Evidence map›Paper›PMID 42278701›Full record

ReviewHealthcare (Basel, Switzerland)2026

Exercise for Bone Mineral Density in People with Inflammatory Bowel Disease: A Systematic Review.

Joaquín González-Aroca, Jorge Olivares-Arancibia, Rodrigo Quera, Walter Sepúlveda-Loyola, Cristian Barros-Osorio, Júlio Brugnara Mello, José Francisco López-Gil, Julio Plaza-Diaz

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Joaquín González-ArocaEscuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, La Serena 1720236, Chile.ORCID 0000-0002-2926-1103
Jorge Olivares-ArancibiaAFySE Group (Physical Activity, Physical Fitness and School Health), Research in Physical Activity and School Health, School of Physical Education, Faculty of Education, Universidad de las Américas, Santiago 7500975, Chile.ORCID 0000-0002-7186-3941
Rodrigo QueraInflammatory Bowel Disease Program, Clínica Universidad de Los Andes, Santiago 7500975, Chile.
Walter Sepúlveda-LoyolaFaculty of Health and Social Sciences, Center for Research in Biological and Chemical Sciences, Universidad de Las Américas, Santiago 7500975, Chile.ORCID 0000-0001-6173-1104
Cristian Barros-OsorioFaculty of Health and Social Sciences, Center for Research in Biological and Chemical Sciences, Universidad de Las Américas, Santiago 7500975, Chile.
Júlio Brugnara MelloGrupo de Investigación en Adaptaciones Musculoesqueléticas al Entrenamiento, Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340025, Chile.ORCID 0000-0002-3013-1760
José Francisco López-GilSchool of Medicine, Universidad Espíritu Santo, Samborondón 092301, Ecuador.ORCID 0000-0002-7412-7624
Julio Plaza-DiazSchool of Health Sciences, Universidad Internacional de La Rioja, 26006 Logroño, Spain.ORCID 0000-0002-5171-9408

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesInflammatory bowel disease (IBD) is associated with reduced areal bone mineral density (aBMD) and an increased risk of osteoporosis and fragility fractures. Although exercise improves bone health in the general population, its effects on aBMD in adults with IBD are unclear. This systematic review aimed to evaluate the effects of structured exercise interventions on aBMD in adults with IBD and to assess the certainty of the evidence.

methodsWe conducted a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Handbook. Searches were performed in CENTRAL, MEDLINE, Scopus, and Web of Science from inception to November 2025. We included randomized controlled trials comparing structured exercise interventions with usual care, no structured exercise or no intervention in participants aged 16 years and older with IBD. The primary outcome was aBMD; physical activity was a secondary outcome. Risk of bias was assessed using the Cochrane Risk of Bias tool (RoB 2.0), and certainty of evidence was evaluated using Grading of Recommendations Assessment, Development and Evaluation (GRADE). The review protocol was registered in International Prospective Register of Systematic Reviews (PROSPERO) CRD42024617200.

resultsTwo randomized controlled trials (

conclusionsWe are very uncertain about the effect of exercise interventions on aBMD in adults with IBD. Current randomized evidence is limited to adults with Crohn's disease and is insufficient to determine the optimal exercise modality, frequency, intensity, progression, or loading characteristics for improving bone health. Well-designed trials across IBD phenotypes are needed to clarify the role of exercise in bone health management in IBD.

Indexed as

areal bone mineral densityexerciseinflammatory bowel diseasesystematic review

Identifiers

PMID42278701
PMCPMC13256732

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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.