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Learning how to play: Exercising for bone health

It’s not news that exercise is good for bones. But many people hear the word “exercise” as being synonymous with “chore” — well, I’ve got another synonym instead: play.

Have you ever seen a little boy jump in a puddle? It’s not a quick hop or a gentle tap with a toe — it’s a hard stomp or a two-legged, I’m-a-rocket-ship splashdown, ending with the child covered in muddy water, grinning ear-to-ear. But what you may not see is that the child has triggered a chain reaction in his bones simply by jumping in the puddle. He has just sent a signal to his bones that it’s time to build.

You see, bone responds to the forces applied to it, and those include both the force generated by muscles and tendons tugging on bone, as well as the impact that reverberates through the bones when we jump or run or hop or any action that causes our skeleton to smack into something. Bone and muscle work as a single unit, so any time you use a muscle, you’re stimulating your bones. Just as with muscles, the most effective bone-building exercise programs are progressive, increasing in intensity over time. Better still, the effects of exercise on bone are site-specific, which means you can work particular muscles to strengthen particular bones — very useful if you’ve had a fracture, or if you’ve been told you have osteopenia in your hip or wrist.

This means that you don’t have to force yourself into a high-intensity workout regimen you don’t really enjoy, just because you want to strengthen your bones. Instead, you can start with something simple, even playful — hopscotch, jumping rope, tap dancing, or even playing tug-of-war with a dog. In short, you have permission to have fun!

And that’s what’s most interesting about our boy and his puddle — because the sheer joy and pleasure of physical play also support bone health. Having fun translates into a multitude of positive responses throughout the body — chemicals in the brain, relaxation in the muscles, lower stress, and yes, better bones. I think many of us forget what it feels like to be a kid as we grow older, and to my mind, that’s one of the biggest barriers we have to doing all the things that make our bones stronger, including (especially!) exercising. I blame the fact that it’s called “working out” — most of us have all the “work” we want already, so who wants more?

So how about this: I’m not going to suggest you go work out if you want better bones. Instead, I have only two words for you:

Go play!

We created the Osteo Blast blog as our forum to express opinions and educate the public about natural means of supporting and improving bone health and overall wellness. As part of this forum, we sometimes discuss medical issues and medications, and their effects on bone health in general. However, we cannot advise readers about specific medical issues in this forum. If you wish to obtain advice from Susan E. Brown, PhD, about your specific bone health and nutritional concerns, please visit our Consultations page. Other specific medical questions should be referred to your healthcare provider.

Comments

May 11. 2011 22:09

I'd like to personally visit Dr. Brown and be evaluated for my osteoporosis condition and general health.  I believe she can help me.

Thank you,
Myra

myra cohen

May 12. 2011 09:10

Dear Myra,

I'm sure Dr. Brown would be happy to help. You can schedule a consultation either by using our online form (click "Personal Consultations" at the top of the page for more information), or by calling the Center for Better Bones directly at 1-877-207-0232. Best of luck to you!

Managing Editor

May 15. 2011 16:46

I had a heart attack last October and am currently taking several heart medications.  Would your better bones program interfer with my heart medication.  I would also like to get on a good nutritional program in addition to a better bones program.  Can you help me?

Wilma

May 24. 2011 17:25

I love Dr Brown's blogs - she is so grounded and practical and just says it like it is.  I think that having a healthy skeleton (foundation) is paramount for a healthy outlook on life and I commend her continued great work.

Marg Hobby

May 25. 2011 07:57

Hi Dr. Brown:  Thank you for the wonderful work you are doing.  Your blogs are comforting and informative.

I hope your last one pertains to riding around in golf carts (I live in a retirement community) and sometimes getting bone-crushing jarring while going over bumps!  I understood that this was terrible for the vertebrae when you have osteoporosis, but maybe all that action is actually building bone back there.  I sure hope so!  I am very active otherwise, but now I am hoping that those teeth-crunching bumps are doing some good too!

Anne Canevari Green

May 27. 2011 14:17

My arthritis keeps me from too much painfulactivity but water aerobics is helpful. Especially because the coldness of the pool water keeps the inflammation from inhibiting the movement. Aqua Rumba and other hour-long classes work the muscle pretty good. But this is not weight bearing exercise. Does that mean the bones are not benefiting too? It's still great cardio and muscle building but It sounds like the bone building should be weight bearing.

Dorothy

May 27. 2011 15:55

Wilma, heart problems and bone problems often go together, being due at least in part to a deficiency of specific vitamins.  Here are a couple (fairly long) articles that tell about it.

http://blogs.webmd.com/integrative-medicine-wellness/2007/11/vitamin-k-keeping-calcium-in-your-bones-and-out-of-your-blood-vessels.html

http://www.westonaprice.org/abcs-of-nutrition/175-x-factor-is-vitamin-k2

JBG

May 27. 2011 16:12

Dear Wilma, While JBG's links contain good information, we would like to also point you to Dr. Brown's own blog posts on the subject of heart health and vitamin K, here:  www.betterbones.com/blog/post/Better-bones-better-body-part-5.aspx and here: http://www.betterbones.com/blog/post/calcium-supplements-heart-disease-vitamin-K.aspx, as well as her articles on vitamin K here: www.betterbones.com/bonenutrition/vitamin-k/benefits.aspx and here: www.betterbones.com/bonenutrition/vitamin-k.aspx.

Since you do not say what heart drugs you're using, let me please caution you that if you are taking Coumadin (warfarin) or similar blood-thinning meds, you should not start taking vitamin K without first consulting with your physician. Vitamin K has blood-thinning properties of its own and if you take both together, it can lead to bleeding issues.

Managing Editor

May 27. 2011 16:18

Anne, Dr. Brown is herself a golfer, so she sympathizes. And while it's possible that bone-jarring golf cart rides do help (given that impact on bone is helpful for bone building), I suspect what she'd tell you is the best possible bone-building strategy would be to ditch the cart, put on a weight vest, and haul your clubs as you walk from tee to tee. (Take the weight vest off before you swing, though -- it would definitely interfere with your game!)

Managing Editor

May 27. 2011 16:30

Dear Dorothy,

Any exercise that works muscles is helpful to bone, and if working out in a pool is most comfortable to you, then by all means keep doing it. The action of muscles on bones is part of what triggers the bone-building activity. However, you might also want to look into ways to reduce your chronic inflammation -- bone loss is often related to an inflammatory condition, and as you undoubtedly already know, arthritis is a form of chronic inflammation as well. An alkaline diet like the one Dr. Brown recommends to her patients can be helpful in reducing inflammatory markers (see our articles in the Alkaline For Life section here: www.betterbones.com/alkalinebalance/default.aspx). And, I have another recommendation for you that might seem a little strange -- you might also want to find out whether you have food allergies. The reason being, most chronic inflammation starts in the digestive tract, and is frequently caused by a sensitivity to a food ingredient(gluten/wheat, dairy, and sugar being the prime suspects). Identify and remove the allergen from your diet, and you often find that the inflammation decreases (which can mean less pain as well). Here are some of Dr. Brown's tips for better digestions, which I encourage you to try: www.betterbones.com/bonenutrition/betterdigestion.aspx.

If you have any further questions, I would encourage you to consult with Dr. Brown at the Center for Better Bones; she undoubtedly would have additional recommendations to share with you if you wish to discuss your bone health with her.

Managing Editor

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