Pilates helps improve bone quality by strengthening the muscles, bones and joints through weight-bearing exercises and resistance training, improving posture and spinal alignment, and enhancing balance and coordination to prevent falls. The mechanical stress from weight bearing and strength training exercises such as squats and planks, stimulates bone remodeling and growth, as does the resistance training that Pilates offers. Additionally, strengthening the inner unit and improving balance reduces the risk of falls, which can lead to fractures. Having a strong center provides better support for the spine, improving overall bone health and functional movement.