Which exercise is best to minimise bone loss?


  • Mary Corcoran
  • Univadis Medical News
L'accesso ai contenuti di questo sito è riservato agli operatori del settore sanitario italiano L'accesso ai contenuti di questo sito è riservato agli operatori del settore sanitario italiano

Both resistance and combined aerobic and resistance exercise can be recommended to protect against bone loss during weight loss therapy of older adults with obesity, according to the authors of a new study. 

It follows a head-to-head comparison of aerobic or resistance exercise or both, during matched weight loss in 160 older adults with obesity. Participants were randomised to one of four groups: a control group, an aerobic group that participated in a weight-management programme and aerobic exercise training, a resistance group that participated in a weight management programme and resistance exercise training, and a combination group that participated in a weight management programme and combined aerobic and resistance exercise training. 

Body weight decreased similarly in the aerobic group, resistance group and combination group (all 9% decrease) but not in the control group (less than 1% decrease). 

The authors reported however that despite equal weight loss, BMD at the total hip decreased less in the resistance group (0.7% decrease) and combination group (1.1% decrease) than in the aerobic group (2.6% decrease). Compared with aerobic exercise, resistance and combined aerobic and resistance exercise were also associated with less weight loss-induced increase in bone turnover.

The findings are published in the Journal of Bone and Mineral Research.