Exercise to strengthen bones (for osteoporosis)

Posted by marcd @marcd, Feb 16, 2022

It's been a challenge to find accurate information about exercise to strengthen bones. For me it's been a long process of culling out the information that is based on real research. The following seem to help according to the research data I have been able to find.
Balance training -- some say this strengthens bones, others that it simply reduces falls. But, either way, the end result is to reduce fracture risk. A web search will provide many exercises. Tai Chi improves balance.
Swimming -- this is disputed because it's not weight bearing. But there is a body of research that shows benefit for bone density. For example, one meta-analysis report found that 3-6 hours of swimming/week increases bone density. More time decreases bone density because the body is non-weight bearing for too long. Less is not enough.
Weight bearing exercises -- many reports provide extensive research demonstrating the benefit of correct exercises done in the correct way. The problem is finding out which are those exercises and how to do them. It took me months to track this down, but I was able to find the information and I can share if requested.
Walking -- If done as a weight bearing exercise this can help. That means using a weighted vest, or doing the kind of walking that results in significant impact -- for example jogging, climbing stairs, climbing stairs two at a time, jumping, dancing. It seems that walking around at a normal pace does not increase bone density.
Do not help: My research shows that the following don't help with bone density: Yoga, tai chi, pilates. However , in my opinion un-backed by any research, these could help if they were adapted to provide bone strengthening.
If anyone is interested, please advise of specific questions and I will endeavor to provide links or upload documents.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

Please share the weight bearing exercises you have learned to help osteo. I am already very active but fear a bad fracture. Thanks!

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@jsmtgal

Please share the weight bearing exercises you have learned to help osteo. I am already very active but fear a bad fracture. Thanks!

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Hi @jsmtgal and @sadiejones, you can check out appropriate exercises for osteoporosis by googling Carol Michaels and Sara Meeks. American Bone Health also has a resource, Exercises for Bone Health, which you can Google. My husband broke his hip recently and many of those exercises are ones the physical therapist gave him to strengthen his hips.
I've added light weights and also use exercise bands to increase resistance
It's important to remember no forward bending of the spine - so many of the poses in Yoga and exercises in Pilates can cause vertebral fractures.
Walking is supposed to be good as well.
Wishing you the best, Teri

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@johnbishop

Hi @callalloo, I bought the same WBV plate that @tsc has. I've had it for a couple of months and have been using it 4 or 5 times a week, 1 or 2 times a day on the days I use it. I feel better after I use it but have to be careful as I step off of it due to my balance issues. I'm hoping to benefit like you mentioned but I think it's too early to tell for me. This is the model I purchased but in a different color - https://www.amazon.com/EILISON-Vibration-Plate-Exercise-Machine/dp/B0928KYX4T

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Hi @johnbishop and @callalloo, another Connect member bought a LifePro Vibration Plate Exerciser that she was very happy with. I looked it up - if I recall it weighed about 30 lbs., but I could be wrong. I think it takes a while for these to work as a review of studies had most participants on the machines twice a day for 15 minutes at a time for a year. The Marodyne LIV was developed in conjunction with NASA and costs about $1600, last time I checked. The Eilison Bolt and the LifePro both have programs that they claim increase bone density. Let's hope!

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@marcd: I hope this gets to you - posting about things that do or do not help with improving bone density. I see the discussion about vibrating plates, not sure about the effectiveness. Regarding basic, “easy”, exercises, I, like many older people, have several issues that prohibit some recommended activities. With chronic Sciatica, a right knee TKR, and semi-chronic right hip bursitis, any jogging/jumping or other joint stressing activity is a no-no. Sciatica is under control with daily exercises, bursitis comes and goes, but generally I’m in very good shape. Disappointed that walking, even if done with intensity as in 15 - 16 minute/mile does not help. Swimming - I don’t quite meet the threshold there, either. Usually 2 40minute sessions/week. Does really hard yard work (as in spreading mulch, digging up plants, hand-pruning dozens of azaleas, etc.) count at all? I’ll check out some of the specific exercises someone mentioned, but again - most people with osteoporosis are not spring chickens, and may be limited as to what they can do. Oncologist suggested perhaps starting with ankle weights, but again, there’s the knee issue. And several discs in spine that have atrophied. Any insights?
PS: weighted vest: any recommendation as to how much weight to use? I’m 5’5, 130 lbs, so would 10 lbs. be appropriate?

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@tsc

Hi @jsmtgal and @sadiejones, you can check out appropriate exercises for osteoporosis by googling Carol Michaels and Sara Meeks. American Bone Health also has a resource, Exercises for Bone Health, which you can Google. My husband broke his hip recently and many of those exercises are ones the physical therapist gave him to strengthen his hips.
I've added light weights and also use exercise bands to increase resistance
It's important to remember no forward bending of the spine - so many of the poses in Yoga and exercises in Pilates can cause vertebral fractures.
Walking is supposed to be good as well.
Wishing you the best, Teri

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thank you Teri

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This is just a thought but there are other ways to "bear weight" than carrying heavy things or carrying extra body weight when walking. We can only do what we can do, of course, but, if I recall correctly (and I wouldn't put money on it) the military helped develop isometric exercises as an easy, equipment-less, quick-conditioning form of resistance training.

A physical therapist I know has a client who rebuilt her fitness, during lockdown, by exercising against her wall at home, including doing leg presses against the wall while lying on her back. And using the wall for other resistance exercises.

I recently spoke with a woman who swears she reversed osteoporosis and, at 86, still has maintained the mild osteopenia she recovered in her 70s. She used ankle weights on one leg, while standing and holding onto a table for safety, and making circles with the weighted leg. Then switched the weights and exercised the other leg. She thinks that that exercise was what helped the most to keep femur density renewing. That's anecdotal and she could be wrong as to which factor helped her the most, but is a reminder that there are a lot of ways to exercise.

A study I read dealt with how muscles alert bone to, in a sense, tell it to prepare for needing to rebuild, prepare for load-bearing. I'm sure that bone growth isn't that simple but I think that that argues for using any muscles that we can, especially the large muscles, in any safe way we can. Ignore what we can't do (yet) and just keep moving and doing as all movement is some kind of exercise.

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@johnbishop

Hi @callalloo, I bought the same WBV plate that @tsc has. I've had it for a couple of months and have been using it 4 or 5 times a week, 1 or 2 times a day on the days I use it. I feel better after I use it but have to be careful as I step off of it due to my balance issues. I'm hoping to benefit like you mentioned but I think it's too early to tell for me. This is the model I purchased but in a different color - https://www.amazon.com/EILISON-Vibration-Plate-Exercise-Machine/dp/B0928KYX4T

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Thanks, John!

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Margaret Martin is a great resource for safe exercise. I have her book, and she has a website and videos. https://melioguide.com

I kept safe doing tai chi for many years. COVID interfered with that unfortunately.

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@ellerbracke

@marcd: I hope this gets to you - posting about things that do or do not help with improving bone density. I see the discussion about vibrating plates, not sure about the effectiveness. Regarding basic, “easy”, exercises, I, like many older people, have several issues that prohibit some recommended activities. With chronic Sciatica, a right knee TKR, and semi-chronic right hip bursitis, any jogging/jumping or other joint stressing activity is a no-no. Sciatica is under control with daily exercises, bursitis comes and goes, but generally I’m in very good shape. Disappointed that walking, even if done with intensity as in 15 - 16 minute/mile does not help. Swimming - I don’t quite meet the threshold there, either. Usually 2 40minute sessions/week. Does really hard yard work (as in spreading mulch, digging up plants, hand-pruning dozens of azaleas, etc.) count at all? I’ll check out some of the specific exercises someone mentioned, but again - most people with osteoporosis are not spring chickens, and may be limited as to what they can do. Oncologist suggested perhaps starting with ankle weights, but again, there’s the knee issue. And several discs in spine that have atrophied. Any insights?
PS: weighted vest: any recommendation as to how much weight to use? I’m 5’5, 130 lbs, so would 10 lbs. be appropriate?

Jump to this post

Hi @ellerbracke, Carol Michaels and Sara Meeks have good exercises for osteoporosis posted on YouTube. American Bone Health also has a resource, Exercises for Bone Health, which you can Google. My husband broke his hip recently and many of those exercises are ones the physical therapist gave him to strengthen his hip.
I've added light weights and also use exercise bands to increase resistance.
My rheumatologist told me a weighted vest could cause spinal fractures - so I gave the one I had, 10 pounds, away.
I came across an article a while ago that said women who gardened had less osteoporosis. I think you have to be careful, not to bend the spine forward, twist too far or lift something too heavy weight. The guidance I've read is no more than 20 lbs.
A review of studies involving whole body vibration therapy can be found in "Whole-body vibration exercise in postmenopausal osteoporosis", Magdalena Weber-Rajek,et al which you can google. All the best.

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@tsc

Hi @ellerbracke, Carol Michaels and Sara Meeks have good exercises for osteoporosis posted on YouTube. American Bone Health also has a resource, Exercises for Bone Health, which you can Google. My husband broke his hip recently and many of those exercises are ones the physical therapist gave him to strengthen his hip.
I've added light weights and also use exercise bands to increase resistance.
My rheumatologist told me a weighted vest could cause spinal fractures - so I gave the one I had, 10 pounds, away.
I came across an article a while ago that said women who gardened had less osteoporosis. I think you have to be careful, not to bend the spine forward, twist too far or lift something too heavy weight. The guidance I've read is no more than 20 lbs.
A review of studies involving whole body vibration therapy can be found in "Whole-body vibration exercise in postmenopausal osteoporosis", Magdalena Weber-Rajek,et al which you can google. All the best.

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Thanks for the Weber-Rajek heads up. When I get one of the vibration plates, I'm going to proceed carefully but the tech just sounds interesting. Some people in photos online are using them while seated to stimulate circulation in the lower legs so it looks as there are myriad ways the technology might be beneficial though I'm keeping @windyshores caution about already-fractured discs, etc,. in mind.

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