Kujawska Agnieszka, Gajos Małgorzata, Topka Weronika, Szmelcer Beniamin, Bieniek Daria, Modlińska Aleksandra, Kożuchowski Marcin, Perkowski Radosław, Androsiuk-Perkowska Joanna, Ziółkowska Sylwia. The influence of non-pharmacological methods in osteoporosis treatment. Journal of Education, Health and Sport. 2019;9(9):130-138. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3386710 http://ojs.ukw.edu.pl/index.php/johs/article/view/7375 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2019. Revised: 15.08.2019. Accepted: 05.09.2019. The influence of non-pharmacological methods in osteoporosis treatment Agnieszka Kujawska1,2, Małgorzata Gajos2, Weronika Topka2, Beniamin Szmelcer2, Daria Bieniek2,3, Aleksandra Modlińska2, Marcin Kożuchowski4, Radosław Perkowski2, Joanna Androsiuk-Perkowska2, Sylwia Ziółkowska5 1. Department of Physiology, Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Poland 2. Faculty of Health Sciences, Department and Clinic of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland 3. Nicolaus Copernicus Specialist City Hospital in Toruń, 17/19 Batorego Street, 87100 Toruń, Poland 4. Department of Hygiene, Epidemiology and Ergonomics, Division of Ergonomics and Exercise Physiology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland 5. Department of Pathophysiology, Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Poland Abstract Introduction Osteoporosis is a systemic skeletal disorder which results from an imbalance in bone remodeling. The disease can occur because of failure to achieve peak bone mass and/or excessive bone resorption and/or decreased bone formation during remodelling. Multiple pathogenetic and regulatory mechanisms are responsible for these changes. In the above review, selected non-pharmacological therapies in osteoporosis are described. Material and methods Articles in the EBSCO database have been analyzed using keywords: osteoporosis, osteopenia, treatment. The available literature is subjectively selected. Then, the newest version of every paper was searched for. Results Results of researches on osteoporosis pathomechanism, quality of life in patients, comorbidities, non-pharmacological methods for treatment of osteoporosis, the impact of physical exercise, role of diet as adjunctive therapy in osteoporosis were described. Conclusions Osteoporosis and treatment influence on the patient's functioning and subjective assessment of the quality of life. Medical doctors need to take into account high occurrence of multimorbidity in adults with osteoporosis to be able to propose comprehensive treatment. The treatment of the affected patients should be improved to offer early or even preventive care for other diseases that coexist with osteoporosis. Non-pharmacological interventions, such as diet, seem to be effective in osteoporosis. Effects of physical exercise could be beneficial in osteoporosis patients, however further studies are needed to determine specifics of the most effective program. Key words: osteoporosis; diet; physical exercise; resistance training