Are You Too Fit To Fracture?
Multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures
for people living with osteoporosis


About Too Fit to Fracture

What is Too Fit to Fracture?

Too Fit to Fracture is a series of exercise recommendations for people with osteoporosis or spine fractures. It was developed by expert consensus using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method, which is endorsed by the World Health Organization and the Cochrane Collaboration, to determine the quality of evidence for each recommendation in the existing scientific literature. The strength of the recommendations (strong, conditional, or no recommendation) and the direction (for or against) took into consideration the quality of the available evidence, the balance between the benefits and risks associated with exercise, and the patient groups’ values and preferences. The Too Fit to Fracture expert panel included researchers and clinicians from Australia, Canada, Finland, and the USA, as well as partners from Osteoporosis Canada.

Click here to learn more about who developed Too Fit To Fracture!



Video Series on Exercise and Osteoporosis

Osteoporosis Canada is excited to announce a video series on exercise and osteoporosis for Osteoporosis Month, developed in partnership with the University of Waterloo and Geriatric Education and Research in Aging Sciences Centre.

Each day, from Monday to Friday, for the month of November, we will post a new video to provide ideas for safe and effective exercise and physical activity.  We will start our video series telling the stories of four very different people with osteoporosis and showing you their innovative solutions to keep healthy and active.

Which one will speak to you?  Click here to find out!


Too Fit to Fracture:
Managing Osteoporosis through Exercise

Too Fit to Fracture: Managing Osteoporosis through Exercise includes information on strength training, balance exercises and aerobic activity; interactive tools for getting started; tips for addressing barriers to exercise; and ways to move safely during everyday activities to avoid the risk of falls or spine fractures.

Poor posture, combined with loss of bone strength, can increase the risk of spine fracture. Poor alignment can be improved with exercises that target muscles important for posture.




Too Fit to Fall or Fracture: One Page Guide

This one page guide is packed with useful information to get you started thinking about ways you can safely and effectively exercise.

See what the experts recommend along with real life examples of what you can do and what you should avoid.

Too Fit To Fracture Press Release  

Osteoporosis Canada Launches New Exercise Recommendations

New multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis

People with osteoporosis, and those at risk of developing it, can prevent bone loss, fractures and falls by combining specific types of exercises.

Released: Friday June 20, 2014

Too Fit To Fracture Webcast            

Webcast Presentation (REPLAY)

Are you Too Fit To Fracture? New exercise and physical activity recommendations for individuals with osteoporosis

Originally aired: Wednesday June 25, 2014

Presented by: Dr. Lora Giangregorio

Learn what the experts think you should include in your exercise program to prevent bone loss and falls, and increase muscle strength. Get some tips on how to put the latest research into action. Understand how to practice “spine sparing”, and avoid or modify the movements that might not be safe for someone with osteoporosis.

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After The Fracture Videos  

How to Safely Do Everyday Activities

11 short videos on how to safely do every day activities.


Bonefit Locator  

Bone Fit TM Trained Locator

Find a Bone Fit™ trained professional in your area.

Bone Fit™ is an evidence-informed exercise training workshop, designed for healthcare professionals & exercise practitioners to provide training on the most appropriate, safe & effective methods to prescribe & progress exercise for people with osteoporosis.



    Access the Bone Fit TM Locator 




Beyond The Break Series : Module 5

Beyond The Break - Module 5 - Part 1 - Too Fit To Fracture   Beyond The Break - Module 5 - Part 2 - Clinical Application of the Exercie Recommendations for OP

Part 1: Are You Too Fit To Fracture?


Presented by:

Dr. Lora Giangregorio, PhD, University of Waterloo | June 27, 2014


Part 2: Clinical Application of the Exercise Recommnedations

Presented by:

Dr. Judi Laprade, PhD, University of Toronto | July 4, 2014

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