Tag Archives: bone mineral density

For Seniors On Weight-Loss Diet, Strength Training Beats Aerobics For Preserving Bone Mineral Density

according to an article at MedPageToday.

"One more rep then I'm outa here!"

“One more rep then I’m outa here!”

The two experimental groups had about 60 participants each, so it was a relatively small study. (In general, the larger the study, the more reliable the findings.) Most participants were white women; mean age was 69. The experimental intervention ran for five months. An excerpt:

In one trial, the participants were randomized to a structured resistance training program in which three sets of 10 repetitions of eight upper and lower body exercises were done 3 days each week at 70% of one repetition maximum for 5 weeks, with or without calorie restriction of 600 calories per day.
In the second study, participants were randomized to an aerobic program which was conducted for 30 minutes at 65% to 70% heart rate reserve 4 days per week, with or without calorie restriction of 600 calories per day.

The beneficial bone effect was seen at the hip but not the lumbar spine.

Thin old bones—i.e., osteoporotic ones—are prone to fractures. Maintaining or improving bone mineral density probably prevents age-related fractures. In a five-month small study like this, I wouldn’t expect the researchers to find any fracture rate reduction; that would take years. 

Most elders starting a weight-training program should work with a personal trainer. I don’t quite qualify as elderly, but click if interested in my personal fitness program.

Steve Parker, M.D.

PS: Strength training is also known as weight training and resistance exercise.

Low Calcium Intake May Not Matter for Bone Health

paleobetic diet, diabetic diet, calcium

Modern “films” are digital

I’ve worried about the relatively low calcium content of most paleo diets. I see lots of little old ladies eating non-paleo with hip, spine, and wrist fractures related to the bone-thinning disease called osteoporosis. The bones break because they’re not adequately dense. Some experts think low calcium intake causes osteoporosis.

A Vietnamese study published in 2009 compared bone density of Buddhist nuns, who are vegans, with omnivorous controls. Dietary calcium content was 330 mg/day in the vegans, 682 mg/day in the omnivores. Nevertheless, bone density and osteoporosis prevalence were not significantly different between the groups. (Unfortunately, fracture rates were not reported.)

So perhaps the relatively low calcium content of paleo diets isn’t anything to worry about.

Steve Parker, M.D.

h/t Jamie Scott