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We got a wonderful reader request asking us to talk about bone health. Since bone health is such an important topic, I decided to turn this blog post over to my husband who knows much more about the subject. Although it sounds like this post is just for older women, it is actually something that all of us at any age need to be aware of. We love getting reader requests! Please email us with any topics you would like to read about at threehealthymommas@gmail.com
Enjoy!
-Jaeme
While it is true that bone loss is something that happens at
a faster pace for women (due to hormonal changes) then for men, it is by no means something
that only women need to worry about! Maintaining healthy bones is an extremely
important aspect of health and longevity that begins very early on in life. We
acquire up to 90% of our maximum bone density by age 18 in girls and by age 20
in boys.
Bone Density and Longevity:
"Rates of fracture-related morbidity and mortality are significant in all older persons, but are substantially higher in men than in women."
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So why does this “maximum bone density” matter to me?
Well, unfortunately, bone loss begins immediately after
we reach our peak bone mass, which happens sometime between age 20-30. What
this really means is that if we neglected good health while we, or our kids,
are growing, we are really short changing our bones and will deplete our
bone density at an earlier age. But don’t start panicking if you weren’t the
healthiest of kiddos, there are measures we can take to help maintain the bone
strength we have and also to slow down the rate of loss.
Aspects of healthy bone
development:
Nutrition: good nutrition from infancy through adolescence, with particular
attention to adequate daily intake of calcium and vitamin D, is a key
component in attainment of maximum peak bone mass.
o
Children
should focus on consuming calcium rich or vitamin D fortified foods to
achieve this goal.
o
Routine supplementation
of calcium and vitamin D is not necessary for those consuming a varied diet.
o
For
those unable to achieve adequate dietary intake, supplementation is an
option.
Physical Activity: clinical
research has demonstrated the beneficial effects of exercise on bone
accumulation during growth, with particular benefit from high impact
exercise.
Lifestyle Modification: cigarette smoking and excess alcohol
intake have been associated with a decreased bone mass density and reduced
thickness.
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Ok, so I’m already past my prime so to speak, what should I do now?
In the simplest of explanations, the best way to maintain
bone health and to prevent further bone loss is to be healthy through proper
nutrition and exercise. However, I am very aware that “being healthy” is not
necessarily simple or easy! There are some additional guidelines from
the Surgeon’s General on maintaining bone health and preventing osteoporosis. These guidelines are referred to as the “pyramid
approach.”
So what is the Pyramid Approach?
The “pyramid approach” is simply a way to describe what
measures should be taken in preventing bone loss. The idea being that those
things at the base of the pyramid (tier one), are first line approaches, and as
needed, we work our way up the pyramid trying other approaches in managing bone
loss. As you can see, the first thing we always emphasize is lifestyle changes through nutrition and exercise. For the maintenance of bone health it is recommended
to exercise 30 minutes a day on most, if not all days. It is also recommended
to eat diets that are high in calcium and vitamin D, as well as daily
supplements for post-menopausal women in
order to achieve a total of 800 international units of vitamin D daily and 1200
mg calcium daily.
Foods rich in Vitamin D &
Calcium
Vitamin D:
o Milk, orange juice, or yogurt with vitamin D added
o Cooked salmon or mackerel
o Canned tuna fish
o Cereals with vitamin D added
o Cod liver oil
Calcium:
o Milk, yogurt, cheese, cottage cheese, ice cream, and other dairy foods
o Green vegetables, such as kale, collard greens, and broccoli
o Certain nuts and breads
o Foods that have calcium added to them, such as juices, cereals, and soy products
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As you can see, bone health is not just something women
should worry about it, it is an important aspect of overall health that we
should all be concerned with; one that can greatly impact the quality of life we experience later in life. Most importantly, I hope this emphasizes yet another aspect of maintaining good overall health through exercise and
nutrition!
Sources:
- E Michael Lewiecki, MD. (2014, Jan 9). Prevention of osteoporosis. UpToDate.com. Retrieved February 16, 2014, from http://www.uptodate.com.ezpminer.urmc.rochester.edu/contents/prevention-of-osteoporosis?source=search_result&search=bone+density&selectedTitle=10~150
- Mussolino ME. (2003, Nov 12). Bone mineral density and mortality in women and men. PubMed.gov. Retrieved February 16,2014, from http://www.ncbi.nlm.nih.gov/pubmed/14599733
Nice seeing Randy involved and sharing his knowledge! Great post Randy!
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