Thin and fit but at risk of osteoporosis: Why younger adults shouldn’t ignore bone health
New Delhi: Being slim and fit, as well as looking healthy, doesn’t mean that bones are in an excellent condition. Osteoporosis is thought to be a condition of older people, but in fact, this problem may be present much earlier when nutrition, hormones, sports and other medical issues prevent the formation of snapping bones. Young people may not be aware of their bone density until they get an injury during a small fall.

Being underweight can affect bone health
Very low weight can contribute to reduced density. When a body does not get enough proteins and calories as well as vitamins and minerals it suffers from lack of bone formation and bone support.
Exercise helps, but the right kind matters
Being physically active is essential to keeping our bones in great shape, but not every form of exercise will have the same results. Activities that help build bone strength include walking, running, climbing stairs, and strength training; other types of exercise can thwart the body’s efforts to become stronger.
Hormonal changes can weaken bones
Hormones play an important part in the healthy development of bones. Low levels of energy can cause the monthly cycle of women to become irregular or completely stop altogether, which in turn leads to low oestrogen levels, affecting health.
Vitamin D and calcium still matter
Calcium is required for developing bones; vitamin D plays the role of a facilitator in calcium absorption. A deficiency of calcium and low levels of vitamin D in the body can cause the development of poorly mineralised bones. The consumption of protein is important, as the bone tissue keeps getting repaired and rebuilt over time.
When should younger adults pay attention?
If a person has a record of having suffered fractures after rather insignificant injuries, a history of very low body weight, regular irregularities with menstrual cycles, eating disorders, use of steroid preparations for an extended period of time, disorders related to thyroid gland or any other hormonal problems, or if they have someone in the family suffering from osteoporosis, they should talk to their physician.
Before a fracture occurs, osteoporosis usually doesn’t exhibit any symptoms. That is why precautionary measures should be taken early. Good nutrition, as well as strength and weight-bearing training, and a proper balance of hormones, vitamins D and calcium contribute to the proper development and maintenance of healthy bones. Being skinny or fit does not mean one has good bones.
(By Dr Santoshkumar Hakkalamani. Senior Consultant, Orthopaedics, Chief of Joint Replacements, Robotic Surgery & Sports Injuries)
Disclaimer: This article is written by the doctor mentioned above and is intended for informational purposes only. The findings should not be considered medical advice or used for self-diagnosis or treatment. Consult a qualified healthcare professional for personalised guidance.
