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Protein intake and fracture risk: A double-edged sword?

My Alkaline For Life® diet classifies protein foods as acid-forming, which makes many people wonder if a lower protein intake might be better for bones. But protein is essential for bone health and almost half of all bone (by volume) is actually made of protein in the form of the flexible bone protein matrix which contains embedded mineral crystals. Several studies show that protein intake above the current RDA — around 50 g a day for females and 63 g for males — can actually benefit bone.

But there is a caveat about high protein intake. If you increase your protein intake you must balance it by taking in more foods and supplements that provide vital alkalizing compounds to buffer any excess acid produced when your body metabolizes dietary proteins. See my article on the benefits of protein for more details.

This recommendation for protein intake is supported by a paper presented at the recent annual meeting of the American Society for Bone and Mineral Research (ASBMR). Researchers analyzed 12-year follow-up data from the Framingham Offspring Study, looking for correlations between hip fracture risk and high-protein diets, and how fracture risk might be offset by higher intake of calcium.

Acidifying protein can damage bone by causing a loss of calcium in the urine. The study’s finding showed that, in people who take in high amounts of protein and low amounts of calcium (less than 800 mg a day), hip fracture risk is almost 3 times higher than those with a lower protein intake. However, those who have high animal protein intake and 800 mg of daily calcium exhibit an 85% reduction in hip fracture risk.

So high-protein intake does not necessarily damage bone and can instead be good for bone tissue. But for that to happen, you simply must offset the impact of protein’s acid-forming nature. These researchers found that a good way to compensate is to take in more calcium in order to reduce the loss of calcium through the urine. At the Center for Better Bones, we believe that the best way to balance a high-protein diet is to take in a full range of alkalizing compounds from food and supplements.

You can keep your acid load in check with our Better Bones, Better Body Ph Test Kit.


Reference

Sahni, S, Cupples, L, McLean, R, et al. 2009. Protein intake: A double edge calcium-related sword for hip fracture risk. ASBMR 31st annual meeting, Presentation number 1056.

 

 

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

November 29. 2010 13:40

Hi,
Thank you for the information in this article and on this website.  I have fibromyalgia and have tried dozens of different brands and forms of calcium supplement.  All of them have produced pain in my back and shoulders to the point that I was unable to function.  Is there any brand that is from natural sources and that absorbs like a food?
Thanks,

Anita Roman

November 29. 2010 13:51

Anita, it's hard to answer that question given that we don't know what forms you've already tried, but Susan's usual recommendation is to use the most bioavailable, alkalizing forms. Susan created a short primer on the different types of calcium that you might want to review, here: www.betterbones.com/bonenutrition/calcium.aspx. As far as the fibromyalgia is concerned, we don't have any articles about it on our site but our partner site, Women to Women, does address it here: www.womentowomen.com/fatigueandstress/fibromyalgia.aspx. Given that they note that low vitamin D and other nutrient deficiencies can be connected with fibromyalgia, it makes us wonder if perhaps the problem with your calcium supplements was that they didn't include sufficient vitamin D, magnesium, or vitamin K to properly metabolize the calcium into your bones. Susan's earlier post about calcium causing heart attacks (you can find the link to it below) talks about how supplementing with calcium is counterproductive if you don't pair it with vitamin K and other nutrients, so maybe that's something you need to investigate -- perhaps it's not the form of the calcium that's the problem, but the calcium taken without these other nutrients.

Managing Editor

November 29. 2010 15:43


I recently took the Nutritional Typing test online on Dr. Mercola's site. The idea behind is that people roughly fall into three digestive categories: those who do really well on carbs (they can be vegetarian), those whose metabolism thrives on high levels of protein, and mixed types, who need a mix of carbs & proteins.

Mercola seems to be saying that people who eat according to their digestive type stand a chance of seeing their health complaints reversed naturally (through diet / eating what their  bodies are designed to digest). Those who eat against their type, may see their complaints increase.

I'm beginning to think that my body might need more protein than I'm feeding it - at the same time, I want to be careful about acid-forming foods because of osteopenia. If I'm a mixed type, I would be able to follow the above advice, but if I were a protein type, that might pose problems.

Has anyone looked into different styles of metabolism and the occurrence / treatment of osteopenia/osteoporosis?

I enjoy reading the Osteoblast - keep up the good work, people need this information!

Colette

November 29. 2010 17:35

As an avid weight-trainer (and former bodybuilder), the protein I consume is used to build muscle (along with other cells in my body). I have taken in relatively high amounts of protein (easily 100g a day) for years (along with lots of vegetables). I think the combination is in large part responsible for keeping my skin smooth and supple. I KNOW it helps me recover from strenuous exercise and, at age 55, keep some lean muscle on my body.

I do make sure to get ample vegetables--all kinds, really, but always leafy greens and cruciferous vegetables each and every day.

So far, I am unaware of any negatives to my protein intake. I would guess (and tell me if I'm wrong) that if you DO something with the protein you consume, it's a different situation than an individual who does NOT put the protein to use. I'm talking about building muscle. Would love to hear your thoughts, Dr. Brown.

Kathleen

November 30. 2010 16:20

Protein from plant sources is less acidic than from animal sources. The problem with recommending extra protein , which people will mostly equate with animal protein, is that it increases the risk of developing so many other diseases: many cancers, kidney disease, auto-immune disease, altzheimers, gout & arthritis amongst others.

It's a shame you don't make this point clear. The 4 longest lived cultures on earth have relatively low animal protein intakes!

Dr Greg Fitzgerald

November 30. 2010 17:39

Hi Kathleen
Certainly it is good to consume more protein when undertaking strength training.  Also, higher protein intake often favors bone, especially if you are able to maintain adequate alkaline reserves to buffer any excess metabolic acids produced.  Higher protein and slightly alkaline pH balance is a nice combination for strength training. How is your pH level, I wonder?  Best wishes, Susan Brown

Susan Brown

December 1. 2010 11:19

Dear Dr. Fitzgerald,
Yes, plant proteins when properly combined are very healthful and less acid-forming than animal proteins.  Best wishes, Susan

Susan Brown

December 13. 2010 19:11

Hi Dr. Brown,
Thanks for your reply. I honestly don't know my pH level. I'll check your site for how to find this out. I DO remember MANY years ago using the litmus strips you can get at the drugstore.

I'll scout around. Great suggestion, thank you!
Kathleen

Kathleen

December 13. 2010 19:11

Hi Dr. Brown,
Thanks for your reply. I honestly don't know my pH level. I'll check your site for how to find this out. I DO remember MANY years ago using the litmus strips you can get at the drugstore.

I'll scout around. Great suggestion, thank you!
Kathleen

Kathleen

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