Physical activity and nutritional adjustments inhibits chronic inflammation and biological signs of frailty syndrome. They allow to keep the necessary positive balance of bone remodeling.
Therefore, they are causal measures to manage the involutional osteoporosis and generally in the prevention of osteoporosis. Although clinical studies have confirmed the slowing decline in BMD and decrease in fracture risk with age in improving physical activity and depending on dietary regimens, the necessary randomised clinical studies confirming a non-inferiority of these measures in comparison with the pharmacological treatment for osteoporosis.