Why Bone Density Changes During Menopause
Sandra Fonseca | JAN 5
Bone Density, Menopause, And Yoga – Building Strength For Life
Menopause is a significant transition that brings notable changes to the body, particularly concerning bone health. As estrogen levels decline, bone density may decrease more rapidly, which increases the risk of conditions such as osteopenia, osteoporosis, and fractures. While this may sound concerning, the good news is that intentional movement, strength training, and effective stress management can play a crucial role in supporting bone health during and after menopause.
Estrogen plays a crucial role in maintaining the balance of bone remodelling. During perimenopause and menopause, reduced estrogen levels can lead to:
Accelerated bone loss (especially in the spine, hips, and wrists)
Reduced muscle mass and joint stability
Changes in posture and balance
Increased risk of falls and fractures
Declining estrogen during perimenopause accelerates bone loss because it disrupts normal bone remodelling. This disruption in bone remodelling increases the risk of fractures if not addressed with proactive lifestyle habits, including physical activity (Osteoporosis Canada)
At YogaTent, we view menopause not as a problem to fix, but as a phase that invites smarter, more supportive ways of moving.
Studies show that bone loss can begin years before menopause is complete, which makes early, consistent movement practices essential. Research by Khan et al. (2022) supports that bone loss starts during perimenopause, but the greatest decline occurs in the first 10 years after the final menstrual period. After that, the rate of loss slows but continues over time. Women who enter menopause early or prematurely start losing bone at a younger age, leaving them at greater risk of low bone density and fractures later in life (Khan et al., 2022).

Bone remodelling is a continuous process involving osteoclasts (bone resorption) and osteoblasts (bone formation). During menopause, reduced estrogen disrupts this balance, leading to increased bone loss.
Not all yoga is the same when it comes to bone health. While gentle stretching and relaxation are valuable, bone density responds best to load, resistance, and stability challenges—all of which can be thoughtfully incorporated into a therapeutic yoga practice.
At YogaTent, bone-supportive yoga may include:
Weight-bearing postures that safely load the hips, legs, and spine
Isometric holds that stimulate bone through muscular engagement
Functional strength work using body weight, props, or light resistance
Balance training to reduce fall risk and improve confidence
These practices encourage bones to adapt and strengthen over time, while remaining accessible and mindful of joints.
Chronic stress and poor sleep—both common during menopause—can negatively impact bone health by increasing cortisol and inflammation. A well-regulated nervous system supports:
Better hormone balance
Improved recovery and sleep quality
Reduced pain and muscle tension
Greater consistency with movement habits
Restorative yoga, breathwork, and slower-paced mindful practices help calm the nervous system, making strength-building efforts more effective and sustainable.
Many women receive the advice that lifting heavy weights is essential for maintaining strong bones. While it is true that resistance training plays a crucial role in bone health, it is important to understand that achieving and maintaining strong bones does not necessarily require intense or fear-driven exercise routines. Instead, what is most beneficial is a well-structured approach that emphasizes progressive and intentional loading—gradually increasing the resistance over time. This type of training should be performed with proper alignment to ensure safety and effectiveness. Consistency in these efforts is key, as regularly engaging in resistance training can lead to significant improvements in bone density and overall strength, without the need for excessive weight or intensity.
YogaTent classes integrate:
Gentle but effective strength for hips, spine, and legs
Postural awareness to counter forward-head and rounded-spine patterns
Joint-friendly movement that respects individual anatomy and health history
Clear options so students can scale practices safely
This approach builds strength without overwhelming the body.
Supporting bone density during menopause is not about doing more—it’s about doing what matters most. When movement feels supportive rather than punishing, it becomes something you can sustain for life.
Yoga becomes a powerful ally by helping you:
Trust your body during change
Move with confidence instead of caution
Build strength while honouring rest
Cultivate resilience, physically and emotionally
At YogaTent in Hillsburgh, Ontario, we offer evidence-based yoga and functional movement practices tailored to support women during menopause and beyond. Whether you aim to maintain bone density, improve balance, or compassionately reconnect with your body, you are warmly welcomed here.
Endocrine Patient Resource for postmenopausal women (Endocrine Society).
——
Sandra Fonseca
Yoga Teacher & Founder, YogaTent
Sandra Fonseca | JAN 5
Share this blog post