Better bones ~ better body

Most women in their 40s and 50s don’t worry too much about their bones, it is, however, so critical that we take the time to invest now, think of them like a pension – without one you’re stuffed!

Our bones are so crucial to our longevity and health. I always talk to women about the importance of bone health because as our oestrogen declines, it has a detrimental effect on our bone density.

Bone is a dynamic tissue that is constantly breaking down and building up again, when there is less oestrogen in the body the process of breaking down is more predominant, it is estimated that some women can lose between 2-3% of their bone mass, per year, in the first 10 years after menopause.  That really adds up!

What about calcium

It’s often thought that bone health is all to do with your intake of calcium but there is a lot more to it than that.  We know that the minerals magnesium, boron, and the vitamins D and K are also needed to help us utilise our dietary calcium and ensure it ends up in the bones where it’s needed.  So, if you opt for a supplement ensure you get one that covers all of these or that you eat a diet rich in these nutrients.

Why exercise is crucial

Exercise, specifically weight bearing exercise puts a strain on our muscles and this in turn pulls on the bones making them stronger.  I like Body Pump (lifting weights to music) but free weights, walking, dancing, yoga, pilates and running are all good. I also use a mini rebounder (see below). And for women that already have osteoporosis, I encourage them to consider a weighted vest to increase that weight bearing load when they’re out for a walk.  The Royal Osteoporosis society recommends at least 50 impacts (e.g. jumping) daily.

Hormone replacement therapy (HRT) and its role in bone health.

Oestrogen plays a big part in bone health.  Oestrogen replacement can be helpful if you feel you’re at risk of osteoporosis – studies show that women taking HRT tend to have stronger bones.  Definitely worth a conversation with your GP if you’re in this category.  Like a lot of women, I was concerned about HRT and the link with breast cancer but now looking at the evidence and listening to the experts in this field, I’ve come to realise that there are a lot of benefits to taking HRT and the risk of breast cancer is very low.  “Women are more than the sum of their two breasts” – I once heard a doctor say!  Suffering with osteoporosis and being debilitated after breaking bones is also a very serious condition.

Stress

When we’re feeling stressed we produce cortisol, known as the stress hormone, and it can have a detrimental impact on bone density – it inhibits the bone building process. Stress is such a subjective thing, but if you find yourself feeling more anxious and rushed, than you do feel yourself being at ease, I recommend that you address your stress and find strategies to reduce it.

Alcohol

Individuals who drink regularly tend to have lower bone density.

How to take care of your bones . . . . . . . . . . . . 

CALCIUM

Aim for 1200mg of calcium per day.

This can be achieved by a combination of diet and supplements (when choosing a supplement look for calcium citrate as this is an easier form to absorb, and bear in mind 500mg is the max we can absorb at any one time, best to spread the dose throughout the day) of course, this level can be achieved by diet alone.  Getting your calcium from foods is definitely the recommended route.

Foods high in calcium include

Dairy products – yoghurt, milk, and cheese

Sardines and salmon with soft bones

Chia and flaxseed

Sesame seeds (tahini)

Almonds

White beans

Milk alternatives fortified with calcium

Tofu

Green leafy vegetables

If you consider yourself high risk you may want to consider a bone supporting supplement that includes magnesium, boron, Vitamin D and K to ensure optimal and safe absorption of calcium.

VITAMIN D

Vitamin D levels.  Optimal – 50-100nmol/L

Recommended daily amount of Vitamin D is 600-800 ius

to read my tips on how to approach Vitamin D, click on this link. https://mailchi.mp/4d5ff5233977/early-bird-offer-for-the-fresh-start-plan-1333887

From October to March it may be necessary to take a supplement as the Earth’s angle to the sun means that the rays are not strong enough for us to synthesise Vitamin D.

April to September it important that we expose as much of our skin to the sun for 20-30 minutes between the hours of 11am-3pm in order for the skin to synthesis Vitamin D, without burning of course.  Darker skin types need longer to make Vitamin D whilst fairer skins require less time.

Foods that contain Vitamin D include: salmon, sardines, egg yolks, some mushrooms, and fortified milks.  Bear in mind it’s difficult to obtain enough vitamin D from foods alone.  However, a fillet of salmon (100g) contains approx. 400 ius and wild salmon almost double that amount.

ALCOHOL

Stay well within the recommended limits of 14 units per week or less – bear in mind a glass of wine is 2.3 units.

Aim for  3-4 nights alcohol free.  When you do enjoy a drink, make it a real treat and enjoy the good stuff.  You’ll soon find habits like tonic water with lots of ice and lime can replace your alcoholic beverage and your body will thank you the next morning.

STRESS

We all need to destress and switch off from that ‘go go go’ feeling. Why not try the Calm or Headspace app (mindfulness apps), just for 10 minutes daily, or take your tea and coffee outside, walk in nature when you get the chance, and engage in activities that you really enjoy such as yoga – great for connecting body and mind…… or whatever does it for you.

I find that individuals that make these stress relief strategies habitual are more likely to stick to them and find them beneficial – they don’t work instantly, but as you continue to practice these techniques, you’ll look back and realise you’re less likely to be reactive and rushed in your day to day life.

WEIGHT BEARING EXERCISE

Try incorporating weight bearing exercise daily, that is exercise with the weight of your body pulling down on your skeleton, such as brisk walking especially up hill, jumping (I like jumping on my rebounder or just on the floor whilst listening to some music or the radio), running, dancing, lifting weights and yoga are all good.  The Royal Osteoporosis society recommends to aim for 20-30 minutes, 2-3 times weekly of activities that target your legs, arms and spine and to walk daily.  Click her for more info

https://theros.org.uk/information-and-support/looking-after-your-bones/exercise-for-bones/

TAKE A GOOD QUALITY MAGNESIUM SUPPLEMENT

Magnesium deficiency has been associated with an increased risk of osteoporosis and is a crucial mineral when it comes to bone health.

Aim for 300-400mg of magnesium daily either via a supplement or diet.  It’s essential that we balance our calcium and magnesium.

The ideal ratio is a 2:1 (calcium to magnesium)

Example: if taking 600mg calcium you’ll need 300mg magnesium.

If supplementing, look for Magnesium citrate or glycinate as these forms are high bioavailable, meaning they are easier for you to absorb.

NB If you have a medical condition or are taking medication – do check with your health care provider that it’s safe for you to take.

Foods high in magnesium include

Green leafy vegetables such as kale, spinach.

Fruits, figs, avocado, banana and raspberries

Nuts and seeds

Legumes

Vegetables, peas, brocolli, cabbage, asparagus, brussel sprouts

Whole grains such as brown rice and oats

Dark chocolate

Tofu

If you’d like a more individualised programme – then do get in touch…click here

Resources if you’d like to learn more about bones

https://www.betterbones.com

https://theros.org.uk/information-and-support/looking-after-your-bones/