Users of steroid-based medication
Throughout life, our bones are in a state of constant renewal, called remodeling While some bone
cells are breaking down and being reabsorbed, others are forming to take their place When
reabsorbing occurs faster than formation, the bones become weak and extremely porous Fractures
can occur with little or no pressure This condition is called osteoporosis Lack of estrogen appears
to be its key contributing factor, but a falling off of androgens—the male hormones—is also involved,
coupled with an inadequate intake of calcium and vitamin D
Nutrition Connection
Consume enough calcium The recommendation for calcium is 1,000 mg per day for men up to 70,
and 1,200 mg per day for women older than 50 and men older than 70 Foods especially rich in
calcium include milk and dairy products, fortified soy and rice beverages, dried beans and peas, tofu,
canned fish eaten with the bones, nuts, and dark green leafy vegetables The darker the greens, the
more calcium they contain An exception is spinach; it is high in oxalic acid, which inhibits calcium
absorption
Don’t forget vitamin D Just as important as calcium is vitamin D; the body needs it in order to
absorb calcium The RDA for adults up to 70 years old is 600 IU (15 mcg) and for those older than
70, 800 IU (20 mcg) The main source of vitamin D is sunlight—try to get about 10 minutes a day—
but it can also be obtained from milk, fortified soy and rice beverages, egg yolks and fatty fish like
mackeral If your doctor recomments a calcium supplement, look for calcium citrate, the most easily
absorbed Because vitamin D is found in so few foods, a supplement is likely advisable
Go green for vitamin K Both the Nurses’ Health Study and the Framingham Heart Study found
that people who consume the most vitamin K have a lower risk of hip fractures than those who
consume less Vitamin K can be found in leafy green vegetables, green peas, broccoli, brussels
sprouts, cabbage, kale, and beef liver
Slip in some soy Studies suggest that soy may play a role in prevention of osteoporosis as it
contains isoflavones, a type of plant estrogen that may help conserve bone mass, particularly during
perimenopause and menopause
Add flaxseed A study of postmenopausal women suggests that flaxseed, which is high in lignans,
may retain bone mass, elevate antioxidant status, and help prevent urinary loss of calcium
50% of all women older than 50 will break a bone because of
osteoporosis
Don’t forget vitamin C Studies have linked higher intakes of vitamin C with higher bone density
Vitamin C also helps to form the connective tissue that holds bones together Some of the best food
sources are fruits and vegetables, especially citrus fruits, berries, melons, and peppers
Avoid bone-zapping foods Caffeinated drinks such as coffee, tea, or colas; sodium; and high
levels of protein can all cause calcium to be excreted
Beyond the Diet
Other changes can strengthen bones and help you monitor your risk for osteoporosis Here are a few
guidelines:
Get regular weight-bearing exercise Walking, jogging, aerobics, tennis, and dancing are all
excellent for helping to maintain bones Shoot for at least 30 minutes a day
Seek scans Many doctors recommend a baseline bone density scan for women when menstrual
periods become irregular
Watch medications that can affect the levels of calcium in the body Antacids containing
aluminum can promote calcium excretion Calcium is also lost during long-term use of other drugs,
including certain antibiotics, diuretics, and steroids