Evidence map›Paper›PMID 34959796›Full record

SynthesisNutrients2021

Exercise Effects on Bone Mineral Density in Men.

Michelle Mages, Mahdieh Shojaa, Matthias Kohl, Simon von Stengel, Clemens Becker, Markus Gosch, Franz Jakob, Katharina Kerschan-Schindl, Bernd Kladny, Nicole Klöckner and 9 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 8 pooled it
–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

19 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Effects of combined protein and exercise interventions on bone health in middle-aged and older adults - A systematic literature review and meta-analysis of randomized controlled trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
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  6. Guideline
  7. Pooled it
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  9. Article
  10. Review
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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

19 authors.

Michelle MagesInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, 91052 Erlangen, Germany.
Mahdieh ShojaaInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, 91052 Erlangen, Germany.
Matthias KohlDepartment of Medical and Life Sciences, University of Furtwangen, 78056 Villingen-Schwenningen, Germany.ORCID 0000-0001-9514-8910
Simon von StengelInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, 91052 Erlangen, Germany.
Clemens BeckerRobert-Bosch-Krankenhaus, Geriatrie und Geriatrische Rehabilitation, 70376 Stuttgart, Germany.
Markus GoschKlinikum Nurnberg, Paracelsus Medizinische Privatuniversität, 90419 Nürnberg, Germany.ORCID 0000-0001-7720-2506
Franz JakobBernhard Heine Zentrum für Bewegungsforschung, University of Würzburg, 97074 Würzburg, Germany.
Katharina Kerschan-SchindlAustrian Society for Bone and Mineral Research (ÖGKM), A-1090 Wien, Austria.
Bernd KladnyGerman Society for Orthopaedics and Trauma (DGOU), 10623 Berlin, Germany.
Nicole KlöcknerDeutsche Rheuma-Liga Bundesverband e.V., 53111 Bonn, Germany.
Uwe LangeGerman Society for Physical and Rehabilitative Medicine (DGMPR), 01067 Dresden, Germany.
Stefan MiddeldorfInternational Musculoskeletal Pain Society (IGOST), 88212 Ravensburg, Germany.
Stefan PetersDeutscher Verband für Gesundheitssport und Sporttherapie e. V. (DVGS), 50354 Hürth, Germany.
Daniel SchoeneInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, 91052 Erlangen, Germany.
Cornel C SieberEuropean Geriatric Medicine Society (EuGMS), Institute for Biomedicine of Aging, FAU Erlangen-Nürnberg, 90419 Nürnberg, Germany.
Reina TholenDeutscher Verband für Physiotherapie (ZVK) e.V., 50679 Cologne, Germany.
Friederike E ThomasiusOsteology Umbrella Association Germany (DVO), 67659 Kaiserslautern, Germany.
Michael UderInstitute of Radiology, FAU-Erlangen-Nürnberg and University Hospital Erlangen, 91054 Erlangen, Germany.
Wolfgang KemmlerInstitute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, 91052 Erlangen, Germany.ORCID 0000-0003-3515-0669

Funding

Elsbeth Bonhoff Foundation Project-Number 219
6 · The paper itself

Abstract

In contrast to postmenopausal women, evidence for a favorable effect of exercise on Bone Mineral Density (BMD) is still limited for men. This might be due to the paucity of studies, but also to the great variety of participants and study characteristics that may dilute study results. The aim of the present systematic review and meta-analysis was to evaluate the effect of exercise on BMD changes with rational eligibility criteria. A comprehensive search of six electronic databases up to 15 March 2021 was conducted. Briefly, controlled trials ≥6 months that determined changes in areal BMD in men >18 years old, with no apparent diseases or pharmacological therapy that relevantly affect bone metabolism, were included. BMD changes (standardized mean differences: SMD) of the lumbar spine (LS) and femoral neck (FN) were considered as outcomes. Twelve studies with 16 exercise and 12 control groups were identified. The pooled estimate of random-effect analysis was SMD = 0.38, 95%-CI: 0.14-0.61 and SMD = 0.25, 95%-CI: 0.00-0.49, for LS and FN, respectively. Heterogeneity between the trials was low-moderate. Funnel plots and rank and regression correlation tests indicate evidence for small study publication bias for LS but not FN-BMD. Subgroup analyses that focus on study length, type of exercise and methodologic quality revealed no significant difference between each of the three categories. In summary, we provided further evidence for a low but significant effect of exercise on BMD in men. However, we are currently unable to give even rough exercise recommendations for male cohorts.

Indexed as

Bone DensityMen's HealthAdultExerciseFemur NeckHumansLumbar VertebraeMaleMiddle AgedYoung Adultbone mineral densityexercisemenoverview

Identifiers

PMID34959796
PMCPMC8707095

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.