Posted on March 21, 2017

Are you at risk for Osteoporosis?Brittle bones

There is a misconception that bone loss is something that only concerns the elderly when, in fact, nothing could be farther from the truth.  Children and teens experience the most rapid increase in bone mass during the formative years, as long as they are physically active and have balanced diets.  By the age of 17, however, a person’s bone density is at its peak and the pace of new bone growth starts to slow down, gradually leading to weaker bones.  Because the bone disease, osteoporosis, is at first painless and develops over a long period of time, sometimes decades, most people don’t realize their bones have become brittle until they experience a break or fracture from a minor fall, or sometimes, just a sneeze.

Promote and protect strong bones

The National Osteoporosis Foundation estimates that by the age of 50, one half of all women and one in four males will break a bone due to osteoporosis. That’s why it’s crucial to develop health habits that promote and protect strong bones. While it’s best to protect your bones from an early age, it’s never too late to make a few lifestyle changes to help reduce bone degeneration.
Diet, lifestyle, gender and genetics all pay a role in a person’s risk to develop osteoporosis. While people cannot choose their own sex at birth or their parents, making adjustments to the factors that can be controlled help diminish the danger.  We know that proper nutrition is a key component to overall health, for instance, and eating foods rich in Calcium and Vitamin D are known to benefit bones.

Exercise builds bones

Regular exercise is equally important.  Bone strengthening activities not only build muscles and endurance, they trigger new bone tissue to form and maintain the density, or thickness, of bones. Experts recommend at least 30 minutes of daily activity, which can be done all at once or at intervals throughout the day, that focus on increasing  strength, flexibility and balance.
Even if you have never been particularly active, there are simple exercises you can do in your home and around your neighborhood to help your body build healthy bones. In most cases, a combination of non-impact, low-impact and weight-bearing exercises is recommended.

Examples of low-impact, weight bearing exercises can be brisk walking or using an elliptical machine.  Muscle-strengthening exercises, also known as resistance exercises, can be accomplished by lifting hand weights, using elastic exercise bands, or lifting your own body weight with push- ups, lunges or by rising up on your toes while standing.  Non-impact exercises can help improve your posture and balance, which decreases the risk of falls and broken bones. This can be done by simply balancing on one leg, and then the other, or by taking up practices such as Tai Chi or Yoga.

It’s never too late to start

If you are new to exercise, or have been relatively sedentary for a period of time, start out slowly until you establish balance, holding on the back of a chair or a countertop if you need support.  Gradually make each exercise more challenging by increasing the repetitions, moving unsupported for longer periods of time or at an accelerated pace, or increasing the weight of the objects you are lifting.  As with any new exercise program, always consult with your physician about what is right for your individual condition.

Note: This article was originally published in the March 2017 WAG.  Author Betsy Kreuter, PT, CLT is a physical therapist at Orthopaedic & Neurosurgery Specialists (ONS) in Greenwich. She has advanced training in The McKenzie Method for treatment of spinal disorders and lectures frequently on the management of osteoporosis and osteoarthritis.