Doctor insights on:
Does Bone Density Affect Weight
Absolutely: Evidence shows that exercise help build and maintain bone density at any age. Studies have seen bone density increase by doing regular resistance exercises such as lifting weights for 20mi, 2-3 times a week. This type of weight-bearing exercise appears to stimulate bone formation via bone stimulation through muscle contraction. ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
I have heard that "standing frames" - devices that move paraplegics to a standing position - help maintain bone density due to the weight-bearing aspect. Have any of you had actual experience with these? Any thoughts would be appreciated. Thanks!
I have been involved in "bone" since 1974 and have published about 130 articles.
I will need to know what problems you have with your legs -. can you stand on them? . can you get in and out of a bath or shower?
There are many more potential issues, the most important being your ability to stand and walk.
Please send me more information! ...Read more
It worsens: It goes down. Humans are locomotive animsl designed to move. If u move, less u lose bone. ...Read more
Relates to max dense: T score compares patient to age/sex/race matched individuals at age 32 (or so)-peak bone density. Relates to statistcs, bell shaped curve. Nl is (-)1 standard deviation and better (top 80+%). Low bone mass (osteopenia) (-)1.0- (-) 2.5 std dev (about #5-20 in a classof 100); osteoporosis (-)2.5 or more (bottom of the class). These vary with age, sex, race. Z score compares pt to same age, sex, race. ...Read more
Genes, hormones: Bone density is determined initially by inherited genes, If a parent has low bone density there is a 50% chance each child may also. In women estrogen deficiency causes bone loss. In men testosterone deficiency causes bone loss. Vitamin D deficiency results in poor absorption of calcium and causes bone loss and/or poorly mineralized bone. Steroids, excess alcohol and cigarettes also. ...Read more
For multiple reasons: Achieving the potential peak bone mass during adolescence, and maintaining it during the adulthood is very important for preventing future fractures. There are many diseases, medications, lifestyle habits, and food components can adversely affect the bone density and the bone quality leading to fragility (osteoporotic) fractures. If one takes proactive actions, most of these are preventable. ...Read more
Complicated Question: Depends on age & gender of the person. To improve/maintain bone mineral density, adults need daily, total calcium of ~1, 200 mg, ~2, 000 iu vitamin d, protein, 1 g/kg body wt., & adequate weight-bearing exercises. Fast-walking is the best form of exercise. In the absence of current bone loss or expecting bone loss (disease, medication, surgery), pharmacological therapies are not essential for most. ...Read more
Yes: If there is physical evidence for thin bones as when a man's bones look thin on x-ray or there is a history of fracture with minor injury or there has been a loss of 1.5 inches of height, or if there are other risks for osteoporosis such as long-term treatment with steroids like Prednisone or hormonal treatment for prostate cancer or hyperparathyroidism, DEXA scan absolutely should be done. ...Read more
Not all need a cure.: Calcium and vit d help maintain good bones but studies have not shown they reverse osteopenia in most people. Age 50-60 is when most bone density is lost. After age 50 the loss slows down and many women do not need treatment in this age group. There are a number of medicines for women with significant bone loss, osteoporosis. ...Read more
Incr bone formation: Evidence shows that exercise help build and maintain bone density at any age. Studies have seen bone density increase by doing regular resistance exercises such as lifting weights for 20mi, 2-3 times a week. This type of weight-\bearing exercise appears to stimulate bone formation via bone stimulation through muscle contraction.Space zero gravity is an example of how bone density can be diminished. ...Read more
Avoid those: Things which can decrease bone density such as tobacco, alcohol, inactivity, muscular disorders, arthritis, certain medication such as seizure drugs/cortisone/etc, lung of liver disease. To increase bone density make sure calcium and vitamin d intake are adequate and use weight bearing exercise and keep active. Also, if density low, avoid potential accidents/trauma. Talk w/doc re sex hormone defic. ...Read more
DXA: They employ a dual-energy absorptiometry, or DXA also referred to as DEXA scan using very little radiation. You get a ty score and the lower your score, the weaker your bones are and the risk for fracture is greater. ...Read more
If it puts: You at risk for fracture, it's a very big potential problem. It depends upon where you started, how much the drop is, and where you end up. Talk it over with your doctor re: fracture risk calculators. ...Read more
NO: Even correcting for other factors like diet, etc, blacks and other darker skinned races start with a higher bone density. Caucasians and asians are at higher risk for developing osteoporosis. However, other factors can predispose even darker races to osteoporosis like sedentary life style, poor diet, alcohol, certain drugs amongst others. Men can also develop osteoporosis form multiple factors. ...Read more
Calcium and Exercise: Ger enough calcium. One of the biggest determinants of bone mineral density is lean body mass. Exercise is important for building lean body mass and for loading bones. This load is important for bone mass as bone strengthens as stresses are put upon it. Weight-bearing physical activity such as walking or running is better for building bone than non-weight-bearing activities such as swimming. ...Read more
Foods are not the answer.
You need a reasonable amount of calcium daily - milk is good for your bones.
You also need 1000 or 2000 units of vitamin D a day. They are inexpensive over the counter.
Put that all aside. Have you had a bone density test yet - not common or necessary before menopause unless you have clinical evidence of bone loss. ...Read more
Two choices: Depending on the medication used and duration of therapy, you can minimize such risk by optimizing your vitamin d and calcium intake. Obviously, the best choice will be to eliminate the offending agent or to use the lowest dose possible (such as in steroid use). If you happen to sustain fractures, then you will need an endocrine evaluation for further guidance. ...Read more
BMD: Low bone mineral density very very rarely occurs in someone your age. When it does there is a very specific cause. There are no symptoms of low bone mineral density in general. The best therapy to maintain bmd is to have adequate calcium and vit d intake and to conduct regular weight bearing activity. ...Read more
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