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Mediterranean Diet is a Winner for your Bones

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It is well known that eating a Mediterranean-based diet has beneficial effects on your health.  Numerous studies throughout the years have shown that this diet can help prevent cardiovascular disease, type 2 diabetes, obesity, as well as decrease the risk of developing cancer, Parkinson’s disease and Alzheimer’s disease.  Furthermore, it has been shown to help keep your brain young and improve longevity!  What more could we want?  How about strong bones!

Recently, researchers examining the effects of diet on bone health found that postmenopausal women who ate a Mediterranean diet were less likely to suffer from hip fractures. After analyzing the data from the Women’s Health Initiative study, researchers found that women who most closely followed a Mediterranean diet had a 20 percent lower risk for hip fractures compared to women who didn’t followed other diets. The authors of the study concluded “these results support the notion that following a healthy dietary pattern may play a role in the maintenance of bone health in postmenopausal women.” The study was published online March 28 in the journal JAMA Internal Medicine.

What is it about the Mediterranean diet that supports bone health? The diet emphasizes eating foods like fish, vegetables, fruits, legumes, whole grains, nuts, seeds, and olive oil while limiting meat, cheese, sweets and processed foods.  These nutrient rich foods provide all the important minerals and vitamins necessary for keeping bones strong as well as the necessary proteins from plant and animal sources along with encouraging the consumption of healthy fats.

  • Vegetables provide important bone building vitamins such as K, C, B6, folate and minerals like calcium, manganese, copper, potassium.
  • Fruits are abundant in vitamin C, manganese and potassium.
  • Legumes, such as lentils and beans, are rich in the minerals phosphorus, magnesium, zinc, manganese, boron and folate.
  • Nuts and seeds not only provide healthy fats, but also an abundance of minerals such as calcium, phosphorus, magnesium, zinc, manganese, copper, boron.
  • Whole grains, such as oats, millet, barley, quinoa, brown rice and whole wheat, provide needed silica, manganese, phosphorus, copper, vitamin B6, folate.
  • Fish, not only a wonderful source of protein, but fatty fish such as Salmon and Mackerel provide omega 3 fatty acids. Salmon, sardines, tuna, mackerel and trout are healthy choices and provide vitamin A, B6, B12 and D, as well as phosphorus and calcium.
  • Lentils, seeds, nuts, beans and grains also provide valuable proteins as well as a plethora of vitamins and minerals.
  • Olive oil provide key polyphenols that have strong anti-inflammatory effects. The fats from avocadoes are equally as beneficial.
  • Wine in moderation. Wine, particularly red wine, contains the antioxidant resveratrol which has been shown to support healthy lipid levels in the bloodstream as well as anti-inflammatory properties. However, alcohol is acidic and can lead to leeching of calcium from the bones, so moderation is imperative.

What don’t you see on this list?

  • Cheese and yogurt are eaten regularly in the traditional Mediterranean diet, but in moderate amounts. Milk is not included in this traditional diet. Adequate calcium in this diet comes from vegetables, nuts and fish.
  • Eggs and poultry in moderation. Though packed with good protein and other nutrients, eggs and poultry are only eaten 1-2 times a week.
  • Meat is limited in this diet and is only eaten 1-2 times a month. Limiting red meat may be beneficial to bones because meat has been shown to be very acidic and can cause the leeching of calcium from the bones.
  • Sweets and processed foods are limited. Sugar-sweetened beverages, processed meat, refined grains, refined oils and other highly processed foods are void of nutrients, and are often considered anti-nutrients.  Anti-nutrients interfere with the absorption and utilization of essential nutrients in the body, which can result in impaired bone growth and strength.

The Mediterranean diet is effective in supporting bone health because it provides a varied diet full of nutrients, anti-oxidants, anti-inflammatory and alkalizing foods.  I think most importantly, the JAMA study highlights how an overall healthy diet may be more important in supporting bone health than just focusing on the intake of a few widely emphasized nutrients, like calcium and vitamin D.  Unfortunately, when it comes to preventing and combating bone loss and osteoporosis, nutrition is often ignored in favor of pharmacological medicine. As a society, we are all becoming more aware how a nutritious diet maintains health, prevents disease and even helps control and/or treats chronic illness.  Nutrition, along with exercise, can do the same for osteoporosis!

Check out my Bone Building Nutrient Chart to see what minerals are crucial to your bone health: Bone Building Nutrients

â„¢Here’s why leafy greens should be at the top of your dietary list for bone health: 

1. Calcium-Rich Goodness

While dairy products are known for their calcium content, green leafy vegetables can be just as potent. Calcium is a fundamental mineral for bone health, and leafy greens like kale, collard greens, and turnip greens provide an excellent plant-based source of this nutrient. One cup of cooked kale can offer as much calcium as a cup of milk, making it an essential addition to your diet.

 

2. Vitamin K: The Bone Protector

Leafy greens are rich in vitamin K, a nutrient vital for bone health. Vitamin K helps in the activation of osteocalcin, a protein that binds calcium to the bone matrix, strengthening bones. Additionally, vitamin K helps reduce excessive bone demineralization, protecting against bone loss and fractures. Spinach, kale, and Swiss chard are particularly high in vitamin K, making them superstars for your skeletal system.

 

3. Magnesium for Bone Metabolism

Magnesium is another crucial nutrient found abundantly in leafy greens. About 50-60% of the body’s magnesium is stored in the bones, where it plays a pivotal role in bone metabolism and mineralization. Magnesium also assists in converting vitamin D into its active form, which aids in calcium absorption. Incorporating greens like spinach and kale into your diet ensures you get enough magnesium for optimal bone health.

 

4. Maintaining Alkaline Balance

A diet rich in leafy greens helps maintain the body’s acid-base balance, which is essential for bone health. When the body becomes too acidic, it may leach calcium from the bones to neutralize the acid, leading to weakened bones. Leafy greens, being alkaline, help maintain a balanced pH, preventing calcium loss and keeping your bones strong and healthy.

 

5. Packed with Antioxidants and Other Nutrients

Green leafy vegetables are packed with a range of vitamins and minerals that contribute to overall health. Vitamin C, found in greens like kale and spinach, is necessary for collagen formation, which is a critical component of bone structure. Additionally, the antioxidants in leafy greens help protect bone cells from damage and reduce inflammation. The concept of osteoimmunology highlights the connection between the immune system and bone health. Nutrients found in leafy greens help modulate immune responses, reducing inflammation and promoting bone regeneration and repair.

 

6. Fiber for Digestive Health

Leafy greens are high in dietary fiber, which supports a healthy digestive tract and promotes regular bowel movements. Fiber also aids in maintaining a healthy gut microbiome, which is crucial for bone health. A healthy gut microbiome can enhance nutrient absorption, including calcium and magnesium, synthesize essential vitamins such as vitamin K2, reduce inflammation, and regulate hormones, all of which further support bone health.

 

 I recommend aiming to get 2-3 cups of leafy greens a day

 

Practical Ways to Add Leafy Greens to Your Diet

1. Smoothies: Add a handful of your favorite greens to your smoothie.

2. Salads: Make leafy greens the base of your salads. Mix varieties like arugula, romaine, kale, and spinach for a nutrient-packed meal.

3. Soups and Stews: Add chopped greens to soups, stews, and broths. They add flavor and a nutritional boost.

4. Stir-Fries: Incorporate greens like bok choy or Swiss chard into your stir-fries for a quick and healthy dinner.

5. Wraps and Sandwiches: Use large leafy greens as wraps or add them to sandwiches for extra crunch and nutrition. 

 

NOTE: While green leafy vegetables are incredibly beneficial for bone health and overall well-being, it is important to be mindful of their oxalate content. Oxalates, are naturally occurring compounds found in many plants, including leafy greens, nuts, seeds and certain vegetables. They can bind to minerals in the gut which can interfere with their absorption. For this reason, oxalates are considered anti-nutrients. I delve deeper into the topic of oxalates in my BONES Methodâ„¢ Program where I discuss what foods have the highest oxalate content, the best alternatives, and how to manage oxalate intake effectively. Supporting optimal bone health doesn’t require perfection—it requires balance. In this program you will discover how a well-rounded, nutritious diet can contribute to strong bones and overall wellness.

CLICK HERE to learn more about my program. 

 

Incorporating green leafy vegetables into your daily diet is a simple and effective way to support your bone health. These greens provide a rich source of calcium, vitamin K, magnesium, fiber, and antioxidants, all of which are essential for maintaining strong and healthy bones. Additionally, their benefits extend to supporting digestive health and boosting immune function, making them a cornerstone of a bone-healthy diet. So next time you plan your meals, make sure to include a generous serving of leafy greens and give your bones the nourishment they need to stay strong for life.

 

 Eat like a horse, and enjoy the benefits of strong, healthy bones for years to come!

 

 

 

 

 

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Susan Brady

Physical Therapist, Nutritional consultant & Doctor of Integrative medicine

Susan is an experienced physical therapist who can assess muscle strength, posture, and balance. She creates personalized exercise programs to improve bone strength. As a nutritionist, she focuses on improving nutrients for bone health and assessing digestion and absorption. Susan also understands the importance of reducing stressors to prevent bone loss. With her holistic approach, Susan effectively addresses all aspects of bone health.

Susan Brady

Physical Therapist, Nutritional consultant & Doctor of Integrative medicine

Susan is an experienced physical therapist who can assess muscle strength, posture, and balance. She creates personalized exercise programs to improve bone strength. As a nutritionist, she focuses on improving nutrients for bone health and assessing digestion and absorption. Susan also understands the importance of reducing stressors to prevent bone loss. With her holistic approach, Susan effectively addresses all aspects of bone health.

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