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Osteoporosis Update: What really is the best exercise for bone building?
Nov 13, 2009

An article just came out this week in the NY Times on "The Best Exercises for Healthy Bones". It was interesting to say the least. The writer suggested that hopping was the best exercise to build bone but gave no context or guidelines to incorporate hopping or jumping safely into an exercise program! I decided to pull together the best information from the top researchers in the field of bone and exercise. I like to look at the groups who have been doing this kind of research for a long time. I was at a bone symposium last week and was able to ask Beth Lambright, the Oregon State University exercise teacher of all the main studies during the past 15 years if jumping rope or mini-trampolines build bone. The answer was "No, you need 4-8x body weight impact to stimulate bone. For children this means jumping off a 24" box and for adults this means jumping off an 8" step. They progress from 4" to 6" to 8" very slowly and prepare the knees and hips with step-ups, heel raises, squats, lunges and faux jumps before jumping off the steps. So what else will give us healthy bones?

1. Walking does not build bone and should not be considered an osteoporosis exercise. (However, walking is great for your heart if you keep up a good pace.)

  • Palombaro KM. "Effects of walking-only interventions on bone mineral density at various skeletal sites: a meta-analysis." J Geriatr Phys Ther. 2005;28(3):102-7.

    2. Weighted vests with lunges, squats, step ups, side lunges and small jumps 3 x per week builds bone in the hip according to Christine Snow's bone research lab at Oregon State University.

  • (Long-term Exercise Using Weighted Vests Prevents Hip Bone Loss in Postmenopausal Women by Christine M. Snow, Janet M. Shaw, Kerri M. Winters, and Kara A. Witzke Journal of Gerontology: 2000, Vol. 55A, No. 9, M489-M491) They are continuing their long-term studies and the latest one should be published next month!

    3. Sinaki has the best long-term research on exercise for building bone and fracture prevention in the spine (vertebral bodies).

  • (Sinaki, M., et al. 1986."Relationship between bone mineral density of spine and strength of back extensors in healthy postmenopausal women." Mayo Clinic Proceedings, 61 (2), 116-22.)
  • (Sinaki, M., et al. 1996. "Can strong back extensors prevent vertebral fractures in women with osteoporosis?" Mayo Clinic Proceedings, 71 (10), 951-56.)
  • (Sinaki, M, et al. 2002. "Stronger back muscles reduce the incidence of vertebral fractures: A prospective 10 year follow-up of postmenopausal women." Bone, 30 (6), 836-41.)
  • (Sinaki, M"The role of physical activity in bone health: a new hypothesis to reduce risk of vertebral fracture." Phys Med Rehabil Clin N Am. 2007 Aug;18(3):593- 608)

    4. Loren Fishman has some ongoing research on Yoga for osteoporosis and is getting some increases in BMD with his program.

  • (Yoga for Osteoporosis: A Pilot Study by Loren M. Fishman, MD. Topics in Geriatric Rehabilitation. Vol. 25, No. 3, pp. 244-250: 2009)

    Main Points for Exercising Your Bones:

  • Hip Bone Building: Jumping is best. (If your T- score is below a -3.0 do not jump!) Prepare for jumping by doing forward and side lunges, squats, step ups, heel raises and standing balance exercises. Consider using a weighted vest up to 10% of your body weight. Mini-trampolines are a good warm-up or for cardiovascular work but they do not build bone.
  • Spine Bone Building: Prone (face down) Back Extension Exercises are best.
  • Walking briskly on uneven terrain up and down hills is great for your heart but should not be considered a bone building exercise.
  • Yoga and Pilates in general are not considered bone building exercises YET! They may be effective programs to increase variety and pleasure with exercise and are a good body awareness fracture prevention and preparation for the bone loading exercises necessary to stimulate bone formation!

    Holiday Classes Added!!
  • Upcoming Events:
  • Additional Class! Bone Builder 2 10:00-11:00 Mon & Wed from Nov 30-Dec 30
  • Additional Class! Bone Builder 1 Nov 30-Dec 30 at 11:15-12:15 Mon & Wed

  • Additional Class! Bone Builder 2 10:00-11:00 Mon & Wed from Nov 30-Dec 30
    Towel Work Class

    Bone Builder 2 with Gina Enriquez

    Gina Enriquez is planning to come to Santa Cruz from Nov 30 - Dec 30 to teach the Bone Builder Classes while Sherri is teaching in Europe! Now you can stay in shape during the holidays! Join her for the bone builder 2 classes using:

    • Foam Rollers
    • Dowels for Balance and Alignment
    • Exercise Tubes
    • Therabands
    • Free Weights

      We focus on exercises that involve:

    • weightbearing and fracture prevention
    • standing balance
    • spinal mobility, especially in extension
    • body awareness and postural correction
    • alignment of spine and lower extremities
    • breathing
    • core control
    • FUNctional Fitness that makes your everyday life easier!

      You must be able to get down to and up from the floor for mat exercises to participate in this level class.

      Mats ($15), exercise bands ($6), and foam rollers ($25) will be available to purchase at the class or you may bring your own.

      Bone Builder 2-Class Information

      • Dates: Nov 30-Dec 30, 2009
      • Days: Mondays & Wednesdays
      • Time: 10:00-11:00
      • Location: Capitola Recreation Center, Capitola, CA
      • Cost: $85 Residents, $97 Non-residents
      • For more info, call (831) 476-3100
      • To Register by Phone call 831-475-6115
      • Register Online at www.capitolarecreation.com


    Additional Class! Bone Builder 1 Nov 30-Dec 30 at 11:15-12:15 Mon & Wed
    Fletcher Towel Work Seniors

    Bone Builder 1 with Gina Enriquez

    Gina Enriquez is planning to come to Santa Cruz from Nov 30 - Dec 30 to teach the Bone Builder Classes while Sherri is teaching in Europe! Now you can stay in shape during the holidays!

    The exercises in this class using bands, tubes and dowels will help to:

  • prevent falls
  • correct posture
  • strengthen muscles of the torso, shoulders, legs,and feet
  • improve standing balance
  • increase flexibility

    Exercises will be done in a seated or standing position next to a chair and using a wooden dowel for balance.

    Special focus is on using Pilates-based exercises to prevent osteoporotic fractures, make daily tasks easier and to incorporate FUNctional fitness.

    Exercise bands($6) and tubes ($6) will be available to purchase at the class or you may bring your own.

    Bone Builder 1-Class Information

    • Dates: Nov 30-Dec 30
    • Days: Mondays & Wednesdays
    • Time: 11:15-12:15
    • Location: Capitola Recreation Center, Capitola, CA
    • Cost: $85 Residents, $97 Non-residents
    • For more info, call (831) 476-3100
    • To Register by Phone call 831-475-6115
    • Register Online at www.capitolarecreation.com


  • Upcoming Events:
    Arabesque

    Nov 27-29, 2009: Pilates on Tour in Frankfurt, GERMANY....Sherri is teaching a Pilates for Low Back Pain and Dysfunction Workshop and a Pilates for Balance and Fall Prevention Workshop. Register Online at www.pilatesontour.com.

    Dec 5-6, 2009: Madrid, SPAIN....Sherri is teaching Motor Control for the Lumbar Spine and TheraPilates for Osteoporosis Workshops. Register Online at www.polestarpilates.es.

    Dec 9, 2009: Paris, FRANCE...Sherri is teaching an Osteoporosis Update Workshop from 4-7pm at A-Lyne Studios. Call Martine Curtis-Oakes to register at 09.54.11.91.38.

    Jan 30-31, 2010: Comprehensive Pilates Repertoire Review with Michele Franzella at TheraPilates Physical Therapy in Santa Cruz, CA. Register Online at www.therapilates.com

    March 13-14, 2010: TheraPilates for Osteoporosis at TheraPilates Physical Therapy in Santa Cruz, CA. Register Online at www.therapilates.com

    April 9-11, 2010: Pilates on Tour in Phoenix, AZ.

    April 17-20, 2010: Body-Mind-Spirit Expo in Santa Clara, CA. Sherri is teaching an Advanced Level Osteoporosis Update and Osteoporosis 101 for entry-level teachers.

    For more information about exercise for your bones...
    Quick Links...

    Listen to the brilliant Dr. Steve Harris speaking on Osteoporosis...

    TheraPilates for Osteoporosis Course in Santa Cruz March 13-14, 2010

    Purchase new Pre-Pilates for Rehabilitation DVD and Courses Online

    Attend Pilates on Tour in Germany Nov 27-29, 2009

    Attend the Pilates Method Alliance Conference!

    Attend Comprehensive Pilates Repertoire Review Jan 30-31, 2010

    Polestar Pilates Instructor Training Programs

    Interesting Article from the NY Times on "The Best Exercises For Healthy Bones"



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