Primary osteoporosis Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of primary osteoporosis (DXA T-score = -2.5 at lumbar spine, total hip or femoral neck, or presence of a hip/vertebral fragility fracture) 2. Aged 50–79 years, any sex 3. Berg Balance Scale score between 22 and 51 4. Able to give informed consent and voluntarily participate
Exclusion criteria
Exclusion criteria: 1. Secondary osteoporosis (e.g., due to hyperparathyroidism, long-term glucocorticoid use, rheumatoid arthritis, etc.) 2. Use of anti-osteoporosis prescription medication (bisphosphonates, denosumab, teriparatide, selective estrogen receptor modulators, etc.) within 6 months prior to enrolment 3. Severe or unstable cardiovascular, respiratory or neurological disease (e.g., uncontrolled hypertension = 160/100 mmHg, heart failure, stroke sequelae) 4. Severe knee, hip or spinal conditions that prevent standing or slow walking (e.g., severe osteoarthritis, acute lumbar disc herniation, spinal deformity) 5. Fragility fracture or orthopaedic surgery within the last 3 months 6. Pregnancy, breastfeeding, or planning to become pregnant within the next year 7. Currently engaged in regular exercise (moderate-intensity or above, =3 times per week, =30 minutes each session, including Baduanjin, Tai Chi, brisk walking, jogging, etc.) 8. Concurrent participation in another clinical trial that may affect balance or bone metabolism, or participation in another interventional clinical trial within the last 3 months 9. Unable to use a smartphone (if required for follow-up reminders or questionnaires) 10. Any factors that may limit adherence to follow-up, such as plan to leave the local area for a long time, alcohol or substance abuse, dementia or cognitive impairment
Countries
China