The following
program presents principles
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designed to promote good health
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and is not intended
to take the place of
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personalized professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Hello, and welcome
to Health For A Lifetime
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and I'm your
host Don Mackintosh.
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We're glad you're with
us today and we're also glad
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that we have a special guest,
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Dr. John Clark is
an orthopedist surgeon
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practicing in
Maine, at the present time.
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He's been an orthopedist surgeon
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for the last five years.
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We're glad
you're with us, doctor.
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Thank you, Don.
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Now you deal with the
bones, day in and day out.
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That is right.
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One of the things that
we hear about bones is,
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the subject today of
our program, Osteoporosis.
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And I'm sure that
many people come and say,
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"You know, I, I
guess I must have this or
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I'm getting this because I
don't have enough calcium."
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Oh, that's true and
often times, I see a person
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for the first time
with a broken bone,
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and they discover at that time
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that they have Osteoporosis.
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Right, when they see you
and they never knew it before.
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They never knew it before.
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Okay, so what's the
prevalence then of this.
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Oh, it's quite common actually.
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And there's a
couple of different
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divisions of Osteoporosis,
we like to talk about.
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There's Osteoporosis
and then there's Osteopenia.
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The difference is
how thin the bones are.
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So, if we were looking
at the population about
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10 million
Americans have Osteoporosis
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and 34 million
Americans have Osteopenia.
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Okay, Osteopenia versus porosis,
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one is thin and one is porous.
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One is thin and one is thinner.
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Okay, so one is thin,
the one that's thin is what?
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One that's thin
is the Osteopenia.
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If you get thinner yet,
then you have Osteoporosis.
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Okay. And you said
something about woman versus,
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is it the woman
that have the Osteopenia?
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No, everybody
gets the Osteopenia
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and the
Osteoporosis, but it's the women
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that get more of the
Osteoporosis just because
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of their lower estrogen
in the later years of life.
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Of those ten million Americans
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that have Osteoporosis,
80% of those are women.
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Okay, so eight million
out of the ten. Eight million.
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Well, when you see
people and they come
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with
Osteoporosis, what are the bones
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that they most
commonly have broken?
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Osteoporosis tends to effect
what we call the spongy bone
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or the bone at the
end of the long bones.
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And so this is -- in
more technical terms,
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the trabecular
bone, the trabecular bone
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is most
affected is in the wrist.
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So wrist. The hip
and the vertebras.
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Okay. Those bones
are the spongy bones.
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So again these
are the spongy bones,
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does that mean they're
not like kind of not --
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totally solidified or something.
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Well, it's the
way they're made up,
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to compare the
bone that's in your arm
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is what we call a cortical bone.
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It's kind of like a pipe,
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it's got a real hard surface.
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And it's thick, when
you get down to the end
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it's like a sponge,
oh, it's real hard sponge.
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And it's structural.
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And so this is where you
usually have the problems.
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Why is that, what causes
this problem of Osteoporosis?
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Well, there is a number
of causes of Osteoporosis.
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First of all, sugar
actually is quite a cause
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of Osteoporosis, especially
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if it's mixed with chocolate.
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Is that right? That's right.
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And then, of course,
the women have low estrogen.
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So low estrogen is a
cause of Osteoporosis.
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If you just sit down and
do nothing, your bones say,
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"Well, if you're
not gonna do anything,
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I'm just gonna
get up and leave."
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And that's the way it
is, that's why our astronauts
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worry about Osteoporosis too,
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because they have no
weight bearing up in space.
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Okay, that's why they
had those special treadmills
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and stuff to try and
get weight bearing up there?
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That's right. And then
there's different things
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like beer, alcohol, it tends to
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create the
environment for Osteoporosis.
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High sulphates and
phosphates, like you find in
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different drinks that people
drink, colas and so forth.
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And then there's a
problem of Vitamin D.
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Everybody knows, they
should take vitamin D.
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It seems, we add
Vitamin D to thanks,
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Vitamin K, also important.
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And then there's
too much salt intake.
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Salt is like a
positive ion and so as calcium
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and they kind of
fight with one and other.
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I see, so if we have high salt
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and it kicks out the calcium.
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Yeah, exactly. And then smoking?
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Smoking will about double
your risk of Osteoporosis.
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Why, how does that work?
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Well, the smoking does
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a number of things to the body.
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It tends to decrease
your oxygen and it decreases
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the amount of blood
getting to the bone cells,
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and then it
increase carbon monoxide
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in the system and
bone cells don't like that.
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But there is a lot
of toxic things in smoke
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that we don't
necessarily know why they cause
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Osteoporosis,
but epidemiologically
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we know that people who smoke
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have twice the
risk of Osteoporosis.
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And is it -- what
about second hand smoke,
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if you're
allowing people that smoke?
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That's not good either
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but I don't know
any statistic on that.
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Back to the thing
on sugar, I mean --
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you know, I heard
all the women saying,
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"Wait a minute,
we get Osteoporosis."
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And they -- a lot of
them like the chocolate,
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maybe a few men too.
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How is it that the
sugar, what's the way
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the mechanism that the
sugar causes Osteoporosis?
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That's a good question.
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One of the things that
sugars do when you eat them
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is they raise your
blood sugar and when your
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blood sugar goes
up, it acts like glue,
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this is the problem
that diabetics have.
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Anyway the cells
all get stuck together.
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I see. And when
they get stuck together
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they don't make their
way down the capillaries
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to where the bone cells are.
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I see, so it's, it's
kind of the same thing
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that you talked
about with smoking because
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that takes also
monoxide, carbon dioxide
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gets hooked on the
things and they have get
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where they need to go as well.
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Interesting,
what about caffeine?
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Caffeine is also
a problem for person
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who wants to keep their bones.
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A person, who drinks one
and a half cups of coffee a day,
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has about a 30% higher
chance of Osteoporosis,
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but who stops with
one and a half cups.
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Is that right? So someone --
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and they have
seen this in studies?
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Yes, this is in studies.
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So, cutting out the caffeine,
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you get anything
else that is a cause?
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Another area that we
think about is stress.
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The more stress
in someone's life,
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the higher the cortisol levels
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and the thinner the bones.
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And the cortisol causes that?
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Cortisol affects the bones
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in that fashion, that's right.
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There's other things that
cause it, and one of those
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is eating too much animal
protein and also depression.
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So tell me how
does the protein work,
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how does it make the bones weak?
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Animal protein has the
problem of being very high
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in acid forming amino
acids such as methionine
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with more sulfates and
there's some amino acids
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with more
sulfates and phosphates,
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it ends up raising the amount of
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organic acids in the system.
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And your system wasn't
made to become aesthetic,
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but calcium is a
buffer, and so the calcium
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is taken from the bones to
buffer these organic acids.
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I see, so the
animal proteins, I mean,
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largely from animals of course--
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That's right. Animals products.
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That the calcium tries to
fight against that and then
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what about the
depression -- well,
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how could
depression cause Osteoporosis?
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This is another
epidemiological study.
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And the epidemiological
study again took and studied
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a bunch of depressed
people and non-depressed people
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and compared their
bones and found that people
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who are depressed
had thinner bones.
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Now, earlier you said
that the most common bones
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that we break are in the wrist,
00:08:55.32\00:08:56.59
in the hip and in,
where was the other one?
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In the spine. In the
spine, like in the vertebra.
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What kind of
affect does this have
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on people's quality of life?
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Well, you know, there's
never a good time to have
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a fracture, I tell people
when they come in to see me.
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But for the spine, on a
scale that they've studied
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to see what quality
of life people have.
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They say that a
spine fracture reduces
00:09:23.02\00:09:25.51
the quality of life by 20%.
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But a hip fracture
reduces it by 50% and this is
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in the first year
after having a fracture.
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Hip fractures are devastating,
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I mean they're bad.
When you get a hip fracture
00:09:37.96\00:09:40.34
you can't walk, but
it's usually an index
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as to how the health is
in the rest of the body.
00:09:43.97\00:09:47.09
Because once a
person has a hip fracture
00:09:47.10\00:09:50.35
about 20% or
1/5th, actually pass away,
00:09:50.36\00:09:55.53
they die, another
fifth end up permanently
00:09:55.54\00:09:58.31
in a nursing home, and
then 2/3rds never return
00:09:58.32\00:10:03.13
to the same level of activity,
00:10:03.14\00:10:05.36
that's before they
had their hip fracture.
00:10:05.37\00:10:07.45
And so there's a lot
of things that happen
00:10:07.46\00:10:10.57
in a person's life,
they start fearing that
00:10:10.58\00:10:12.56
they're gonna
have another fracture.
00:10:12.57\00:10:14.37
Or that they might
have to stay inside,
00:10:14.38\00:10:18.00
not go out with
family and friends.
00:10:18.01\00:10:19.81
And they end up
depressed, alone,
00:10:19.82\00:10:22.16
lonely and looking at
the end of their life.
00:10:22.17\00:10:24.84
So, yeah, wow,
the best thing to,
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is to prevent this or
avoid it completely if you can.
00:10:28.47\00:10:31.57
That's right. Back
to depression then.
00:10:31.58\00:10:34.12
Depression, you said, you know,
00:10:34.13\00:10:37.40
there's a relationship
between people who depressed
00:10:37.41\00:10:40.38
and I can kind
of understand it now
00:10:40.39\00:10:42.03
based on what you said.
00:10:42.04\00:10:43.84
Anything else you want
to tell us about depression
00:10:43.85\00:10:45.95
as it relates to Osteoporosis.
00:10:45.96\00:10:47.78
Well, it's interesting
that there's a Bible text
00:10:47.79\00:10:50.18
that kind of talks about that.
00:10:50.19\00:10:52.01
And we know about
"A Merry heart doeth
00:10:52.02\00:10:55.07
good like a medicine,"
but the rest of that is that
00:10:55.08\00:10:58.23
"A broken spirit
dries the bones."
00:10:58.24\00:11:01.30
And I wonder if Solomon
was somewhat of an Orthopedist.
00:11:01.31\00:11:04.80
So, "A Merry heart
doeth good like a medicine:
00:11:06.48\00:11:09.02
but a broken spirit
actually dries the bones,"
00:11:09.03\00:11:11.69
and that's just clinically true.
00:11:11.70\00:11:13.39
That's clinically true.
00:11:13.40\00:11:14.80
Now, I thought,
you know, people say,
00:11:16.37\00:11:18.72
"Well, if you got weak bones,
00:11:18.73\00:11:20.44
you should drink
milk, is that true?
00:11:20.45\00:11:23.87
Well, in countries
where they drink more milk,
00:11:23.88\00:11:27.38
they have more Osteoporosis.
00:11:27.39\00:11:30.90
So it hasn't
really panned out that
00:11:30.91\00:11:32.81
drinking more
milk has been helpful.
00:11:32.82\00:11:35.07
And a lot of
people wonder why that is?
00:11:35.08\00:11:38.24
And I don't know that
we have a direct link there
00:11:38.25\00:11:41.81
but some of the
different theories are that milk
00:11:41.82\00:11:45.40
while is high in calcium
is also high in some of things
00:11:45.41\00:11:50.88
that create organic
acids in the system.
00:11:50.89\00:11:53.65
Sulfates and phosphates.
00:11:53.66\00:11:56.04
What's more the high
protein in milk makes us,
00:11:56.05\00:11:58.94
so it only about 30%
of the calcium in the milk
00:11:58.95\00:12:03.27
gets absorbed, and
then once it's absorbed
00:12:03.28\00:12:06.01
there's enough acid
formed by the sulfates
00:12:06.02\00:12:09.59
and phosphates in
the protein amino acids
00:12:09.60\00:12:12.85
that it tends to
wash out the calcium.
00:12:12.86\00:12:15.96
Wow, so it's got
calcium in it, but it kind of
00:12:15.97\00:12:20.51
does itself in by the
other stuff that brings
00:12:20.52\00:12:22.57
to the table as you're saying.
00:12:22.58\00:12:23.81
And the balance
that actually does away
00:12:23.82\00:12:26.26
with the positive affect
it gives plus a little more.
00:12:26.27\00:12:28.76
And this is a theory. That's
right. It's exactly right.
00:12:28.77\00:12:32.51
So I assume and I hope
that later we'll come back
00:12:32.52\00:12:34.70
and maybe look at
some other sources
00:12:34.71\00:12:36.30
that can strengthen our bones.
00:12:36.31\00:12:39.18
You mentioned sugar, you know,
00:12:39.19\00:12:40.31
I hate to keep
coming back to this but --
00:12:40.32\00:12:43.23
does this mean
that someone is watching
00:12:43.24\00:12:44.79
shouldn't eat any sugar?
00:12:44.80\00:12:45.97
Well, that be kind
of hard in our society,
00:12:47.19\00:12:49.83
I don't know if too many foods
00:12:49.84\00:12:51.24
that they haven't put sugar in.
00:12:51.25\00:12:52.72
But decreasing sugar
consumption would definitely
00:12:52.73\00:12:56.27
be the right step toward
affecting stronger bones.
00:12:56.28\00:13:00.17
We're talking
with Dr. John Clark.
00:13:00.18\00:13:02.59
He is an
orthopedist surgeon in Maine,
00:13:02.60\00:13:05.16
serves at the
Parkview Adventist Hospital
00:13:05.17\00:13:08.00
there currently, and he's done
00:13:08.01\00:13:09.86
lot of study about Osteoporosis.
00:13:09.87\00:13:11.51
Many times people come
to him, the first thing
00:13:11.52\00:13:13.60
that he sees them concerning
might be a fractured hip.
00:13:13.61\00:13:17.64
He's going to talk
about maybe some things
00:13:17.65\00:13:19.91
we can do to avoid Osteoporosis
00:13:19.92\00:13:22.12
and give us some
hope when we come back.
00:13:22.13\00:13:24.51
Are you confused
about the endless stream of
00:13:26.38\00:13:29.29
new and often
contradictory health information
00:13:29.30\00:13:32.08
with companies
trying to sell new drugs
00:13:32.09\00:13:34.79
and special interest
groups paying for studies
00:13:34.80\00:13:36.84
that spin the
fact, when can you find
00:13:36.85\00:13:39.23
a common sense
approach to health.
00:13:39.24\00:13:41.26
One way is to ask for
your free copy of Dr. Arnott's
00:13:41.27\00:13:44.62
24 realistic ways
to improve your health.
00:13:44.63\00:13:47.16
Dr. Timothy Arnott and the
Lifestyle Center of America
00:13:47.17\00:13:50.17
produced this
helpful booklet of 24 short,
00:13:50.18\00:13:52.74
practical health tips
based on scientific research
00:13:52.75\00:13:55.57
and the Bible, that
will help you live longer,
00:13:55.58\00:13:58.18
happier and healthier.
00:13:58.19\00:13:59.70
For example, did you
know that women who drink
00:13:59.71\00:14:02.28
more water lower the
risk of heart attack.
00:14:02.29\00:14:04.94
Or that 7 to 8 hours of
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00:14:04.95\00:14:07.62
your risk of ever
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00:14:07.63\00:14:10.00
Find out how to lower
00:14:10.01\00:14:11.30
your blood
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00:14:11.31\00:14:13.11
If you're looking
for help not hike,
00:14:13.12\00:14:14.69
then this booklet is for you.
00:14:14.70\00:14:16.32
Just log on to 3abn.org
and click on free offers
00:14:16.33\00:14:20.10
or call us during
regular business hours,
00:14:20.11\00:14:22.39
you'll be glad you did.
00:14:22.40\00:14:23.88
Welcome back, we're
talking with Dr. John Clark.
00:14:26.13\00:14:28.24
He's an orthopedist
surgeon and he sees people
00:14:28.25\00:14:31.59
usually when
they -- you've broke,
00:14:31.60\00:14:33.43
they broken bones
isn't that right? I mean--
00:14:33.44\00:14:35.24
That's right. You
don't see them before saying,
00:14:35.25\00:14:37.45
"Hey, look I just want to know
00:14:37.46\00:14:38.46
what to do so my
bones don't break."
00:14:38.47\00:14:40.17
No, that doesn't
happen very often.
00:14:40.18\00:14:42.19
Which should might
be good if it did. Yeah.
00:14:42.20\00:14:44.72
You know, one of the
things that we hear about is
00:14:44.73\00:14:49.41
activity and you
know, I may consider myself
00:14:49.42\00:14:52.05
quite an active
person, but is activity
00:14:52.06\00:14:55.49
related to Osteoporosis and
if so what kind of activity,
00:14:55.50\00:14:58.82
what kind of
exercise, if someone do that,
00:14:58.83\00:15:02.25
wants to avoid Osteoporosis
00:15:02.26\00:15:04.26
or maybe that has Osteoporosis?
00:15:04.27\00:15:06.36
Well, Don, let's
talk about women because
00:15:06.37\00:15:08.90
they are the ones that
largely get osteoporosis.
00:15:08.91\00:15:11.37
They took a bunch
of women who were all
00:15:11.38\00:15:14.81
in their postmenopausal years.
00:15:14.82\00:15:17.01
And they put them in two groups.
00:15:17.02\00:15:18.65
One group that just sat
around and didn't do much
00:15:18.66\00:15:22.91
in the way of activity,
that is weight bearing activity.
00:15:22.92\00:15:26.06
And then a bunch of
women that they put on
00:15:26.07\00:15:28.15
a 30 minute a day
program of weight bearing
00:15:28.16\00:15:31.80
and keeping their bones active.
00:15:31.81\00:15:34.95
Well, now normally
postmenopausal women
00:15:34.96\00:15:38.08
lose bone at a
rate of 3% per year.
00:15:38.09\00:15:41.27
If that continues for 10 years,
00:15:41.28\00:15:43.21
they could lose
30% of their bone.
00:15:43.22\00:15:45.32
Well, they
compared these two groups,
00:15:45.33\00:15:47.47
those that sat
around went ahead and lost,
00:15:47.48\00:15:50.43
they're 3% per year,
but of those that exercised
00:15:50.44\00:15:54.90
regularly 30
minutes a day, they actually
00:15:54.91\00:15:58.42
gained in bone
mass, albeit a little bit
00:15:58.43\00:16:01.70
but they still gained,
which is a big improvement
00:16:01.71\00:16:04.71
of a losing 30% of
your bone over 10 years.
00:16:04.72\00:16:08.65
And do they gain every
year during the 10 years or--?
00:16:08.66\00:16:12.31
The study only went for
two years but they did gain
00:16:12.32\00:16:15.77
at 0.4% per year
for those two years.
00:16:15.78\00:16:19.24
So fascinating, you
could go from losing 30%
00:16:19.25\00:16:22.13
on the ones that
just sitting around,
00:16:22.14\00:16:23.92
to actually gaining
0.8% if you, you know,
00:16:23.93\00:16:27.40
if you add those two
years up-- That's right.
00:16:27.41\00:16:29.44
So what kind of weight
bearing were they doing?
00:16:29.45\00:16:31.13
Were they lifting weights,
00:16:31.14\00:16:32.11
were they in the
gym, what did they do?
00:16:32.12\00:16:33.81
They were
largely doing aerobics,
00:16:33.82\00:16:36.48
step exercises, and
walking and running.
00:16:36.49\00:16:39.22
So just, I mean,
this is not something
00:16:39.23\00:16:42.00
really what out of the ordinary.
00:16:42.01\00:16:43.44
It was like that to hang
upside down or something--
00:16:43.45\00:16:45.41
No. They were,
they were walking,
00:16:45.42\00:16:46.41
and doing exercise
is a different thing.
00:16:46.42\00:16:48.55
Now what if you
already have osteoporosis
00:16:48.56\00:16:50.67
and your, your, you
know, postmenopausal,
00:16:50.68\00:16:53.48
you know, after the
change as they call it
00:16:53.49\00:16:55.79
and you're five years
into it, and you just heard
00:16:55.80\00:16:57.82
this lecture today,
you're going, oh man,
00:16:57.83\00:16:59.48
I mean that 3% per
year or 3% over this,
00:16:59.49\00:17:02.76
this time up to 30%
I'm, I'm 15% into it.
00:17:02.77\00:17:06.36
What do I do now,
same kind of stuff?
00:17:06.37\00:17:08.91
Well, you know, a lot
of people when they get
00:17:08.92\00:17:10.78
in that position,
they decide I'm gonna
00:17:10.79\00:17:12.69
run to the store and
I'm gonna buy calcium.
00:17:12.70\00:17:15.72
And they start eating calcium
00:17:15.73\00:17:16.92
like it's going out of style.
00:17:16.93\00:17:18.59
And so there's been a
lot of interesting studies
00:17:18.60\00:17:22.37
on calcium, and one of
the studies that I've read,
00:17:22.38\00:17:26.29
they fed everybody
1400 milligrams of calcium
00:17:26.30\00:17:30.72
per day, which is actually
quite a, a lot of calcium.
00:17:30.73\00:17:34.04
You think how many
tons you'd have to eat
00:17:34.05\00:17:35.54
to get that much calcium.
00:17:35.55\00:17:37.56
Well, then they put them on
00:17:37.57\00:17:38.61
different levels
of animal protein.
00:17:38.62\00:17:40.86
One group was on about
50 grams of animal protein
00:17:40.87\00:17:45.23
per day, and the other
group about double of that,
00:17:45.24\00:17:48.10
and another group triple that.
00:17:48.11\00:17:49.79
The group that was on
the 50 grams of protein,
00:17:49.80\00:17:53.85
which we considered a fairly low
00:17:53.86\00:17:55.74
amount of
protein for our society.
00:17:55.75\00:17:57.85
They actually gained the
positive calcium balance.
00:17:57.86\00:18:01.31
But those that were on
higher levels of protein,
00:18:01.32\00:18:04.78
the calcium balance
went into the negative.
00:18:04.79\00:18:07.68
They were losing
calcium from their bones,
00:18:07.69\00:18:10.08
their bones
were getting thinner.
00:18:10.09\00:18:11.73
And the people
that ate three times
00:18:11.74\00:18:13.82
as much protein
lost a lot of calcium.
00:18:13.83\00:18:16.29
The message is, you
can't eat enough calcium
00:18:16.30\00:18:20.75
to offset the bad
lifestyle choices you make.
00:18:20.76\00:18:24.76
So in treating osteoporosis,
the first thing is to stop
00:18:24.77\00:18:29.25
where the water is flowing
out, so that you don't lose
00:18:29.26\00:18:32.73
anymore where the
calcium's flowing out.
00:18:32.74\00:18:34.93
And then
treatments would include,
00:18:34.94\00:18:38.31
just taking calcium is
good and take the recommended
00:18:38.32\00:18:41.72
about it's usually
around a 1000 milligrams a day.
00:18:41.73\00:18:44.75
And make sure you
get plenty of Vitamin D.
00:18:44.76\00:18:47.74
Vitamin D is something
00:18:47.75\00:18:50.88
that a lot of
Americans are short in,
00:18:50.89\00:18:52.83
that's why they
started adding it to things.
00:18:52.84\00:18:54.73
Vitamin K is also
important for bones.
00:18:54.74\00:18:58.48
But those two vitamins
and some people suggested
00:18:58.49\00:19:02.79
as much as 800
milligrams of Vitamin D,
00:19:02.80\00:19:06.34
twice a day, if
you have osteoporosis.
00:19:06.35\00:19:09.69
So Vitamin D, Vitamin K,
where do we get Vitamin K?
00:19:11.36\00:19:14.65
Vitamin K is in
green leafy vegetables.
00:19:14.66\00:19:17.60
Actually iceberg
lettuce has a lot.
00:19:17.61\00:19:20.40
So iceberg lettuce
that's the one remedying thing
00:19:20.41\00:19:23.33
in iceberg
lettuce, or there maybe
00:19:23.34\00:19:25.24
some other good things there,
00:19:25.25\00:19:26.25
but there's a lot
of Vitamin K in that.
00:19:26.26\00:19:28.81
That's right. And then,
any sources of Vitamin D?
00:19:28.82\00:19:33.00
Vitamin D is a
little harder to find
00:19:33.01\00:19:35.20
unless you go
out in the Sun and--
00:19:35.21\00:19:38.16
Okay, does that mean you
lay out in the Sun for a while,
00:19:38.17\00:19:41.18
how long we've to be in
the Sun, and what kind of Sun?
00:19:41.19\00:19:44.77
Well, I live up in Maine,
the Sun isn't very effective
00:19:44.78\00:19:49.23
from about November to April.
00:19:49.24\00:19:51.16
In fact, they did a
study on people in Maine
00:19:51.17\00:19:53.95
and they took and
they checked their bones
00:19:53.96\00:19:56.76
in the summer and they
checked them in the winter.
00:19:56.77\00:19:58.82
And their bone
mass actually changed,
00:19:58.83\00:20:01.64
cycled by about 3%
per year and made that
00:20:01.65\00:20:05.63
much difference, but
if you're out in the Sun
00:20:05.64\00:20:08.77
about 15 minutes per
day, then you can get
00:20:08.78\00:20:12.02
enough Sun to build
up your Vitamin D stores.
00:20:12.03\00:20:15.71
That 15 minutes
doesn't necessarily have to be
00:20:15.72\00:20:18.41
totally naked out
in front of the Sun,
00:20:18.42\00:20:20.46
just make sure your arms
and your face get the sun.
00:20:20.47\00:20:23.43
And that you
don't have too much,
00:20:23.44\00:20:25.64
if you put on too
much sun block lotion,
00:20:25.65\00:20:27.73
you can actually cut off
the vitamin D affect too.
00:20:27.74\00:20:31.88
But then if you
don't have it on,
00:20:31.89\00:20:33.23
you could get skin cancer,
so you're kind of caught.
00:20:33.24\00:20:36.19
You kind of caught there.
00:20:36.20\00:20:37.40
Well, you don't
want to spend too much
00:20:37.41\00:20:38.96
time out in the Sun,
and most of skin cancer
00:20:38.97\00:20:41.77
comes about from
people who got too much Sun
00:20:41.78\00:20:44.04
or Sun burn before
the age of say, 6 or 12.
00:20:44.05\00:20:48.03
Okay, so it's not
use, use moderation
00:20:48.04\00:20:51.71
but don't stay out of the Sun,
00:20:51.72\00:20:54.01
because you need the Vitamin D.
00:20:54.02\00:20:55.56
You talked about, you know,
00:20:55.57\00:20:56.87
so if I got in my
boat I'm fishing, you know,
00:20:56.88\00:20:58.85
over the weekend
and different things.
00:20:58.86\00:21:00.21
My arms are all red,
they look pretty good,
00:21:00.22\00:21:03.41
the rest of me is
kind of still white
00:21:03.42\00:21:05.05
and what not I've got
enough Vitamin D then?
00:21:05.06\00:21:06.74
You sure did, you sure do.
00:21:06.75\00:21:08.92
Great, what about
caffeinated beverages?
00:21:08.93\00:21:12.37
You talked
about that little bit,
00:21:12.38\00:21:13.94
but I want to come back to that,
00:21:13.95\00:21:14.97
you know, maybe
some people are dozing
00:21:14.98\00:21:16.85
in the program
now, they're reaching
00:21:16.86\00:21:18.19
for their caffeinated drink.
00:21:18.20\00:21:19.99
Why shouldn't they
reach for that again?
00:21:21.57\00:21:23.42
Caffeine in these
drinks is often also
00:21:23.43\00:21:27.37
associated with phosphoric acid.
00:21:27.38\00:21:30.62
Read your label on your cola,
00:21:30.63\00:21:32.31
it often has
phosphoric acid in there.
00:21:32.32\00:21:34.87
Phosphoric acid is a
strong acid that needs to be
00:21:34.88\00:21:40.48
buffered in order to be
taken out of your system.
00:21:40.49\00:21:44.20
The buffer is
calcium. Phosphorus and calcium
00:21:44.21\00:21:49.24
bind together to
go out of the system.
00:21:49.25\00:21:52.60
So calcium, when you take it.
00:21:52.61\00:21:55.27
You take it alone, it's
just raw calcium in a pill form
00:21:55.28\00:21:58.96
or is there anything
else that has to be with it,
00:21:58.97\00:22:01.07
so it sticks in your body?
00:22:01.08\00:22:03.59
Lot of the calcium
preparations are formulated
00:22:03.60\00:22:06.60
with Vitamin D and that is good.
00:22:06.61\00:22:08.80
Vitamin D helps with the
absorption of the calcium.
00:22:08.81\00:22:12.95
But the Vitamin D also
is important for getting
00:22:12.96\00:22:15.99
the calcium into the bones.
00:22:16.00\00:22:17.61
Now formulated, there
are different preparations.
00:22:17.62\00:22:21.69
And most the time your
body's pretty selective
00:22:21.70\00:22:26.02
about how much calcium
it takes in and how much it,
00:22:26.03\00:22:29.32
it doesn't take in,
I've heard some people say,
00:22:29.33\00:22:31.91
their formulation
would, would absorb 99%.
00:22:31.92\00:22:36.04
But if you could be guaranteed
00:22:36.05\00:22:38.55
that the formulation
you took absorbed 99%,
00:22:38.56\00:22:42.59
you could probably
overdose yourself on calcium.
00:22:42.60\00:22:46.98
And that could be a problem
because what does that do?
00:22:46.99\00:22:50.61
Too much calcium in a system
you end up with things like
00:22:50.62\00:22:54.70
calcium in your
cartilage where it shouldn't be.
00:22:54.71\00:22:57.90
It makes your
cartilage into like sandpaper
00:22:57.91\00:23:00.48
or you get
calcium in your tendons,
00:23:00.49\00:23:02.75
we call it calcific tendonitis.
00:23:02.76\00:23:05.09
And then there's
calcium that just builds up
00:23:05.10\00:23:07.64
in places to mix like
what we call joint mice,
00:23:07.65\00:23:10.73
a lump of calcium
that floats around.
00:23:10.74\00:23:12.72
Yes, so you
don't want to do that.
00:23:12.73\00:23:14.73
So the high protein
diet's probably not something
00:23:14.74\00:23:17.67
good for someone
that's got osteoporosis.
00:23:17.68\00:23:20.04
That's right. And we
might put up our graphic now.
00:23:20.05\00:23:23.03
Okay. We have a
graphic showing where
00:23:23.04\00:23:24.98
they compared different
countries across the world.
00:23:24.99\00:23:29.26
And the countries
across the bottom,
00:23:29.27\00:23:31.41
we have how much
animal protein in grams
00:23:31.42\00:23:34.69
that people took in,
and up the side of the graph
00:23:34.70\00:23:39.16
is the numbers of
people with hip fractures.
00:23:39.17\00:23:43.26
And basically as the number
of people with hip fracture
00:23:43.27\00:23:47.15
goes up so does
the number of people
00:23:47.16\00:23:49.35
eating high amounts of protein.
00:23:49.36\00:23:51.31
Look at the United
States on that graph.
00:23:51.32\00:23:53.14
We're way at the top, we
eat lot of the animal protein
00:23:53.15\00:23:56.47
and we pay for
it in hip fractures.
00:23:56.48\00:23:59.07
So I guess the message is
00:23:59.08\00:24:00.77
you want hip
fracture eat animal protein.
00:24:00.78\00:24:04.52
Denmark, of course, all
those Scandinavian countries
00:24:04.53\00:24:06.84
have a lot of animal protein in.
00:24:06.85\00:24:09.21
If we've been over there,
00:24:09.22\00:24:10.19
they have the big sandwiches,
00:24:10.20\00:24:11.24
they have the
cheeses and stuff in top
00:24:11.25\00:24:12.80
of those and that's,
just a lot of animal protein.
00:24:12.81\00:24:15.74
That's right. So
decrease the protein,
00:24:15.75\00:24:18.12
increase the activity,
what about weight bearing?
00:24:18.13\00:24:21.50
Weight bearing, that's right.
00:24:21.51\00:24:23.75
You know, as, as
people get older,
00:24:23.76\00:24:27.12
they tend to become less active.
00:24:27.13\00:24:29.59
If you look at a graph,
00:24:29.60\00:24:31.05
showing hip fractures and age.
00:24:31.06\00:24:34.72
You notice that at
age 65 hip fractures
00:24:34.73\00:24:37.92
go up precipitously.
00:24:37.93\00:24:39.75
That's because
when people retire,
00:24:39.76\00:24:41.56
they quit
standing, they quit walking,
00:24:41.57\00:24:43.71
and they quit doing
things on their feet.
00:24:43.72\00:24:46.00
In fact, if you
walk for exercise,
00:24:46.01\00:24:49.99
you decrease your osteoporosis
00:24:50.00\00:24:52.46
and risk of hip fracture by 30%.
00:24:52.47\00:24:55.08
And if you're on your
feet four hours per day,
00:24:55.09\00:24:59.44
you'll decrease it too by 40%.
00:24:59.45\00:25:03.38
I've got an idea, you know,
00:25:03.39\00:25:05.12
as a preacher,
maybe not a good idea
00:25:05.13\00:25:06.82
but maybe I should
just preach longer,
00:25:06.83\00:25:08.36
because I'm standing
that put out the osteoporosis.
00:25:08.37\00:25:10.86
Well, your
audience might have a bone
00:25:10.87\00:25:13.52
to pick with you about that.
00:25:13.53\00:25:16.66
Someone comes into your
office doctor, and they are,
00:25:16.67\00:25:19.13
they're wanting to
know what they can do
00:25:19.14\00:25:21.35
lifestyle wise to
prevent or, you know,
00:25:21.36\00:25:24.92
retard or maybe even reverse.
00:25:24.93\00:25:27.36
We've heard there's a good news,
00:25:27.37\00:25:28.48
you could even reverse it,
if you do the right things.
00:25:28.49\00:25:30.28
What is that, your summary,
we've got two minutes left.
00:25:30.29\00:25:33.03
What you're gonna say,
the summary statement is and.
00:25:33.04\00:25:35.40
In terms of what
they, people can do
00:25:35.41\00:25:37.12
a lifestyle wise
with osteoporosis?
00:25:37.13\00:25:39.51
First thing, I mention to them,
00:25:39.52\00:25:42.01
is that they need
to be on a good diet.
00:25:42.02\00:25:44.65
For me that is
the diet originally
00:25:44.66\00:25:47.03
suggested in Genesis by God.
00:25:47.04\00:25:49.79
Being on a
total vegetarian diet,
00:25:49.80\00:25:52.16
fruits, grains,
nuts, vegetables.
00:25:52.17\00:25:55.03
And then if they want
some added things to help,
00:25:55.04\00:25:58.50
I suggest they take Vitamin D,
00:25:58.51\00:26:00.71
as much as 800
milligrams twice a day.
00:26:00.72\00:26:04.36
And then the weight bearing,
00:26:04.37\00:26:06.93
make sure that they do
a lot of weight bearing.
00:26:06.94\00:26:09.18
If they're
having trouble walking,
00:26:09.19\00:26:11.37
I've put them on what
I call the movement cure.
00:26:11.38\00:26:14.42
That is they're
suppose to figure out
00:26:14.43\00:26:16.44
how far they can
walk in one setting.
00:26:16.45\00:26:19.03
And then walk
half that distance away
00:26:19.04\00:26:22.56
from their home and come back.
00:26:22.57\00:26:24.28
And then every two
hours increase that distance
00:26:24.29\00:26:27.45
until they can walk a
couple of miles a day,
00:26:27.46\00:26:30.63
and it's not impossible.
00:26:30.64\00:26:32.95
So the person that
comes in and I'm sure,
00:26:32.96\00:26:34.85
you've seen this because
you're an orthopedic surgeon
00:26:34.86\00:26:36.46
that so bilateral
amputee or something
00:26:36.47\00:26:39.10
what do you do for
them with osteoporosis?
00:26:39.11\00:26:41.14
Well, they have some
difficult problems there,
00:26:41.15\00:26:44.31
don't they, and it's
kind of hard to come up
00:26:44.32\00:26:47.00
with a good weight
bearing exercise for somebody
00:26:47.01\00:26:49.57
that has lost both their legs.
00:26:49.58\00:26:51.25
But if they can get
prosthesis and so that
00:26:51.26\00:26:55.17
they can walk,
that's the best way.
00:26:55.18\00:26:57.26
Otherwise it is
kind of difficult.
00:26:57.27\00:26:59.70
What about their arms?
00:26:59.71\00:27:00.91
Can they do
anything with their arms
00:27:00.92\00:27:02.02
that puts that off or--?
00:27:02.03\00:27:04.58
Arm exercises haven't
proven to be real helpful
00:27:04.59\00:27:08.33
because when you lift
yourself up with your arms,
00:27:08.34\00:27:10.47
you actually unload your spine.
00:27:10.48\00:27:12.89
Okay, so the diet,
the weight bearing,
00:27:12.90\00:27:16.05
and then Vitamin D,
out there in the sunlight,
00:27:16.06\00:27:20.81
these different
things you've talked about.
00:27:20.82\00:27:22.65
And then any spiritual
aspects you bring into this.
00:27:22.66\00:27:25.74
I know, you've talked about,
00:27:25.75\00:27:26.91
"A Merry heart
doeth good like a medicine
00:27:26.92\00:27:28.56
and doesn't dries out
the bones," anything else.
00:27:28.57\00:27:30.49
You know, we are
originally created
00:27:30.50\00:27:32.25
to work in the garden.
00:27:32.26\00:27:33.44
I think it's in
being out in nature
00:27:33.45\00:27:35.97
that we deal
best with our stress.
00:27:35.98\00:27:38.38
Especially when we
realize that this nature was
00:27:38.39\00:27:41.10
all put together
for us by our God.
00:27:41.11\00:27:44.39
And if we can reduce
the stress in our life,
00:27:44.40\00:27:47.42
we can take away
that effect of stress
00:27:47.43\00:27:49.92
that has to do
with thinning our bones.
00:27:49.93\00:27:52.64
You've been watching
Health For A Lifetime.
00:27:52.65\00:27:54.32
Thank you,
Doctor, for being with us.
00:27:54.33\00:27:56.04
Thank you for being with us.
00:27:56.05\00:27:57.56
We hope you have health
that lasts for a lifetime.
00:27:57.57\00:28:00.09