The positive effects of physical activity on bone strength are certain. However, researchers have yet to precisely quantify the contribution of specific characteristics of physical activity that affect bone strength in children and adolescents. This commentary highlights 2 noteworthy 2017 publications that addressed osteogenic physical activity dose-response issues. Both papers moved the field forward by providing new insights on physical activity exposures beyond high-impact loading. Koedijk et al's paper was selected because, to the best of our knowledge, it is the first systematic review to solely examine associations between sedentary behavior and indicators of bone strength. The second selected paper, Gabel et al, used novel approaches in accelerometer processing and statistical modeling to separate the osteogenic effects of frequency of short bouts of physical activity from total volume of physical activity. As such, the authors of this paper begin to explore in youth what animal models have shown for some time, that is, optimal bone adaptation requires the correct combination of intensity, frequency, duration, nonrepetitive movement, and rest. Together, these papers signal new and important approaches for the conceptualization, measurement, and interpretation of osteogenic physical activity.Bone is responsive to physical activities that are dynamic, moderate to high in load magnitude, short in load duration, nonrepetitive in load direction, and applied quickly (6,9,10,13). Similar to the adaptation of muscle to physical activity, rest periods are also necessary for osteogenic change (16). Of these various physical activity characteristics, most research has focused on the effect of load magnitude derived by forces generated via impact with the ground (eg, tumbling, jumping) or impact with an object (eg, racquet sports) (19). Additional research has shown that muscle forces generated during the lift phase of activities such as jumping and vaulting and during resistance exercise also produce osteogenic loads (3,8,19). Static loads (eg, plank exercises) and repetitive low-magnitude loads (eg, bicycling) do not strengthen bone in youth (2). Animal studies (12,18) indicate that bone (only) adapts to loads that are greater than the habitual loading environment. The effect of physical activity on bone is most pronounced during the years surrounding puberty (2). However, even then, habitual load thresholds vary among youth, as well as among bone sites, depending on individual musculoskeletal fitness and other factors (eg, nutrition, sex) (2).This commentary focuses on recent papers that provide new understanding about how much and what kind of physical activity influences bone strength in youth. Koedijk et al's (11) paper was selected because, to the best of our knowledge, it is the first systematic review that exclusively examined the association of sedentary behavior to indicators of bone strength. It is informed by decades of research on the effects of bed rest and microgravity on bone, which have shown signif...