Current Treatment Options in Rheumatology

, Volume 4, Issue 3, pp 268–278 | Cite as

Physical Activity for Fall and Fracture Prevention

  • Matteo Ponzano
  • Isabel B. Rodrigues
  • Lora M. GiangregorioEmail author
Osteoporosis (A Lau, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Osteoporosis


Purpose of review

The aim of this review is to provide healthcare professionals with evidence-based physical activity recommendations, and tips for implementing them in practice.

Recent findings

Individuals with osteoporosis should engage in a multicomponent exercise program that includes twice-weekly resistance training, balance exercises, and 150 min per week of moderate to vigorous intensity aerobic physical activity. There is strong evidence that exercise programs that include challenging balance exercises and include at least 3 h a week of exercise can prevent falls. Resistance training is encouraged to increase muscle strength and prevent bone loss.


Because of the strong evidence supporting challenging balance exercises for fall prevention, and multicomponent exercise programs that include resistance training for prevention of bone loss, aerobic physical activity should not be recommended to the exclusion of resistance and balance exercises. Examples and tips are provided to support exercise counseling.


Osteoporosis Fall prevention Fracture Exercise Physical activity 


Compliance with Ethics Guidelines

Conflict of Interest

Matteo Ponzano declares that he has no conflicts of interest.

Isabel B. Rodrigues declares that she has no conflicts of interest.

Lora M. Giangregorio declares that she has no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Recently published papers of particular interest have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Matteo Ponzano
    • 1
  • Isabel B. Rodrigues
    • 1
  • Lora M. Giangregorio
    • 2
    Email author
  1. 1.Department of KinesiologyUniversity of WaterlooWaterlooCanada
  2. 2.Department of Kinesiology, University of Waterloo, Waterloo, Canada; Schlegel Research Chair in Mobility and AgingResearch Institute for AgingWaterlooCanada

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