Being told you have osteopenia can feel scary, but it’s really an opportunity to make corrections before osteoporosis can take over.

Osteopenia means your bone density is lower than normal, but not yet osteoporosis. My goal after that diagnosis? Slow bone loss and build strength now.

The good news: lifestyle changes make a real difference.

1. The MOST Important Thing: Movement

Research consistently shows that weight-bearing and resistance exercise are key to protecting bone density. 

What works best:

Walking (especially brisk walking)

Strength training (weights, resistance bands, using your own body as resistance)

Stair climbing Take the stairs when you can

Balance training (to prevent falls)

Even 30 minutes, 3+ times per week can help. 

👉 Why it matters:

Exercise stimulates bone and improves strength, posture, and balance that reduces fracture risk.

💡 What I do:

Daily walks (sometimes with a weighted vest) Strength training 2–3x/week Balance + stability work

2. Strength Training Is Non-Negotiable

Walking is important but strength training is what really signals your bones to stay strong.

Studies show resistance training can:

Improve bone density

Increase muscle mass

Reduce fall risk 

👉 Think: squats, lunges, push, pull, carry, and yes, weights.

👉 Here is a Link that contains suggestions of Free Sites on YouTube I hope you will give them a try.

Also I recommend checking out the following Instagram accounts:

Grow Young Fitness

Forever Fit With Mitch

Chair Yoga

Jocelyn Wittstein MD

Move Strong Seniors

3. Nutrition and supplements :

Most guidelines recommend:

Calcium: ~1000–1200 mg/day Vitamin D: ~600–1000 IU/day 

There are others but I haven’t had time to look up the research. I’ll be adding suggestions.

These help support bone health but here’s the truth:

👉 Supplements alone are not enough to prevent fractures 

They work best when combined with:

Exercise

Adequate protein (Aim for 30 mg at each meal)

Overall healthy diet (cut back on highly processed foods)

💡 Focus on:

Dairy or fortified alternatives Leafy greens

Protein intake

4. Lifestyle Habits That Matter More Than You Think

Small daily habits have a big impact:

✔️ Don’t smoke

✔️ Limit alcohol

✔️ Maintain a healthy weight

✔️ Get sunlight (for vitamin D)

✔️ Reduce fall risks at home

These are all recommended in clinical guidelines for bone health. 

5. Fall Prevention = Fracture Prevention

This is often overlooked.

Improving balance can significantly reduce your risk of fractures, even if bone density doesn’t dramatically change.

6. When Is Medication Needed?

Not everyone with osteopenia needs medication.

Doctors consider:

Your T-score Your fracture risk (FRAX score) Age and history

Ask lots of questions.

7. What About “Extras”? (Like Vibration Plates)

Evidence is still emerging, but:

They may help with muscle activation, bone strength, and balance. They should be used as a supplement though and not a replacement for strength training

Final Thoughts

Osteopenia is a wake up call, not a death sentence.

It’s a signal.

On my own personal journey I’m committed to:

Move more intentionally

Build strength

Make healthy choices.

“Take care of your body, it’s the only place you have to live.” – Jim Rohn

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I’m Karen,

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Welcome to Choosing to Reset. I hope you enjoy my little corner of the internet. I’m a retired 60 something Texan who is working on my health, fitness, and wellbeing while living her life out loud . I invite you to join me on the journey.

Let’s connect

@choosing_to_reset

choosing.to.reset@gmail.com