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Bone health Tips to keep your bones healthy

Maintaining bone health is crucial at every stage of life. It is essential to recognize how factors such as nutrition, physical activity, and various lifestyle decisions can influence the condition of your bones.

Bones play a crucial role in the body by providing structural support, safeguarding organs, serving as attachment points for muscles, and storing calcium. Although it is essential to develop robust and healthy bones during childhood and adolescence, adults can also take measures to maintain and protect their bone health.

1: Why is maintaining bone health essential?

Bone health is crucial as bones continuously undergo remodeling, with new bone formation and old bone breakdown occurring simultaneously. In youth, new bone is formed more rapidly than old bone is lost, leading to increased bone mass, which peaks around age 30. After this peak, while remodeling continues, bone loss gradually outpaces bone gain.

Osteoporosis, a condition marked by weakened bones and increased fracture risk, is influenced by the peak bone mass achieved by age 30 and the subsequent rate of bone loss. A higher peak bone mass correlates with a lower risk of developing osteoporosis in later years.

2: What factors influence bone health?

Several factors affect bone health, including:

Dietary calcium intake. Insufficient calcium can lead to decreased bone density, early bone loss, and a higher risk of fractures.

Physical activity. Regular exercise strengthens bones, while a sedentary lifestyle increases the risk of osteoporosis.

Tobacco and alcohol consumption. Tobacco use, especially smoking and vaping, weakens bones and raises osteoporosis risk. Consuming more than one alcoholic drink per day for women or two for men can also heighten this risk.

Gender. Women are generally more susceptible to osteoporosis than men due to lower bone mass.

Body size and age. Individuals with a BMI of 19 or lower or a smaller body frame are more vulnerable to osteoporosis, as they typically have less bone mass. Additionally, bones tend to weaken with age.

Ethnicity and family history. Caucasian and Asian individuals face a higher risk of osteoporosis. A family history of osteoporosis or fractures can further increase this risk.

Hormonal levels. Hormones significantly influence bone health. Excess thyroid hormone can cause bone loss, while decreased estrogen during menopause often leads to substantial bone deterioration. Individuals with amenorrhea or low testosterone levels are also at greater risk for osteoporosis.

Prolonged use of certain medications can result in bone damage. Key examples include:
  • Hormonal therapies for breast and prostate cancer
  • Anticonvulsants for seizure management
  • Thyroid disorder medications
  • Glucocorticoid steroids
  • Adrenocorticotropic hormone
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Thiazolidinediones
  • Proton pump inhibitors

Moreover, various medical conditions can adversely affect bone health. For instance, eating disorders such as anorexia increase the risk of osteoporosis due to inadequate nutrition and low body weight, which weaken bones. Other conditions, including thyroid disorders, inflammatory bowel disease, rheumatoid arthritis, and Cushing's syndrome, can also heighten the risk of bone loss.

3: What steps can I take to ensure my bones remain healthy?

To prevent or reduce bone loss, consider the following recommendations:
  1. Active Lifestyle: Engage in weight-bearing exercises such as brisk walking, jogging, dancing, stair climbing, and sports to strengthen bones and minimize loss.
  2. Avoid Tobacco and Alcohol: Seek help from your healthcare provider to quit tobacco and alcohol consumption.
  3. Medication Consultation: If you are on long-term medication, discuss its impact on bone health with your healthcare provider.
  4. Calcium Intake: Aim for 1,000 mg of calcium daily for adults aged 19 to 50 and men aged 51 to 70. This increases to 1,200 mg for women aged 51 and older and men aged 71 and older. Good sources include dairy products, turnip greens, canned salmon with bones, sardines, tuna, and tofu. If dietary intake is insufficient, consult your healthcare provider about calcium supplements.
  5. Vitamin D Levels: Ensure adequate vitamin D intake, essential for calcium absorption. The RDA is 600 IUs for adults aged 19 to 70 and 800 IUs for those aged 71 and older. Sources include fatty fish, fortified foods, and sunlight exposure. Discuss supplementation with your healthcare provider if needed.

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