Lora Giangregorio

At a glance

• Lora Giangregorio is a professor in the Department of Kinesiology at the University of Waterloo in Canada.
• She studies how exercise and strength training help prevent falls and fractures in older adults and people with osteoporosis.
• She led Too Fit To Fracture, an international consensus project with Osteoporosis Canada that published exercise recommendations in 2014 for people with osteoporosis or a spinal fracture. The core message: a varied programme with strength, balance and posture work, rather than blanket restrictions.
• She also contributed to an international consensus (2023) on managing osteoporotic spinal fractures without medication or surgery.
• What the science says: according to the Too Fit To Fracture review, the evidence is strongest for fewer falls. For bone density and fractures, the effect depends on the type of training.
• What you can do with it: combine strength and balance exercises and stay active. If you have osteoporosis or a previous spinal fracture, have a physiotherapist tailor your exercises.