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Similar to younger runners, health considerations in masters runners include the goal to optimize bone health with focus on mitigating age\u2010associated loss of bone strength and preventing BSIs through a combination of ensuring appropriate physical activity, optimizing nutrition, and correcting faulty biomechanics. Importantly, BSIs in masters runners may include characteristics of both overuse injury from insufficient recovery and failure of bone weakened by age\u2010related loss of bone (insufficiency fractures). This narrative review covers the limited available research on strategies to optimize bone health in masters runners. Applying knowledge on masters athletes and extrapolating from other populations, we propose strategies on treatment and prevention of BSIs. Finally, the review highlights gaps in knowledge that require further age\u2010specific discoveries to advance treatment and prevention.<\/jats:p>","DOI":"10.1002\/pmrj.13175","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T07:11:48Z","timestamp":1711523508000},"page":"363-373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Bone health and the masters runner"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7945-4969","authenticated-orcid":false,"given":"Sara N.","family":"Raiser","sequence":"first","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8325-7167","authenticated-orcid":false,"given":"Allison 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