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For older adults, the primary training considerations are bone density maintenance, balance improvement, and fall prevention. ISSA CPT stresses that aging populations face increased risks of osteoporosis, sarcopenia, and falls, which can severely impact independence and quality of life. Resistance training enhances bone mineral density and muscular strength, while balance and flexibility work reduce fall risk. Cardiovascular training supports heart health but should be adapted to the individual’s capacity and medical status. Avoiding resistance training or exercise entirely is counterproductive, as inactivity accelerates decline. Safe modalities for older adults include resistance bands, bodyweight exercises, low-impact cardio (e.g., walking, swimming), and balance drills. Trainers must monitor intensity using perceived exertion scales rather than maximal testing. Proper programming empowers older adults to maintain independence, improve functional mobility, and reduce chronic disease risk, making this population a critical focus area in personal training.