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18,568 steps to prevent hip bone loss? Thin women should try a weighted vest instead

How many steps a day does it take to prevent hip bone loss as we age?

You might have heard the common suggestion that we strive for 10,000 steps a day to enhance overall health. Looking specifically at bone health, however, the daily step recommendation looks a bit different — and the news is not good for thin women.

Researchers found that for thin women to prevent hip bone loss as they age, the recommended 10,000 steps a day had to be increased to 18,568 for women who were lighter than average (114 lbs or less). Women of average weight (143 lbs or more), however, could maintain bone with many fewer steps per day. The estimate was about 5,000 steps a day for a woman of average weight. The reason? The lighter you are, the less impact you deliver to your bones with each step.

So what’s a thin woman to do? Now, I suppose you could try to walk faster for a greater impact, but only two out of 66 thin women in the study were able to increase their speed enough to reduce the step requirement to 10,000 steps a day.

I think the other option suggested by researchers — to artificially increase body weight during walking — makes more sense. Maybe because I am already doing it! Every morning when I take my dog for a walk, I use my weighted vest. It is simple to use and builds bone mass and increases muscle strength. Here’s a photo of me in my vest walking my dog Hardy!

In fact, a weighted vest’s long-term use has been shown to be as effective as drug therapy in building bone mass. And by the way, and if you don’t like the weighted vest idea, stay tuned. I am thinking a lot about how to prevent bone loss in thin women…more ideas will be forthcoming.

 

Reference: Boyer, KA et al., Maintaining femoral bone density in adults: how many steps per day are enough? Osteoporosis International, February 12, 2011.

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 30. 2011 02:40

I have been on Protos 2 for a number of years now and it has improved my bone density so much that i am back into the osteopenia range. My question is now can i start reducing the dosage of Protos and if so how could I do this - every second or third day?

leonie

June 2. 2011 13:55

Dear Leonie,
Protos is a high dose strontium prescription bone medication used in Europe. As there are certain potential side effects to this medication, as there are to all medications,I suggest you ask your question to the physician who prescribed you this medication. No matter what you do with this bone med, however, I feel it is a important that you consume all the 20 key bone nutrients, develop an alkaline diet and try to carry out are full Better Bones Better Body Program

Susan Brown

June 2. 2011 15:05

How much weight do you recommend?   I am 70 yrs., 5'3" and 110 lbs.  Is there a type of vest your recommend for walking?

Nancy Chandler

June 2. 2011 15:08

Nancy, we have information about the weight vest preferred at the Center in our store. How much weight you would use would depend upon your individual capabilities; most trainers tell you to start with low weight and add more as you grow stronger.

Managing Editor

June 10. 2011 13:58

do you have any case studies or trials going on? I would very much like to participate. I am highly motivated to improve my bone mass through exercise and diet. I'm 57 yrs, thin, have osteoporosis of hip. I try to have an active lifestyle, take the stairs at airports! and elsewhere,
very aware of foods, have a daily yoga practice, and yet I am losing bone. I take calcium, 4000 iu vit D, drink a liter of nettle infusion daily. the cost of some supplements is often prohibitive for me so I try to do what I can on my own. but is it ever enough? I would relish an opportunity to work with you to study this condition in any way. thank you for all the information!

barbara fritz

June 10. 2011 14:33

I’ve asked several exercise professionals what activity they would recommend for strengthening the hip bones. Not a single one recommended walking. That is an activity people do every day and that targets the feet, ankles and legs, not the hips. People must do additional hip focused exercise to strengthen the bone throughout their hip, particularly the areas susceptible to breakage from side falls, the most serious type. Some examples of more hip-focused exercise are single leg circles and lifts (side, back and front) while lying down and standing; squats; lunges; adductor-abductor machine exercise; various kicks in and out of water; and soccer, which because of the side kicks helps build bone throughout the hip instead of only the area affected by walking.

If a person has only one hour a day for exercise, would it not be better to spend the time to do exercise that can also target the shoulders, wrists, arms, legs, spine and hips, rather than just doing walking?  We can get the benefits walking has to offer when we shop, go to work, walk our pets, etc.

I’m a thin-boned woman who was unable to prevent significant bone loss through walking, diet and a healthy lifestyle. Thanks to body works classes and to trainers who showed me specific exercises to strengthen my hips and upper body, I was able to stop the bone loss and to increase my muscle strength throughout my body. When it comes to building bone and muscle, I think medical professionals should inform patients about the limits of the benefits of walking and direct them to more effective exercise programs.

Renée Newman, author Osteoporosis Prevention: A Proactive Approach to Strong Bones and Good Health
www.avoidboneloss.com

Renee Newman

June 10. 2011 14:43

I'm having trouble with a lot of foot pain. Obviously walking makes it much worse. So this would not be a solution for me.

Kathleen Eickwort

June 10. 2011 23:54

I'm 73 and workout every other day with free weights and both 8# and 4# legweights.  I'm only about 5' tall and maintaining weight from 120-125#.  I cook all my food with whole grains and lots of fresh produce and now have a better source of free range poultry and meats.  I had annual blood draw yesterday and hope to see further improvement as last year weight was down but still eating some processed foods back then.  I don't care to "live forever" but I prefer to live as long as I can maintain a good lifestyle.  I hope never to take any medications (used to use allergy stuff- now just salt gargles and using lots of tissues).  Just good food and excercise!!

Virginia

June 11. 2011 04:21

I considered using a weighted vest but was frightened of exacerbating my lower back problems. Does anyone with lower back pain have experience using a weighted vest?

Eve

June 11. 2011 07:25

I wonder if you have heard of the link between eating whole grains and malabsortion of minerals.

In my research into my digestion problems, I came across the Paleo diet. For an extensive overview of available sources, see http://paleodiet.com. This is about eating as our ancestors did before ariculture developed, ie,  hunting and gathering (h&g). Obviously this lifestyle would have involved a lot more 'natural' exercise than pre-industrial agriculture did. But the most dramtaic difference between the two food cultures is the lack of milk and grain products (and sugar) in the hunter/gatherer diet. Despite this, archaeological finds have shown that h&gers had significantly less to no skeletal problems compared with agriculturists even those living in the same area at the same time.

In particular  it is the phytic acid in the outer structures of grains (bran), nuts and seeds (especially beans) that is problematic for many animals, humans in particular. It is thought to prevent the absorbtion of minerals by the body. See http://paleodiet.com/phytic.txt

Humans being as they are, various paleo gurus and extremists have arisen so one has to read mindfully and widely to sort the wheat from the chaff (ha ha). I draw the line at special footwear that gives that authentic barefoot feeling for when you hunt and gather; please!

Grains (grass family) seem to be the worst offenders but soaking overnight destroys the phytic acid. Fermentation is also effective in making milk products and grains/seed more digestible for humans although industrialised versions will not be as beneficial as artisanal products.

Since more or less giving up all grain products except for buckwheat, rice and the occasional white sourdough bread, I find that my digestion has improved, I sleep better and my osteoathritis is reduced. It certainly keeps the weight off. Have to wait until next year for my next bone density test.

According to the Paleo diet, it seems that, next to the recommended animal fats and meat/liver, one should simply eat more vegetables, especially greens, rather than more wholemeal grains to get the associated fibre and minerals. What are your thoughts?

JenniferBarnett

June 11. 2011 10:54

In reference to the weighted vest study mentioned in your blog you referenced that the women in the study also did resistance training and jumping exercises in their vests. Could you please elaborate on the specifics of this study and what exact jumping and resistance exercises were utilized so that we at home can incorporate these into our own weighted vest routines? Thanks so very much!

Lacey

June 11. 2011 11:46

Does a backpack weighing 5-10 pounds have the benefit of a weighted vest?  My osteoporosis is in the lumbar region.  I am 5'5" and weigh 122 pounds.

Louise

June 13. 2011 09:55

Dear Renee,
Thanks for sharing how your strength training program halted bone loss and built muscle strength.
I totally agree that it often takes more than just walking to preserve bone and muscle. My point in this article is that light-weight individuals experience lower bone-building impact when walking as compared to those with normal weight.  Best wishes, Susan

Susan Brown

June 13. 2011 09:56

Eve and Louise asking about weight vests: One nice feature of the weighed vest is that you can start with very little weight (1.5 lbs vest and all) and work-up as you gain strength.  Most folks can tolerate this,   but if you have a back concern you might check with a physical therapist who can analyze your particular situation.  A back pack could also work, but the weight is not so evenly distributed and might shift around making it more uncomfortable.  Be well,Susan Brown

Susan Brown

June 13. 2011 09:56

Jennifer, as a anthropologist I am very much in favor of the Paleo diet, glad you are doing well on it.  I am not as concerned with phytic acid in grains limiting mineral absorption as I am about the difficulty many folks have digesting grains (gluten grains in particular) and this often leads to systemic inflammation.  Sounds like you have found a good dietary path for your self and your bones should benefit as well as the rest of you.  Best, Susan

Susan Brown

June 14. 2011 11:39

Dear Dr. Brown:

Thanks for your always helpful info, and thanks especially for doing so much research in order to answer my previous question about MGUS (a precursor to Multiple Myeloma, a bone cancer)in relation to osteoporosis. Many people have MGUS (Monoclonal Gammopathy of Undetermined Significance)and don't know it.  I know five people who were tested for it--and all five came up positive!  So it is probably very common, and is, I think, a version of the normal deterioration of the immune system as we get older.

As far as the weight vest, I would hesitate to use it if one has scoliosis (as I have).  I don't even wear my pocketbook on my shoulder anymore--instant kinks and pain!

Thanks again.  Anne

anne green

October 11. 2011 08:25

ladies and gents I need help here.  I am sooooo confused!  I just got the word I have osteoporosis, with the spine being the worse.  I am 56 years old, 5'2, and 130 lbs.  (at least I don't fall in the range of having to walk more than 10,000 steps a day according to the info on this blog!) I have spent hours upon hours researching the best exercise, wanting to turn my daily 45 min. power walks into what I need for my spine.  Some websites say use a weighted vest, others say not if you have osteo in the spine because it could cause spine compression to worsen.  I have come to the conclusion NOT to use one, yet this website also advocates them. I have already started using a weighted belt, which I can place down on the hips.  At this point only using 2lbs. on each hip and no weight across the low back.  Which is another question; would that also cause spine compression if I put weight across the low back?  Bottom line, can I just continue with the weight belt while power walking to get spine benefit?  I also run up and down stairs for 10 minutes a day, but not sure if I can do so with a weight belt? I so want to hear back from you with some concrete answers for my confusion!

Marsha

October 11. 2011 08:45

Hi Marsha,

The key piece of information in deciding how to add weights to your regimen is this: have you had any vertebral fractures yet? If you have already had a vertebral fracture, then you should avoid exercise that puts pressure on the spine. If you have not, then you should take our fracture risk assessment (http://www.betterbones.com/bonehealthprofile/default.aspx) to determine your level of fracture risk. Simply having osteoporosis does not mean you are destined to fracture -- your bones may be thin, but that does not mean they are weak. The fact that you currently exercise daily says to me that you probably lack many of the risk factors for fracture that are associated with a sedentary lifestyle, but you may want to also get your vitamin D checked too. Low vitamin D is one of the most common (and most easily corrected) fracture risk factors.

If you find that your fracture risk is low to moderate, then it's probably safe for you to use a weight vest, although we would caution you to speak with your physician before changing your exercise regimen by adding weight to it (if for no other reason than to ensure there were no vertebral fractures noted in your most recent bone scan). If you find that you have a high fracture risk, or if your physician says that carrying weight would be harmful for you, the alternative is to develop an exercise routine that strengthens back muscles without putting pressure on the spine. Pilates training might be a good place to start -- you can check out the video we offer in our shop or contact a Pilates studio in your area. Hope this info has been helpful!

Managing Editor

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