Osteoporosis & bone health

Moderate-intensity exercise reduces osteoporotic fracture risk in older women: a dose-response analysis from a nationwide Korean cohort

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Our findings suggest that moderate-intensity exercise (3-5 days/week) appears optimal for reducing fracture risk, while excessive vigorous activity should be approached with caution, especially for older women with compromised BMD.

Study context

Population
Women aged 66 years, Korean National Health Insurance Service (NHIS) database; Bone mineral density (BMD) classified as normal, osteopenia or osteoporosis; mean follow-up 7.3 yearswomen aged 66 years
Participants
541,770 women
Exposure
Physical activity patterns and fracture risk
Outcome
Osteoporotic fracture risk (vertebral and hip fractures)
Methodological detailsnationwide, Cox proportional hazards models, adjusted for demographic and clinical covariates
  • Nationwide
  • Cox proportional hazards models
  • Adjusted for demographic and clinical covariates

Main finding

As reported in the abstract

Hazard ratio (95% CI)
Vigorous activity ≥ 6 days/weekhip fracture, osteoporosis participants
1.241(1.010–1.525)
MET Q4vs MET Q1osteopenia
0.939(0.910–0.970)
MET Q4vs MET Q1osteoporosis
0.894(0.866–0.922)
Moderate-intensity exercise 3-5 days/week · vertebral fracture
HR 0.862-0.891; all p < 0.001
Moderate-intensity exercise 3-5 days/week · hip fracture
HR 0.882-0.890; P < 0.02

Observational data: associations, not effects.

Original publication

Moderate-intensity exercise reduces osteoporotic fracture risk in older women: a dose-response analysis from a nationwide Korean cohort. Osteoporos Int. Published 1 December 2025. doi:10.1007/s00198-025-07766-w

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