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Bone Health in Women Over 50

Updated: Jan 23


The importance of Women’s Bone Density in women over 50

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About the Author - Nancy Leeds Gribble


Introduction

When we think about “aging gracefully”, we typically think of our overall health, weight, and (especially!) our skin, but we rarely think of our bone density.

Bone density is a crucial aspect of our health (especially for women over 50) that often doesn't get the attention it deserves. It's a startling fact that one in two women over the age of 50 will break a bone due to osteoporosis. 

Yet, this significant health issue frequently remains in the shadows of other concerns. 


As a plant-based nutrition and fitness coach specializing in women's wellness, I've seen firsthand how prioritizing bone health can dramatically impact the quality of our lives as we age.  


Strong bones are foundational for maintaining mobility, independence, and a high quality of life. Women over 50 face a unique challenge as hormonal changes during menopause can accelerate bone loss. By integrating the practices I share below  into daily life, women can significantly reduce the risk of osteoporosis and fractures, ensuring a stronger, more vibrant future."


Today I want to shed light on the importance of maintaining strong bones, not just for mobility and physical strength, but as a vital part of overall health and active living. 


We'll explore why bone health matters more than ever after the age of 50, and how you can take proactive steps to ensure your bones are as healthy and resilient as the rest of your body. 


From understanding the changes your bones undergo during menopause to the best plant-based sources of bone-strengthening nutrients, and the most effective exercises to preserve bone density, this guide is your roadmap to robust bone health in your 50s and beyond.

The definition of Women’s Bone Density in women over 50

Understanding Bone Density in Women Over 50

Bone density, in simple terms, refers to the amount of bone mineral in bone tissue. It's like measuring how dense or solid your bones are. 


When we talk about bone density, we're looking at how tightly packed the minerals (like calcium and phosphorus) are in your bones. High bone density means your bones are packed with more of these minerals, making them stronger and less likely to break. 


As women enter their 50s, a significant change in bone health occurs, largely due to menopause and the associated decline in estrogen. This hormonal shift can lead to a rapid decrease in bone density, with women potentially losing up to 20% of their bone density in the five to seven years post-menopause.


The Risk of Osteoporosis Due to Low Bone Density in Women Over 50

This post menopausal period is critical, as it significantly increases the risk of decreased bone density, osteoporosis and fractures. It is during this phase of life when the balance between bone loss and bone formation shifts. The natural bone remodeling process, where new bone doesn't form as quickly as old bone is lost, leads to weakened bones (i.e., low bone density).


The result of this loss of bone density is an increased susceptibility to fractures and other bone-related injuries, often leading to conditions like osteopenia and osteoporosis. 


Osteopenia is a precursor to osteoporosis, characterized by bone density that is lower than normal peak density but not low enough to be classified as osteoporosis. It indicates a higher risk of progressing to osteoporosis, a more severe condition where bones become brittle and fragile from loss of tissue, typically due to hormonal changes, or deficiency of calcium or vitamin D.


These conditions are particularly concerning in areas like the hip, spine, and wrist, where fractures can have significant impacts on mobility and overall quality of life. 


Fortunately, osteoporosis and low bone density in women over 50 isn't just an inevitable part of aging. Lifestyle factors like diet, physical activity, and certain medications also influence bone health.

Dexa scans are the gold standard for determining bone health in women over 50

Monitoring Bone Density in Women Over 50

Regular monitoring of bone density is crucial for women over 50, as it can help detect changes in bone density early and guide appropriate interventions. 


One of the most effective ways to monitor bone health is through a Dual-Energy X-ray Absorptiometry (DEXA) scan. This non-invasive test measures bone mineral density and helps in assessing the risk of osteoporosis and fractures. 


It's advisable for women over 50 to discuss with their healthcare provider about when to start and how frequently to have DEXA scans, based on their individual risk factors.


In addition to professional medical tests, paying attention to signs and symptoms that may indicate bone health issues is important. For instance, a decrease in height, sudden back pain, or a fracture from a minor fall can be warning signs of weakening bones.


Staying informed about bone health also involves understanding the factors that affect it, such as certain medications, hormonal changes, and nutritional deficiencies. Regular consultations with healthcare providers can help in managing these factors effectively.


By proactively monitoring bone health through medical tests and being attentive to bodily changes, women over 50 can take timely steps to maintain their bone strength and overall health.

Good Nutrition has a huge impact on bone health in women over 50

Nutrition For Improved Bone Density in Women Over 50

Nutrition plays a pivotal role in maintaining bone health, especially for women over 50. Calcium and vitamin D are the cornerstones of strong bones. The recommended daily intake for calcium for women over 50 is 1,200 mg, and for vitamin D, it's 600 IU, increasing to 800 IU for those over 70. 


Plant-based sources rich in calcium include leafy greens like kale and collard greens, almonds, and fortified plant-based milk. For vitamin D, while sunlight is the best natural source, fortified foods and supplements can be crucial, especially in regions with limited sun exposure.


In addition to calcium and vitamin D, other nutrients like magnesium (found in nuts and seeds) and vitamin K2 (present in fermented foods) also contribute to bone density in women. These nutrients work synergistically, not only aiding in the formation of strong bones, but also in maintaining the health of the musculoskeletal system as a whole.


It's important to integrate these key nutrients into a balanced diet. For instance, a breakfast of fortified plant-based yogurt with almonds and seeds, or a lunch of leafy green salad, can be delicious ways to incorporate these bone-healthy nutrients. 


Remember, a diet that supports bone health is diverse and rich in whole foods, providing a range of nutrients essential for maintaining bone strength and overall health.

Exercise is a key way to maintain bone health in women over 50

Exercise To Maintain Bone Density in Women Over 50

Exercise is a vital component of maintaining bone health in women over age 50, with a focus on weight-bearing and strength-training activities. These exercises work by stimulating bone formation and slowing down bone loss. 


Incorporating activities like brisk walking, jogging, and even dancing into life can provide the necessary stimulus for bone health maintenance because they are examples of weight-bearing exercises that force the body to work against gravity, strengthening bones in the process.


Strength training, or resistance exercises, is equally important. Using weights, resistance bands, or body weight exercises such as squats and push-ups, helps in building not only muscular strength but also bone density. 


It's recommended that women over 50 engage in strength training at least three times a week to maintain bone density. For women who may have joint concerns or need to start off with a gentler approach, low-impact exercises such as yoga or Pilates can also be beneficial. These activities not only improve balance and flexibility but may also contribute to bone strength.


It's important to remember that consistency is key. Regular exercise, tailored to one’s fitness level and health conditions, can make a significant difference in maintaining bone health. A combination of aerobic, strength, and flexibility exercises can provide a comprehensive approach to preserving bone density and overall physical health.

Major lifestyle factors that affect bone health in women over 50

Lifestyle Factors That Affect Bone Health in Women Over 50

Lifestyle choices play a significant role in bone health, particularly for women over 50. 


Smoking and excessive alcohol consumption are two major factors that can negatively impact bone density. Smoking has been shown to interfere with the body's ability to absorb calcium, thereby decreasing bone mass. 


Limiting alcohol is also crucial, as excessive consumption can lead to bone loss and increase the risk of fractures.


Maintaining a healthy weight is another important aspect of bone health. Being underweight can increase the risk of bone loss and fractures, while obesity can put extra stress on the bones. As mentioned above, a balanced diet and regular exercise are key to achieving and maintaining a healthy weight.


Stress management also plays a role in bone health. Chronic stress can lead to hormonal imbalances that may affect bone density. Incorporating stress-reducing practices like meditation, deep breathing exercises, or gentle yoga can be beneficial.


Adequate sleep is another pillar of holistic health. Poor sleep patterns have been linked to lower bone density in postmenopausal women. Ensuring 7-8 hours of quality sleep each night can support the body’s natural processes of repair and regeneration, including bone health.


Focusing on a holistic approach to lifestyle that includes quitting smoking, moderating alcohol intake, maintaining a healthy weight, managing stress and getting adequate sleep can significantly contribute to stronger bones and overall well-being for women over 50.

The role of supplements and medications in bone health in women over 50

The Role of Supplements and Medications in Maintaining Bone Health in Women Over 50

For women over 50, supplements can play a key role in maintaining bone health, especially when dietary intake of crucial nutrients might not be sufficient. 


Calcium and vitamin D supplements are often recommended, as they are essential for bone health. The typical dosage for calcium supplements ranges from 500 to 1,200 mg per day, depending on dietary intake and individual needs.


For vitamin D, a daily supplement of 800 to 1,000 IU is often suggested, particularly for those with limited sun exposure or absorption issues.


It's important to note that supplements should complement, not replace, a nutritious diet. Foods naturally rich in calcium and vitamin D, alongside other bone-friendly nutrients like magnesium and vitamin K, should still form the foundation of daily nutrition.


In some cases, medications may be prescribed to prevent or treat osteoporosis. 

These medications include bisphosphonates, hormone replacement therapy, and other drugs specifically designed to strengthen bones. However, these medications should be considered carefully in consultation with healthcare providers, as they come with their own risks and benefits.


Ultimately, the decision to use supplements or medications should be based on individual health assessments and discussions with healthcare professionals. This personalized approach ensures that each woman over 50 receives the most effective and safe strategy for her bone health.

A holistic approach to bone health in women over 50

Final Thoughts

Wrapping up, maintaining bone health over age 50 is not just about preventing osteoporosis or fractures; it's about embracing a lifestyle that allows you to live your best life, full of vitality and strength. 


This journey involves understanding the changes your body goes through, nourishing it with the right nutrients, staying active with exercises that build and protect your bones, and making informed lifestyle choices that support overall well-being. 


Regular monitoring through DEXA scans and consultations with healthcare professionals will keep you on the right track, while supplements and medications can be used judiciously, based on personal health needs.


Remember, it's never too late to start taking care of your bones. Every step you take, whether it's adding a serving of leafy greens to your diet, going for a brisk walk, or practicing stress-reduction techniques, contributes to stronger bones and a healthier you.


As you continue on this path, know that you're not just working towards preventing bone loss; you're building a foundation for a vibrant, active future. Let's celebrate each step in this journey, knowing that the best years are not just behind us, but also ahead of us.


About The Author

Nancy Leeds Gribble, Founder & CEO of NourishLiftGrow, is a Women’s Wellness and Weight-loss Coach and Plant-based Culinary Nutrition Expert. She works with driven women who are ready to finally end the roller coaster dieting and excess weight gain, get their nutrition balanced for optimal health and hormones, gain energy, and create a body and life they feel FANTASTIC living in! You can find her at Nancyleedsgribble.com and on Instagram @nancyleedsgribble


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