How to Improve Bone Density During Menopause

by: Liz Rodriguez

Why This Matters

If you’re wondering how to improve bone density during menopause, you’re not alone. If you’re a woman in your 40s or 50s, chances are you’ve been told to “stay active” or “do weight-bearing exercise” to protect your bones. But no one really tells you what that means, or why it matters so much during menopause.

Here’s the truth: bone loss isn’t just something that happens when you’re 80. It starts earlier than most women realize; and menopause accelerates the process. The hormonal shifts, especially the drop in estrogen, can cause a rapid decrease in bone mass.

But here’s the good news: strength training is one of the most effective ways to build stronger bones, no matter your age. And no, it doesn’t require hours in the gym or going to extremes. It does, however, require a shift in mindset and intention.

What Happens to Bone Density During Menopause

During menopause, estrogen levels drop – and that has a direct impact on your bones. Estrogen helps maintain bone remodeling, the natural process where your body breaks down old bone tissue and builds new bone. Without enough estrogen, the breakdown happens faster than the rebuilding.

In fact, research shows that women can lose up to 10% of their bone mass in the first five years after menopause. Combine that with a sedentary lifestyle or years of undereating, and the risk goes up even more. This isn’t just about avoiding osteoporosis down the road. It’s about preserving the quality of your life now; mobility, strength, confidence, and the ability to do the things you love.

How Strength Training Improves Bone Density During Menopause

This is where strength training comes in. When you lift weights, you place mechanical stress on your bones. This stress tells your body, “Hey, we need these bones to stay strong,” which activates bone-building cells called osteoblasts.

Here’s something I talk about with clients a lot: muscle grows out of bone. Literally.

When you stimulate bone growth, you also stimulate muscle growth. They go hand in hand. So if you’re not doing anything to challenge your bones, you’re not just risking osteoporosis—you’re also limiting your ability to build (or even maintain) lean muscle.

And muscle isn’t just about aesthetics. It impacts your metabolism, energy levels, joint health, injury prevention, and even mental health. It supports your posture, your ability to recover, and your overall resilience. The stronger your bones and muscles, the more freedom you have to live your life on your own terms.

This is especially important in perimenopause, when both bone density and muscle mass start to decline if you’re not actively working to preserve them.

Focus on movements that target the hips, spine, and wrists—the areas most vulnerable to fractures. Think squats, lunges, deadlifts, push-ups, rows, and overhead pressing.

Studies consistently show that strength training improves bone mineral density and reduces the risk of osteoporotic fractures in postmenopausal women.

🔗 Want a deeper breakdown of how to build a safe and effective strength plan? Check out my Substack: From Zero to Strong: A Beginner’s Guide to Building Your Strength Training Program

Other Ways to Support Bone Health

Strength training is the foundation, but it works best when paired with:

  • Adequate protein: Essential for muscle and bone repair
  • Calcium + Vitamin D: Go beyond supplements—include sources like leafy greens, yogurt, and fatty fish
  • Consistent fueling: Chronic undereating leads to hormonal disruption and poor bone turnover
  • Mobility & balance work: Preventing falls is just as important as building strong bones

Also worth noting: your gut health plays a role too. If you’re not absorbing nutrients properly, even a perfect diet won’t support your bone health. This is another reason why a holistic approach matters.

Don’t Just Exercise—Train With Intention

Walking and yoga are great for your mental health and overall movement. But when it comes to improving bone density, you need more. Specifically, you need progressive overload—resistance that challenges your body to adapt and grow stronger.

And it has to be consistent. Training once a week or dabbling in bodyweight workouts without structure likely won’t cut it. You need a plan that includes strength progression, recovery, and fueling—all tailored to your current season of life.

🔗 For more on how exercise and diet shift during perimenopause, check out this blog: Perimenopause: Exercise and Diet Strategies to Manage Symptoms

Final Thoughts

You’re not too late. You don’t need to go extreme. And you don’t need to spend hours in the gym.

But you do need a plan that reflects your body now – not the one you had in your 20s.

Strength training isn’t just about muscle. It’s about your future. It’s about mobility, resilience, and being able to live the way you want to live for decades to come.

Your bones are talking. Start listening.

If you’re not sure where to start, reach out. I offer a 1-on-1 Fitness Roadmap Session to help you build a plan that makes sense for your life, your goals, and your current body.

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