overall wellness for a lifetime. The New York State Osteoporosis Prevention Education Program (NYSOPEP) within the New York State Department of Health is an educational initiative that makes it possible for all New Yorkers (the public and healthcare providers) to learn about the prevention, diagnosis, and treatment of osteoporosis.">
Why do some gastrointestinal diseases increase the risk for osteoporosis?
Studies have found an increased risk of bone loss and fractures (broken bones) in individuals with certain gastrointestinal (GI) diseases. People with GI diseases may be at increased risk for osteoporosis for many of the following reasons.
What gastrointestinal conditions increase the risk of low bone mineral density?
A low bone mineral density compared to the general population has been reported among patients with certain GI conditions:
The likelihood of bone loss is potentially greater among older adults with the above GI conditions. In some older adults with GI disease, age-related bone loss along with low bone mineral density compared to the general population, may lead to osteoporosis.
How can I reduce my risk for broken bones if I have GI disease?
How can I protect my bones if I have GI disease?
There are some very simple steps to take to help promote stronger bones:
Eat a variety of healthy (nutrient-rich) foods taking any special dietary restrictions into consideration.
Reach and maintain a healthy weight. Eat the amount of calories and protein you need. The amount that you need will depend on your height, weight, age, and medical condition.
Get the calcium you need. It is recommended that healthy adults consume 1000 to 1200 milligrams (mg) of calcium each day. If you have a medical condition that interferes with the way your body uses calcium, your healthcare provider may recommend slightly more. It is best to get calcium from the foods you eat. It is important to only eat the calcium rich foods you tolerate and/or those that are permitted if you are on a special diet. Foods rich in calcium such as low fat dairy foods (milk, yogurt, cheese), dark green leafy vegetables (bok choy, broccoli, collard greens, kale, mustard greens, and turnip greens), canned fish (sardines, salmon) eaten with bones, or calcium-fortified (with calcium added) foods. The body best uses calcCalcium is used best by the body when it is spaced out through the day. Try to eat a calcium rich food that you can tolerate at each meal. If you think that you are not getting the recommended amount of calcium in the foods you eat, it is important to consult with your healthcare provider to find out if a calcium supplement is right for you. Do not take a calcium supplement without the advice of your healthcare provider. Consuming too much calcium may be harmful.
Get the recommended amount of vitamin D. It is important to eat only the vitamin D foods you tolerate and/or those that are permitted if you are on a special diet. There are only a few good natural sources of vitamin D including fatty fish such as catfish, eel, mackerel, salmon, sardines, tuna and shiitake mushrooms. Small amounts of vitamin D are added to all cow's milk, some types of beverages (almond, coconut, rice, or soy beverages and orange juice), yogurt, cheese, and nutrition bars. Check with your healthcare provider to find out how much vitamin D is recommended for you. Your healthcare provider may tell you to take vitamin D supplement in order to get the recommended amount of vitamin D.
Be physically active. Your bones get stronger and denser when you make them work. Walking, climbing stairs, and dancing are impact (or weight-bearing) exercises that strengthen your bones by moving your body against gravity when you are standing. Resistance exercises such as lifting weights or using exercise bands strengthens your bones and your muscles too! Tai Chi is an example of physical activity that improves posture and balance to help decrease the risk for falls and fractures. Exercise can be easy; try 10 minutes at a time, adding the minutes up to reach your goal.
Don’t smoke. If you do, STOP. Call 1-800-NYQUITS for information about how to quit.
Limit alcohol. Before drinking alcohol, it is important to speak to your healthcare provider about possible interactions with your medication or your medical condition. Too much alcohol can be harmful for your bones and your overall health.
Take action to prevent falls. Most broken bones occur as a result of a fall that can be prevented. Some actions to prevent falls at home include using nightlights, removing or securing scatter rugs, and getting rid of clutter.