Slim (skinny) women with Osteoporosis, exercise dilemma for us.

Posted , 10 users are following.

Hi all,  I'm 64, diagnosed with severe OP (back) 3 years ago. Taking Forteo for 2 years, and then, from this Sept., Actonel for the following 3 years apx. My rheumatologist advised walking for exercise and a physio added back-strengthening exercises 3 times per week. I also have PMR which is treated with Prednisone and guess what,  was not one of those who gained weight while taking it!

My dilemma is this - with a 30 min. walk most days, plus the floor exercises   and a  big effort  at dietary improvement, I haven't a PICK of fat on my skinny bones. I weigh 9st. but don't really even look that heavy. 

Finally, I've read that it's better for your bones if you  carry a bit of weight. For me to go about this, I'd definately have to cut down on the exercise - which, in turn, wouldn't be good for the bones either. I constantly read on this forum, and others, about the impressive exercise regimes that lots of OP patients set for themselves. Not for me.

Anyone else with similiar dificulties or concerns??  Sorry for moaning. Thanks.

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  • Posted

    I've bought a weighted walking vest.  It has numerous small pockets into which you insert ingots weighing a few ounces each.  Started with 5 lb as I was used to carrying a backpack anyway, and now carry 7 lb, when I remember to wear it.  I have enough ingots to bring the total weight up to 15 lb, which is just about the weight I'd lost over what I weighed most of my adult life, but I doubt very much whether my back (osteoarthritis) will allow me to get that high.  The idea is that any extra weight triggers the osteoblasts to lay more bone, so the vest doesn't have to be worn all the time.  Once the maximum weight you can manage has been worn for a while, the vest gets put away for a few months, and then  you start over (I haven't got that far).  I had to order it from Texas.

    I asked my doctor how I could put on weight and she helpfully told me to eat more. rolleyes  But with pred and blood sugar and all that I've cut back severely on carbs, especially grains. It is a dilemma.  Let me know if you come up with any other suggestions.

    • Posted

      PS I weigh about 108 lb, around 5'5".
    • Posted

      Anhaga, thanks for the reply. I actually like the the idea of a weighted vest but doesn't that mean more effort, more sweat, more calorie burning, more weight loss??  Regards eating more - well I like fattening things (chocolate, ice cream etc.) and am quite generous in treating myself!!   It's just that at my present barely 9 st. I really don't want to go lower - and exercise will cause this. . . . 

      I'm seeing the rheumatologist at the end of July and I'm going to put this to her. Will let you know. Am also hoping that when- IF-  the Pred. dose can reduce further, it may help (presently 2.25). This also may be relevant to you also. I did review Forteo side-effects and weight- loss was also listed, although not a common side-effect. 

      PS. I'm also 5'5'' . . . 

    • Posted

      I'd lost my weight bofore pred, in fact this was one of the triggers which sent me off to have a meltdown in the clinic and finally get a diagnosis.  I've only put on about three or four lbs in the past year on pred.  Now at 4 mg.  No other meds.  I'm sure exercise has helped keep weight down.  I walk at least an hour a day, usually more. And my appetite is easily satisfied so I don't really think about eating much. The weighted vest is meant to make the bones stronger, in lieu of adipose fat!  Apparently only a few ounces at first will help the bones, and the gradual increase is to continually challenge the bones as they get used to each new level of weight.  No sweat, at least not yet, don't know what it will be like if it ever warms up here.
    • Posted

      Yeah, I lost weight before the year before the  PMR diagnosis when I wasn't sick but really wasn't well either and was under a lot of stress. When I mentioned it to the doctor after the diagnoses, it resulted in her ordering a cat scan to rule out sinister stuff. Happily it was ok.  . . .  

      By the way, putting on a few pounds is great!!

    • Posted

      According to an article I read in a medical brochure recently, a lot of doctors are against cutting out too many carbs, the body needs them.  This dieting business is getting out of hand, especially if one has a healthy, or even slightly above, the BMI norm.

      Also exercise!  I have PMR, OA, Tendonitis and severe Osteoporosis in my hips.  How CAN I exercise?  I can only walk about 1 km.  I swim when I can but........!

      I think you read my post "How about trying this then"?  I was in a specialist clinic for  Rheumatology.  Far, FAR too much excercise - I've been in agony since I left one week ago!!  Don't forget, this is a SPECIALIST Clinic.  How can they be so wrong?

      I say, don't eat without thinking and listen to your body about excercising - if it hurts stop!

    • Posted

      Hi Constance, I think you've made a really good point about there being far too much emphasis on heavy exercise. Last year,  I attended a specialist physiotherapist  in OP last year for advice on suitable exercise for me. One of her advised exercises was " light jogging" - walking for one minute, then jogging for one minute etc. etc. I did this for a couple of weeks and then mentioned it to my rheumatologist. She said to stop immediately and that doing this could actually cause micro damage! Now THAT worried me and it left me thinking that a lot of exercise is NOT necessarily better - and could actually be worse. . . . .  I think a lot of  OP patients are really committed to exercising because it is one area we can take control of ourselves. We all know that exercise is good - but don't take it too far!!    J 
    • Posted

      I think rice and many vegetables and small quantities of wheat count as carbs?  i just no longer eat bowls of cereal for breakfast and bedtime, nor a sandwich at lunch.  I used to be one who mocked those who said wheat was bad for them, but now I think it probably is, at least in the massive quantities we usually consume it.
    • Posted

      Why don't you try bowls of cereal for breakfast again?  Surely a small bowl of your own mixture would help you to put on some weight?  You certainly need something to give you strength, with all the illnesses you have you will just get weaker and weaker.
    • Posted

      Actually my current breakfast is probably more calorie dense than the old one, and certainly more nutritious - 1/3 c pumpkin seeds, 1 orange or kiwifruit or other source of vitamin C, two eggs fried in olive oil and or ghee, and a mug of tea with milk.  And, of course, the pills and the iron supplement. ☕

      At bedtime I have a bowl of seeds (h...p, chia and buckwheat) in milk.  The problem meal is lunch.  In fact it's 2:35 pm here and I just realized I forgot to eat it. rolleyes eek

       

    • Posted

      It's a wonder you don't rattle with all those seeds!😀

      Give me my porridge with raisins, cranberries and nuts on top.

    • Posted

      I do have oats sometimes as a treat.  But I like it slightly salty with milk, no sweet stuff.   As a child used to have it with golden syrup.  Nice memory. 
    • Posted

      We have it every morning and use honey. I have dairy milk and my husband has soy. He has a huge bowl and I have half a cup. It is such a worthwhile food to include in one's overall diet.
    • Posted

      Unfortunately nuts and seeds are out of my diet now as I have diverticula.
    • Posted

      Yes I can have that. It is yummy on bread with honey spread over the top of it.

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