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Conditions > Osteoporosis > Building Bones > Tips to Keep Bones Healthy
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8 Ways to Keep Bones Healthy and Strong

Age and rheumatoid arthritis drugs can lead to osteoporosis. Here are ways to keep bones healthy and strong.

By Mary Anne Dunkin

As many as half of all women and one-fourth of all men older than 50 will fracture a bone at some point due to osteoporosis, a condition characterized by weak or porous bones that break easily, according to the National Osteoporosis Foundation.  

Young adults have most of their adult bone mass by the time they’re 20 years old, and the risk of osteoporosis rises with age, as bone cells are lost faster than new ones are formed.

The risk also increases with certain diseases – including rheumatoid arthritis, or RA, lupus and ankylosing spondylitis – as well as the steroid medications used to treat them. But there are measures you can take to reduce the risk.

Whether you are young and still building bone or older and trying to preserve it, following this advice can help keep your bones healthy and strong.

1. Drink milk. Milk and other dairy products – including cheese, yogurt, cottage cheese and even ice cream – are some of the best sources of calcium, which is crucial for strong bones. Non-dairy calcium sources include leafy green vegetables like broccoli and kale, canned sardines with bones, and fortified soy milk. If you’re concerned that you don’t get enough calcium from the food you eat, ask your doctor about a calcium supplement. Your diet and supplement together should provide 1,000 milligrams, or mg, of calcium daily – 1,200 mg if you are 50 or older.

2. Spend some time in the sun. Your skin makes vitamin D in response to sun exposure, and your body needs vitamin D to absorb calcium and build healthy bones.  

Food sources of vitamin D include fatty fish such as salmon, mackerel and tuna, egg yolks, cheese and fortified milk, juice and cereal products, but vitamin D also comes from sunlight exposure. Depending on where you live and you skin pigmentation, you may get enough by spending as little as five to 30 minutes in the sunlight a couple of times a week. If you live in a northern state, don’t spend much time outdoors, always use sunscreen or have darker skin, you may need a vitamin D supplement to get your recommended daily intake of 600 to 800 international units, or IUs.

3. Take a hike. Like muscles, bones become stronger when they are active. The best exercises for building stronger bones are weight-bearing exercises – those that make your bones carry your body weight – including brisk walking, dancing or aerobics and muscle-strengthening exercises, such as working with resistance bands. (Check with your doctor before starting a new exercise program. She might tell you, for instance, that weight lifting could aggravate your arthritis.)

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Ellen Pringle
15 Nov 2011, 18:41
Arthrites in knees they are stiff in am and take Celebrex BID also calcium and vit D.
Ok if walking but onse I sit and get up it hurts. Also pain in lower leg calf part any
suggestions.
Thanks
katie
05 Jul 2011, 09:53
More info on Vitamin D that you should have included in your article. There is an actual blood test for it that you can request through your Dr. I live in a northern climate, use sunscreen(face only)and have limited mobility due to spinal OA but I do get out. I am 52 and have a good diet. Recently my Dr. tested me for vitamin D. I was shocked(she was to)normal levels should be 30 - 80 and I was a 16. I'm now on a prescription dose 50,000 IU a week for 6 months and will retest then and adjust as needed. The good news is that since supplementing correctly I have less pain and overall feel better and my mobility has improved. It also effects how your body utilizes phosphorus as well as calcium. Don't just crap shoot supplement, ask to be tested-it's a simple blood test. Also, you should have mentioned not to drink soda...which is a great bone robber.
Norm Klevens
05 Jul 2011, 09:28
With RA in knees, ankles, shoulders and neck, I feel great when able to walk at the nearby marina and paths in our development. Also since MCL repair and PT, use resistance bands for excersize. And after surgery, the stationery bike and tread mill worked well to strengthen the knee, as long as it was done in moderation. All helped immensely; physically and physiology. With Crones, cannot drink milk to get that Vitamin D.

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