I’ve had a client (early 60’s) in my cardio and small group weight training class for a little more than 7 years. Once a week cardio. Once a week in my small group training, which is mostly bodyweight / TRX (not heavy lifting). She is height weight proportionate, but on the slender side of that. Gets almost 20,000 steps a day as she walks her dog and trains it for sport. I would consider her very active and strong at bodyweight movement.
Recently diagonsed with osteoporosis. She didn’t tell me her number, but she was shocked. I’m a little shocked, too.
I just attended a class on working with aging clients. The course materials didn’t really fit didn’t really fit this client, they were more for the non-exerciser just getting started with very light load. She’s active, and she’s been weight training. The advice I did like, and will ensure that I’m implementing every class, is to ensure that I’m working all around her hip for stability and strength.
I see her again on Monday in small-group. My instinct is to get her bone density info so I know a basic idea of her extent, get a doctor’s clearance before changing anything we’re doing, but propose lifting external loads more frequently and bodyweight training less frequently.
I would be grateful for any additional ideas.
this is such a tricky situation because once a client has the label ‘osteoporosis’, they are often all of a sudden treated with kid gloves, and that would be a complete disservice to the client.
I would communicate to the doctor all you have written here and get clearance to continue what she is doing. Keeping here strong is her best medicine against a potential break from a fall as you already noted. It would be ideal to get a note of clearance from the physician to that effect.
It is also possible that she will be put on medication, considering her genetic propensity and that fact that she is an exerciser. You may want to read up on the meds and the possible side effects.