Here's how What You Can't See Can Hurt You
December 10, 2024
When it comes to our health, we often think of targeting external issues and managing symptoms we can see or feel. But when is the last time you considered your bone health? Lisa Zapotocky, MD, board-certified internal medicine physician at Lakewood Ranch Medical Group, shares key insight about the critical role our bones play, especially as we age.
Bone health refers to the amount of mineral matter, primarily calcium and phosphorous, within our bones. The minerals help with several key aspects, including structural integrity to support body weight, metabolic function and other essential processes. “Maintaining healthy bones is important for our overall health, reducing risk of fractures and helping protect our mobility and independence as we age,” says Dr. Zapotocky.
“Bone density tends to decline with age,” states Dr. Zapotocky. “There are also medical conditions and medications that may contribute to that decline, leading to more serious issues.”
Know your risk factors
Beyond age, risk factors include women in perimenopause or post-menopausal women, family history, various chronic, autoimmune or hormonal disorders, nutrient deficiencies, low BMI, medications and lifestyle factors (e.g. being sedentary, smoking and drinking alcohol). The loss of bone density can lead to osteopenia (low bone mass) and progress to osteoporosis (significantly decreased bone mass).
“We often test bone density by DEXA scan, which is a painless low-dose X-ray,” she adds. “Since low bone mass doesn’t cause symptoms unless there’s a fracture, it’s important to discuss with your healthcare provider whether you should be screened.”
A DEXA scan compares your bones to an average young person’s healthy bones using a scoring system. After screening, your provider can help you understand your results and develop a plan accordingly.
Take steps toward better bone health
Dr. Zapotocky encourages both younger and older adults to start thinking about bone-healthy habits. “Sticking to the pillars of a healthier lifestyle like eating nutritious foods, getting regular exercise and not partaking in smoking or excessive alcohol consumption are generally good places to start,” she shares. “Your annual wellness visit is a great time to engage with your physician to learn your risks, discuss fall risk assessment and learn more ways to promote long-term bone health.”