Experts Urge Calcium and Vitamin D Supplements To Patients Before Starting Prescriptive Bone-Building
Medications...
A University of Illinois study now finds that "For many people, prescription bone-building medicines should be a last resort." If a bone density scan places you at risk for osteoporosis and your doctor prescribes a widely advertised bone-building medication, a more effective first course of action is increasing dietary calcium and vitamin D or taking calcium and vitamin D supplements.
The study reported that adults who increase their intake of calcium and vitamin D usually increase bone mineral density and reduce the risk for hip fracture significantly. These results were often successfully accomplished with supplements, but food is also a good source of these nutrients, the experts said.
"Many doctors reach for their prescription pads because they believe it's unlikely that people will change their diets," the researchers noted.
The scientist said that prescription bone-building medications are expensive, and many have negative side effects, including an increase in hip fractures and jaw necrosis. They should be used only if diet and supplements don't work.
"Bisphosphonates, for instance, disrupt normal bone remodeling by shutting down the osteoclasts, the cells
that break down old bone to make new bone. When that happens, new bone is built on top of old bone. Yes,
your bone density is higher, but the bone's not always structurally sound," the researchers explained.
A bone density test measures quantity, not quality, of bone. "Although the test reports that you're fine or doing better, you may still be at risk for a fracture," they cautioned.
"Menopausal women should consume 1,200 milligrams of calcium a day. Three glasses of 1 percent to skim milk will get you up to 900 milligrams. The rest can easily be obtained through calcium-rich and calcium-fortified foods," they also said. A woman in midlife can get enough calcium in her diet without gaining weight, said director of the University of Illinois's dietetics program.
The number of foods fortified with calcium and vitamin D is increasing every day! Examples are soy milk, orange juice, yogurt, crackers, cereal, bread, breakfast bars, and now, even pancakes.
The researchers also looked at the effects of dietary protein, vitamin K, soy, and sodium in their literature review. The new USDA food pyramid guidelines recommend that Americans decrease their sodium intake.
"Following a low-sodium diet does also seem to have a positive effect on bone density. You have to choose
different foods," they recommended.
Smoked or processed meats, bacon, lunch meat, and processed foods all contain a lot of sodium and could actually sabotage bone health. "Cheese is also very high in sodium so try to get your calcium some other way more often," the team said.
They're recommending a "portfolio diet" that contains a number of nutrients, not just extra calcium and vitamin D.
For bone health, the researchers also encourage consuming adequate protein, less sodium, and more magnesium and potassium.
"That can be done by following a diet that's high in fruits and vegetables, has adequate calcium and protein, and is light on salt," citing the optimal dietary regimen.
The National Osteoporosis Foundation recommends more physical activity. She suggests a combination of aerobic, strength, balance, and flexibility exercises with a focus on improving your core muscles so you can catch yourself if you start to fall.
Whatever sort of exercise you're doing, you have to introduce new forms of activity every so often because your bones will stop responding to the same old routine and rebuilding will slow. The researchers set out to determine the impact of dietary, supplemental, and educational interventions over the last 10 years and reached their conclusions after reviewing 219 articles in scientific journals.
Journal Reference:
Bone Health Nutrition Issues in Aging. Nutrients, 2010; 2 (11):
University of Illinois College of Agricultural, Consumer and Environmental Sciences (2011, May 11).
"Before you start bone-building meds, try dietary calcium and supplements, experts urge"