Exercise recommendations with clients with higher risk osteoporosis

Hello Fran Johnson,
You want to refrain from spinal compression, flexion and twisting. Side stepping squats is usually a no-no. The debate is ongoing about plyometrics: these moves are good for bone building; but, may be harmful if overdone. Do not work through pain. Slowly progress when the body allows.
I also like resistance bands for the eccentric benefits. Definitely work on balance and flexibility to prevent falls along with full bodyweight strength and cardio for total body conditioning.
Thank you,
Natalie aka NAPS 2 B Fit.