Daly RM, Gianoudis J, Kersh ME, et al. - In this 18-month randomized controlled trial, researchers sought to explore the impacts of a 12-month, community-based, supervised multi-component exercise program followed by a 6-month ‘research-to-practice’ transition, on areal BMD, trabecular bone microarchitecture, functional performance and falls in older adults at increased fracture risk. The study sample consisted of 162 adults aged ≥ 60 years with osteopenia or at increased falls risk. Study participants were randomized to the Osteo-cise: Strong Bones for Life multi-component exercise program (n = 81) or a control group (n = 81). Findings revealed that there were significant net beneficial impacts of exercise on the lumbar spine and femoral neck BMD, muscle strength, and physical function after 12 months, which continued after the 6-month transition. This research promotes the efficacy of Osteo-cise: Strong Bones for Life program as a real-world, pragmatic, evidence-based community exercise program to enhance multiple musculoskeletal health outcomes in older adults at increased fracture risk.