Table 7.

MBSBA and recommendations for engagement in people with Osteoporosis, with and without Verterbral fractures, and Frailer Older People or those with Dementia.

	Considerations
Type of Sport, Physical Activity or Exercise	Adults (>50 yrs)	Osteoporosis (OP) *	OP with vertebral fractures*	Frailer Older People /Significant cognitive impairment
Running
Resistance training
Aerobics, circuit training
Ball Games
Racquet Sports
Golf
Yoga, Pilates
Tai Chi
Dance
Cycling

^*all people with diagnosed OP should understand safe lifting of weights (technique and spine sparing movement)[12].

not recommended-potential fracture risk (from a fall or propulsive high resistance activity) even if have a history of the activity §based on recommendations with information on case reports or adverse events with some of these activities. Discussion with physiotherapist for spine sparing tips if practiced in activity[12].

not recommended if inexperienced to the activity (OP or frailer older people), without advice on spine-sparing techniques, and avoidance of repetitive (even if slow), weighted or rapid end range flexion or extension of the spine (for those with osteoporosis). Emphasis should be placed on slower more controlled movements. Frailer older people (or those with high falls risk or multiple comorbid conditions affecting balance or strength) should be supervised by a physiotherapist or exercise instructor that has had specific training on adapting and tailoring exercise prescription for those with osteoporosis §based on recommendations[12].

no considerations if have good strength and balance (low risk of injury) or are practiced in this activity (history of participation). Focus on good technique important[12].