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Sunday, November 23, 2008
Bones, Joints, & Muscles Center
Osteoporosis
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Exercise

Like muscle, bone is living tissue that responds to exercise by becoming stronger. Young women and men who exercise regularly generally achieve greater peak bone mass (maximum bone density and strength) than those who do not. We have until about age 30 to reach peak bone mass. After that time, we can begin to lose bone. Women and men older than age 30 can help prevent bone loss with regular exercise.

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The best exercise for your bones is weight-bearing exercise. This is exercise that forces you to work against gravity, such as walking, hiking, jogging, stair climbing, tennis, and dancing. Some examples of nonweight-bearing exercises are swimming or bicycling. However, these exercises, as well as many weight-bearing exercises, have excellent cardiovascular benefits.

If you have health problems, such as heart trouble, high blood pressure, diabetes, or obesity, or if you are over age 40, check with your doctor before you begin a regular exercise program. The minimal goal is 30 minutes to an hour at least four times per week.

Listen to your body. When starting an exercise routine, you may have some muscle soreness and discomfort at the beginning, but this should not be painful or last more than 48 hours. If it does, you may be working too hard and need to ease up. Stop exercising if you have any chest pain or discomfort, and see your doctor before your next exercise session.

If you have osteoporosis, it is important that you consult with your doctor to learn which activities are safe for you. If you have low bone mass, experts recommend that you protect the spine by avoiding exercises or activities that flex, bend, or twist the spine. Furthermore, you should avoid high-impact exercise in order to lower the risk of breaking a bone. You also might want to consult with an exercise specialist to learn the proper progression of activity, how to stretch and strengthen muscles safely, and how to correct poor posture habits. An exercise specialist should have a degree in exercise physiology, physical education, physical therapy, or a similar specialty. Be sure to ask if he or she is familiar with the special needs of patients with osteoporosis.

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