摘要：Background: The incidence of fragility fractures has increased during the last half of the 1900’s. Oneimportant determinant of fractures is the bone mineral content (BMC) or bone mineral density (BMD), theamount of mineralised bone. If we could increase peak bone mass (the highest value of BMC reached duringlife) and/or decrease the age-related bone loss, we could possibly improve the skeletal resistance to fracture.Objective: This review evaluates the importance of exercise as a strategy to improve peak bone mass, includingsome aspects of nutrition.Design: Publications within the field were searched through Medline (PubMed) using the search words:exercise, physical activity, bone mass, bone mineral content, bone mineral density, BMC, BMD, skeletalstructure and nutrition. We included studies dealing with exercise during growth and young adolescence. Wepreferably based our inferences on randomised controlled trials (RCT), which provide the highest level ofevidence.Results: Exercise during growth increases peak bone mass. Moderate intensity exercise intervention programsare beneficial for the skeletal development during growth. Adequate nutrition must accompany the exercise toachieve the most beneficial skeletal effects by exercise.Conclusion: Exercise during growth seems to enhance the building of a stronger skeleton through a higherpeak bone mass and a larger bone size.
关键词：bone mass;bone mineral content;BMC;bone mineral density;BMD;exercise;growth;nutrition;physical activity;skeletal structure
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