The effects of exercise on bone metabolism are complex, and although serum phosphorus, serum calcium, and 25(OH)D play important roles in bone health, the specific effects of exercise on serum phosphorus, serum calcium, and 25(OH)D may not be significant, possibly due to differences in exercise modalities and intensities, as well as individual differences.
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Effects of exercise on bone metabolism in postmenopausal women: a systematic review and meta-analysis of randomized controlled trials.
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The results of the subgroup analysis by exercise type showed that aerobic exercise ( SMD = -0.35, 95% CI : -0.65 to -0.06, P = 0.02) significantly reduced CTX levels; resistance exercise ( SMD = -0.32, 95% CI : -1.10 to 0.47, P = 0.43), combined aerobic plus resistance exercise ( SMD = -0.34, 95% CI : -0.74 to 0.06, P = 0.10) and Tai Chi ( SMD = -0.24, 95% CI : -0.63 to 0.15, P = 0.23) showed a trend toward reducing CTX, but without statistical significance ( Figure 10 ).