Bone, Exercise, Alendronate, and Caloric Restriction

Medicine used to treat bone problems, called osteopenia or osteoporosis.

Exercise in small groups three days per week under the supervision of exercise physiologists. Heart rate and blood pressure will be measured before and after each session and participants will warm-up by walking or cycling for five minutes at a slow pace. All RT exercises will be conducted on machines which accommodate different body sizes and allow small increments in resistance, both important considerations for low functioning older adults with obesity.

Capsules identical to the active alendronate capsules without any active ingredients with the same dosing and follow up as BIS treatment group.