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Endurance cycling leads to bone loss

While exercise is generally good for bone, a study of male endurance cyclists reports that serious cyclists lose significant hip bone mineral density during the biking season. This new research as well as earlier studies document that over time many endurance cyclists end up with low bone density. So, if exercise is good for bone, why do endurance cyclists lose hip bone during the biking season? 

Researchers report several factors which contribute to bone loss among serious cyclists. These include:

(1) Cycling is not weight-bearing and yields comparatively low skeletal strain (the skeletal strain of exercise encourages bone formation).
(2) Endurance cyclists do a great deal of this non-weight-bearing exercise, averaging over 13 hours per week, and perhaps do this activity instead of other exercise which might be weight-bearing and bone-building.
(3) Cyclists experienced an increase in parathyroid hormone, likely subsequent to excessive loss of calcium through the skin with sweating. Excess parathyroid hormone tends to increase bone breakdown.
(4) Cyclists likely did not consume enough calories for their heavy training. Also, I would add that they likely did not consume enough of the 20 key bone-building nutrients.
(5) The physiological stress of such training produces bone-damaging stress hormones and pro-inflammatory cytokines.

The Better Bones perspective on this research finding would include, but also go beyond, the above five proposed causal factors. As we see it, intense physical activity places various stresses on the body resulting in increased oxidative damage, increased bone-depleting low grade metabolic acidosis, and increased losses of many nutrients in the sweat. All these factors suggest the need for a higher level of not only calcium, but of all the 20 key bone nutrients. Further, ample antioxidants should be consumed by endurance athletes. These nutrients should be taken, perhaps in liquid form, just before or during the exercise itself. In addition, special attention should be given to reducing any exercise-induced metabolic acidosis with the Alkaline for Life® Diet and the use of alkalizing mineral compounds as necessary.

Reference:
Barry, DW, and Kohrt, WM. 2008. BMD decreases over the course of a year in competitive male cyclists. J Bone Miner Res, 23(4):484-491.

Comments

August 3. 2009 08:44

Cycling IS good exercise. This article is about high-end endurance cycling (long-distance racers like Lance Armstrong) who put in thousands of miles a year in training and racing. I think the point is that if you do a lot of intensive exercise, you're going to need a lot more nutritional support than most endurance athletes get. (Or, put more bluntly, there's such a thing as "too much of a good thing")

Fenbeast

August 3. 2009 15:40

Hi Fenbeast--yes, I agree tht the point seems to be that endurance athletes need more nutritional support that previously expected.
Susan

Susan Brown

October 26. 2009 16:05

Hello Dr. Brown:
During the latter stages of training and during competition, cyclists spend a great deal of time in an 'acidic state'. This is caused by exercising or racing at 90%-100% of their Max heart rate for extended periods. In cycling, due to specific muscle use, this acidic buildup may be more localized in the thighs than it is for runners. Perhaps the local muscle cells as well as the blood requires increased buffering which may help account for bone loss

Doug Sourbeer

November 16. 2009 12:08

Hi Doug,
Thanks for the comment, I agree that endurance cycling can really add to one's acid load and in this way puts the bones at risk.  Abundant use of alkalizing foods and supplements should help.  By the way, if you appreciate my blog it would be great if you would share our work with your friends and have them sign up for the blog.  It is our aim to change the way the world looks at bone health and we would appreciate your help.  Best wishes, Susan Brown

Susan Brown

January 5. 2010 12:36

I therefore conclude that this article reminds us to be aware in our bone density and learn something about how we can manage the bone problem we could encounter in being a cyclists. Well this may include several factors to be aware of and I think could possibly help us prevent the damage. Thanks for sharing.

Steven Drivin

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