Skip to main content
Personal Trainer training a senior woman Personal Trainer training a senior woman


Too Fit To Fracture

Are you too fit to fracture?

Multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis.

What is Too Fit to Fracture?

Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for each recommendation in the existing scientific literature. The strength of the recommendations (strong, conditional, or no recommendation) and the direction (for or against) took into consideration the quality of the available evidence, the balance between the benefits and risks associated with exercise, and the patient groups’ values and preferences. The Too Fit to Fracture expert panel included researchers and clinicians from Australia, Canada, Finland, and the USA, as well as partners from Osteoporosis Canada.

Learn more about who developed Too Fit To Fracture!

Video series on exercise and osteoporosis

Dr. Lora Giangregario

Osteoporosis Canada has developed a video series on exercise and osteoporosis in partnership with the University of Waterloo and Geriatric Education and Research in Aging Sciences Centre which provides ideas for safe and effective exercise and physical activity.

The video series tells the stories of four very different people with osteoporosis and showing you their innovative solutions to keep healthy and active.

 The information contained in these videos is not intended to replace medical advice. Consult your healthcare provider or a physical therapist about what exercises are right for you.

Osteoporosis Canada launches new exercise recommendations

Exercise Recommendations press release

New multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis

People with osteoporosis, and those at risk of developing it, can prevent bone loss, fractures and falls by combining specific types of exercises.

Released: Friday June 20, 2014

Webcast Presentation (Replay)

Too Fit To Fracture Webcast

Are you Too Fit To Fracture? New exercise and physical activity recommendations for individuals with osteoporosis

Originally aired: Wednesday June 25, 2014

Presented by: Dr. Lora Giangregorio

Learn what the experts think you should include in your exercise program to prevent bone loss and falls, and increase muscle strength. Get some tips on how to put the latest research into action. Understand how to practice “spine sparing”, and avoid or modify the movements that might not be safe for someone with osteoporosis.

How to safely do everyday activities

11 short videos on how to safely do every day activities.

Bone Fit ™ Trained Locator

Bone Fit locator

Find a Bone Fit™ trained professional in your area.

Bone Fit™ is an evidence-informed exercise training workshop, designed for healthcare professionals & exercise practitioners to provide training on the most appropriate, safe & effective methods to prescribe & progress exercise for people with osteoporosis.

For health professionals

Beyond The Break Series: Module 5

Beyond The Break module 5

Part 1: Are you too fit to fracture?

Presented by:

Dr. Lora Giangregorio, PhD, University of Waterloo | June 27, 2014

Bone Fit clinical application of exercise recommendations

Part 2: Clinical Application of the exercise recommendations

Presented by:

Dr. Judi Laprade, PhD, University of Toronto | July 4, 2014

© Osteoporosis Canada, 2024
Charitable Registration No. 89551 0931 RR 0001