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.

@bobbi2014

The thing about formal exercise classes (apart from the cost) is that regular attendance requires discipline and, for many women, finding the mental and physical energy after a day juggling career and children to opt for sweating in a gym over watching TV/reading a good book with a tub of ice cream. I'm retired so I have fewer excuses than most people not to go to some sort of exercise classes. But I look out the window and it is windy and raining/hot and stiffling/cold and icy and I look at the comfort of the couch. Standing on one leg while waiting for the elevator requires fat less willpower. A cartoon comes to mind. The doctor says to his fat elderly and unfit patient:"There is no reason you can't live a long and productive life if you give up all the things that make life worth living."

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@bobbi2014

Very honest post and I love the humor. But (and a big but) is that anyone can find an excuse not to do something and yes it does take a little willpower and discipline. I have been going to the gym 3 days a week for classes since I retired 9 years ago. I can tell you, once you start, it gets to be such a habit that you structure your days around that time and you miss it if you don’t go. I have made and still have great friends I met there. The social time alone is worth the effort.
We are a chatty group in the same age bracket so we all have the same interests and problems. Before the pandemic we had monthly lunches. A lot of people never returned when things started to reopen but new people come all the time.
This is a senior class and believe me, they don’t get sweaty. They do what they can. The instructors out on the floor don’t really know about osteoporosis and I would suggest a senior class vs the floor. I do sometimes use the machines but not as much as I did now that I am up there in years (81).
My instructor is a year older than me and also teaches balance classes and core. He is amazing and is always teaching us how to prevent falling. He will tell someone not to do something because he gets to know them and often gives special time to them after class. Lucky to have him.
I am so much stronger and feel so much better after exercise….even my walking and some floor exercises I do at home.
Please try to find a class and get moving…yoga or exercise…contracts are not required at most gyms….just a monthly fee or your insurance may pay for silver sneakers….more are doing so.
You can trial a class also..it’s not just for the young crowd anymore. Get yourself some good sneakers and inexpensive gym outfits (may as well look cute) and you will find yourself literally living in the gym or yoga clothes.

FL Mary

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@imallears

@bobbi2014

Very honest post and I love the humor. But (and a big but) is that anyone can find an excuse not to do something and yes it does take a little willpower and discipline. I have been going to the gym 3 days a week for classes since I retired 9 years ago. I can tell you, once you start, it gets to be such a habit that you structure your days around that time and you miss it if you don’t go. I have made and still have great friends I met there. The social time alone is worth the effort.
We are a chatty group in the same age bracket so we all have the same interests and problems. Before the pandemic we had monthly lunches. A lot of people never returned when things started to reopen but new people come all the time.
This is a senior class and believe me, they don’t get sweaty. They do what they can. The instructors out on the floor don’t really know about osteoporosis and I would suggest a senior class vs the floor. I do sometimes use the machines but not as much as I did now that I am up there in years (81).
My instructor is a year older than me and also teaches balance classes and core. He is amazing and is always teaching us how to prevent falling. He will tell someone not to do something because he gets to know them and often gives special time to them after class. Lucky to have him.
I am so much stronger and feel so much better after exercise….even my walking and some floor exercises I do at home.
Please try to find a class and get moving…yoga or exercise…contracts are not required at most gyms….just a monthly fee or your insurance may pay for silver sneakers….more are doing so.
You can trial a class also..it’s not just for the young crowd anymore. Get yourself some good sneakers and inexpensive gym outfits (may as well look cute) and you will find yourself literally living in the gym or yoga clothes.

FL Mary

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Your post is very inspiring. I'm going to make a real effort starting tomorrow. How long did it take for the exercise "habit" to become, well, habitual for you?

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@bobbi2014

Your post is very inspiring. I'm going to make a real effort starting tomorrow. How long did it take for the exercise "habit" to become, well, habitual for you?

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@bobbi2014

After a week probably it became a bit obsessive
Here I am in Sarasota on the beach at 9 :30
ar night dancing like a loon and keeping up with the younger generation. Not even out of breath after walking and dancing and out all day.
Not bad for 81 and I attribute that to good diet and exercise.

FL Mary

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@toni7

Good morning ... I've been researching weight bearing exercises and have no clue how to do them correctly without hurting myself. I joined the gym, told the instructor I was there for osteoporosis and weight bearing exercises. He pointed to a few machines, never explaining the proper way to use them. Though I try, I am so afraid I will do more harm than good with these machines. I have an upcoming appointment with an Endocrinologist I've not seen before and plan to ask him for a referral in Physical Therapy. I'm hoping they will teach me the proper way without adding hurtful pressure and possible fracture on my body. I'd like any information you can offer on weight bearing. Thanks!

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Hi @toni7, I have osteoporosis. After 4.5 years of Fosamax, I had to drop it for serious side effect. Without medicine, I setup an exercise routine including weight bearing without relying on any machine so that I have complete control on how much stress the exercise may exert on my bones. I have described the routine in a Discussion topic “Exercise in Post-Fosamax” posted on July 13, 2022 10:33pm. Just for your information.

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The article linked below has some good information on some exercises that help build the different femur neck areas. Since these are critical in helping prevent hip fractures, it's nice to read that we can affect this.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884624/
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@imallears

@bobbi2014

Very honest post and I love the humor. But (and a big but) is that anyone can find an excuse not to do something and yes it does take a little willpower and discipline. I have been going to the gym 3 days a week for classes since I retired 9 years ago. I can tell you, once you start, it gets to be such a habit that you structure your days around that time and you miss it if you don’t go. I have made and still have great friends I met there. The social time alone is worth the effort.
We are a chatty group in the same age bracket so we all have the same interests and problems. Before the pandemic we had monthly lunches. A lot of people never returned when things started to reopen but new people come all the time.
This is a senior class and believe me, they don’t get sweaty. They do what they can. The instructors out on the floor don’t really know about osteoporosis and I would suggest a senior class vs the floor. I do sometimes use the machines but not as much as I did now that I am up there in years (81).
My instructor is a year older than me and also teaches balance classes and core. He is amazing and is always teaching us how to prevent falling. He will tell someone not to do something because he gets to know them and often gives special time to them after class. Lucky to have him.
I am so much stronger and feel so much better after exercise….even my walking and some floor exercises I do at home.
Please try to find a class and get moving…yoga or exercise…contracts are not required at most gyms….just a monthly fee or your insurance may pay for silver sneakers….more are doing so.
You can trial a class also..it’s not just for the young crowd anymore. Get yourself some good sneakers and inexpensive gym outfits (may as well look cute) and you will find yourself literally living in the gym or yoga clothes.

FL Mary

Jump to this post

I once took yoga because I saw a yoga student, from the back, walking into the studio and she had the posture of a ballerina and that gait of a healthy young cold. Neither of which I had and thought worthy aspirational goals. I went into to the studio and found out she was the teacher so signed up for classes. I found at the first class that she was in her 90s when she referred to a recent birthday.

All of us in her classes revered her great example of how a body can work and look in any age. She was the best teacher as she paid very close attention to the tiniest details. I've had yoga teachers who spent most of the time staring at themselves in the mirror, making class a free session for themselves but of no help to students.

Eunice Wellington, RIP, once had me move two fingers on my hand, while doing, I think, the downward dog, and I was surprised that I could feel difference in my shoulder. She had that attentive to all her students! It made a big difference and helped me start being vaguely able to 'listen' to my body at other times. When I look back on it, she had a lot of students dealing with cancer and they seemed to respond deeply to her healing perspective.

REPLY
@toni7

Good morning ... I've been researching weight bearing exercises and have no clue how to do them correctly without hurting myself. I joined the gym, told the instructor I was there for osteoporosis and weight bearing exercises. He pointed to a few machines, never explaining the proper way to use them. Though I try, I am so afraid I will do more harm than good with these machines. I have an upcoming appointment with an Endocrinologist I've not seen before and plan to ask him for a referral in Physical Therapy. I'm hoping they will teach me the proper way without adding hurtful pressure and possible fracture on my body. I'd like any information you can offer on weight bearing. Thanks!

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Hi @toni7, For your information, there is an exercise routine including weight bearing exercise I setup to strengthen my bones in osteoporosis. Please mouse click the Shared Files link below titled “Exercise in Post-Fosamax” (in blue color) to open the attached file.

Shared files

Exercise in Post-Fosamax (Exercise-in-Post-Fosamax.pdf)

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@callalloo

I once took yoga because I saw a yoga student, from the back, walking into the studio and she had the posture of a ballerina and that gait of a healthy young cold. Neither of which I had and thought worthy aspirational goals. I went into to the studio and found out she was the teacher so signed up for classes. I found at the first class that she was in her 90s when she referred to a recent birthday.

All of us in her classes revered her great example of how a body can work and look in any age. She was the best teacher as she paid very close attention to the tiniest details. I've had yoga teachers who spent most of the time staring at themselves in the mirror, making class a free session for themselves but of no help to students.

Eunice Wellington, RIP, once had me move two fingers on my hand, while doing, I think, the downward dog, and I was surprised that I could feel difference in my shoulder. She had that attentive to all her students! It made a big difference and helped me start being vaguely able to 'listen' to my body at other times. When I look back on it, she had a lot of students dealing with cancer and they seemed to respond deeply to her healing perspective.

Jump to this post

@bobbi2014

Fantastic story and I would have loved to know her. Reminds me of me of an older gorgeous woman years ago who I noticed while waiting on line at a store. Her back was so straight.... she was tall and thin and so elegant looking in just ordinary street clothes. I wondered if she was a dancer in her prime. We come across certain people that make a lasting impression on us even if the encounter is fleeting. And we secretly want to look like them.
Still on vacation...out to dinner with family gang in a bit..on the beach I think...yet again.

FL Mary

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@msou

Hi @toni7, For your information, there is an exercise routine including weight bearing exercise I setup to strengthen my bones in osteoporosis. Please mouse click the Shared Files link below titled “Exercise in Post-Fosamax” (in blue color) to open the attached file.

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Thank you so much! I plan to start your program on Monday.

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@toni7

Good morning ... I've been researching weight bearing exercises and have no clue how to do them correctly without hurting myself. I joined the gym, told the instructor I was there for osteoporosis and weight bearing exercises. He pointed to a few machines, never explaining the proper way to use them. Though I try, I am so afraid I will do more harm than good with these machines. I have an upcoming appointment with an Endocrinologist I've not seen before and plan to ask him for a referral in Physical Therapy. I'm hoping they will teach me the proper way without adding hurtful pressure and possible fracture on my body. I'd like any information you can offer on weight bearing. Thanks!

Jump to this post

I tend to see life as a Come As You Are Party. If I make over-ambitious resolutions, I might just as well pre-order a freeze full of ice cream and assume I'll be at the French Bakery for lemon tarts and something-mocha in the immediate future. [Not all self-knowledge gained with increasing years on the planet is fun to learn about oneself but its all valuable to learn.]

An athlete I read about said that his pastor once told him to just make one better decision every day. Just one. And let the results of those accumulated mini-decisions work their magic. I use that motto regarding exercise. Baby steps work better than big self-promises for me. And they lead to feeling better which becomes self-perpetuating motivation in itself. And then it's a new habit.

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