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ENG Postmenopause Bones

Exercise and bone health after 45

Bone responds to load, not to duration. A brisk walk is excellent for your heart, but it does not deform bone enough to trigger remodelling. Resistance work and impact do.

DOCTOR'S NOTE

Two sessions a week, six to eight exercises, two to three sets each — done consistently for a year — is the dose that shows up in a scan.

A starting programme

  • Squat or leg press — legs and hips
  • Hip hinge or deadlift variation — spine and hips
  • Row and press — upper back and shoulders
  • Step-ups and calf raises — balance and lower leg
  • Optional: 20–30 low hops if your joints allow

Progress by adding weight, not repetitions. If you have an existing vertebral fracture or a T-score below −2.5, avoid loaded spinal flexion and get a physiotherapist to set your first six weeks.

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The weekly midlife letter

One article, one practical question and one doctor's note. Every Thursday.