Posts Tagged ‘Diet’
Can you still do all the physical activities you want to do? Activities of Daily Living (ADLs) are the key to enjoying your life, especially as we grow older. At ISCD last month we learned some tricks to maintain our ability to do everything we need to do for a full life.
As we age, we lose muscle mass (Sarcopenia). Loss of muscle mass leads to even faster loss of muscle strength (Dynopenia). Loss of muscle strength is a strong predictor of Fall Risk and Fracture Risk. Bummer!
Get your butt off the couch! You should be able to stand, then sit, then stand again for 5 cycles in 15 seconds. If you cannot, you are in danger of losing your ability to live independently. Loss of the knee extension strength needed to stand, even once, predicts mortality. Huge bummer!
There is no medication for loss of strength. We do have natural activities: Balance exercises (standing on one leg); Aerobic exercises (walking for distance, not speed); Progressive strength exercises (sit to stand to partial squat to stand….). Enough extra Vitamin D3 to get your level above 40ng/ml helps your muscles. And you MUST get enough Protein in your diet.
Jay Ginther, MD
Today is the first day of 2015.
Make 2015 the year you do some preventive healthcare. Check your risk for conditions associated with middle age: diabetes, hypertension, and declining bone health. Better yet, start preventing those conditions with proper diet and exercise in your 20’s and 30’s.
For bone health, start with a Complete Bone Health Evaluation.
Jay Ginther, MD
“Why did I Fracture?” and “Why do I have Osteoporosis?” are common questions I hear from older women and men. They are taking Calcium and Vitamin D3, eating a diet with Protein, Fruits and Vegetables, and Exercising regularly. They are “doing everything right”, and still they have deteriorating bones. What is wrong?
The simple answer is “Birthday Disease” – too many birthdays. Increased Fracture Risk (Clinical Osteoporosis) is totally natural as we age. Women after Menopause, and men after age 70, lose 1-2% of their Bone Mineral Density (BMD), and more of their Bone Strength, every year.
When I was in Medical School, 40 years ago, that was the end of the story. Many older women (and some older men) became kyphotic (stooped over), fractured and fell, and either died or went to a nursing home for the rest of their lives. Then, there was nothing we could do to stop it. Today we can often prevent osteoporosis, fractures and misery.
Two weeks after Turkey Coma at Thanksgiving dinner, we think we get plenty of protein. We do occasionally. Most of us do not get enough protein on a daily basis. The latest recommendation is one gram of protein daily for every kilogram of body weight. That works out to a lot more than I thought. See our Protein Chart.
Vegans have a real challenge eating enough protein in nuts, beans, garbanzos, lentils, and soy. Most traditional Vegetarians add yogurt, cheese, and milk, which are all good sources of protein. Some add shellfish and crustaceans.
Protein is the main component of much of our body, including Muscle and Bone. Over 90% of Muscle. Over 80% of Bone. Therefore, enough Protein is necessary for Fracture Prevention.