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Strength training for women over 50

If you've never lifted weights, start here. Research on strength training for women over 50 shows clear strength gains, and a simple home routine twice a week is a good start.

If you walk most days but have never lifted a weight on purpose, this is for you. Research on strength training for women over 50 shows clear strength gains, and trials found better scores on movement tests. The effect on bone is less certain. A few home movements, twice a week and made gradually harder, are a reasonable start.

Why strength training for women over 50 matters around menopause

You rely on strength for much of ordinary life, like lifting a suitcase into a car or getting up from a low sofa.

Getting up from the floor or catching a stumble depends on how much force the legs produce. Researchers call that capacity strength.

Women over 50 gained a little more leg strength from training than men did. That comparison measures each person's gain against her or his own starting point.

Researchers found this by putting 30 studies together and reading them as one big study (Jones MD et al., Sports Medicine, 2021). The people in those studies were all over 50.

Everyone in those studies followed the same resistance programmes. In total, 759 of the participants were women.

Women and men gained about the same in upper-body strength and muscle size. Men still added more strength in total, so the women's edge shows up only when each person is compared with her own start. The researchers rated the studies as medium in quality, so this finding is a fair guide and still open to change.

For you, that means getting stronger is still possible if you start lifting later in life.

What resistance training changed in the trials

Leg strength grows in older adults who lift loads that get a little heavier over time. One review pooled 14 randomized trials (O'Bryan SJ et al., Sports Medicine, 2022). The people in them were men and women aged 65 and over.

In each trial, chance decided who trained, much like a coin flip. So when the trained people gained clearly more leg strength than the other group, the training is the likely reason.

Men and women were counted together in that review, so the result is not a women-only finding.

One trial studied women past menopause who had low bone mass, meaning their bones were less dense than normal (Watson SL et al., Journal of Bone and Mineral Research, 2018). The trial enrolled 101 women. They were about 65 years old on average, and chance decided which of two groups each woman joined.

One group did hard strength and impact exercises. Trained staff supervised these women closely. The other group did lighter exercise at home.

The supervised women did better on every test of everyday movement. Those gains came with only one reported problem, a minor back spasm. These results came from a closely supervised setting, so they say little about heavy lifting done alone at home.

The numbers in these trials are group averages, so any one woman's gains may be larger or smaller.

What the bone density research shows

We know less about what lifting does for bone. One review gathered 17 articles on women past menopause (Shojaa M et al., Osteoporosis International, 2020). Every trial in it lasted at least six months.

That review found that strength exercises with moving weights raised bone density at the lower spine and the hip. The gain was smaller at the top of the thigh bone, the part doctors call the femoral neck.

Bone density is a reading taken from a scan.

In the supervised trial of women with low bone mass, the hard training raised lower-spine bone density by 2.9%. But the women in the home group lost 1.2% over the same time.

The same pattern showed up at the top of the thigh bone. The supervised women gained 0.3% there. But the home group lost 1.9%.

That heavy lifting and impact work was closely coached by trained staff. So women with low bone mass who want to train that hard need the same kind of supervision.

Whether a higher bone density reading means fewer broken bones is still unknown. The bone programs also varied a lot, so it is hard to say which women gain the most.

A home routine is not a treatment for bone loss. Women with osteoporosis or a past fracture should plan their programme with a doctor or a physiotherapist.

Weight training for women over 50: what the studies prescribed

The programs differed from study to study, so the research gives no single plan for how many lifts to do. In the trials of older adults, the weights got a little heavier as people grew stronger.

In the bone review, programs that used free weights, meaning weights held in the hands like dumbbells, raised bone density more. Programs with fewer than 2 sessions a week showed larger changes at the spine and hip than programs with more.

The result on fewer sessions may come from how different the programs were. So that result is a weak reason to train less often.

Muscles get stronger when they work hard, and the load may come from weights or from your own body.

WHO guidelines from 2020 recommend regular muscle-strengthening activity at every age (Bull FC et al., British Journal of Sports Medicine, 2020). The guidelines also advise aerobic activity and less time sitting. These guidelines are written for whole populations, so they leave the details of a personal plan open.

At home, you make a movement harder in small steps. Slowing each repetition to three or four seconds makes it harder. A few extra repetitions or a loaded bag add more.

A starter strength training routine for women over 50 at home

Some of the best exercises for women over 50 copy things you already do each day. Sit-to-stand means rising from a chair and sitting back down with control. A wall push-up means leaning on a wall and pushing yourself away from it. A step-up means stepping onto a low, sturdy step, like climbing a stair.

A hip bridge means lying on your back with knees bent and lifting your hips off the floor. A row means pulling a loaded grocery bag up toward your ribs while you lean on a counter with your other hand.

Train on two fixed days a week, such as Monday and Thursday. Do every movement in each session.

The first four weeks

Start with one round, which means doing each movement once through. Do 8 to 10 repetitions of each movement. The last two repetitions should feel hard, and you should still move smoothly and with control.

Rest about a minute between movements. Once the first round feels manageable, add a second round.

With osteoporosis or a past fragility fracture, plan this routine with your doctor or a physiotherapist before starting. Do the same with a heart or blood pressure condition, or after a joint replacement or recent surgery. Stop and get checked if you notice chest pain, dizziness or sharp joint pain.

Making it harder as you get stronger

Keep going until 12 to 15 repetitions feel easy. Once that happens two sessions in a row, make the movement slightly harder. For sit-to-stand, use a lower chair or hold a bag of groceries. For push-ups, move your hands from the wall to a kitchen counter. Later, use a sturdy table.

For step-ups, use a higher step. For rows, put more in the grocery bag. Bridges get harder if you pause with your hips raised, and harder again on one leg.

On current evidence, two steady sessions a week, made a little harder whenever they feel easy, are where we would start.

Sources

Jones MD et al., Sports Medicine. Sex Differences in Adaptations in Muscle Strength and Size Following Resistance Training in Older Adults: A Systematic Review and Meta-analysis. 2021. doi.org

O'Bryan SJ et al., Sports Medicine. Progressive Resistance Training for Concomitant Increases in Muscle Strength and Bone Mineral Density in Older Adults: A Systematic Review and Meta-Analysis. 2022. pmc.ncbi.nlm.nih.gov

Shojaa M et al., Osteoporosis International. Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters. 2020. pmc.ncbi.nlm.nih.gov

Watson SL et al., Journal of Bone and Mineral Research. High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial. 2018. doi.org

Bull FC et al., British Journal of Sports Medicine. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. 2020. pmc.ncbi.nlm.nih.gov