Osteoporosis Prevention: The Role of Diet in Building Strong Bones

Osteoporosis is a condition characterised by weak and brittle bones, increasing the risk of fractures. It's particularly prevalent among older adults, especially postmenopausal women. Prevention strategies involve a multifaceted approach, with nutrition and exercise playing a crucial role.

Ensuring adequate intake of calcium, protein, and vitamin D is fundamental to maintaining bone health and preventing osteoporosis. Here’s an overview on how these nutrients support bone health and the importance of a balanced diet.

Calcium

Calcium is the primary mineral found in bones, making up a significant portion of their structure. It's crucial for maintaining bone density and strength. The body constantly remodels bone tissue, and calcium is essential in this process. If dietary calcium is insufficient, the body will leach calcium from bones, weakening them over time.

Sources:

  • Dairy Products: Milk, cheese, yogurt are rich sources of calcium.

  • Plant sources: Leafy green vegetables including kale, broccoli, and bok choy, tahini, chia seeds, tofu and legumes.

  • Fortified Foods: Many cereals, juices, and plant-based milk alternatives are fortified with calcium.

Tip: we can only absorb 500-600mg at a time, so aim to distribute your intake across the day to maximise absorption.

Vitamin D

Vitamin D plays a vital role in calcium absorption in the gut. Without adequate vitamin D, the body cannot effectively absorb calcium, regardless of dietary intake, leading to weaker bones and increased fracture risk. Vitamin D also helps regulate bone remodelling by osteoblasts and osteoclasts, the cells responsible for bone formation and resorption.

Sources:

  • Sunlight: The skin synthesises vitamin D when exposed to sunlight. Just 10-30 minutes of midday sun exposure several times a week can boost vitamin D levels.

  • Diet: Fatty fish (like salmon, mackerel, and sardines), egg yolks, and fortified foods such as milk, cereals, and orange juice.

  • Supplements: Vitamin D3 supplements are often recommended, especially for those living in regions with limited sunlight exposure.

Protein

Protein is essential for maintaining bone structure and health. It provides the building blocks (amino acids) for bone matrix formation and repair. Adequate protein intake supports muscle mass, which is crucial for overall skeletal strength and reducing fracture risk.

Sources:

  • Animal Products: Meat, poultry, fish, eggs, and dairy products.

  • Plant-Based Sources: Legumes, nuts, seeds, and soy products.

The Role of a Balanced Diet

While calcium, vitamin D, and protein are critical for bone health, they should be part of a well-rounded, balanced diet that includes a variety of nutrients: fruits, vegetables, whole grains, healthy fat and adequate hydration. These foods contain a variety of other nutrients that also support bone health.

Nutrients to Limit

Both caffeine and alcohol can interfere with calcium absorption. General guidelines for bone health include no more than 10 standard drinks per week, with 2 alcohol free days each week and up to 300mg of caffeine a day.

The Importance of Resistance Training

Resistance training, such as weight lifting, helps build and maintain bone density. It stimulates bone-forming cells and increases muscle mass, which exerts more pressure on bones, promoting their growth and strength. We recommend checking in with an Exercise Physiologist for individualised support.

Final Thoughts

Preventing osteoporosis requires a holistic approach that combines proper nutrition and physical activity. Ensuring adequate intake of calcium, vitamin D, and protein, along with regular resistance training and a balanced diet, can significantly reduce the risk of osteoporosis and improve overall bone health. Nutritional requirements vary by individual based on medical history, age and gender. For a tailored approach, reach out to one of our friendly dietitians at Balance Nutrition.

To book an appointment, visit the link below or call us on 07 4566 0765.

Leah Stjernqvist