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How to Stay Mobile, Independent & “Unbreakable” As You Age with Dr Vonda Wright #588

Oct 21, 2025 2h 10m 31 insights
Bone health is something most of us don’t think about until much later in life, but the reality is that the foundation for strong, healthy bones is built decades earlier – and what we do in our 20s, 30s and 40s can make all the difference to our health and strength in later years. Today, I’m delighted to welcome Dr Vonda Wright. Vonda is an orthopaedic surgeon and internationally recognised authority on active ageing and mobility. She believes that with mobility, smart nutrition and building relationships, we can harness our own power to control 70% of our health and ageing. Vonda specialises in sports medicine and is one of only a few female orthopaedic surgeons in the United States. She currently serves as the inaugural Chief of Sports Medicine for the Northside Hospital Orthopaedic Institute and is the founding director of the Performance and Research Initiative for Masters Athletes (PRIMA). She is also the author of several books, including her latest, Unbreakable: A Woman’s Guide to Ageing With Power, combines cutting-edge science with practical tools to help us protect our bones and our future health. In this fantastic conversation, we discuss: Why osteoporosis isn’t just a disease of old age, but one that begins much earlier in life, often decades before the first fracture. The idea of the “critical decade” – why our mid-30s to mid-40s are such a pivotal window for building bone strength, especially for women approaching menopause. The key lifestyle factors that influence bone density, from nutrition and protein intake to resistance training and impact exercise, and why it’s never too late to start. How scans such as DEXA and REMS can give a clearer picture of bone quality and help us take action before problems arise. The cultural and societal pressures that shape women’s health behaviours, and how these can sometimes work against long-term bone resilience. Simple, practical strategies for protecting your bones at every stage of life, supporting independence, mobility and confidence as we age. Vonda also shares her vision of ageing with strength, independence and vitality, and why she believes we can all take proactive steps to remain “unbreakable”. As Vonda explains, we have more control over our bone health than we might realise - and that knowledge should feel both comforting and empowering. Caring for our bones is really about caring for our future selves. By taking simple, consistent steps today, we can build the strength and confidence to live the way we want for years to come. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com.   Thanks to our
Actionable Insights

1. Believe in Your Worth, Invest in Health

Cultivate a deep belief in your inherent worth, as this conviction is fundamental to prioritizing and consistently investing in your daily health, preventing self-neglect.

2. Challenge Aging Decline Myth

Actively reject the belief that aging is an inevitable decline, as this mindset leads to resignation and giving up on health efforts when aches or pains arise.

3. Develop Personal Health Vision Statement

Create a personal vision statement for your health and aging journey, ensuring it is deeply rooted in your core values, to provide enduring purpose and motivation for your efforts.

4. Build Mental Resilience for Aging

Actively work to build mental resilience, as aging can be challenging, and this mental strength is crucial to stay committed to health processes.

5. Form Supportive Health Group

Form a group of at least five supportive individuals to journey with you towards vibrant aging, as your closest connections significantly influence your health behaviors.

6. Take Personal Health Ownership

Take personal ownership of your health, understanding that healthcare systems primarily focus on acute care, and proactively invest in preventive measures.

7. Critical Decade Health Check (35-45)

During the “critical decade” (ages 35-45), establish a lifestyle with non-inflammatory, high-protein nutrition, consistent muscle-building, and cardiovascular practices to set health standards before significant hormonal changes.

8. Movement: The Universal “Pill”

Embrace consistent movement as the foundational “pill” or activity that positively impacts and treats a wide range of chronic diseases, from hypertension to metabolic disorders.

9. Optimize Hormones for Bone Health

Optimize your hormone levels, especially estrogen for women, as it is crucial for regulating bone breakdown and building, thereby rebalancing bone health.

10. Consider Estrogen Replacement (Facts, Not Fear)

Women should consider Estrogen Replacement Therapy (and potentially testosterone) during perimenopause/menopause, making decisions based on current scientific facts rather than outdated fears, to support brain, heart, and bone health and alleviate symptoms.

11. Heavy Resistance for Strength & Power

Prioritize heavy resistance training (4 sets of 4 reps to failure) focusing on compound lifts (bench press, pull-ups, squats, deadlifts) 2-4 times a week, supplemented by single-muscle lifts and daily core work, to build strength and power for independent living.

12. 80/20 Aerobic Training (Zone 2 & Sprints)

Implement an 80/20 aerobic training split: 80% low heart rate (Zone 2, ~3 hours/week) for metabolic flexibility and fat burning, and 20% high-intensity sprint intervals (30-second all-out bursts, 4 times, twice weekly) for muscle stem cell and mitochondrial benefits.

13. High-Impact Bone Building

To build better bone density, perform high-impact activities like jumping off an eight-inch step or multi-directional jumps (e.g., hopscotch) for 10-20 repetitions, three days a week, as this generates the necessary force (four times body weight) to signal bone growth.

14. Retrain Balance & Foot Speed

Actively retrain your balance and foot speed through exercises like hopping over cones or quick toe/heel taps, as neuromuscular pathways degrade from the twenties, increasing fall risk.

15. Daily 10-Minute Dynamic Warm-up

Incorporate a 10-minute dynamic warm-up into your daily routine to enhance flexibility and mobility, ensuring all major joints, tendons, and ligaments are actively moving.

16. Men: Understand Female Aging Biology

Men should gain a deeper understanding of the biological differences in how women age, particularly the tumultuous hormonal changes, to foster better relationships and support.

17. Men: Baseline Testosterone Check

Men in their 30s should get their testosterone levels checked to establish a personal baseline, as a “normal” range in later life might still represent a significant decline from their youthful levels, impacting how they feel.

18. Replenish Nutrients During Pregnancy/Breastfeeding

During pregnancy and breastfeeding, actively focus on replacing calcium, magnesium, and phosphorus (e.g., 500mg calcium/day for baby/milk) to prevent significant bone density loss from the mother’s body.

19. Encourage Kids’ Impact Play

Actively encourage children to engage in active play that involves jumping and running, as this “bashing” of bones is crucial for building peak bone density in their youth.

20. Parents: Model Healthy Habits

Model healthy behaviors for your children, as they are more likely to adopt healthy habits like avoiding sugary drinks or engaging in physical activity if they observe you doing them.

21. Make Movement a Family Affair

Integrate movement and physical activity into family routines, making it a shared experience to encourage sustained engagement for both children and parents, benefiting bone health.

22. Baseline Bone Scan (30-40)

Obtain a DEXA scan (and REMS ultrasound if available) between ages 30 and 40 to establish a baseline for your bone density and quality, allowing for early intervention if needed.

23. Save for Preventive Health

Prioritize saving money for preventive health measures, such as a DEXA scan, by reallocating funds from daily discretionary spending like expensive coffee.

24. Adequate Nutrition for Active Women

Active women, particularly athletes, must prioritize consuming enough calories and nutrient-dense food to match their high energy expenditure, avoiding insufficient intake that can harm health.

25. Challenge “Skinny” Mantra

Actively challenge the societal pressure for women to be “skinny” and restrict food, as this can lead to insufficient nutrient intake, impaired menstrual cycles, and poor bone development in youth.

26. Address Eating Disorders’ Bone Impact

Be aware that a history of eating disorders and inadequate nourishment can severely impact bone density, necessitating sensitive and proactive health management.

27. Avoid Mid-Intensity Training Trap

Avoid prolonged medium-intensity, medium-duration exercise, as it often fails to deliver desired results, can lead to frequent injuries, and doesn’t provide the physiological benefits of either low heart rate training or high-intensity sprints.

28. Start with Bodyweight Exercises

If currently sedentary, begin your fitness journey with bodyweight exercises to learn how your body moves and build foundational strength before progressing to heavier lifting.

29. Home-Based Resistance Training

For those who avoid gyms, utilize home equipment like heavy sandbags for planks and bridges, backyard pull-up bars, or weighted stair climbing to engage in effective resistance training and combat sedentary habits.

30. Incorporate Skipping for Bone Impact

Add skipping, either with a rope or on a track, to your exercise routine, as this activity provides beneficial impact for stimulating bone health.

31. Jump on Hard Surfaces for Bone

For maximum bone-building impact, jump on hard surfaces rather than trampolines or rebounders, unless prevented by arthritis or other physical limitations.