Bone Density vs Bone Quality
Posted , 8 users are following.
I found a paper recently that contained some insights that might be worth thinking about." Studies of Osteoporosis (OP) and drug treatments have challenged the concept that denser bone means stronger bone. Bone strength, or resistance to fracture, is not easily measured by routine DXA as it is a function of both density and quality".
(Cleveland Clinic, Angelo Licata 2009).
3 likes, 74 replies
Mary_D_23339 Juno-Irl-Dub
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A recent article in a well known UK daily paper has stated "A balanced diet rich in a wide range of vegetables and fruit will, according to the experts, provide all the vitamins and minerals the body needs to function. Popping supplements used to be thought a waste of time, however a well known scientist has now advocated that as we spend far more time indoors than our parents did, plus we have been led to believe that the sun exposure causes skin cancer, many people fail to realise that sunlight is our primary source of Vitamin D3".
Whilst the alternative source of Vitamin D3 will always be via our diet: oily fish, fortified margarines, breakfast cereals, red meat, egg yolk, cheese and powdered milk for example, the usual advice is to obtain 10 to 15 minutes sun exposure to arms, hands or back. Longer exposures does not provide additional benefit. SPF8 sunscreen reduces Vitamin D production in the skin by 95%, while SPF15 reduces it by 99%.
We can only make Vitamin D3 when the UV index is greater than 3, which in the UK is only achieved on some days in spring and summer.
In the UK the recommended daily amount used to be 200iu per day however it has now been suggested that we should take 2,000iu of Vitamin D3 a day. Our northern climate here in the UK means that millions of us are now deficient, as dietary sources are not enough to keep levels in a healthy range.
If I cannot get out in the sun for around ten to 15 minutes a day I take a supplement of liquid Vitamin D providing me with 2,500iu per day. This is in addition to calcium with magnesium supplement.
I understand that it is impossible to overdose on Vitamin D3 (although the safe limits are believed to be 4,000iu per day), vitamin D3 is complex and excess amounts can be stored in fat and other tissues, it is difficult to determine how long a daily dose of vitamin D3 would stay in the body, but I've been told that large doses can stay in the body for two months - please correct me if I'm wrong!
P.S. I've just read an article that states walking does not increase bone density (Google "does walking increase bone density") whilst Pilates (in particular Clinical Pilates) definitely help to increase bone density for those of us with osteopenia or osteoporosis. I walk a lot, go to the gym, attend Pilates classes once a week, take additional calcium with magnesium and vitamin D3 AND have six monthly injections of Prolia - due a DXA scan (previous t score -5.2) end of this month - results eagerily awaited!!
chris00938 Mary_D_23339
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Juno-Irl-Dub Mary_D_23339
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Mary_D_23339 Juno-Irl-Dub
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Re meds started with bisphosphonates - horrible side effects -
went onto strontium ranelate - no side effects - hip score no longer osteoporotic, but taken off them by doc.
Now have six monthly injections of Prolia - no side effects whatsoever.
Attend gym twice a week, Pilates and Zumba Gold once a week, walk every day (with a Fitbit - 10k steps minimum). The trainers at my gym are fantastic at upping my training programme every few months, making sure I do strength training as well as weight bearing exercises; they also make sure I don’t get in a rut!
Having said all that, I very nearly went flying this morning, having slipped on some double cream someone had left on the floor in the supermarket! I grabbed the nearest gentleman - I don’t think he minded! and very nearly did the splits - now that would have been interesting!!! Perhaps all that work re balance, flexibility and strength training really does have its uses.
Juno-Irl-Dub Mary_D_23339
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Interesting to hear your experience of Prolia. I have a friend who's taken it for three years and has also had no problems with it. There has been some long discussions on Prolia, Aledronic Acid and their side-effects on this forum recently and had many contributers. . .
Thinking of your experience in the supermarket this morning, after all your intensive exercising to improve your bones, it can be the small things that can get you in the end. . . . . . Keep in touch, J
chris00938 Juno-Irl-Dub
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Mary_D_23339 Juno-Irl-Dub
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I know it's sad but I do actually enjoy the gym - wake up sometimes -feel I can't be bothered to go - then think of the membership fees so go! Come out feeling invigorated!
To be honest I was bought up on a farm where my family NEVER sat down during the day so I've been programmed to be active - and that's my excuse!!!
Juno-Irl-Dub chris00938
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Juno-Irl-Dub Mary_D_23339
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chris00938 Juno-Irl-Dub
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Juno-Irl-Dub Mary_D_23339
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Mary_D_23339 Juno-Irl-Dub
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I'm ..............................................................................................................
73.
chris00938 Mary_D_23339
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No, truly, you give us all something to aim for. I'd sort of settled back ready to decline into a sort of coundown after the cancer but then suddenly got my act together and realised I didn't have to settle for that and there was time to get so much fitter! And I'm ENJOYING it!
Juno-Irl-Dub Mary_D_23339
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chris00938 Juno-Irl-Dub
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Juno-Irl-Dub chris00938
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chris00938 Juno-Irl-Dub
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Mary_D_23339 Juno-Irl-Dub
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P.S. Water is a drink!
chris00938 Mary_D_23339
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