Kidney transplantation is considered the optimal kidney replacement therapy for kidney failure due to the association with a markedly higher health-related quality of life (QoL) and increased longer-term survival compared to dialysis.1 To maximize QoL posttransplantation, effective interventions are required for cardiovascular risk, weight management, diabetes, cancer and complications of bone disease. The fracture risk for kidney transplant recipients is 4 times that of the general population.2 Bone mineral density in the lumbar spine decreases by ~2% in the first year after kidney transplantation.