Which nonpharmacologic option is recommended as part of osteoporosis care?

• A. Smoking
• B. Weight-bearing exercises
• C. Vitamin D supplementation
• D. Calcium supplementation

Answer: (B)

Weight-bearing activity directly stimulates bone formation by loading the bones, which helps maintain or increase bone density and strengthens the skeleton. Regular weight-bearing and resistance exercises—like walking, stair climbing, dancing, and strength workouts—also improve balance and muscle strength, lowering fall and fracture risk in osteoporosis. This combination makes it the most effective nonpharmacologic approach for supporting bone health.

Other options play a supportive role but don’t provide the same direct bone-strengthening stimulus. Smoking harms bone health, so quitting is beneficial but not a bone-building activity. Calcium and vitamin D support bone health as nutrients, but they are not exercises; they complement an exercise program rather than replace it.