Bone strength is usually the weak link. When people "fall and break a hip", almost always it's actually their hip breaks first, which makes them fall.
(Getting plenty of calcium and vitamin D probably helps, but there's a lot of argument about whether supplements actually work there.)
The programme is starting to be picked up by practitioners globally - though it's more common here in Australia for the moment. There are online versions of the courses as well.
Bones adapt to the increased demand on them as well.
There are even cardiovascular benefits, though it doesn't replace aerobic exercise.