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Muscle, bone and balance after 40

What happens to bone and muscle around menopause, and the kinds of exercise that protect both.

Guides on muscle, bone and balance

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About this topic

The US National Institute of Arthritis and Musculoskeletal and Skin Diseases calls osteoporosis the major cause of fractures in postmenopausal women and says that, for many women, it begins to develop a year or two before menopause. Older adults also tend to lose muscle, which the institute calls sarcopenia, and weaker muscles make falls more likely.

Its advice for bone is a combination: weight-bearing exercise such as brisk walking, stair climbing and dancing, resistance training with weights, bands or body weight, and balance training such as tai chi, step-ups and standing on one foot. The guides here explain each one and how to start safely.

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Questions about muscle, bone and balance

Which exercise is good for bones?
NIAMS recommends a mix of weight-bearing exercise, resistance training and balance work for building and keeping healthy bones.
I have osteopenia. Can I still lift?
NIAMS asks people with low bone density or osteoporosis to talk to a health care provider before starting a program, so the activity can be chosen for them.
Why does balance matter?
Strong muscles and good balance lower the risk of falling, and falls are what break weakened bones, according to NIAMS.