Dr. Mike's Health Newsletter
 Better Health Through Nutrition
  November 2009
In This Issue
Bone Health

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Dr. Michael W. Roth

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Hi everybody and happy Thanksgiving!

One of the most frequent questions I get from customers is regarding the amount of Calcium in our product and if it's enough to prevent osteoporosis and other bone-related diseases.

In response, this newsletter will deal precisely with the topic of Bone Health.
In America, millions of people are currently suffering the often crippling and devastating effects of diseases such as osteoporosis and osteopenia. Even greater are those who are at risk for bone maladies, decreased bone density, and related fractures, and the problem continues despite the enormous consumption of calcium supplements. Bone disease is not confined to only older women, but affects men and women of all ages and ethnicities. 
 
Osteoporosis specifically is a condition where there is a "demineralization" of the bone matrix causing bones to become less dense over time. This can increase the risk of pathological fractures, especially of the spine, wrist, and hip (femur) as well as a decrease in the ability to perform everyday normal functions such as walking, standing, or dressing, and can even lead to premature death.
 
Each year, an estimated 1.5 million people suffer an osteoporosis-related fracture which can lead to severe consequences. For example, 20 percent of senior citizens often die within 1 year of suffering a hip fracture and another 20 percent are confined to a nursing home.
 
I'd like to stress two important points here regarding hip fractures. Contrary to popular belief, falling down generally does not cause the specific break. When standing, walking, or running, there is normally a significant amount of axial compressive force on the strong neck of the femur near the hip joint. Due to a weakening of the femur neck from osteoporosis or similar bone-weakening conditions, it will tend to break first resulting in a fall, not the other way around. Additionally, falling down is not necessarily a part of the aging process. Children fall down much more frequently than adults, yet they are able to withstand the fall and/or recover much more quickly. It is the strength of the bones that determines the extent or lack of damage when a fall happens to occur.
 
Most falls can be prevented, yet they are typically more dangerous in the elderly. So an important aspect of preventing bone fractures is to improve home safety and reduce accidents in addition to improving bone density and strength. 
The good news is that it is never too late to improve bone health. With good nutrition, daily exercise and attention to our surroundings, people of all ages can strengthen and keep strong bones resulting in longer and healthier lives. Therefore, it is vital that individuals know how to treat and/or prevent bone disease starting in childhood and continuing throughout life beginning with the following recommendations:  
 
The first and most important aspect of strong, healthy bones is physical, weight-bearing exercise. People simply do not do enough of it.  And while most exercises do provide an increase in bone density there are a few in particular that are more beneficial such as: gymnastics, dance, jumping, running and weightlifting.

Research also notes previous studies in which the benefits of exercise were achieved with less-time-consuming programs such as 12 minutes per session, three days a week. In the end, weight bearing exercise, even for just 20 minutes per day, can strengthen the skeleton significantly.
 
Physical skeletal resistance is essential for elevated bone mass. Regardless of the amount of calcium ingested, unless there is a physical need for the bones to get stronger from a stress demand, supplementation is almost useless as explained below.

The amount of calcium circulating in the blood is controlled by the parathryroid glands. Circulating blood calcium is removed and delivered to skeletal bones based on need, i.e., physical stress causing the bone to adapt under mechanical force. The specific mechanism that increases bone density is labeled the piezoelectric effect. Osteoblasts (bone building cells) are attracted by electrical dipoles produced by the piezoelectric effect, from stress on the bone or outside electrical stimuli, which in turn deposits minerals (calcium primarily) on the stressed side of the bone. Therefore, exercise stimulates bone cells to use calcium and increase the density of the stressed bone.
 
While bone density can improve at any stage of life, the most critical time is during the pre- and early-pubertal periods. Regular exercise for children is the key to developing healthy bone structure and long-term injury prevention. Younger children and teens need at least an hour of physical activity every day that includes strengthening exercises. Adults should get at least 30 minutes of moderate physical activity every day. 
Another aspect of developing healthy bones is consuming good healthy foods. Due to the mass consumption of processed, overcooked and nutrient-depleted foods, most people absorb and utilize too little of the proper calcium and vitamin D for good bone health. However, eating a diet that consists primarily of fresh, organic fruits and vegetables will benefit since most contain healthy levels of calcium, vitamin D and many other beneficial vitamins and minerals.
 
Contrary to popular belief and advertising, dairy products, including cow's milk, while containing high levels of calcium, are in a form not compatible with human digestion, assimilation and absorption. Typically, they are also high in saturated fat, can have high levels of pesticides, antibiotics and hormones, and if pasteurized, contain de-activated enzymes caused by high heat. Dairy products also contain lactose which many people have difficulty absorbing due to the lack of the digestive enzyme lactase. Many infants and small children, as well as some adults, have allergies to dairy products, especially milk. It is important therefore that we receive the right type of vitamins and minerals in the correct amounts. The range for Calcium in children and adults is 500-1000 mg per day with a vitamin D range of 400-800 IU.  

For most individuals, getting enough calcium and vitamin D through an organic diet is difficult, therefore supplementation becomes necessary.  Additionally, bone-weakening can be averted and calcium absorption enhanced by abstaining from smoking, limiting alcohol intake, and decreasing or eliminating caffeine and soft drinks.
  
Many bone diseases such as osteoporosis and osteopenia are preventable and treatable. Since there are no obvious warning signs for many bone ailments, it's important to be aware of the risks and be proactive in being responsible for one's own health primarily through diet, supplementation and resistance exercise.

Thank you once again for reading!

Until next month, I remain yours in good health!

Sincerely,

Dr. Mike