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Keeping exercise in mind

You may have seen recently in The New York Times a discussion of yoga’s benefits for joint and bone health. At the very end of the article was a mention of a 2009 pilot study by Dr. Loren Fishman that showed the benefits of yoga for osteoporosis. I found that study on-line and the initial results are impressive: among patients who regularly performed 10 minutes of yoga daily, spine and hip density generally increased during the 2-year study period. The study didn’t have a lot of compliant participants, so it’s not a strong finding, but it’s still eye-opening. But what’s interesting to me about this study is that while Dr. Fishman was focused upon the physiological benefits of yoga, there’s another way in which yoga and other exercise methods like it can be helpful to bones: stress reduction.

At the Center for Better Bones, many of the people I talk to have one factor in common: they are worried. Worry, anxiety, and stress in general are detrimental to bone health. Yoga, tai chi, and qi gong are all forms of exercise that have an additional component: in various ways, they not only support physical strength and flexibility, but also mental and emotional relaxation. All of these forms emphasize the importance of deep breathing, of slow, controlled, focused movements, and of working the body and mind together — being present and mindful throughout the practice.

I like to quote the aphorism that there is no greater influence on the body than thoughts held in the mind. When thoughts are racing, anxious, negative in nature, it increases stress hormones — and long term, high levels of stress hormones deplete bone mineral reserves. By taking direct steps to calm an anxious, worried, depressed, or angry mind-set through these types of exercise, we can lessen the impact of stress hormones on the bones.

Now of course, taking up tai chi, qi gong, or yoga isn’t going to solve serious long-term mental health issues by themselves — and I often suggest to clients who suffer from such issues to work with a qualified therapist — but they can be one method of retraining your psyche toward more positive and uplifting emotions, with benefits for both mind and body. So when I offer yoga or tai chi as alternatives for clients who are exploring new methods of exercise, I do it in the hope of helping them not just to start getting more exercise, but also to make use of the power of their minds to help their bones.

References

Brody, J.E. 2011. Ancient moves for orthopedic problems. The New York Times, August 1, 2011. URL: http://www.nytimes.com/2011/08/02/health/02brody.html

Fishman, L.M. 2009. Yoga for osteoporosis: A pilot study. Topics in Geriatric Rehabilitation, 25(3), 244–250. URL: http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2009/07000/Yoga_for_Osteoporosis__A_Pilot_Study.9.aspx

Comments

October 7. 2011 14:48

I've just been listening to Carol Look who uses Emotional Freedom Technique (EFT).  She reccommends daily tapping on stressful issues or general stress to reduce stress.  Might be good for those of us who have trouble slowing down our monkey minds--as EFT involves some talk along with the tapping so the mind is fairly well occupied.  www.tryitoneverything.com  Look also has a website but I don't know what it is.  auc

Nina Wendt

October 7. 2011 15:02

Hi--I am wondering about this. I have osteoporosis in my spine -- I have read/heard that there are a lot of yoga positions that are bad for osteoporosis (examples include anything that is forward bending or any twisting of the spine), so I have stayed away from it since my diagnosis. Any thoughts on this?

Barbara Lester

October 9. 2011 15:27

Me TOO!  I've purposely stayed away form yoga because of the caution of bending over and twisting.  I agree about the relaxation of the mind part...SO IMPORTANT!

Linda Janing

October 10. 2011 10:26

Hi Barbara and Linda,

Bending over and twisting is a concern only if you're at risk for actually fracturing your vertebrae. Simply having osteoporosis does not mean you are at risk of fracture -- you need to know whether your bones are weak, and having osteoporosis is only one of several factors determining bone weakness.

If you have already had vertebral fractures, then it is likely that you are at high risk for more fractures and you should avoid poses that involve bending and twisting the spine. That means some yoga poses would be off limits to you, but there are a variety of poses that do not include hazardous positioning that you can still use to maintain strength and flexibility. Please work with a knowledgeable yoga instructor to make sure you perform such movements correctly.

If you haven't fractured but aren't sure of your risk factors, please take our fracture risk assessment to get a sense of where you stand. You might also consider looking at a book we offer in our shop, Yoga For Strong Bones (http://www.betterbones.com/store/yogaforbones.aspx), which includes information for women who want to do yoga but who have a diagnosis of osteoporosis. Best of luck to you both!

Managing Editor

October 10. 2011 10:29

PS our fracture risk assessment can be found here: http://www.betterbones.com/bonehealthprofile/default.aspx

Managing Editor

October 12. 2011 08:19

I would love to find a starter Yoga DVD.  I am in good shape but besides being extremely tight and inflexible, I have positional vertigo which has kept me away from going to any classes.  I would like a program I could do at home.

Janet Reilly

October 12. 2011 09:34

Janet, please visit our shop section -- we have both a book, Yoga For Healthy Bones (http://www.betterbones.com/store/yogaforbones.aspx), and a video DVD, Strong Bones Yoga (http://www.betterbones.com/store/strongbones.aspx), available for you to use. We hope these are helpful to you.

Managing Editor

October 12. 2011 10:20

I am 74 and do a mix of exercise for about an hour every other day: 30 crunches, various extended arms with light (5#) weights, bench press of a pair or 12# in 2 sets of 25 with a water break between, bench row with a 15# and various with 4# and 8# leg weights as well as using my 8#dumbbells for some.

Yoga sounds like a good idea for stress.  I cannot balance on 1 foot to do anything, nor can I step up more than the height of normal steps without a sturdy handrail, so I would need excersizes made to fit my limitations.  I am thinking that I should look into a rail installed at the steps of my pool so I can exit it gracefully (on my feet) rather than crawling out onto a towel ;-)

Virginia Davies

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