1 in 3 women over age 50 will experience osteoporotic fractures

— International Osteoporosis Foundation

Bone mass declines by 0.5% per year after the age of 40 regardless of sex or ethnicity

— American College of Sports Medicine

Stop guessing. Start building strength safely.

Built for women with osteoporosis & osteopenia.

The Evidence: Strength Training

Title:  The LIFTMOR Trial

Type:  Randomized Controlled Trial

Who:  Postmenopausal Women Age 58 to 75

Size:  101 Participants

Time: 8 months 

Journal article titled 'High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial'. Authors, affiliations, abstract, keywords, and introduction are included. Published in the Journal of Bone and Mineral Research.

High-Intensity Strength & Impact

Barbell with weights on gym floor, ready for lifting

Strength Program: 

  • 2 Sessions per Week 

  • Squat, Deadlift, Press, and Jumping 

  • Weight at 85% of 1 rep max

Resulted in average 2.9% increase in bone mineral density at lumbar spine

VS.

Low-Intensity Training

Person practicing yoga in downward dog pose on a turquoise mat with a water bottle nearby.

Control Program: 

  • 5 Sessions per Week 

  • Low-Intensity, Bodyweight Training

  • Balance Training

Resulted in no change or slight decline in bone mineral density

Key Takeaway:

Strength Training is Safe & Effective for Increasing Bone Mineral Density (BMD)

Title:  Effects of high-impact exercise on bone mineral density (Vainionpää et al)

Type:  Randomized Controlled Trial

Who:  Premenopausal Women Aged 35-40

Size:  120 Participants 

Time: 1.5 years

Scientific article titled 'Effects of high-impact exercise on bone mineral density: a randomized controlled trial in premenopausal women,' authored by Aki Vainionpää, Raija Korpelainen, Juhani Leppäluoto, Timo Jämsä, published in Osteoporosis Int, focusing on bone mineral density and exercise.

The Evidence: Jumping

Test Group

Jumping Program: 

  • 30-40 Jumps per Session

  • 3 Sessions Per Week

Averaged 1.1% increase in bone density at femoral neck

Illustration of a person performing a jump exercise with an upward arrow indicating movement. Jumping is for impact training.

VS.

Control Group

Control Program: 

  • No Programmed Intervention

  • Continued usual activities

Illustration of a woman meditating in a seated lotus position, eyes closed, wearing a pink tank top and green pants. Represents control group of study where users were not prescribed any jump or impact training.

Resulted in -0.4% loss in bone density at femoral neck

Key Takeaway:

Impact-Based Movement Boosts Bone Mineral Density in Hips

The Evidence: Back Extensor Training

Title:  Strong back muscles reduce the incidence of vertebral fractures (Sinaki et al.)

Type:  Prospective Randomized Controlled Trial

Who:  Postmenopausal Women Average Age 62 years

Size:  50 Participants 

Academic article titled 'Stronger Back Muscles Reduce the Incidence of Vertebral Fractures: A Prospective 10 Year Follow-up of Postmenopausal Women' by multiple authors, published in Bone journal, June 2002, Vol. 30, No. 6. The article discusses a study on the benefits of back-strengthening exercises for postmenopausal women. It includes sections like Introduction, Materials and Methods, and features tables and data on muscle strength and vertebral fractures.

Back Extensor Strengthening

Program: 2-year strength plan with exercises targeting erector spinae and deep postural muscles

Two people performing back extensor strength movement called a Thoracic Extension. Dumbbell in foreground of image.

In 10-year results only 6 fractures occurred

VS.

Control Group

Program:

No Intervention

Two people performing back extensor strength movement called a Thoracic Extension. Dumbbell in foreground of image.  X represents the control group that was not prescribed back extensor strengthening for posture.

In 10-Year results 14 fractures occurred

Key Takeaway:

Stronger Spinal Muscles & Better Posture Reduces Lumbar Fracture Risk

The Evidence: Balance Training

Title:  Exercise to prevent falls in older adults (Sherrington et al.)

Type:  Meta-Analysis of Randomized Controlled Trials

Who:  Community-dwelling older adults, average age 76 years

Size:  Over 26,000 participants across 54 trials

Journal article titled 'Exercise to prevent falls in older adults: an updated systematic review and meta-analysis' by various authors, published in British Journal of Sports Medicine in 2017. The study examines the effectiveness of exercise in reducing fall rates in older adults.

Balance Training

Most Effective Programs: 

  • Progressively challenges balance (i.e. narrow stance, reduced hand support, weight shifts)

  • Ongoing intervention as part of daily routine

Person practicing yoga in tree pose on rocky coast overlooking the ocean under a cloudy sky. Pose represents balance training.

Fall rate reduced by up to 30% in those who performed structured balance-focused exercise. 

Key Takeaway:

While Not Bone-building, Balance Training Reduces Falls & Helps Protect Your Bones

References

  1. Watson SL et al. High-intensity resistance and impact training improves bone mineral density and physical function in postmenopausal women with osteopenia and osteoporosis: the LIFTMOR randomized controlled trial. J Bone Miner Res. 2015;30(2):340–349. https://doi.org/10.1002/jbmr.2359

  2. Howe TE et al. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011;(7):CD000333. https://doi.org/10.1002/14651858.CD000333.pub2

  3. Giangregorio LM et al. Exercise for improving outcomes after osteoporotic vertebral fracture. Cochrane Database Syst Rev. 2013;(1):CD008618. https://doi.org/10.1002/14651858.CD008618.pub2

  4. Vainionpää A et al. Effects of high-impact exercise on bone mineral density: a randomized controlled trial in postmenopausal women. Osteoporos Int. 2005;16(2):191–197. https://doi.org/10.1007/s00198-004-1671-1

  5. Sinaki M et al. Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10-year follow-up of postmenopausal women. Mayo Clin Proc. 2002;77(8):821–826. https://doi.org/10.4065/77.8.821

  6. Sherrington C et al. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. BMJ. 2011;343:d2882. https://doi.org/10.1136/bmj.d2882