What is Osteoporosis?

Osteoporosis is determined by low bone mass and deterioration of bone tissue which can lead to increased risk for bone fractures. Bone density is measured via a DEXA scan. The DEXA is a type of x-ray that generates a “T-score” that is calculated by comparing your bone density to a reference group.  Anyone with a T-score below -2.5 is said to have osteoporosis.

What is Osteopenia?

Osteopenia refers to low bone mass, but less deterioration compared to osteoporosis. Osteopenia is also measured via a DEXA scan and is defined as a T-Score between -1.5 and -2.5.

Some risk factors for developing osteoporosis include: 

  • Smoking & alcohol 
  • Steroid use
  • Physical inactivity
  • Cadmium toxicity
  • Thyroid disorders
  • Malabsoprtion
  • Kidney or liver disease
  • Poor nutrition
  • Low vitamin D
  • Caucasian/Asian background
  • Family history
  • Loss of estrogen during menopause

Preventative measures:

  • Weight bearing exercise 3-4 times per week
  • Eat foods high in calcium and supportive minerals, especially dark, leafy greens, nuts, organic dairy products, and beans
  • Vitamin D blood levels between 60-80
  • Limit alcohol intake and avoid smoking

Additional Testing:

N-telopeptide is a screening test that monitors rate of bone loss. This is done with a morning urine sample typically between DEXA scans.

Calcium Rich Foods:

  • Green Leafy Vegetables – kale, collard greens, spinach
  • Whole grains – brown rice, buckwheat (kasha), quinoa, amaranth, barley, oats
  • Nuts and Seeds – almonds, sesame seeds, brazil nuts, cashews, pumpkin seeds
  • Legumes – soy beans, black beans, lentils, pinto beans, soybeans
  • Fish – salmon, oysters, cod, mackerel
  • Sea Vegetables – kelp, arame, hijiki, dulse, kombu, nori
  • Organic Dairy Products – yogurt, ricotta cheese, cottage cheese, milk.