Nutrients in Bone Health Part 1 Flashcards
What is the thick, fibrous vascular membrane that covers bone surface?
Periosteum
What bone is the strong, dense outer layer of bone that provides structure and support?
Cortical bone
What bone is strong but not so rigid due to lattice structure?
Trabecular bone
What percentage of the adult bone is the cortical bone?
80%
What percentage of the adult bone is the trabecular bone?
20%
What is a spongy tissue that contains stem cells?
Bone marrow
What are cells that can produce bone, cartilage and fat called?
Stromal
What is a dynamic tissue?
Bone
What is the continuous process of bone degradation and synthesis?
Bone remodeling
What are the 3 bone cell types?
- Osteoblast
- Osteoclast
- Osteocyte
Which bone cell type builds bones?
Osteoblast
Which bone cell type breakdown bones?
Osteoclast
Which bone cell type is a mature bone cell housed in bone matrix?
Osteocyte
What are the 3 lifestyle factors that improve bone health?
- Weight-bearing physical activity
- Adequate intake of vitamins and minerals
- Adequate UV exposure
Why are weight-bearing activities important for bone health?
It increases bone density
What are the 4 lifestyle factors that hurt bone health?
- Smoking and alcohol consumption
- Certain medications
- Excessive phosphorus intake
- Excessive grain intake
What lifestyle factors increase the need for vitamin D?
Smoking and alcohol consumption
What 2 lifestyle factors increase magnesium excretion?
- Alcohol consumption
2. Cancer and diuretic medications
How do thyroid hormone, cortisol and diuretics medications effect calcium levels?
They increase calcium excretion
What 2 lifestyle factors inhabit calcium absorption?
- Excessive phosphorus intake
2. Excess grain intake
How does excessive grain and phosphorus intake effect calcium levels?
They inhabits calcium absorption
What 3 major minerals are important in bone health?
Calcium, magnesium and phosphorus
Where is 99% of calcium in the body found?
Bones and teeth
What percentage of calcium is found in the bones and teeth?
99%
What regulates blood calcium levels?
Vitamin D
What 6 factors decrease calcium absorption from food in the gut?
- Phytic acids and fiber (grains)
- Plants like spinach
- Excess Phosphorus, Magnesium and Sodium
- Tannins in tea and legumes
- Vitamin D deficiency
- Diarrhea
What 4 factors increase calcium absorption from food in the gut?
Low Calcium status, vitamin D, pregnancy and lactation, and lactose in the diet
Bone growth, development, and maintenance require adequate intake of what?
Calcium
What are oxalates?
Plants like spinach
What are the natural sources of calcium in the diet?
Dairy and bone-in fish
What are the fortified sources of calcium in the diet?
Orange juice and soy milk
Do most people get enough calcium?
No
What are 5 consequences of too much calcium?
An increased amount of kidney stones, irritability, headaches, kidney failure, and soft tissue hardening
What are 3 problems with calcium supplements?
- It don’t prevent osteoporosis
- It can end up in places it shouldn’t without proper signaling
- Many fail quality testing
Does calcium supplementation alone prevent bone loss?
No
Which vitamin is required to guide calcium into the bones?
Vitamin K2
Where can calcium end up if vitamin K2 is not present?
In the soft tissue of the blood vessels
What is the most important vitamin for bone health?
Vitamin D
Why is vitamin d more accurately classified as a hormone than a vitamin?
It is made in the body
How is vitamin D made in the body?
It’s made from cholesterol in the skin due to sunlight exposure
What is the precursor to vitamin D?
Cholesterol
Where in the body is cholesterol converted to vitamin D?
The kidney
What triggers vitamin D production?
The skin being exposed to the sun
Does sunlight cause cancer?
No
What triggers parathyroid hormone (PTH) production?
Low blood calcium
What stimulates production of active vitamin D in the kidney?
Parathyroid hormone (PTH)
What increases intestinal absorption of Ca?
Vitamin D
What reduces Ca excretion by the kidney?
Vitamin D and PTH
What increases bone release of Ca?
Vitamin D and PTH
What happens when blood levels return to normal?
PTH is inhibited and Calcitonin is released
What 4 things cause vitamin D deficiency?
- Inadequate sun exposure
- Poor dietary intake
- Poor absorption
- Altered metabolism
What are the 2 results of vitamin D deficiency?
Rickets and Osteomalacia
What are some dietary sources of vitamin D?
Salmon (wild caught), canned salmon w/ bones, tuna, egg yolk, butter, liver
What are the main reasons some people do not consume dairy?
Vegan diet or allergy/intolerance
What are 2 of the ways to maintain bone health without dairy?
- Get enough sun exposure
2. Eat leafy greens
What are 4 alternative milks?
Soy, rice, almond and coconut milk
Are they nutritionally similar to milk?
No
Why might raw dairy be more healthy than processed/pasteurized dairy?
Processed dairy has many beneficial nutrients removed and harmful ones added
What are some of the health dangers associated with raw milk?
They have the potential for pathogenic exposure
Which result of vitamin d deficiency is common in children?
Rickets
Which result of vitamin d deficiency is common in adults?
Osteomalacia
Are milk alternatives actually milk?
No
Do alternative milks provide the same vitamins and minerals as actual milk?
No
What does the processing and pasteurization of dairy increase?
Intolerance
Fill in the Blank: Large or Little
Clean milk coming from healthy cows have ____ risks
Little