Osteoporosis literally means ‘porous bones’ and individuals with osteoporosis are at an increased risk of fracture. The hip, spine, and wrist are the most common fracture areas and statistics show that after the age of 50, 50% of women will suffer a bone fracture as a result of the disease.
There are several identifiable risk factors that increase your susceptibility to osteoporosis. Equally, there are many positive steps that you can take to offset your chances of becoming a sufferer.
Osteoporosis risk factors
Everyone is potentially at risk of suffering from osteoporosis, because as we age, bone loss occurs. There are also additional risk factors that can add to your susceptibility, including:
Due to falling oestrogen levels through menopause, early hysterectomy or cessation of periods, bone turnover is reduced. Poor diet and excessive exercise can also lead to temporary loss of periods, so nutrition and exercise considerations are important.
Low levels of testosterone can lead to bone loss. This is a less likely occurrence than low oestrogen levels in women, but it has the same effect on bone strength.
A high alcohol intake reduces the absorption of vitamin D which is needed to transport calcium, a key mineral for bone strength. Recent studies have found that low alcohol consumption (as little as three standard measures of less alcohol per week) may contribute to bone health but further research is needed.
A close family history of osteoporosis, particularly hip fractures in your parents, increases your chances of becoming a sufferer.
If you are a smoker, in addition to other health problems, smoking has a toxic effect on your bones. The only cure is to give up!
Low calcium intake
Calcium is the key mineral for bone strength and approximately 99 percent of calcium in the body is found in the bones and teeth. A deficiency will contribute to a higher risk of osteoporosis. Here are some foods which are naturally dense in Calcium.
Lack of physical activity
An absence of both weight-bearing activities such as walking, and insufficient resistance training results in a weakened skeleton.
Following a structured exercise program is a key factor in osteoporosis prevention. Ideally, look to build up bone mass before the age of 35 and then maintain activity levels thereafter. However, studies have shown that correctly prescribed exercise can significantly help and offset osteoporosis at any age. Your training should fall into two separate categories:
- Impact activities
- Resistance training
To maximise your anti-osteoporosis training benefits, it is important to include both types of exercise in your training sessions.
Impact activities and exercises
Any form of exercise where you are supporting your own bodyweight, contributes to bone strength. The impact of activities like walking, jogging, racket sports such as tennis, squash etc. stimulates your bones to develop a thicker, stronger, structure and hence the likelihood of fractures is reduced.
Conversely, activities where you are sitting down or your weight is supported, such as swimming (although an excellent aerobic exercise), do not build bone strength. For maximum benefits, carry out impact activities at least three times per week for a minimum of 20 minutes at a time.
Lifting weights regularly is the other key factor in preventing osteoporosis. Consider the physiology of what happens when you lift a weight:
- Muscles are attached to tendons, which are attached to the bones of your skeleton.
- A muscle or muscles contract.
- The muscle contraction pulls on tendons.
- The tendons pull on bones to achieve the desired movement.
The very act of a tendon pulling on a bone stimulates cells called ‘osteoblasts’ which increase bone density. This process results in stronger bones – significantly offsetting the effects of osteoporosis.
Therefore, it is extremely important to regularly train with weights, selecting exercises that bring as many muscles into play per movement as possible.
Anti-osteoporosis training at the three most common fracture sites
|Common fracture area||Suitable exercise|
|Hip||Squat (with or without weight)
Lunge (with or without weight)
Back extension (exercise caution with this area)
Nutrition in addition to exercise
Maintaining your calcium intake is the number one dietary factor in the fight against osteoporosis. As well as dairy products such as milk, cheese and yogurt, other good sources of calcium are:
- Fish: sardines, whitebait, pilchards
- Green leafy vegetables: watercress, okra, spinach
- Other foods: sesame seeds, tofu, dried figs
- It is recommended that you do not exceed 2,000-2,500mg of calcium daily, as too high an intake can interfere with iron absorption. The current recommended daily intake is 800mg per day, which ideally should come from foods rather than by supplementation. Focusing on obtaining your calcium from natural sources also ensures that you are eating a wide range of different foods for a balanced nutrition plan.
- Research indicates that reducing your salt intake could delay the onset of osteoporosis. A high salt intake can raise blood pressure, which in turn speeds up the body’s loss of calcium, leading to osteoporosis. Try to keep your salt intake to less than six grams per day.
Conclusions about Exercise and Nutrition to avoid Osteoporosis
Osteoporosis is known as the ageing disease, but by following sensible exercise, lifestyle and nutrition habits, your chances of becoming a sufferer are significantly reduced. Additionally, the payback that you gain from your anti-osteoporosis focus extends further than simply just good bone health. Following the guidelines, will also significantly contribute to a good all-round health and fitness program with an extensive range of benefits as well.
If you would like some help devising an exercise or nutrition programme to offset the chances of you developing osteoporosis, please click here and contact me by email or text
Rachel Law is a personal fitness trainer based in New Malden, Surrey. Qualifications: ActivIQ Level 3 Personal Training; Burrell Education Pregnancy Exercise Prescription; Burrell Education Advanced Pregnancy Wellness Practitioner; Burrell Education Advanced Post Natal Exercise Prescription; Burrell Education 3rd Age Women Optimal Health and Nutrition; Burrell Education Peri Natal Athlete; Burrell Education Pelvic Flow and Freedom; Olympic Weight Lifting; Premier Global Kettlebells; FIE Level Assessment and Mentoring