Get your Bone Health Essentials supplements with 20% off!

Get them here

Get your Bone Health Essentials supplements with 20% off!

Get them here

Salmon: What’s Healthy, What’s Not

Salmon: What’s Healthy, What’s Not

dreamstime_s_21587121A few weeks ago, I discussed the topic of dietary fats and which type of fat is best for our bones.  If you recall, the research suggests that monounsaturated fats, such as olive oil, and omega-3 fatty acids, are most beneficial to bone health.  The healthiest food sources of omega-3 fatty acids are flaxseed, walnuts, sardines and salmon.  Click here to see previous article on what fats are best for bone.

Salmon is the favored choice for many people, and for good reason!
Salmon is not only high in omega-3 fatty acids, but also provides bone building vitamins and minerals, is a good a source of protein and has recently been found to contain beneficial bioactive peptides. Bioactive peptides are protein fragments that may provide protection for joint cartilage, improve insulin effectiveness and help control inflammation in the digestive tract.

However, finding a healthy source of salmon can be tricky!
Not only does the debate over farmed vs wild salmon continue, but we are now facing the inception of genetically-engineered farmed salmon.  Let’s start by taking a look at the differences between farmed and wild salmon and then I will give you some tips on how to purchase the healthiest source of salmon.

Most of the salmon consumed in this country is farm raised, imported to the United States primarily from Norway, Chile and Canada. (1)  Many people have concerns about farm-raised seafood because over the years poorly manged seafood farms have done a lot of harm to the environment and produced less nutritious salmon. When the industry was new, salmon farms were accused of polluting the oceans, spreading sea lice, fostering disease, and raising salmon on unnatural feed  However, the industry is now better controlled and farming practices are improving.  The farming of salmon is becoming more sustainable and farmed fish are being fed healthier diets in an effort to improve their nutritional profiles. The most commonly farmed salmon in the US is the Atlantic salmon.

Although fish farming is improving, raising fish in small pens and feeding them a man made product can’t compare to the natural habitat of the wild salmon.  Wild salmon is born in fresh water rivers and streams.  They migrate to the ocean where they mature and spend much of their adult life and then return to the streams and rivers to spawn and then die. Wild salmon eat a natural diet of algae, plankton, and krill which gives them their deep orange color. Farm raised salmon are fed pellets containing a range of ingredients including vegetable oil, fish oil, fish meal, plants, essential nutrients, wheat byproducts, and sometimes carotenoids to give their flesh a pleasing color.

The biggest differences in nutritional content between wild and farmed salmon is their fat content.   Wild salmon, because they eat a more natural diet and also get more exercise through migration, are leaner than farm raised salmon.  Farmed raised salmon is fattier and actually contains greater amounts of both omega-3 fatty and omega 6 fatty acids per serving than wild salmon. (2)  The increased fat content of farm raised salmon comes from the oils, both vegetable and fish, found in their feed.  Although omega-3 and 6 fatty acids are essential to health, they need to be in balance for optimal well-being.  Excessive amounts of omega-6 fatty acids and a very high omega-6/omega-3 ratio can actually contribute to many diseases, including cardiovascular disease, cancer, and inflammatory diseases. Inflammation is also a known cause for osteoporosis. Therefore, because of the higher level of omega 6 fatty acids, farmed raised salmon has less favorable ratio of these essential fats than wild caught salmon.

Other concerns with the consumption of farm raised salmon include the use of vaccines to prevent the spread of infectious disease and the use of antibiotics to treat bacterial infections. Similar to the desire to consume poultry, meat, eggs and dairy products that come from free-range animals that haven’t been given excessive hormones and antibiotics, it is also preferable to choose wild salmon over farm raised.

However, not all wild salmon is created equal either!  Wild Alaskan salmon is the healthiest salmon available. Wild Alaskan salmon spend most of their lives in open oceans feeding on natural prey and generally have very low levels of toxins.  Salmon from coastal waters may have higher levels of contaminants.

But what if you can’t find wild salmon in your grocery store, or can’t afford the higher cost of wild salmon?

Here are some tips to help you find the healthiest sources of salmon, be it wild or farm raised.

What to Look for when Buying Salmon

  • It is important to know whether the farmed salmon you are purchasing comes from a reputable farm.  Certain merchants have implemented strict quality standards to ensure they’re sourcing farmed seafood from strictly regulated farms.  Such merchants include:
    • Whole Foods: buys only from farms that meet its detailed requirements, which specify strict policies on antibiotics, hormones, parasiticides, contaminant levels, environmental impact and other factors
    • Costco: states that it will also only buy from farms that prohibit the use of antibiotics, added growth hormones and poutry by-products in the feed.  In the past they have not carried genetically modificed or cloned seafood.
    • Verlasso: a salmon farm in Chile, has been a leader in responsible fish farming for years. Verlasso states their farmed salmon is among the purest found anywhere, its PCB content is ranked among the lowest worldwide of any farmed salmon.  However, there is recent concern that Verlasso is now using genetically modified yeast in their feed. www.verlasso.com
  • When shopping keep an eye out for the following labels
    • When purchasing farm fish, look for the Aquaculture Stewardship Council Certified label which ensures that the salmon farm adhered to specific requirements for feed and for clean sea bedasc label
    • When purchasing wild salmon, look for The Marine Stewardship Council blue sticker which certifies the fish was caught using sustainable fishing practicessalmon-msc-1000
  • One of my favorite places to buy wild Alaskan salmon is from Trader Joe’s.  Although, frozen, the salmon is reasonably priced and very tasty!
  • Canned salmon is a great, inexpensive alternative to fresh salmon. Most canned salmon is wild caught and regular canned salmon, with skin and bones, is a great source of omega-3 fats as well as other nutrients.  It is a good source of calcium and vitamin D if you eat the soft, chewable bones!
  • In 2015, the FDA approved a genetically-engineered farmed salmon (AquAdvantage Salmon) as safe for consumption, and noted that it will not require this type of salmon to be specially labeled. However, in 2016, the FDA reversed course, announcing that the sale of this salmon will not be permitted just yet (3)

The bottom line is to keep eating salmon! Salmon is high in protein and omega-3 fatty acids that provide well documented benefits for the heart, brain and bones!  Wild salmon is the best choice but quality farmed salmon is a good alternative as well as canned salmon.

Looking for a new salmon recipe?  Check out my Pesto Salmon Salad Recipe!

 

 

References:

1. Seafood Health Facts: Making Smart Choices. (n.d.). Retrieved October 04, 2017, from http://www.seafoodhealthfacts.org/seafood-choices/description-top-commercial-seafood-items/salmon
2. Merdzhanova, A., Ivanov, I., Dobreva, D. A., & Makedonski, L. (2017). Fish Lipids as a Valuable Source of Polyunsaturated Fatty Acids. Acta Scientifica Naturalis, 4(1). doi:10.1515/asn-2017-0011
3. (n.d.). Retrieved October 04, 2017, from https://www.consumerlab.com/answers/is-it-better-to-eat-farmed-or-wild-salmon/farmed_or_wild_salmon/
3 Simple Exercises to Support Your Bones

3 Simple Exercises to Support Your Bones

Exercise is one of the most essential elements to strengthening your bones and preventing fractures. That is why exercise is a fundamental component of the BONES Method™.

I know many of you understand how important exercise is for your bones and your body, and know you should exercise every day, but find excuses!

“I don’t have time”
“I am too tired”
“I don’t have exercise equipment”
“I don’t know what exercises to do”

So today I am going to introduce you to 3 exercises that can be done anywhere, anytime, and everyday!  They take less than 5 minutes, need no equipment and they will help to strengthen your bones and improve your balance, reducing your risk of falling and breaking a bone.

Remember that exercise is important to your bones for several reasons:

  • Impact exercise induces mechanical stress on the bone which influences bone mineral density and strength,
  • Resistance exercise is necessary because not only does the force of the muscle contracting on the bone stimulate bone growth, but muscle, in response to exercise, also releases a hormone called irisin which is known to enhance bone mass and strength,
  • Posture exercise is important to prevent the characteristic forward flexed posture associated with osteoporosis, and
  • Balance training is necessary to maintain stability and prevent falls and fractures.

I am confident you can find 5 minutes to incorporate these basic bone building exercises into your daily routine!

 

Mini Squats: Start with feet shoulder width apart and focus on bending at the hips as well as the knees.

Don’t let your knees pass your toes as you squat. Perform 10-20 squats/day

 

Heel drops: Start with your feet in a comfortable position.  Raise up on your toes, then let your heels drop down on the floor.

Start out with a gentle impact, gradually increasing the force placed through your heels as is comfortable for you.

Perform 10-15 drops/days

Standing on One Leg:  Perform this exercise close to a chair or counter to prevent falling.  Start by standing on one leg with the other leg bent.  Hold for 15 seconds then switch to the other leg.  Perform 2 times on each leg.

To increase the difficulty, stand on a pillow or some other soft surface!

 

To truly build up your bone strength you need to do more than just these three exercises on a weekly basis.   These exercises, however, can be done anywhere and even on those days when time is short. So next time you are cooking dinner or waiting for the kettle to whistle, do a couple of heel drops and some mini squats and finish by balancing on one leg to help support your bones, so they can then support you!

NO MORE EXCUSES for not nurturing your bones every day!

As with any exercise, STOP if you experience pain or discomfort.  Always consult your physician before starting any exercise program.

Want further advise on the best exercises to support your bones and your body? Contact me at susan@nurturedbones.com or enroll in The Bone Health Program at Virginia Therapy and Fitness, located in Reston, Virginia.  You can check out the program by clicking here!

The Hard Truth about Dietary Fats and Bone Health

The Hard Truth about Dietary Fats and Bone Health

For decades Americans were told to avoid fat, especially saturated fats from meat, dairy and cheese because it was bad for our heart and our health. We were bombarded with advice promoting low fat, high carbohydrate diets, yet as a nation we just got fatter and sicker. A few years back we are told that fat in your diet isn’t bad after all, even saturated fats! Then this past spring, evidence emerges once again indicating that saturated fats increase the risk for heart disease. The truth is that dietary fat is an essential nutrient and is beneficial to our health. However, when it comes to bone health, the type of dietary fat you eat truly matters. There are numerous types of fats. Our body makes fat from taking in excess calories, but we also get fat from the plants and animals we eat.

  • Saturated fat is mainly found in animal meat, dairy and cheese products and a few plant foods such as coconut, coconut oil, palm oil, and palm kernel oil
  • Unsaturated fats are predominantly found in foods from plants, such as vegetable oils, nuts, and seeds.  Unsaturated fats can be categorized as polyunsaturated fat and monounsaturated fat
  • Monounsaturated fats are found in high concentrations in olive, peanut and canola oils, olives, avocados, nuts such as almonds, hazelnuts and pecans and seeds such as pumpkin and sesame seeds
  • Polyunsaturated fats are found in high concentrations in sunflower, corn, soybean, and flaxseed oils, walnuts, flax seeds and fish
  • Essential Fatty Acids are an important type of polyunsaturated fat because they are critical for our health and cannot be made by our body. Although there are many essential fatty acids, there are 2 prominent ones that are necessary for good health.
    • Omega 3 fatty acids are found in fatty fish and some plants such as flax seeds, walnuts, soybean oil and seaweed
    • Omega 6 fatty acids are found in vegetable oils, such as corn and safflower oil and evening primrose seed, black currant seed, and borage seeds

Dietary fat provides energy for our body and it also plays key roles in our overall health and health of our bones. For instance, fat is needed to aid in the absorption and transportation of key bone building vitamins such as vitamin K, D, and A.  These vitamins work synergistically and aid in calcium and magnesium absorption along with regulating calcification in the bone. However, when it comes to building bones, not all fats are equally beneficial.

What fats are most beneficial to bone?  Let’s look at the research!

Sources of saturated fats
Studies indicate that high-fat diets, particularly diets high in saturated fats, can adversely affect bone. A recent study found that saturated fat intake was inversely associated with hip bone mineral density and therefore may reduce bone mass.(1)  A variety of mechanisms may account for the effects of saturated fats on bone, including altering calcium absorption and osteoblast formation, increasing oxidation and inflammation, and impairing fat metabolism that may indirectly prevent the resorption of osteoclasts. (2,3)

dreamstime_s_17124055

Monounsaturated fat intake has also shown beneficial effects for bone health. One study showed that this type of fat reduces the loss of bone mineral density in older female mice and several studies suggest that the consumption of extra virgin olive oil is associated with a lower risk of osteoporosis related fractures in middle-aged and elderly Mediterranean population. (4,5) The beneficial effects of olives and olive oil could be attributed to their ability to reduce oxidative stress and inflammation. (6)

Foods-rich-in-omega-3-fatty-acids (2)

Polyunsaturated fats have also been shown to be beneficial for bone.  The intake of polyunsaturated fats, especially omega-3 fatty acids, have been associated with higher bone mineral density in older adults.  Omega-3 fatty acids can inhibit osteoclast (bone break down cells) formation as well as increase osteoblast (bone building cells) formation and survival. (7) These essential fats are also known to reduce oxidative stress and inflammation that may affect bone metabolism. (4)

The over-consumption of omega-6 fatty acids, primarily from vegetable oils and processed foods, resulting in a high ratio of omega-6 fats to omega-3 fats, may also contribute to bone loss and the development of osteoporosis. (8)  Low-grade chronic inflammation is linked with excessive omega-6 fats in the diet which can be detrimental to the bone.  The typical American diet tends to contain 14 to 25 times more omega-6 fatty acids than omega-3 fatty acids. A lower ratio of 2-3:1 omega-6/omega-3 fatty acids may be more desirable for supporting bone health.

 

Best for your Bones
  • Decrease saturated fat in your diet by reducing animal meats and dairy products
  • Increase the use of olive oils by making homemade salad dressings and using olive oil for low heat sautéing of vegetables
  • Add avocados to your diet
  • Increase the consumption of nuts and seeds
  • Increase the consumption of fatty fish or other sources of omega-3 fatty acids.  You can also take fish oils to ensure you are getting adequate omega-3 fatty acids

Quality and quantity of dietary fat has consequences on skeletal health and overall health. The regular consumption of monounsaturated fats and omega-3 fatty acids benefits the cardiovascular system and also has a positive influence on metabolism and inflammation, making them beneficial for women of all ages.

Want to learn more about how you can improve your bone health?  Contact me for a free 15 minute phone consult to learn more about the BONES Method™ and how it can help you achieve strong, healthy bones for life!

susan@nurturedbones.com        703-738-4230

Beyond Bones: 7 benefits of boron for healthy aging

Beyond Bones: 7 benefits of boron for healthy aging

There is nothing boring about boron!  Boron is a trace mineral that is often overlooked as an essential part of bone health as well as for its ability to help us maintain good health and keep us free from disease as we age. Through its vital role in metabolism, boron affects the way our body handles other minerals and vitamins along with the hormones estrogen, testosterone, insulin and vitamin D.

Although the importance of boron begins during embryonic formation and development, it is particularly important for preventing and combating ailments that arise during the aging process. It is beneficial for bone growth, brain function, alleviating arthritic symptoms, preventing diabetes, facilitating hormone function, assists as an anti-inflammatory and is associated with reduced risk for some types of cancers.

Boron has been shown to benefit bone growth and maintenance in several ways. It preserves the stores of calcium and magnesium in the body by reducing the loss of these key bone minerals in urine. Researchers found that postmenopausal women who ate a boron-deficient diet had an increase loss of calcium and magnesium as opposed to women who supplemented with boron on a daily basis.(1)  Boron can also help the body produce and use vitamin D better, which enhances calcium absorption and bone mineralization. (1).  Additionally, boron plays a role in regulating estrogen function which helps to protect against bone loss.

Not only does boron help to regulate estrogen, but it also helps to balance all the sex hormones.  Increased levels of estrogen and testosterone have been demonstrated in both men and women after boron supplementation.(2) (3).   Improved estrogen balance may help relieve menopause symptoms as well as PMS. And because boron helps to promote healthy testosterone production, in both men and women, it might lead to improved muscle mass and strength. Maintaining muscle mass and strength is crucial to healthy bones and healthy aging.

Boron has been seen to effectively treat and prevent arthritis.  It also improves mobility and decreasing arthritic pain. Through its ability to increase calcium integration into the cartilage and bone, it can prevent joint deterioration and pain.(4)  Observational studies have shown that in areas of the world where boron intake is deficient, (less than 1 mg/day) the incidence of arthritis is significantly higher than in areas where boron intake is greater (10 mg/day on average) (5).

Boron has been shown to significantly suppress inflammation.  Another way boron aids in decreasing the symptoms of arthritis is through its anti-inflammatory properties and reducing the levels of inflammatory markers, such as C reactive protein, in the blood.(6) Inflammation can disrupt your immune system and lead to a variety of chronic diseases, including heart disease.

Boron can boost brain health. Studies have shown that boron can enhance brain function, eye-hand coordination and improve short-term memory and concentration. Boron is often thought of as a brain nutrient! (7)

An increasing number of studies have shown that boron possesses anti-carcinogenic properties. Boron-rich diets and regions where the soil and water are rich in boron correlate with lower risks of prostate, breast, cervical, and lung cancers. (8) (9)  Researchers are also using a new boron-based radiation treatment on mice which is demonstrating success with slowing tumor growth without the side effects of traditional radiation treatment. (10)

Lastly, boron has shown to be instrumental in the management of blood sugar levels and for the metabolism of insulin. (11) This may be beneficial in helping to prevent and control diabetes as we age.

 

 

Boron is found in many fruits, vegetables, nuts and legumes. Here are the top bone nurturing food sources of boron.

Food                                   Mg of Boron/serving
Raisins                                   1.5 mg  in 1/3 cup
Almonds                                 2.8 mg in 2/3 cup
Apricots (dried)                       2 g in 1/2 cup
Beans                                     1.4 mg in 1/2 cup
Prunes                                    1.2 mg in 3/4 cup
Lentils                                     1.5 mg in 1 cup
Chickpeas                               1.5 mg in 1 cup

Contact me to learn more about Boron and all the other essential nutrients needed to build strong, healthy bones.

 

 

References:
1. Hegsted, M., Keenan, M. J., Siver, F., & Wozniak, P. (1991). Effect of boron on vitamin D deficient rats. Biological Trace Element Research, 28(3), 243-255. doi:10.1007/bf02990471
2. Nielsen, F., Hunt, C., Mullen, L., & Hunt, J. (1988). Effect of dietary boron on mineral, estrogen, and testosterone metabolism in postmenopausal women. Maturitas, 10(3), 245. doi:10.1016/0378-5122(88)90033-3
3. Naghii, M. R., Mofid, M., Asgari, A. R., Hedayati, M., & Daneshpour, M. (2011). Comparative effects of daily and weekly boron supplementation on plasma steroid hormones and proinflammatory cytokines. Journal of Trace Elements in Medicine and Biology, 25(1), 54-58. doi:10.1016/j.jtemb.2010.10.001
4. Travers, R. L., Rennie, G. C., & Newnham, R. E. (1990). Boron and Arthritis: The Results of a Double-blind Pilot Study. Journal of Nutritional Medicine, 1(2), 127-132. doi:10.3109/1359084900900314
5. Helliwell, T., Kelly, S., Walsh, H., Klenerman, L., Haines, J., Clark, R., & Roberts, N. (1996). Elemental analysis of femoral bone from patients with fractured neck of femur or osteoarthrosis. Bone, 18(2), 151-157. doi:10.1016/8756-3282(95)00440-8
6.  Ameen, H., Hussain, S., Ahmed, Z., & Aziz, T. (2015). Anti-inflammatory effects of boron alone or as adjuvant with dexamethasone in animal models of chronic and granulomatous inflammation. International Journal of Basic and Clinical Pharmacology, 701-707. doi:10.18203/2319-2003.ijbcp20150376
7. Nielsen, F. H. (2002). The Nutritional Importance and Pharmacological Potential of Boron for Higher Animals and Human. Boron in Plant and Animal Nutrition,37-49. doi:10.1007/978-1-4615-0607-2_4
8.  Cui, Y., Winton, M., Zhang, Z., Rainey, C., Marshall, J., Kernion, J. D., & Eckhert, C. (2004). Dietary boron intake and prostate cancer risk. Oncology Reports. doi:10.3892/or.11.4.887
9. Pizzorno, L. (n.d.). Nothing Boring About Boron – imjournal.com. Retrieved August 30, 2017, from http://www.bing.com/cr?IG=92E769C63FA34D599563453545A1A03B&CID=39DF55FBF46562AE11E15F15F5636399&rd=1&h=NeIc_WeAzh4qwDgqupzjbfY9UaKVGefaFZdusD3u0j0&v=1&r=http%3a%2f%2fimjournal.com%2fopenaccess%2fpizzorno144.pdf&p=DevEx,5061.1
10.  Scorei, R. I., & Popa, R. (2010). Boron-Containing Compounds as Preventive and Chemotherapeutic Agents for Cancer. Anti-Cancer Agents in Medicinal Chemistry, 10(4), 346-351. doi:10.2174/187152010791162289
11.  And, N. A. (2003, November 01). Naomi A. Bakken. Retrieved August 30, 2017, from http://jn.nutrition.org/content/133/11/3577.full
Good Vibrations for Your Bones

Good Vibrations for Your Bones

Since the early 1960’s, space programs have been using vibration to help astronauts overcome the damaging effects that the weightless environment in space has on the skeletal system.  Among these are muscle wasting, impaired balance and loss of bone mineral density. Sound familiar?  These effects begin to occur within the first few days of being in space and are similar to what can happen to our body as a result of the aging process.  If vibration can help the astronauts maintain their muscle and bone strength in space, it would only make sense that it could do the same for us here on earth.

Whole body vibration (WBV) treatment is done on a platform that vibrates up and down very rapidly….in fact at a rate from 10-30 times a second!  This vibration travels up the body and has an impact on every tissue and system.  Our muscles, in order to counteract the vibration, react by contracting and relaxing dozens of times each second. This enhances muscle strength, coordination and balance.  WBV has been shown to be an effective treatment approach for improving leg strength, dynamic and static balance and speed of muscle movement in older adults (1, 2)  How fast your muscles react can be the difference between losing your balance and falling, or staying upright.  Bone cells have also been shown to respond to the mechanical stimulus provided by vibration. Studies show that high frequency vibration inhibits osteoclast formation, the cells that break down bone, leading to improved bone density. (3)

A session on a vibration plate can last from 5-15 minutes depending on your fitness level. When you turn on the machine, the platform you stand on starts to move and you will feel rapid shaking throughout your body.  The plate will move at a certain rate, called frequency, and go up and down a certain distance, called amplitude.  It is the amplitude that produces the impact forces on your bones.

The best way that I have seen the impact force effect describes likens it to the forces you feel when you go up and down in an elevator.  When you are riding down in an elevator, especially at a higher speed, you can feel light, almost like you are levitating off the floor of the elevator.  However, if the elevator were to stop and suddenly begin to go up, you would feel a force downward through your body and legs because of the increased gravitational force.

It is the rapid increase and decrease of amplitude created by the whole body vibration machines that mimics gravitational force which in turn makes the muscles work harder and stimulates the bones to get stronger.

 

hypervibe3hypervibe2

 

 

 

 

 

 

 

 

 

 

 

 

 

We know that impact through the bones is important to stimulating bone remodeling and vibration therapy provides that impact but in a more controlled and gentle way than other impact activities such as jogging or jumping. This is particularly beneficial to women with osteoporosis who have limitations with exercise due to arthritis or injuries to joints and ligaments.  It enables them to strengthen muscle, improve bone remodeling and train balance without stressing the joints.  WBV can be an effective way to modify well-recognized risk factors for falls and help prevent fractures in women with osteoporosis. (4)

This is why whole body vibration is an important part of my Bone Health Program.

Although vibration therapy is a valuable part of my Bone Health Program, it is not the only method we use for enhancing your bone health.  WBV is combined with a personalized program to build strength, improve posture and train balance. In conjunction with exercise, the program also emphasizes nutrition, stress management, healthy lifestyle habits and smart supplementation. The Bone Health Program, located in Reston, Virginia, is unique because it provides a truly comprehensive and integrative approach to building strong bones.       

If you live outside the Northern Virginia area, you can call around to your local physical therapy offices or gyms to see if any of them offer training on a WBV machine. Although there is ongoing discrepancies on optimal frequency and amplitude for improving muscle and bone strength, a frequency of 30 Hz has been seen to be beneficial to bone remodeling with an amplitude range from 1.7 mm to 12 mm. (5) The Hypervibe and Power Plate are the most popular whole body vibration machines currently being used by the fitness and rehabilitation industry.

There is no magic pill when it comes to maintaining and gaining muscle and bone mass as we age. However, there are many ways we can increase our strength and overall health and well-being.  Exercise and nutrition are the foundation!

 

 

References:
1. Lam, F. M., Liao, L., Kwok, T. C., & Pang, M. Y. (2016). The effect of vertical whole-body vibration on lower limb muscle activation in elderly adults: Influence of vibration frequency, amplitude and exercise. Maturitas, 88, 59-64. doi:10.1016/j.maturitas.2016.03.011
2. Rogan, S., Hilfiker, R., Herren, K., Radlinger, L., & Bruin, E. D. (2011, November 03). Effects of whole-body vibration on postural control in elderly: a systematic review and meta-analysis. Retrieved August 21, 2017, from https://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-11-72
3. Effect of low-magnitude, high-frequency vibration on osteocytes in the regulation of osteoclasts. (n.d.). Retrieved August 21, 2017, from http://www.sciencedirect.com/science/article/pii/S8756328210004928
4.  Could whole body vibration exercises influence the risk factors for fractures in women with osteoporosis? (n.d.). Retrieved August 21, 2017, from http://www.sciencedirect.com/science/article/pii/S2405525516300589
5.  Wu, X., Sun, L., Qi, H., Shi, H., & Fan, Y. (2016, January 18). The bio‐response of osteocytes and its regulation on osteoblasts under vibration. Retrieved August 21, 2017, from http://onlinelibrary.wiley.com/doi/10.1002/cbin.10575/abstract