The Bone Clinic

"Do a podcast with me," he said. "You might get a bit of traffic," he said. 2 weeks since the podcast with Peter Attia went to air I can no longer keep up with email and my staff at The Bone Clinic are
cursing me. All jokes aside, thank you sincerely Peter for helping raise global awareness of ONERO exercise for osteoporosis through your commitment to evidence-based practice. Anyone interested in becoming licensed to offer ONERO to their own clients, please visit https://onero.academy/.

It's that time of the month. The Bone Clinic free information session is this Wednesday (30/10/24) at 12:30pm. This is not a talk about osteoporosis per se, although you're welcome to ask questions. These monthly sessions are to explain (mainly to locals) who we are, why we exist, what we do, and how we can help you at The Bone Clinic. Very informal. Call reception to book your spot. 07 33915510. We're at 26 Turbo Dr Coorparoo. And just for kicks here's a photo of my PhD student in my lab at Griffith rocking an excellent dress I found online. :)

Turns out other people think The Bone Clinic ONERO research findings are cool too! Picked up the award for best paper at the Sports Medicine Australia conference in Melbourne last week.🙌 Terrible photo but you get the gist.

Oct 20 is World Osteoporosis Day which is a fitting time to share some recent cool data from The Bone Clinic in Brisbane. The LIFTMOR trial showed 2x week ONERO was enough to increase bone mass, so we consider 2x week ONERO for 48 weeks a year (allowing 4 weeks for holidays, illness etc) to be 100% adherence (attendance). People often ask me if once a week is enough to cause bone benefit or if 3 times is better than 2. You need a lot of data to answer those questions and after 9 years we finally have it. Look at this plot showing % change in lumbar spine BMD according to adherence. Some people are attending >100% which means 3 times a week. Interestingly you can see that just once a week still had an effect but 2 and 3 times improved bone more. Cool huh? Happy World OP Day from TBC!

Important economic analysis published yesterday of the growing burden of osteoporotic fracture in Australia. The grim reality of this 'silent disease' is that it's not only a blight on quality of life and longevity of older adults, it's hitting ALL Australian tax payers in the hip pocket. Big time. 1 hip fracture alone costs >$47,000! Medicare reimbursement of ONERO would help!
https://healthybonesaustralia.org.au/wp-content/uploads/2024/09/bod-2024-digital-isbn-final.pdf

It is well known that that loss of muscle, especially leg muscle, increases risk for osteoporotic fractures. This study, including data from over 20,000 people, shows osteoporosis medication does not reduce that risk. Take home message, bone drugs act on bone. But falls are the main reason people fracture a hip. Only exercise prevents falls. Keep lifting folks.
https://link.springer.com/epdf/10.1007/s00198-024-07240-z?sharing_token=KeM83wZrqVyPJ_bRTWhVpPe4RwlQNchNByi7wbcMAY47pXL5agyemxR4ytYarXkSGXTtdNzW5nxUF7HrPDrLQTM9rJEKlM9ZppF8GLZfWfDCVmBs_iXUvD6ekbqbwVukIDxvfhXYCAG-VH0fReebOnEg6gMy2Mw7-rCNyp62lt0%3D&s=03

Really enjoyed reconnecting with like minds on my other love this week - bone stress injuries - at the World Congress on Military Medicine in Brisbane. Even before deployment, defence recruits around the world often fight their first battle with overuse injuries in recruit training. Our PREFIT project (pretraining before Army) reduced injuries during recruit training from 61% to 19% so we have the knowledge. The challenge is to implement.

Here is a report of bone, muscle and fat, muscle strength, heart and lung fitness, and metabolic health of the present (2024) female world champion powerlifter (70+ age category) who started resistance exercise training at 63 years of age. No suprises what they found. It's never too late folks - what's stopping you?

Becoming a World Champion Powerlifter at 71 Years of Age: It Is Never Too Late to Start Exercising This case study assessed body composition, muscle strength, cardiorespiratory fitness, and metabolic health of the present female world champion powerlifter in the 70+ age category who started resistance exercise training at 63 years of age with no prior experience with structured exercise training....

Our next Free Information Session will be held at midday Wednesday 18 September at The Bone Clinic, 26 Turbo Drive, Coorparoo. This is a short informal session (1 hour) delivered by our Director, Prof. Belinda Beck designed to explain who we are, why we exist and how we might be able to help you. Questions are welcome. Call Reception on 07 3391 5510 to book your place.

Slight variation from my normal posts but I am proud to have contributed to this important work to gather expert opinion on how to prevent bone loss in the hips of lower limb amputees through exercise. Now we just need a trial to test our opinions.

Developing an exercise intervention to minimise hip bone mineral density loss following traumatic lower limb amputation: a Delphi study Objective To elicit expert opinion and gain consensus on specific exercise intervention parameters to minimise hip bone mineral density (BMD) loss following traumatic lower limb amputation. Methods In three Delphi rounds, statements were presented to a panel of 13 experts from six countries. Experts...

My second quality assurance stop in Perth was Chronic Care Australia in Cottesloe where I forgot to get a photo in the clinic. Luckily Director Katie Stewart spoiled me with dinner at the local Lamont's restaurant (superb) which was an even better photo op. But the over-large bottle is not doing anything to dispell my newly realised sense of shortness.

My first stop in Perth on my Onero quality assurance visit was Mead Physio in Kalamunda where the wonderful Ned Brennan ran a great class with 5 highly motivated and grateful ladies. Didn't realise what a midget I am until I saw this photo!

Where in the world are you?! Want an ONERO provider near you?
We receive hundreds of emails and calls from people from all over the world wanting to do ONERO, and equally lots of Exercise Practitioners considering an ONERO licence. I would like to link these 2 groups of people to make ONERO more accessible for all. Because there are too many towns in the world to create a survey, we are going to try asking you to simply list where you are from and whether you are a patient or a provider. Here's your big chance folks!

Osteoporosis doesn't discriminate.

Australian chef Maggie Beer suffers fractures from fall at home In a statement on social media on Sunday night, her family said she fell at home, sustaining minor bone fractures and related injuries.

Want to learn about eating for bone health? The second in our annual 4-part series of educational seminars will be held this Wednesday night at 6 PM in the usual place: St Stephen's Anglican Church Hall, Coorparoo. Please call TBC reception to book your spot (07 3391 5510).

Just when you thought I was going to say something different...noop. Just more evidence you're never too old to reap the rewards of resistance training. Here's yet another paper showing increases in thigh and back muscle size and strength are just as great in people over 85 as in those between 65 and 75 years. https://pubmed.ncbi.nlm.nih.gov/37875254/
You're never too old to start folks.

And on to California. We had a great in-service on a very hot afternoon, kindly hosted by new Licensee Patrick Smith at Evolve Fitness in Los Gatos. Delighted to also be joined by our very first Californian Licensee, Wes Anderson, from Helix PT in Danville, as well as Jill Rytand from Los Altos and our 2 new Licensees from San Diego, Deb Serban of Serban Wellness and Fitness and Wendy Green of Phyzique Multisport physical therapy. My only regret is Patrick's shoulders were too broad for his Onero T shirt!

Next stop, Canada. Took a sidetrip to the University of Waterloo to visit Prof Lora Giangregorio, who does research in the same field as me at the opposite end of the world. Lora was an incredible host and tour guide, including a lovely walk along the river. Talking shop with like minds is one of the joys of academia. We don't always agree but if we did, it wouldn't be science!

I forgot to mention these 2 rock stars. Margie Bissinger and Keith McCormack - heavy duty osteoporosis influencers (and lovely humans) - came to Manhasset for the Onero inservice. Both are doing Onero. You might find this podcast I did with Margie last April helpful. https://m.youtube.com/watch?v=YQdbJhKrBaY

The North American journey continued to Manhasset (Long Island) where I visited our first New York Onero Licensee, Marni Larkin and her crew at Gyrotonic Manhasset Physical Therapy. Marni is dedicated to evidence-based practice and so licensed all 7 of her staff. I QAed some classes, ran an in-service that included other Licensees from New York, and gave a talk the next day for interested patients and clinicians. Marni was an incredible host, including taking me for cocktails in Manhatten, and I can't wait to go back ...I need to check on them again ...you understand. ;)

The next stop was Long Island where I stayed with the fabulous (and quite frankly, legendary in the world of mechanical loading of bone) Professor Clint Rubin and his wonderful wife Jenni. Clint and I spent a couple of days working on our data from the VIBMOR trial. For those who are anxiously awaiting the results of that trial examining the effects of vibration on bone and other risk factors for fracture, it will be a little while yet as we pore through many, many outcomes. Trust me, when we have results I will disseminate widely, including here.

June was North America month and it began in Boston (actually end of May) at the annual scientific meeting of the American College of Sports Medicine where I presented The Bone Clinic data. Lots of interest. Boston is a fabulous town.

It can be frustrating when hard fought gains in fitness or strength evaporate when you stop training, but a cool new study shows it might not be the case if you lift heavy enough. In a rare examination of long-term effects of 1 year of supervised heavy resistance training, retirement age adults sustained long-lasting (3 years) benefit in leg strength. Notably, strength decreased in both the moderate-intensity training and non-exercising control groups over the same time period.
Once again, ONERO has you covered.
doi:10.1136/bmjsem-2024-001899

And just when you thought there couldn't possibly be more advantages to Onero... "Resistance training (RT) participation is associated with reduced all-cause and cancer-related mortality and reduced incidence of cardiovascular disease, hypertension, and symptoms of both anxiety and depression" And the evidence shows low-volume, high-load RT is very effective. Sound familiar? (published in 2022 but it doesn't hurt to remind everyone why we're lifting so heavy!)
https://link.springer.com/article/10.1007/s40279-021-01605-8?s=03

Our approach to helping people build strong bones and preventing osteoporotic fractures involves more than just delivering evidence-based exercise and dietary advice. Raising awareness of this effective therapy in the clinical community is vital and what better way than to show doctors in training? Delighted to be a placement site for 2nd year UQ Medical students last semester, and going again in Sem 2.