Category Archives: osteoporosis

5 Ways to boost bone strength early – Harvard

For the most part, osteoporosis is thought of as a women’s affliction because more women get it than men. However, it is an affliction of older age and more women get it because they live longer. A senior man is very likely  to contract osteoporosis also. Herewith, Harvard Medical School on the subject.

black and white bones hand x ray

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The best prevention for bone-thinning osteoporosis begins early — during the first two decades of life, when you can most influence your peak bone mass by getting enough calcium and vitamin D and doing bone-strengthening exercise. If you are over age 20, there’s no need to be discouraged. It’s never too late to adopt bone-preserving habits.

If you are a man younger than 65 or a premenopausal woman, these five strategies can help you shore up bone strength as a hedge against developing osteoporosis.

  1. Monitor your diet. Get enough calcium and vitamin D, ideally through the foods you eat. Although dairy products may be the richest sources of calcium, a growing number of foods, such as orange juice, are calcium-fortified. Fruits, vegetables, and grains provide other minerals crucial to bone health, such as magnesium and phosphorus.
  2. Maintain a reasonable weight. This is particularly important for women. Menstrual periods often stop in women who are underweight — due to a poor diet or excessive exercise — and that usually means that estrogen levels are too low to support bone growth.
  3. Don’t smoke and limit alcohol intake. Smoking and too much alcohol both decrease bone mass.
  4. Make sure your workouts include weight-bearing exercises. Regular weight-bearing exercise like walking, dancing, or step aerobics can protect your bones. Also include strength training as part of your exercise routine.
  5. Talk with your doctor about your risk factors. Certain medical conditions (like celiac disease) and some medications (steroids and others) can increase the chances that you will develop osteoporosis. It’s important to talk with your doctor to develop a prevention strategy that accounts for these factors.

For more on diagnosing and treating osteoporosis and developing an effective plan for your bones order, Osteoporosis: A guide to prevention and treatment.

 

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Small molecule plays big role in weaker bones as we age

With age, expression of a small molecule that can silence others goes way up while a key signaling molecule that helps stem cells make healthy bone goes down, scientists report.

They have the first evidence in both mouse and human mesenchymal stem cells that this unhealthy shift happens, and that correcting it can result in healthier bone formation.

The small molecule is microRNA-141-3p and the signaling molecule is stromal-cell derived factor, or SDF-1, they report in the Journal of Gerontology: Biological Sciences.

black and white bones hand x ray

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“If you are 20 years old and making great bone, you would still have microRNA-141-3p in your mesenchymal stem cells. But when you are 81 and making weaker bone, you have a lot more of it,” says Dr. Sadanand Fulzele, bone biologist in the Department of Orthopaedic Surgery at the Medical College of Georgia at Augusta University.

Restoring a more youthful balance could be a novel strategy for reducing age-associated problems likes osteoporosis and the impaired ability to heal bone breaks, says Fulzele, a corresponding author on the study. Continue reading

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Mediterranean diet could reduce osteoporosis – Study

Eating a Mediterranean-type diet could reduce bone loss in people with osteoporosis – according to new research from the University of East Anglia.

New findings show that sticking to a diet rich in fruit, vegetables, nuts, unrefined cereals, olive oil, and fish can reduce hip bone loss within just 12 months.

vegetable salad with wheat bread on the side

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The study is the first long-term, pan-European clinical trial looking at the impact of a Mediterranean diet on bone health in older adults.

More than 1,000 people aged between 65 and 79 took part in the trial, and volunteers were randomized into two groups – one which followed a Mediterranean diet and a control group which did not.

Bone density was measured at the start and after 12 months. The diet had no discernible impact on participants with normal bone density, but it did have an effect on those with osteoporosis.

People in the control group continued to see the usual age-related decrease in bone density, but those following the diet saw an equivalent increase in bone density in one part of the body – the femoral neck. This is the area which connects the shaft of the thigh bone to its rounded head, which fits in the hip joint.

UK study lead Prof Susan Fairweather-Tait, from UEA’s Norwich Medical School, said: “This is a particularly sensitive area for osteoporosis as loss of bone in the femoral neck is often the cause of hip fracture, which is common in elderly people with osteoporosis.

“Bone takes a long time to form, so the 12-month trial, although one of the longest to date, was still a relatively short time frame to show an impact. So the fact we were able to see a marked difference between the groups even in just this one area is significant.”

The EU-funded trial, led by the University of Bologna, was completed by 1142 participants recruited across five centers in Italy, the UK, the Netherlands, Poland and France. Those following the Mediterranean diet increased their intake of fruits, vegetables, nuts, unrefined cereals, olive oil, and fish, consumed small quantities of dairy products and meat and had a moderate alcohol intake.

People in the intervention group were provided with foods such as olive oil and wholemeal pasta, to encourage them to stick to the diet, and were also given a small vitamin D supplement, to even out the effects of different levels of sunlight on vitamin D status between the participating countries.

At the start and end of the trial, blood samples were taken to check for circulating biomarkers. Bone density was measured in over 600 participants across both groups at the lumbar spine and femoral neck. Of these participants, just under 10% were found to have osteoporosis at the start of the study.

Co-researcher from UEA, Dr Amy Jennings said: “Although this is a small number it is sufficient for the changes in femoral neck bone density between the two groups to be statistically significant.

“Those with osteoporosis are losing bone at a much faster rate than others, so you are more likely to pick up changes in these volunteers than those losing bone more slowly, as everyone does with age.

“With a longer trial, it’s possible we could have picked up changes in the volunteers with normal bone density. However, we already found it quite challenging to encourage our volunteers to change their diet for a year, and a longer trial would have made recruitment more difficult and resulted in a higher drop-out.”

The researchers would now like to see a similar, or ideally longer, trial in patients with osteoporosis, to confirm the findings across a larger group and see if the impact can be seen in other areas of the body. If the condition could be mitigated through diet, this would be a welcome addition to current drug treatments for osteoporosis, which can have severe side effects.

But in the meantime, say the researchers, there is no reason for those concerned about the condition not to consider adapting their diet.

“A Mediterranean diet is already proven to have other health benefits, reducing the risk of cardiovascular disease, Parkinson’s, Alzheimer’s and cancer,” said Prof Fairweather-Tait. “So there’s no downside to adopting such a diet, whether you have osteoporosis or not.”

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Higher protein intake benefits bone health – Study

I have found that most people consider osteoporosis to be a women’s affliction. The reason is that statistics show two out of three women over the age of 50 will experience osteoporosis while only one out of three men will.  This is clearly a disease that affects more of us as we age. I think it is important for us men to keep in mind that while statistics show more women get it, the fact is, as women outlive men, there are simply more of them around. Osteoporosis is definitely something of which men should be aware.

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A new expert consensus endorsed by the European Society for Clinical and Economical Aspects of Osteoporosis, Osteoarthritis, and Musculoskeletal Diseases (ESCEO) and the International Osteoporosis Foundation (IOF) has reviewed the benefits and safety of dietary protein for bone health, based on analyses of major research studies. The review, published in Osteoporosis International found that a protein-rich diet, provided there is adequate calcium intake, is in fact beneficial for adult bone health. It also found no evidence that acid load due to higher dietary protein intakes, whether of animal or vegetable origin, is damaging to bone health.

The key findings of the extensive literature review include: Continue reading

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Diabetic Seniors may have increased risk for fracture – Study

When it rains it pours. As if it weren’t difficult enough to be a senior citizen, it turns out that Type 2 diabetes adds a further level of complexity.

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Though seniors with Type 2 diabetes (T2D) tend to have normal or higher bone density than their peers, researchers have found that they are more likely to succumb to fractures than seniors without T2D. In a new study published in the Journal of Bone and Mineral Research, researchers from Hebrew SeniorLife’s Institute for Aging Research found older adults with Type 2 diabetes had deficits in cortical bone–the dense outer surface of bone that forms a protective layer around the internal cavity– compared to non-diabetics. The findings suggest that the microarchitecture of cortical bone may be altered in seniors with T2D and thereby place them at increased risk of fracture.

Participants in this study included over 1,000 member of the Framingham Study who were examined over a period of 3 years. High resolution scanning allowed researchers to determine that many older adults with diabetes had weakness specific to cortical bone microarchitecture that cannot be measured by standard bone density testing.

Osteoporotic fractures are a significant public health problem that can lead to disability, decreased quality of life, and even death – not to mention significant health care costs. Risk of fracture is even greater in adults with T2D, including a 40 – 50% increased risk of hip fracture – the most serious of osteoporotic fractures.

“Fracture in older adults with Type 2 diabetes is a highly important public health problem and will only increase with the aging of the population and growing epidemic of diabetes. Our findings identify skeletal deficits that may contribute to excess fracture risk in older adults with diabetes and may ultimately lead to new approaches to improve prevention and treatment,” said Dr. Elizabeth Samelson, lead author of the study.

Researchers hope that novel studies such as this will help to revolutionize the area of bone health, especially for older adults. It is important to follow screening guidelines for bone density testing, but better understanding of all the factors that affect bone strength and the tendency to fracture is needed.

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Strength Training Benefits More Than Muscles – Harvard

While eat less; move more; live longer is the mantra of this blog, I hasten to add that strength training should be an integral part of that move more aspect. Harvard HEALTHbeat has come out with a new publication on strength and power training.

Here’s what Harvard has to say on the subject: “Most of us know that strength training (with free weights, weight machines, or resistance bands) can help build and maintain muscle mass and strength. What many of us don’t know is that strong muscles lead to strong bones. And strong bones can help minimize the risk of fracture due to osteoporosis.

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“A combination of age-related changes, inactivity, and poor nutrition conspire to steal bone mass at the rate of 1% per year after age 40. As bones grow more fragile and susceptible to fracture, they are more likely to break after even a minor fall or a far less obvious stress, such as bending over to tie a shoelace.

“Osteoporosis should be a concern for all of us. Eight million women and two million men in the United States have osteoporosis. It is now responsible for more than two million fractures a year, and experts expect that number will rise. Hip fractures are usually the most serious. Six out of 10 people who break a hip never fully regain their former level of independence. Even walking across a room without help may be impossible.”

I have written several posts on osteoporosis. You can read further on the subject here: What Can I do to Prevent Osteoporosis? An Early Sign of Osteoporosis? Are Men Vulnerable to Osteoporosis as Well as Women? Continue reading

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Are you taking care of ‘dem bones?’

Dem bones, dem bones, dem dry bones.

Now hear the word of the Lord.

Those lyrics from an old spiritual have been running through my head since I started reading about osteoporosis and our bones.

More women are affected by osteoporosis than men, but we guys are definitely vulnerable, especially as we age.

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Facts and statistics:

  • Up to one in four men over age 50 will break a bone due to osteoporosis.
  • Approximately two million American men already have osteoporosis. About 12 million more are at risk.
  • Men older than 50 are more likely to break a bone due to osteoporosis than they are to get prostate cancer.
  • Each year, about 80,000 men will break a hip.
  • Men are more likely than women to die within a year after breaking a hip. This is due to problems related to the break.
  • Men can break bones in the spine or break a hip, but this usually happens at a later age than women.

Here’s what the National Osteoporosis Foundation has to say about it:

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Weight-bearing exercises protect against osteoporosis – Study

Just two days ago I posted on older men being at risk of osteoporosis. “As I reported here, after the age of 50 men are as likely to get osteoporosis as prostate cancer. More to the point, older people of both sexes have great vulnerability to it.”

Now comes a new study that explains how weight-bearing exercises affect our bone structure and fight that disease.

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Osteoporosis affects more than 200 million people worldwide and is a serious public health concern, according to the National Osteoporosis Foundation. Now, Pamela Hinton, associate professor in the Department of Nutrition and Exercise Physiology, has published the first study in men to show that long-term, weight-bearing exercises decrease sclerostin, a protein made in the bone, and increase IGF-1, a hormone associated with bone growth. These changes promote bone formation, increasing bone density. Continue reading

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Older men at risk of osteoporosis – Harvard

Because three out of four cases of osteoporosis are women, most people consider it a women’s disease,  especially men. However, as I reported here, after the age of 50 men are as likely to get osteoporosis as prostate cancer. More to the point, older people of both sexes have great vulnerability to it.

Here’s what Harvard Health Publications has to say:

Don’t think men need to worry about osteoporosis? Think again. In fact, about one in four men older than 50 will break a bone due to osteoporosis during their lifetime, according to the National Osteoporosis Foundation.

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How can men protect themselves and lower their risk of osteoporosis? Here are some strategies: Continue reading

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Study links benefits of osteoporosis treatment with better periodontal health

I have written about osteoporosis numerous times as it attacks us in our latter years for the most part. Also, women seem more vulnerable to it than men.
I ran across the following in my web wanderings. Guys, this is relevant to all the women in our lives, wives, mothers, relatives, so please check it out.
abstract shapes, bone structure

Bone structure

Estrogen therapy has already been credited with helping women manage an array of menopause-related issues, including reducing hot flashes, improving heart health and bone density, and maintaining levels of sexual satisfaction.

Now a new study suggests that the same estrogen therapy used to treat osteoporosis can actually lead to healthier teeth and gums. The study outcomes were published online in
Menopause, the journal of The North American Menopause  Society (NAMS).

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Two keys to strong bones … Harvard

Although bone-weakening osteoporosis is quite common among older people, it isn’t an inevitable part of aging. There’s a lot you can do to shield your bones from this disease.

While it is true that women account for most cases of osteoporosis. I think the fact that they outlive men, and the disease usually hits after late 50’s, because women outlive us, a disproportionate number of women get the disease. The International Osteoporosis Foundation says that worldwide, 1 in 3 women over age 50 will experience osteoporotic fractures, as will 1 in 5 men aged over 50.

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The best insurance against osteoporosis is building the highest bone density possible by your 30s and minimizing bone loss after that. But if you’re already in midlife or beyond, there is still much you can do to preserve the bone you have and perhaps even to replace lost bone. Daily weight-bearing exercise, like walking, is the best medicine. Getting enough calcium and vitamin D are two other critical strategies for keeping bones strong.

Continue reading

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Opinion: 3 Myths About Dairy-free Foods

Calcium is critical for many of the body’s basic functions, including regulating your heartbeat, says Victor Khabie, M.D. chief of sports medicine at Northern Westchester Hospital in Mount Kisco, New York. “The bones are a storehouse for calcium and if you’re not ingesting enough orally then the body will take calcium from your bones to keep the level of calcium in your blood normal.” And that can lead to osteoporosis, or brittle bones. The body also requires adequate protein and vitamin D to “remodel” bone, the process that keeps bone healthy.

To read further on calcium and osteoporosis, check out these posts:
Calcium – The Key to Strong bones – Infographic
The Benefits of Calcium
Calcium Supplements Linked to Longer Lifespans in Women
The Joys and Benefits of Bike Riding

Preventing Osteoporosis Takes a Lifestyle Change
What Can I do to Prevent Osteoporosis?
What is a New Weapon Against Osteoporosis?
Beating Osteoporosis – Harvard

Tony

Cooking with Kathy Man

Calcium is important even when you’re older, and milk can be a fine way to get it.

Have you sworn off dairy? Maybe you think it will ease your stomach woes. Or, now that you’re middle-aged, you assume your bones don’t need as much. Or maybe you’re just drawn to all the dairy-free options now on supermarket shelves, including dairy-free ice cream, yogurt, and coffee creamer. Should you join the crowd? Probably not. “Unless you have a medical reason to skip dairy, such as an allergy to milk protein, adults can benefit by eating some dairy every day,” says Consumer Reports chief medical adviser Marvin M. Lipman, M.D.

Here we take a look at some common myths about milk and other dairy products.

Myth 1: After age 30 you don’t need calcium for your bones

It’s true that you reach peak bone mass by age 30, so getting calcium before…

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Is Milk Your Friend or Foe?

    But this new study found that drinking large amounts of milk did not protect men or women from bone fractures, and was linked to an overall higher risk of death during the study period.

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Instead of reduction in fractures, study suggests higher risk of heart disease, cancer.

Drinking lots of milk could be bad for your health, a new study reports.

Previous research has shown that the calcium in milk can help strengthen bones and prevent osteoporosis. These benefits to bone health have led U.S. health officials to recommend milk as part of a healthy diet.

But this new study found that drinking large amounts of milk did not protect men or women from bone fractures, and was linked to an overall higher risk of death during the study period.

However, the researchers said the results should be viewed with caution.

Women who drank three glasses of milk or more every day had a nearly doubled risk of death and cardiovascular disease, and a 44 percent increased risk of cancer compared to women who drank less than one glass per day, the researchers found.

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5 Ways to Boost Bone Strength Early – Harvard

Although osteoporosis is widely thought of as a ‘woman’s affliction,’ it is by no means exclusive to the fair sex. While on balance women suffer from osteoporosis three times more often than men, once a man reaches middle age, his odds of catching it increase. I have written about osteoporosis a number of times from various angles. If you are interested, you can click on any of the links at the end of this post to read further.

osteoporosis

Harvard HEALTHbeat offers some worthwhile insights on it in the most recent issue.

“The best prevention for bone-thinning osteoporosis begins early — during the first two decades of life, when you can most influence your peak bone mass by getting enough calcium and vitamin D and doing bone-strengthening exercise. If you are over age 20, there’s no need to be discouraged. It’s never too late to adopt bone-preserving habits.

“If you are a man younger than 65 or a pre-menopausal woman, these five strategies can help you shore up bone strength as a hedge against developing osteoporosis.”

1. Monitor your diet. Get enough calcium and vitamin D, ideally through the foods you eat. Although dairy products may be the richest sources of calcium, a growing number of foods, such as orange juice, are calcium-fortified. Fruits, vegetables, and grains provide other minerals crucial to bone health, such as magnesium and phosphorus.
2. Maintain a reasonable weight. This is particularly important for women. Menstrual periods often stop in women who are underweight — due to a poor diet or excessive exercise — and that usually means that estrogen levels are too low to support bone growth.
3. Don’t smoke, and limit alcohol intake. Smoking and too much alcohol both decrease bone mass.
4.Make sure your workouts include weight-bearing exercises. Regular weight-bearing exercise like walking, dancing, or step aerobics can protect your bones. Also include strength training as part of your exercise routine.
5.Talk with your doctor about your risk factors. Certain medical conditions (like celiac disease) and some medications (steroids and others) can increase the chances that you will develop osteoporosis. It’s important to talk with your doctor to develop a prevention strategy that accounts for these factors.”

They offer a link to their booklet on diagnosing and treating osteoporosis and developing an effective plan for your bones: Osteoporosis: A guide to prevention and treatment.

Here are the links for my previous posts on osteoporosis:
Practice Training for Bones as Well as Muscles

The Benefits of Calcium

Is Walking as Effective an Exercise as Running?

Are Men Vulnerable to Osteoporosis as well as Women?

Cycling Pros Have Increased Risk to Osteoporosis

An Early Sign of Osteoporosis?

What is a New Weapon Against Osteoporosis?

What are Some Foods to Protect Against Osteoporosis?

What Can I Do To Prevent Osteoporosis?

Tony

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What Can I Do To Prevent Osteoporosis?

Osteoporosis is a debilitating disease that affects the entire world population. The International Osteoporosis Foundation reports:

•    Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds.
•    Osteoporosis is estimated to affect 200 million women worldwide – approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90.
•    Osteoporosis affects an estimated 75 million people in Europe, USA and Japan.

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“Men don’t suffer from osteoporosis as often as women, but they are indeed vulnerable. The International Osteoporosis Foundation says that the lifetime risk of experiencing an osteoporotic fracture in men over the age of 50 is 30%, similar to the lifetime risk of developing prostate cancer.” That quote is from my post Are men vulnerable to osteoporosis as well as women?

Here are some steps you can take to prevent osteoporisis:

1. Calcium and Vitamin D are key. These minerals build strong, dense bones.

2. Exercise regularly. You need to do weight-bearing and muscle-strengthening exercise. Walking, dancing and running all help to build strong bones.

3. Eat fruits and veggies that have potassium and magnesium to help neutralize the acids that draw minerals out of the bones.

4. Quit smoking and reduce alcohol consumption.

To read further on this disease, check out the following posts:

What are Some foods to protect against Osteoporosis?

An Early Sign of Osteoporosis?

How to Beat Osteoporosis – Harvard

Is walking as effective as running?

Tony

 

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What Foods Fight Osteoporosis?

Osteoporosis is a debilitating disease that affects the entire world population. The International Osteoporosis Foundation reports:

• Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds.
• Osteoporosis is estimated to affect 200 million women worldwide – approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90.
• Osteoporosis affects an estimated 75 million people in Europe, USA and Japan

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Osteoporosis is not restricted to women. After age 50 a man is as likely to get osteoporosis as prostate cancer.

Tony

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