According to the International Osteoporosis Foundation,
about one in every three women and one in every five men over the age of 50
live with osteoporosis — a disease where bones weaken and become prone to
fractures.
Due to rapidly aging global population, studies show that
osteoporosis will likely become a bigger burden, with some estimating the
amount of osteoporosis-related hip fractures to almost double in 2050, compared
to 2018 statistics.
Past studies show there are some ways in which people can
help reduce their risk of developing osteoporosis, such as eating a
well-balanced diet rich in calcium and vitamin D, not smoking, participating in
exercises that strengthen the muscles and bones and maintaining a healthy
weight.
New research indicates that a Mediterranean diet may also
help improve bone density as well as weight loss results.
The new study found that following a low-calorie
Mediterranean diet coupled with physical activity may help reduce weight loss- and
age-related bone mineral density decline in older women who have metabolic
syndrome and who have obesity or overweight.
This energy-reduced Mediterranean diet is a variation of the
traditional Mediterranean diet that contains fewer calories. It still emphasizes
healthy foods such as fruits, vegetables, legumes, olive oil and fish, but with
controlled portion sizes to support weight loss. The traditional Mediterranean
diet is also a healthy dietary pattern, but it is typically food consumed
without specific limits on portion sizes.
“As people age, especially women after menopause, BMD (bone
mineral density) tends to decline, raising the risk of osteoporosis and
fractures, which can significantly affect quality of life and the ability to
live independently,” Jesús F. GarcÃa-Gavilán, a lecturer in the Department of
Biochemistry and Biotechnology at the Universitat Rovira i Virgili in Spain,
said.
“The Mediterranean diet has been associated with many
health benefits; however, its specific effects on bone health during weight
loss and aging have not been thoroughly investigated. Given that physical
activity also contributes to maintaining bone strength, we aimed to explore
whether combining both in a structured lifestyle intervention could protect
against bone loss in older adults, particularly in the context of intentional
weight reduction.”
“A reduced-energy Mediterranean diet involves participants
consuming a modified version of the traditional Mediterranean diet with
approximately 30% fewer calories than their usual intake.”
“Previous research has indicated that losing weight,
particularly through diet alone, can lead to a reduction in bone density, which
poses risks for older adults. Additionally, exercising alone does not always
prevent this issue. What is new in this study is the finding that combining a
well-balanced, reduced-calorie Mediterranean diet with physical activity can
prevent bone loss in older women, even while they are losing weight,” GarcÃa-Gavilán
said.
“This emphasizes that the type of diet is important during
weight loss, not just the calorie intake.”
The new diet was cut to about 30% fewer calories than they
typically consumed and only from a Mediterranean-style eating plan.
Upon analysis, researchers found that study participants who
followed an energy-reduced Mediterranean diet and increased their physical
activity produced significant beneficial effects on BMD, especially at the
lumbar level in the lower back, over three years, among women. And it is
important to protect the spine, where bone loss can lead to serious fractures
and disability.
“This finding is significant because it indicates that
weight loss doesn’t have to compromise bone health,” GarcÃa-Gavilán explained.
However, scientists did report there were no BMD changes
observed in male participants.
Mir Ali, a board certified general surgeon, bariatric
surgeon and medical director of MemorialCare Surgical Weight Loss Center at
Orange Coast Medical Center in Fountain Valley, CA, commented:
“Loss of bone mineral density, especially as you age, can
make a person prone to fractures and weakness. And a fracture in older
patients, like in their 70s and 80s, can be a very significant thing. Somebody
fractures their hip in their 70s, there’s a 20-30% mortality associated with
it. So it’s a serious thing, and it’s important to try to reduce that.”
The Mediterranean diet is full of good fats, vitamins,
calcium and other minerals that support good bone health.
“The Mediterranean diet is rich in nutrients that promote
bone health,” GarcÃa-Gavilán said. “Nuts and dairy products provide essential
calcium, magnesium, and vitamin D. Healthy fats, such as those found in olive
oil, have been shown to reduce inflammation.”
Antioxidants such as vitamin C from fruits and vegetables
may help protect and support bone cells, GarcÃa-Gavilán added, while other
important vitamins, like vitamin K found in vegetables such as spinach, play a
role in bone formation.
“Together, these nutrients can lower the risk of bone loss
and support bone maintenance, especially as we age,” GarcÃa-Gavilán said.
“Understanding this nutritional context is crucial for maintaining our
long-term quality of life.”
Monique Richard, a registered dietitian nutritionist,
recommended:
Mimicking dietary patterns, as culturally appropriate, and
accessible, rich in fruits and vegetables, unsaturated fats, lean protein and
herbs and spices, such as the DASH diet and Mediterranean Diet, have strong
evidence in contributing to overall health and longevity.
Gauging additional dietary and lifestyle behaviors may
impact bone health, including soft drink intake, sugar, caffeine, and alcohol
intake, as well as whether a person is a smoker, has a genetic predisposition
to osteoporosis, osteopenia, and/or specific nutrient pathways affecting
absorption and the bone matrix in addition to their current health status.
Moreover, we need to incorporate foods rich in nutrients
associated with bone density, such as leafy greens, fruits rich in fiber, fish
like sardines, salmon, tuna, tofu, and dairy.
Richard also recommended regularly incorporating
weight-bearing movement two to three times a week, such as resistance training
using free weights, weight machines, or your own body weight (plyometrics),
pilates, yoga and tai chi, in addition to regular aerobic-cardio activity such
as walking, running, dancing, or swimming.
“As we age, continued activity and quality of diet remain
important priorities. Bone health is an inside-out-outside-in job with adequate
nutrition needed as a foundation to keep that skeleton strong and vibrant.”