclusion criteria. The mean CERT score was 14.3 out of 19, indicating moderate to good reporting quality. Exercise description, supervision, intervention structure, and equipment were consistently reported, whereas motivation strategies, home-based components, and detailed individualization were frequently omitted. Four progression-related CERT items were adequately reported in approximately two-thirds of the studies. Commonly prescribed exercises included the overhead press, squat, leg press, deadlift, and high-impact jumping tasks.

conclusionsHiRIT trials in peri- and postmenopausal women generally report core exercise components adequately, but important gaps remain in the reporting of progression, individualization, and behavioral support strategies. Improving the completeness and transparency of exercise reporting through consistent use of frameworks such as the CERT is essential to enhance reproducibility, facilitate clinical implementation, and optimize exercise prescription for bone health in this population.

Indexed as

MenopauseOsteoporosis, PostmenopausalResistance TrainingFemaleHumansResearch DesignHigh-intensity resistance trainingImpact exerciseOsteoporosisPostmenopausalSystematic review

Identifiers

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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.