Chicago Sun-Times

NOURISH YOUR BONES

Get vital nutrients for your body through diet, supplement­s

- BY MARSHAM CCULLOCH

UEnvironme­ntal Nutrition Newsletter nlike the static human skeletons that commonly hang in biology classrooms, your bones are continuall­y being broken down and rebuilt. In fact, your entire skeleton is replaced about every 10 years. In addition to exercise, about 20 different nutrients help prevent the weakening of bones that leads to osteoporos­is. We review nutrients you’re more than likely falling short on and where to get them.

Calcium— Requiremen­t for adults: 1,000- 1,300 milligrams

Calcium has the strongest research evidence of any nutrient for its role in supporting healthy bones, according to a 2016 position paper from the National Osteoporos­is Foundation.

Sources: Dairy foods, fortified foods ( such as orange juice, tofu and soy milk), fish with edible bones ( sardines, canned salmon), bok choy and kale.

Vitamin D

Vitamin D helps you absorb calcium from food and supplement­s. Without vitamin D, less than 10 percent of the calcium you consume is absorbed.

Requiremen­t for adults: 600800 Internatio­nal Units. However, a 2014 analysis by Canadian experts and a March 2015 analysis by U. S. experts, both published in Nutrients, report that the Institute of Medicine made a significan­t statistica­l error in calculatin­g vitamin D needs, making current recommenda­tions too low. Ask your doctor to test your vitamin D blood level; it should be at least 32 ng/ mL to support bone health.

Sources: Fortified dairy foods, egg yolks, salmon and tuna. To assess how much vitamin D you’re getting from sun exposure daily, use the dminder smartphone app ( dminder. ontometric­s. com), which vitamin D expert Dr. Michael F. Holick helped develop.

Magnesium— Requiremen­t for adults: 310- 420 mg

Magnesium is a component of bone, giving it resiliency and protection against fractures; it also is essential for converting vitamin D to its active form in the body. If you take a calcium and vitamin D supplement, takemagnes­ium, too, because high calcium intake causes magnesium loss, and most Americans don’t consume enoughmagn­esium.

Sources: Nuts, seeds, leafy green vegetables, whole grains and legumes.

VitaminK— Requiremen­tfor adults: 75- 120mcg( micrograms)

Vitamin K is found in two main forms in food, K1 and K2, and your body may convert limited amounts of vitamin K1 to K2. Both forms play a role in blood clotting ( and work against the anti- clot drug warfarin), but vitamin K2 also helps prevent calcium from depositing in arteries ( the process of atheroscle­rosis) and instead directs calcium to bones and helps bind the mineral to your skeleton.

Sources: K1 is found in dark, leafy green vegetables such as kale and spinach; K2 is in natto ( fermented soybeans), cheese, grass- fed meat and liver.

Vitamin B12& Folate— Requiremen­t for adults: For folate, 400- 600mcg. For B12, 2.4 - 2.8 mcg. ( Your doctor may advise higher amounts if you have elevated homocystei­ne.)

Vitamin B12 and folate support bone health by helping to keep levels of homocystei­ne, a compound that stimulates the breakdown of bone, low. This role is further confirmed by genetic studies that reveal a link between an increased risk of osteoporos­is in older adults and a common gene mutation ( MTHFR C677T) that can lead to high homocystei­ne levels.

Sources: B12 is in meat, fish and other animal foods, as well as in fortified foods, including cereals and nutritiona­l yeast. Folate is in leafy green vegetables, broccoli, asparagus and legumes.

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THINKSTOCK­PHOTOS. COM Grilled salmon with asparagus. Vitamin D helps you absorb calcium from food and supplement­s, and salmon is a good source of vitamin D.
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