Virtual fitness and nutrition program aims to keep older men on their feet

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Community-dwelling individuals ≥ 60 years who self-identify as men will be considered eligible if their risk for fracture is evaluated to be high, defined by the presence of one of the following inclusion criteria: * Individuals on a Heath Canada-approved anti-osteoporosis medication (oral or intravenous bisphosphonate, denosumab, teriparatide, or romozosumab) to reduce fracture risk * Prior hip or clinically diagnosed vertebral fracture or prior multiple fragility fractures since age 40 * Fracture at any skeletal site (excluding skull, hands, and feet) within the previous 2 years * Ten-year probability of major osteoporotic fracture of ≥20% using the FRAX tool * BMD T-score of ≤ -2.0 (performed as part of usual clinical care) WITH either the presence of one or more moderate or severe vertebral fractures on spine radiography OR the presence of ≥1 comorbidities (Diabetes Type I or Type II if on treatment, Parkinson's disease, congestive heart failure, chronic obstructive pulmonary disease (COPD) with previous systemic corticosteroid exposure, prostate cancer with current or prior recent (≤ 2 years) use of hormonal therapy) OR ≥ 2 falls in the previous year * BMD T-score of ≤ -2.5 and ≥ 70 years of age Exclusion Criteria: * Inability to communicate in English or French; * No access to a mobile device, tablet, or computer with a camera; * Clinical or symptomatic spine fracture in the last 4 months, or a lower/upper limb fracture in the last 2 months; * Uncontrolled medical comorbidity including but not limited to congestive heart failure exacerbation in the last 12 months or COPD exacerbation in the last 3 months * Currently doing or planning to start doing either: A) Resistance training exercises with a self-rated intensity of very hard (e.g., rated ≥ 8 on a scale from 0-10) for two or more times a week OR B) Exercises to improve balance for two or more times a week * Unable to perform basic activities of daily living or severe cognitive impairment or terminal illness * Presence of absolute exercise contraindications unless physician approval is obtained if contraindications are present