Bone-Health Strength Program
A weight-bearing routine using progressive moderate-to-high loads on compound lifts that stress the hips and spine, the sites most relevant to bone density. The default duration is flexible. Caution: if you have diagnosed osteoporosis or vertebral fracture risk, get medical clearance and coaching before heavy or loaded spinal-flexion work; progress load gradually.
The evidence applies to the practice, not to these particular steps — they are one way to carry it out.
- 1Barbell Back Squat3 sets x 6-10 reps, ~2-3 min restAxial loading for hips and spine.Slot: squat / knee-dominantNamed by a Round-2 reviewMeets the finding's dose1 paper reports 90 s rest
3 options for this requirement
These are the practices the completed Round-2 reviews name for squat / knee-dominant. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Leg pressCompared in the review12 papers put it in this slot · dose in sets × repsSmith machine exerciseCompared in the review1 paper put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × reps and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Split squat / RFESSCompared in the review1 paper put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × reps and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
- 2Trap-Bar Deadlift4 sets x 5-8 reps, ~2-3 min restHip-dominant loading; neutral spine.Slot: hinge / hip-dominantNamed by a Round-2 reviewMeets the finding's doseObserved in 3 papers · 2–4 sets1 paper reports 6–10 reps1 paper reports 60–120 s rest
6 options for this requirement
These are the practices the completed Round-2 reviews name for hinge / hip-dominant. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
DeadliftCompared in the review22 papers put it in this slot · dose in sets × repsGlute bridgeCompared in the review1 paper put it in this slot · dose in sets × repsHip thrustCompared in the review9 papers put it in this slot · dose unit not statedKettlebell exerciseCompared in the review1 paper put it in this slot · dose unit not statedLeg pressCompared in the review2 papers put it in this slot · dose in sets × repsRomanian deadliftCompared in the review5 papers put it in this slot · dose in sets × reps - 3Barbell Overhead Press3 sets x 6-10 reps, ~2 min restLoads the upper spine and shoulders.Slot: vertical pushNamed by a Round-2 reviewMeets the finding's dose1 paper reports 3 sets1 paper reports 6–15 reps1 paper reports 180 s rest
2 options for this requirement
These are the practices the completed Round-2 reviews name for vertical push. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Bench pressCompared in the review1 paper put it in this slot (inferred by the extraction, not stated in the paper) · dose in sets × repsOverhead pressCompared in the review2 papers put it in this slot · dose in sets × reps - 4Barbell Bent-Over Row3 sets x 8-12 reps, ~90 sec restPosterior chain and posture.Slot: hinge / hip-dominantNamed by a Round-2 reviewMeets the finding's dose
6 options for this requirement
These are the practices the completed Round-2 reviews name for hinge / hip-dominant. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
DeadliftCompared in the review22 papers put it in this slot · dose in sets × repsGlute bridgeCompared in the review1 paper put it in this slot · dose in sets × repsHip thrustCompared in the review9 papers put it in this slot · dose unit not statedKettlebell exerciseCompared in the review1 paper put it in this slot · dose unit not statedLeg pressCompared in the review2 papers put it in this slot · dose in sets × repsRomanian deadliftCompared in the review5 papers put it in this slot · dose in sets × reps - 5Step-Up2 sets x 8-12/leg, ~90 sec restWeight-bearing single-leg loading.Slot: single-leg / lungeNamed by a Round-2 reviewMeets the finding's dose
2 options for this requirement
These are the practices the completed Round-2 reviews name for single-leg / lunge. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Split squat / RFESSCompared in the review1 paper put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × reps and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
- 6Farmer's Carry3 sets x 20-40 m, ~90 sec restAxial and grip loading.Slot: carry / loaded gaitScaffold: app-designed stepApp-designed prescriptionthe finding states sets per muscle group per week, across every session; this step is in one session, so it contributes toward forearms, trapezius, core or gluteals and the week is compared where its sessions are known — the programme chooser and the planner; the finding states reps, which this step does not carry; the finding states %1RM, which this step does not carry; the finding states no rest for this.
No option on this bench from any review
No completed Round-2 review has named a practice for carry / loaded gait that an extraction row placed in it. That is a gap in the knowledge base, not in this step: the step’s own exercise stands, and there is nothing yet to swap it for.
Sets per muscle group, and the steps behind each
- quadriceps · 9 sets (0 counting only the steps whose slot names it): Barbell Back Squat 3 (squat / knee-dominant), Trap-Bar Deadlift 4 (hinge / hip-dominant), Step-Up 2 (single-leg / lunge)
- gluteals · 12 sets (0 counting only the steps whose slot names it): Barbell Back Squat 3 (squat / knee-dominant), Trap-Bar Deadlift 4 (hinge / hip-dominant), Step-Up 2 (single-leg / lunge), Farmer's Carry 3 (carry / loaded gait)
- adductors · 3 sets (0 counting only the steps whose slot names it): Barbell Back Squat 3 (squat / knee-dominant)
- erector spinae · 3 sets (0 counting only the steps whose slot names it): Barbell Back Squat 3 (squat / knee-dominant)
- hamstrings · 4 sets (0 counting only the steps whose slot names it): Trap-Bar Deadlift 4 (hinge / hip-dominant)
- trapezius · 13 sets (0 counting only the steps whose slot names it): Trap-Bar Deadlift 4 (hinge / hip-dominant), Barbell Overhead Press 3 (vertical push), Barbell Bent-Over Row 3 (hinge / hip-dominant), Farmer's Carry 3 (carry / loaded gait)
- deltoids · 3 sets (0 counting only the steps whose slot names it): Barbell Overhead Press 3 (vertical push)
- triceps · 3 sets (0 counting only the steps whose slot names it): Barbell Overhead Press 3 (vertical push)
- latissimus dorsi · 3 sets (0 counting only the steps whose slot names it): Barbell Bent-Over Row 3 (hinge / hip-dominant)
- rhomboids · 3 sets (0 counting only the steps whose slot names it): Barbell Bent-Over Row 3 (hinge / hip-dominant)
- biceps · 3 sets (0 counting only the steps whose slot names it): Barbell Bent-Over Row 3 (hinge / hip-dominant)
- forearms · 3 sets (0 counting only the steps whose slot names it): Farmer's Carry 3 (carry / loaded gait)
- core · 3 sets (0 counting only the steps whose slot names it): Farmer's Carry 3 (carry / loaded gait)
- SR01.P3: “Volume: A practical minimum of >=4 hard sets per muscle per week yields substantial hypertrophy in ~15-20 min sessions (Mang 2026, […]); optimization ranges cluster at ~10 sets/week minimum (Bernardez-Vazquez et al. 2022) up to 12-20 sets/week for trained lifters (Baz-Valle et al. 2022), with diminishing returns thereafter (Hamaide et al. 2025) and a disputed counterproductive ceiling >15 sets (Barbalho et al. 2019).”
- […] marks our own earlier grade or verdict wording, removed from the quotation.
Safety, and where each line comes from4 reported by the review's sources19 product safeguard (app-authored)4 source silent
Each line below says where it comes from. “Reported by the review’s sources” is the source’s own words about adverse events or contraindications. “Product safeguard” is written by this app, not by the research. “Source silent” means the studies behind this routine report nothing on that point, which is not the same as saying it carries no risk.
Who should modify or avoid this
- Reported by the review's sourcesAbsolute contraindications include serious cardiovascular disease, lower limb injuries/disease, use of walking aids, use of certain medications, previous testosterone-altering treatment, and smoking. Relative contraindications might include regular aerobic exercise, previous strength training experience, and BMI >37.SR01.6 · canon row 18, contraindications field · Strength Training Improves Metabolic Health Markers in Older Individual Regardless of Training Frequency · studied: WHAT: Whole-body strength training with 2–5 sets, 4–12 repetitions per exercise, and 7–9 exercises per session. Training frequency varied: one, two, or three times per week. Intensity was approximately 70-90% 1-RM for upper and lower limb…
- Product safeguard (app-authored)Those with diagnosed osteoporosis or prior fragility fractures should train under professional guidance to choose their loading and avoid high-risk spinal flexion.From this routine’s block record, written by this app.
- Product safeguard (app-authored)Older adults and post-menopausal women aiming to protect bone.From this routine’s block record, written by this app.
- Product safeguard (app-authored)Designed for generally healthy adults. Not a rehabilitation programme: an injury, a joint condition or a medical restriction on lifting changes what is appropriate here.
Prerequisites
- Product safeguard (app-authored)Written for intermediate level. Equipment: barbell, dumbbell. Warm up before the working sets, and learn each movement at a light load or short range before adding effort.
- Source silentThe sources behind this routine's finding report nothing on prerequisites or starting level.
Hazards and adverse events
- Reported by the review's sourcesAbsolute: Individuals with CNS injuries, alcohol abuse, diabetes, musculoskeletal disorders, neurodegenerative diseases, or cancerSR01.6 · canon row 5, adverse events field · Strength gains after 12 weeks of resistance training correlate with neurochemical markers of brain health in older adults: a randomized control 1H-MRS study · studied: WHAT: The intervention involved a 12-week resistance training program with four lower body exercises: leg extension, leg curl, leg press, and calf raises. Each session consisted of three sets of 6-10 repetitions at 70-85% of 1 repetition…
- Reported by the review's sourcesNo adverse events occurred throughout the training programme.SR01.6 · canon row 14, adverse events field · Effects of once- versus twice-weekly eccentric resistance training on muscular function and structure in older adults: a randomised controlled trial · studied: WHAT: Eccentric resistance training using a recumbent stepper ergometer at 50% of maximum eccentric force. HOW: Supervised by an experienced researcher, with adjustments made bi-weekly to maintain intensity. WHERE: University Health and…
- Reported by the review's sourcesOne male subject from EX1 was injured with back pain during strength testing and withdrew from the study.SR01.6 · canon row 18, adverse events field · Strength Training Improves Metabolic Health Markers in Older Individual Regardless of Training Frequency · studied: WHAT: Whole-body strength training with 2–5 sets, 4–12 repetitions per exercise, and 7–9 exercises per session. Training frequency varied: one, two, or three times per week. Intensity was approximately 70-90% 1-RM for upper and lower limb…
- Product safeguard (app-authored)Barbell Back Squat: Use safety pins or a rack; keep the spine neutral.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Trap-Bar Deadlift: Keep the spine neutral and brace before each rep.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Barbell Overhead Press: Keep ribs down and avoid overarching the lower back.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Barbell Bent-Over Row: Keep the spine neutral; avoid rounding under load.From the exercise catalogue, written by this app.
Progression and regression
- Product safeguard (app-authored)Barbell Back Squat: regress with Goblet Squat; Leg Press; Bodyweight Squat and progress with Front Squat; Pause Squat; Heavier load.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Trap-Bar Deadlift: regress with Kettlebell Deadlift; Romanian Deadlift and progress with Heavier load; Conventional Deadlift.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Barbell Overhead Press: regress with Dumbbell Shoulder Press; Machine Shoulder Press and progress with Push Press; Heavier load.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Barbell Bent-Over Row: regress with Seated Cable Row; One-Arm Dumbbell Row and progress with Pendlay Row; Heavier load.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Step-Up: regress with Lower box; Bodyweight Step-Up and progress with Higher box; Heavier load.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Farmer's Carry: regress with Lighter load; Shorter distance and progress with Heavier load; Longer distance.From the exercise catalogue, written by this app.
- Source silentThe sources behind this routine's finding report nothing on how to progress or regress it.
Stop conditions
- Product safeguard (app-authored)Stop the set if you feel sharp or joint-localised pain, dizziness, chest discomfort or a sudden loss of control of the load; finish a set short rather than with broken form.
- Source silentThe sources behind this routine's finding report no stop conditions.
When to seek supervision or clearance
- Product safeguard (app-authored)Diagnosed osteoporosis or prior fragility fractureFrom this routine’s block record, written by this app.
- Product safeguard (app-authored)Acute back pain or suspected fractureFrom this routine’s block record, written by this app.
- Product safeguard (app-authored)Get clearance from a clinician before starting if you have a heart condition, uncontrolled blood pressure, a recent injury or surgery, or are pregnant; ask a qualified coach to check your form on any lift you have not done before.
- Product safeguard (app-authored)Signs of a medical emergency (chest pain or pressure, trouble breathing, fainting, sudden weakness or numbness) mean 911 or your local emergency services; thoughts of self-harm or suicide mean the 988 Suicide & Crisis Lifeline. This app does not diagnose, treat or give personalised medical advice.
- Source silentThe sources behind this routine's finding report nothing on supervision or clearance.
How to do it
The review summary this routine was written from includes a bone line: progressive resistance training improved muscle strength and femur and hip bone mineral density in older adults, with a pooled mean difference of 2.77% in bone mineral density - a population-level result the review summary this routine was written from itself hedges as probable rather than established. This particular selection of squat, trap-bar deadlift, overhead press, row, step-up and carry, at these sets and reps two to three times a week, is one product-designed way to load the hips and spine; the review summary this routine was written from doesn't separately validate that format, and it establishes no dose-response, so the numbers above are a design choice.
- Squat and trap-bar deadlift carry most of the loading here: brace before every rep, keep the spine neutral through the lift, and set the safety pins in the rack on the squat so you can bail out of a rep.
- Row and overhead press are where form drifts under load - hinge to about 45 degrees with a flat back and no rounding on the row, and keep the ribs down instead of arching the low back on the press.
- Step-ups and carries: whole foot on the box, drive through the heel without pushing off the trailing foot; on the carry stand tall and braced with even steps rather than rushing the distance.
- Add load in small increments across months rather than week to week, and drop to the regressions (goblet squat, kettlebell deadlift, machine press, cable row) as soon as technique starts breaking down instead of grinding out the barbell version.
- If you have diagnosed osteoporosis or a previous fragility fracture, get medical clearance and hands-on coaching before loading these, and avoid loaded rounding of the spine. Stop and get checked for acute back pain rather than training through it.
What the evidence says
This practice is one way to carry out what the sources on the concept entry (phys.strength.broad-health-benefits) studied: resistance training and outcomes beyond strength and size, bone among them. Pimenta 2019 (systematic review) reports that 72% of studies showed changes in bone mineral content or density with resistance training, and that resistance training improved bone mineral content or density, muscle strength and lean mass across ages and sexes. Radaelli 2024 (meta-analysis) reports that a low volume of resistance training improved physical function and lean body mass in healthy older adults, and Straight 2016 (meta-analysis) that resistance training improved lower-extremity muscle power in adults aged 50 and over. The full account, source by source, is on the concept entry this practice links to (phys.strength.broad-health-benefits).
- Agreement
- sources not comparable. Direction recorded for 9 of 12 sources; not yet recorded for the rest.
- The claim's outcome
- Outcome not yet recorded
- Certainty
- No source states a certainty rating.
What each source measured and concluded (12)
- What it measured
- Peak torque (PT) of knee extension and flexion; neurometabolite ratios (tNAA/tCr, tCho/tCr, Glx/tCr, mIns/tCr) in hippocampus, sensorimotor, and prefrontal cortices.
- How it measured it
- Isokinetic dynamometer for PT; proton magnetic resonance spectroscopy (1H-MRS) for neurometabolites.
- Direction it states for the claim's outcome
- Improved
- How it was read
- read in full text
- What it measured
- 1. Cognitive function (delayed verbal memory) via CogState computerised battery (validated tool). 2. Secondary outcomes: Maximal muscle strength via 1RM test; Body composition. 3. Compared to non-exercising control group and baseline.
- Direction it states for the claim's outcome
- Improved
- Its conclusion, in its own words
- “12 weeks of intense resistance training improves delayed verbal memory irrespective of training design (i.e., high-load vs. moderate-load).”
- How it was read
- read in full text
- What it measured
- Lower-limb muscle power, strength, and size.
- How it measured it
- Muscle power: 10-repetition sit-to-stand (STS) test; Strength: dynamometry for RTD, contractile impulse, and knee extensor torque during MVIC, and eccentric lower-limb force on a recumbent isokinetic stepper ergometer; Muscle size: real-time two-dimensional B-mode ultrasonography.
- How it was read
- read in full text
- What it measured
- Body composition (fat mass, lean mass), inflammation markers (IL-6, hs-CRP), lipid profile (HDL, LDL, triglycerides), glycemic profile (glucose, insulin, HbA1c), and blood pressure.
- How it measured it
- Dual X-ray absorptiometry for body composition; commercial immunoassay techniques for blood markers; automated device for blood pressure.
- Direction it states for the claim's outcome
- Improved
- How it was read
- read in full text
- What it measured
- Maximal strength, explosive strength, and muscle hypertrophy.
- How it measured it
- Specific tests: isometric and isoinertial measurements for maximal strength, jump tests or isometric rate of force development for explosive strength, and objective measurements like ultrasound or MRI for muscle hypertrophy.
- How it was read
- read in full text
- What the review says it includes
- meta-analysis, systematic review
- Studies and participants, as stated
- N = 1090 participants across 43 studies
- What it measured
- Association between muscle strength gains and biventricular cardiac remodeling.
- How it measured it
- Muscle strength: Con-Trex isokinetic dynamometer and field-based 1-RM tests; Cardiac remodeling: three-dimensional transthoracic echocardiography (3DTTE).
- Direction it states for the claim's outcome
- Improved
- How it was read
- read in full text
- What it measured
- Bone mineral content/density (BMC/BMD), muscle strength, body composition.
- How it measured it
- Laboratory tests (e.g., DXA for BMC/BMD), validated strength tests (e.g., 1RM), body composition analysis.
- Direction it states for the claim's outcome
- Improved
- How it was read
- read in full text
- What it measured
- Hypertrophy of type I and type II muscle fibers.
- Direction it states for the claim's outcome
- Worsened
- How it was read
- read in full text
- What the review says it includes
- meta-analysis
- Studies and participants, as stated
- N = 300 participants across 15 studies
- What it measured
- Local muscle endurance (LME)
- How it measured it
- Via maximal repetitions during an isotonic test
- How it was read
- read in full text
- What the review says it includes
- systematic review with meta-analysis
- Heterogeneity, as stated
- LIMITATIONS: Moderate heterogeneity and publication bias;
- What it measured
- Lower-extremity muscle power via leg press (LP) and knee extension (KE).
- How it measured it
- Quantified in watts, likely using a laboratory test or objective measurement tool.
- Direction it states for the claim's outcome
- Improved
- How it was read
- read in full text
- What it measured
- Physical function (fast walking speed, timed up and go, 6-min walking tests), lean body mass, lower-body muscle hypertrophy, lower-body muscle strength (knee extension and leg press 1-RM, isometric muscle strength, isokinetic torque).
- How it measured it
- Standardized tests (validated).
- Direction it states for the claim's outcome
- Improved
- How it was read
- read in full text
- What the review says it includes
- systematic review and meta-analysis
- Studies and participants, as stated
- N = 6306 participants across 151 studies
- What it measured
- Arterial stiffness indices
- How it measured it
- Validated measurements
- Direction it states for the claim's outcome
- No effect
- Its conclusion, in its own words
- “chronic resistance training does not appear to influence central arterial stiffness, regardless of training volume and load.”
- How it was read
- read in full text