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Updated: Jun 5, 2026

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Published on: September 1, 2023
Exercise for bone health: rationale and prescription
Pascale Schwab1, Kenneth Scalapino
1Portland Veterans Affairs Medical Center, Oregon Health and Science University, Portland, Oregon, USA. schwabp@ohsu.edu
Regular exercise strengthens bones by influencing cellular processes and bone growth. It helps maintain bone mass, reduce falls, and improve quality of life, particularly in later years.
Area of Science:
- Bone biology and biomechanics
- Exercise physiology
- Osteoporosis research
Background:
- Patients seek exercise for improved bone strength and reduced fracture risk.
- Understanding exercise's biological mechanisms and clinical evidence is crucial for informed discussions.
Purpose of the Study:
- To review the biological mechanisms by which exercise influences bone health.
- To summarize the clinical evidence supporting exercise for bone strength and fracture reduction.
Main Methods:
- Review of current literature on exercise and bone health.
- Analysis of cellular and systemic responses to various exercise stimuli.
Main Results:
- Exercise downregulates sclerostin, promoting osteoblastogenesis.
- Dynamic cyclical loading and specific frequencies enhance bone adaptation.
- Exercise promotes periosteal bone gains in youth and maintains bone mass in adults, reducing falls and improving quality of life.
Conclusions:
- Exercise positively impacts bone health through various mechanisms.
- Further research is needed to optimize exercise type, quantity, and frequency for fracture prevention.
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