Physical exercise is an important step in the prevention of osteoporosis. Even better are those exercises that improve muscle strength and balance, as maintaining muscle protects the bones and improving balance prevents falls. Pilates does both of these things, and so it is a good option for an aging person at risk for developing osteoporosis.

Pilates also promotes muscle symmetry, helping to balance out the body. The development of a strong core and pelvis reinforces good posture and can decrease the odds of falling.