Welcome back and thank you for being part of our conversation 00:00:01.36\00:00:03.40 here today as we are talking about bone density. 00:00:03.43\00:00:05.57 And if you have a question regarding any area of health, 00:00:05.60\00:00:08.64 visit our web site at heartwiseministries.org 00:00:08.67\00:00:11.61 where you can ask the doctor for some simple 00:00:11.64\00:00:13.34 advice to point you in the right direction. 00:00:13.38\00:00:15.38 And, Dr. Marcum, you know we talked earlier about 00:00:15.41\00:00:17.75 1 out of 2 women over 50 are likely to experience 00:00:18.25\00:00:22.42 a broken bone. 00:00:22.45\00:00:23.95 A fracture.. yep! Fracture. That's a lot. 00:00:23.99\00:00:25.52 It's a big statistic. 00:00:25.55\00:00:26.89 One in 4 men over 50, and as we talked about earlier, 00:00:26.92\00:00:30.86 you know, the chance of that happening to you is 50%, 00:00:30.89\00:00:34.70 and we want to do precautions because if we break a bone, 00:00:34.73\00:00:37.13 that's just not the end of it. Right 00:00:37.17\00:00:38.90 You break a bone and you lose mobility and it raises the risk 00:00:38.93\00:00:41.84 of a lot of other health problems especially the 00:00:41.87\00:00:44.21 older you get. 00:00:44.24\00:00:45.57 And, bone loss, to some degree, is inevitable. Sure 00:00:45.61\00:00:49.21 But if you're losing 15% of your bone mass every year, 00:00:49.24\00:00:52.08 your muscles are getting weaker every year; 00:00:52.11\00:00:54.55 you're not getting as much calcium because you're 00:00:54.58\00:00:56.58 not eating well every year... then it sort of accelerates 00:00:56.62\00:01:00.02 the bone problems that we might have. 00:01:00.06\00:01:01.39 So I think there are some great questions that have come in 00:01:01.42\00:01:03.86 that we want to talk about. 00:01:03.89\00:01:05.53 I think it's going to elucidate this subject 00:01:05.56\00:01:07.63 and help us all have better bones - like an elephant! 00:01:07.66\00:01:10.10 Our first question comes from someone - they want a little 00:01:10.90\00:01:13.34 clarity and they ask: "What is the difference 00:01:13.37\00:01:15.04 between osteoporosis and osteopenia?" 00:01:15.07\00:01:17.51 Okay, that is a great question. 00:01:17.54\00:01:19.44 Anything that has the name "osteo" means "bone." Sure 00:01:19.47\00:01:23.88 So "osteo" means "bone." 00:01:23.91\00:01:25.25 And, what we do is, we measure... 00:01:25.28\00:01:27.72 we have a way to measure how much bone 00:01:27.75\00:01:29.68 a person is losing as they age. Okay 00:01:29.72\00:01:32.32 And a couple of ways to do that is #1, the way we can do it 00:01:32.35\00:01:35.69 with x-rays we can look at the bone density. Right 00:01:35.72\00:01:38.49 And there's another machine that we do called 00:01:38.53\00:01:40.43 "the bone densitometry." 00:01:40.46\00:01:43.43 Now this machine doesn't have much risk, 00:01:43.47\00:01:45.47 it has a little bit of radiation, but they say 00:01:45.50\00:01:47.80 if you were flying in an airplane from New York 00:01:47.84\00:01:51.94 to San Francisco, you get 15 times more 00:01:51.97\00:01:54.34 radiation just from that flight than you would get from this. 00:01:54.38\00:01:57.35 It's very little radiation. 00:01:57.38\00:01:59.25 And why we're concerned about radiation is because radiation 00:01:59.28\00:02:02.55 can damage cells, mutations, things of that nature, 00:02:02.58\00:02:05.25 so that's why everyone should be sensitive about radiation. 00:02:05.29\00:02:08.19 So anyway, we measure it with bone densitometry. 00:02:08.22\00:02:11.19 So if you have osteopenia, that's just a little bit 00:02:11.23\00:02:16.10 of bone loss and it gives something called a "T-score" 00:02:16.13\00:02:20.27 that measures that and if it's between negative 1 and 2.5 00:02:20.30\00:02:24.07 on that, that's how much bone, it's just a relative score, 00:02:24.11\00:02:26.88 they say you have osteopenia. 00:02:26.91\00:02:28.81 Now if it's below minus 2.5, and these are just scores... 00:02:28.84\00:02:32.75 we don't want to get into, that's osteoporosis. 00:02:32.78\00:02:35.68 If you've lost that much osteoporosis, 00:02:35.72\00:02:37.95 you're even at a greater risk of falling. 00:02:37.99\00:02:41.09 So bone mass is important and also sometimes you can 00:02:41.12\00:02:44.06 look at... the bone is usually fully developed 00:02:44.09\00:02:47.50 by about age 25 and bone health, a lot of it, is genetic. 00:02:47.53\00:02:52.83 And they say about 80% of our bones are genetic, 00:02:52.87\00:02:55.60 so if you have a history, if you're one of those 00:02:55.64\00:02:58.54 1 in 2 women and you look at the history of your family, 00:02:58.57\00:03:02.24 and your mom and your grandma had bone fractures, 00:03:02.28\00:03:04.71 well that's even going to put you at a greater than 50% risk. 00:03:04.75\00:03:08.25 Do you have any bone fractures in your family? 00:03:08.28\00:03:10.49 Not in my immediate family, no. 00:03:10.52\00:03:12.89 That's good, then you're in pretty good shape. 00:03:12.92\00:03:14.82 So that bone history is very important, 00:03:14.86\00:03:16.59 but that only applies to about age 65. 00:03:16.62\00:03:20.90 After 65, it's not so much genetics, but it's lifestyle. 00:03:20.93\00:03:25.50 And the moving, believe it or not, as people get older, 00:03:25.53\00:03:28.60 they move less. Sure - yeah! 00:03:28.64\00:03:30.57 And muscles have an important effect on the bones... 00:03:30.61\00:03:34.24 the way the bones get weak or not depends on muscles, 00:03:34.28\00:03:37.71 moving the bones - very important. 00:03:37.75\00:03:39.81 So people don't move as they get older and that predisposes 00:03:39.85\00:03:44.82 them to osteoporosis and osteopenia. 00:03:44.85\00:03:47.06 Now some people never get their bones checked at all, Nick, 00:03:47.09\00:03:50.09 and then they fall down and they break a hip. Right 00:03:50.13\00:03:53.23 And the doctor goes in and says, "Wow, you've had a 00:03:53.26\00:03:55.53 hip fracture, I looked at your x- ray and you have weak bones." 00:03:55.56\00:03:58.73 "Okay, you've lost the calcium in your bones, 00:03:58.77\00:04:00.50 your bones are weak." 00:04:00.54\00:04:01.87 And then, at that time, then they start working on 00:04:01.97\00:04:04.01 the exercises, sometimes supplements, whatever, 00:04:04.04\00:04:06.44 to build it up. 00:04:06.47\00:04:07.81 And we hear a lot, you know, we're going to talk... 00:04:07.84\00:04:09.38 There are some questions that ask about calcium and vitamin D. 00:04:09.41\00:04:12.81 So getting back to this question, 00:04:12.85\00:04:14.98 the difference between osteoporosis and osteopenia: 00:04:15.02\00:04:17.95 Osteoporosis means more bone loss. 00:04:17.99\00:04:20.49 Osteopenia is not as much bone loss. Okay 00:04:20.52\00:04:23.49 And everyone is going to lose bone the older they get. Right 00:04:23.53\00:04:26.86 So, being that it's a hereditary thing, 00:04:26.90\00:04:28.66 if you're a young person watching this program, 00:04:28.70\00:04:30.47 and you want your offspring and your lineage 00:04:30.50\00:04:32.70 to have strong bones, you can start today 00:04:32.73\00:04:34.80 by working on better bone health, right? Right! 00:04:34.84\00:04:36.64 And, before we're done, we're going to have 00:04:36.67\00:04:38.34 3 or 4 things that everyone can do right now to lower 00:04:38.37\00:04:41.14 their risk so they might not be 1 in 2 women or 1 in 4 men, 00:04:41.18\00:04:45.45 at older ages, that break a bone. Excellent! 00:04:45.48\00:04:48.55 Breaking a bone hurts, Nick. 00:04:48.58\00:04:50.12 I broke a bone when I was little and it hurt. 00:04:50.15\00:04:53.49 It hurt because there are nerves in the bones, bones bleed. 00:04:53.52\00:04:56.19 It's a pretty traumatic experience when you 00:04:56.22\00:04:58.19 break a bone, so no one wants this to happen. I'm sure! 00:04:58.23\00:05:01.43 You know, we've got another question here about calcium. 00:05:01.46\00:05:03.47 It says, "What foods have the most calcium?" 00:05:03.50\00:05:06.10 And I'm sure there's a little confusion out there because 00:05:06.13\00:05:08.80 I remember when I was in school campaigns 00:05:08.84\00:05:10.91 even not too long ago, "got milk" because it's got all 00:05:10.94\00:05:14.34 this calcium - it's going to be good for you, right? 00:05:14.38\00:05:15.71 Well, what's the story behind that? 00:05:15.74\00:05:17.15 Not necessarily - now calcium is in milk, okay? 00:05:17.18\00:05:21.48 But there are a lot of other bad things in milk 00:05:21.52\00:05:23.69 now that we're discovering and especially fat. 00:05:23.72\00:05:26.15 Milk has lots of fat, has lots of protein, 00:05:26.19\00:05:29.12 casein is one of the proteins in milk that is not so good, 00:05:29.16\00:05:31.73 it has been implemented with cancer. 00:05:31.76\00:05:34.00 Fat has been implicated with cardiovascular disease 00:05:34.03\00:05:36.73 and, unfortunately, we used to drink a lot of 00:05:36.77\00:05:39.83 milk as we grew up and now we're finding out 00:05:39.87\00:05:43.00 that milk may not be so good for us for other reasons 00:05:43.04\00:05:46.27 than just the calcium part of it... 00:05:46.31\00:05:48.11 And so we're looking for other ways to supplement 00:05:48.14\00:05:51.51 calcium other than that and there are lots of ways 00:05:51.55\00:05:54.85 that we can build up calcium in our body 00:05:54.88\00:05:57.25 besides drinking milk or eggs or cheese or dairy. 00:05:57.29\00:05:59.79 You know, I'm going to give you a list of these 00:05:59.82\00:06:01.26 and we'll see how many, I've got a list here. 00:06:01.29\00:06:03.32 Did you know... now what we're shooting for 00:06:03.36\00:06:06.39 is about 1,200 mg of calcium a day if you keep track. Okay 00:06:06.43\00:06:12.37 That's sort of a gross number of how much you need, 00:06:12.40\00:06:14.80 and remember calcium is not only important, 00:06:14.84\00:06:17.87 but vitamin D is important... 00:06:17.91\00:06:19.37 Because just because you bring calcium into your body, 00:06:19.41\00:06:21.94 doesn't mean it's getting into the bones. Sure 00:06:21.98\00:06:24.28 So when you take some calcium and things that have lots 00:06:24.31\00:06:28.48 of calcium - orange juice - that has about 350 mg in 1 cup, 00:06:28.52\00:06:35.19 and most people drink more than 1 cup. 00:06:35.22\00:06:36.73 It's about a quarter of your daily need. 00:06:36.76\00:06:38.19 Yeah, right there and a lot of the orange juice is fortified 00:06:38.23\00:06:41.93 with other things as well. Sure, yeah 00:06:41.96\00:06:43.67 But orange juice is a good source. 00:06:43.70\00:06:45.13 Tofu - if you like tofu, that has about 170 mg 00:06:45.17\00:06:49.90 of calcium in it. 00:06:49.94\00:06:51.27 Greens - greens are filled with calcium! 00:06:51.31\00:06:55.34 That gets us back to our elephant... 00:06:55.38\00:06:56.71 What do you think the elephant ate? GREENS! 00:06:56.75\00:06:58.85 He got his calcium for his strong bones from greens. 00:06:58.88\00:07:01.68 Just a half cup of collard greens - 120 mg, 00:07:01.72\00:07:05.92 1/2 cup of spinach - 120 mg. 00:07:05.95\00:07:09.32 So all of these green things have lots of calcium in it. 00:07:09.36\00:07:14.23 And the nice thing about eating it in plants is it 00:07:14.26\00:07:16.70 gets absorbed easier in our body. Right 00:07:16.73\00:07:19.43 If you take a calcium pill, that doesn't get absorbed 00:07:19.47\00:07:22.30 as healthfully as you would if you would eat 00:07:22.34\00:07:24.84 that calcium in its read-to-go form. 00:07:24.87\00:07:26.88 Other things that have it, oatmeal! 00:07:26.91\00:07:28.98 A lot of people don't realize oatmeal! 00:07:29.01\00:07:30.45 A half a cup of oatmeal has 100 mg of calcium. 00:07:30.48\00:07:33.65 Whole wheat bread - if you just eat one slice 00:07:33.68\00:07:36.02 of whole wheat bread, that has 70 mg of calcium in it. 00:07:36.05\00:07:39.42 Almonds - nuts have calcium 00:07:39.45\00:07:41.82 and a lot of people don't realize that. 00:07:41.86\00:07:43.26 Beans - white beans, 1/2 cup of white beans - 80 00:07:43.29\00:07:46.66 Kale - another green has it. 00:07:46.70\00:07:48.70 Just eating orange. 00:07:48.73\00:07:50.07 Have you ever had those little... 00:07:50.10\00:07:51.60 they sell these appetizers at restaurants called "edamame?" 00:07:51.63\00:07:56.10 Edamame? Edamame! Did I say it wrong? Sure 00:07:56.14\00:07:58.41 Did you say it right? I think it's "e-de-ma-me." 00:07:58.44\00:08:00.78 Edamame - well those, according to this list, 00:08:00.81\00:08:03.35 those have 50 mg of calcium in it. 00:08:03.38\00:08:05.81 Broccoli! But the point is this... 00:08:05.85\00:08:08.05 If you would eat some orange juice, beans and some greens,, 00:08:08.08\00:08:10.45 beans and greens, you're going to get tons of calcium! 00:08:10.49\00:08:13.02 And it's ready to be absorbed into your GI tract, 00:08:13.05\00:08:15.79 and if you have some vitamin D to go with it, 00:08:15.82\00:08:19.16 it going to get in your bones. 00:08:19.19\00:08:20.73 So there are lots of ways besides milk to take calcium. 00:08:20.76\00:08:24.53 Now some people, you know, they have to have their milk. 00:08:24.57\00:08:28.74 Well, guess what? They can try soymilk. 00:08:28.77\00:08:31.84 Almond milk - guess what that has in it? 00:08:31.87\00:08:33.81 That has calcium too and it does away with some of the 00:08:33.84\00:08:36.91 bad proteins that we don't want the animal-based proteins. 00:08:36.95\00:08:39.81 You don't get as much fat in it which causes cardiovascular 00:08:39.85\00:08:42.78 disease and it's just a lot healthier for you. 00:08:42.82\00:08:45.05 So I know they have a lot of commercials of famous people 00:08:45.09\00:08:48.79 with these milk moustaches, "milk is good"... 00:08:48.82\00:08:51.26 I'm going to make one some day, if I ever get famous, 00:08:51.29\00:08:54.50 and I'm going to take some almond milk, 00:08:54.53\00:08:57.53 and I'm going to put it around my mouth and say, 00:08:57.57\00:08:59.17 "almond milk is good!" Right sure! 00:08:59.20\00:09:01.17 Now I'll see if that gets any publicity! 00:09:01.20\00:09:03.30 I don't know if the dairy industry will appreciate that, 00:09:03.34\00:09:05.71 but the almond industry will. 00:09:05.74\00:09:07.44 So bone health is just one more area where a whole food 00:09:07.48\00:09:10.91 plant-based diet really benefits. 00:09:10.95\00:09:12.75 Well, you know, it's eating the way God had 00:09:12.78\00:09:14.52 designed us to begin with. That's right 00:09:14.55\00:09:15.88 You know and you think about Adam and Eve, 00:09:15.92\00:09:18.62 what did they eat? and you think of Daniel 00:09:18.65\00:09:20.22 and his friends, you know, they were fed pulse and vegetables, 00:09:20.26\00:09:22.62 and they were 10 times smarter so it helped their brains too! 00:09:22.66\00:09:26.26 So God knew what He was doing when he gave us the foods to eat 00:09:26.29\00:09:29.46 and unfortunately, we've gotten a little off track in our world, 00:09:29.50\00:09:32.50 but now it's time to bring the world back on track 00:09:32.53\00:09:35.47 so we can eat a little bit healthier. Yep! 00:09:35.50\00:09:37.74 I tell you what, if I'm losing bone density, will I feel it? 00:09:37.77\00:09:40.41 How will I know that I'm losing bone density 00:09:41.41\00:09:43.28 unless I go to my doctor and have it tested? 00:09:43.31\00:09:45.08 Sometimes you don't even know it if you don't get it tested. 00:09:46.82\00:09:50.25 An x-ray might show your doctor. 00:09:50.29\00:09:53.09 For a while people said if they started getting shorter, 00:09:53.12\00:09:56.09 they could feel like they're losing bone density. Okay 00:09:56.12\00:09:58.79 And there's a little bit of truth to that, 00:09:58.83\00:10:00.50 but actually, as we get older, we lose about 1-1/2 inches 00:10:00.53\00:10:04.43 of our height and we lose that from the vertebra, okay? 00:10:04.47\00:10:08.60 And the vertebra actually loses water within the 00:10:08.64\00:10:11.44 vertebra and we lose about 1-1/2 inches of height. 00:10:11.47\00:10:14.28 Now if you lose a lot more than that, 00:10:14.31\00:10:16.58 then you might have some compression fractures, 00:10:16.61\00:10:20.42 fractures in spine that you don't even feel. 00:10:20.45\00:10:23.08 But everyone that I've seen that has had a bone fracture 00:10:23.12\00:10:26.29 in their spine, has felt it! 00:10:26.32\00:10:28.39 They go, "Man, my bones hurt, things ache, it hurts." 00:10:28.42\00:10:31.66 And, one way a person might know if they've hurt their bone 00:10:31.69\00:10:34.33 or fractured is - if you have a point in your bone 00:10:34.36\00:10:37.13 that has point tenderness, one spot, you touch it 00:10:37.17\00:10:40.44 and it hurts like crazy... 00:10:40.47\00:10:41.97 Well that's a significant injury that happens. 00:10:42.00\00:10:44.61 Some people, even though things aren't dislocated, 00:10:44.64\00:10:47.11 they have what we call, "micro fractures," 00:10:47.14\00:10:50.08 small fractures in their bones. 00:10:50.11\00:10:52.35 We usually see that in the feet the most, Nick, 00:10:52.38\00:10:54.85 because, you know, your foot hurts, your heel hurts, 00:10:54.88\00:10:57.62 it's not getting better, you think it might be 00:10:57.65\00:10:59.89 plantar fasciitis or tendinitis or something else, 00:10:59.92\00:11:03.76 and then when we x-ray the foot, we find - 00:11:03.79\00:11:05.86 No, it had a micro, a small, fracture within the foot 00:11:05.89\00:11:09.46 because they have a weak bone that has caused the problem. 00:11:09.50\00:11:12.70 And in that case, you know, to get the bone to heal, 00:11:12.73\00:11:15.24 we want to give all the things, calcium and sometimes 00:11:15.27\00:11:18.67 immobilizing. 00:11:18.71\00:11:20.04 We want to make sure they have vitamin D. 00:11:20.08\00:11:21.61 All those things will make the bone heal and do better 00:11:21.64\00:11:24.15 from a strength standpoint. 00:11:24.18\00:11:26.01 So back to your question though, how do we know... 00:11:26.05\00:11:28.58 Sometimes we don't even know if we're losing bone 00:11:28.62\00:11:31.09 because it happens so subtly. Right 00:11:31.12\00:11:33.05 So if you feel pain and soreness and you think, 00:11:33.09\00:11:36.73 "Oh no, it might just be bone loss," it's probably something 00:11:36.76\00:11:39.03 else that you really need to get checked out. 00:11:39.06\00:11:40.56 Usually the bone won't hurt unless it's fractured 00:11:40.60\00:11:43.26 or been damaged. It's a serious problem. 00:11:43.30\00:11:44.63 Right, usually it's not that and we do that with an x-ray. 00:11:44.67\00:11:47.10 X- ray is probably the easiest 00:11:47.14\00:11:48.54 way to see if a bone has been broken. 00:11:48.57\00:11:50.31 So then, if we're worried about bone loss, 00:11:50.34\00:11:52.57 and maybe we have some hereditary issues... 00:11:52.61\00:11:54.68 You know, in our family, we've had some osteoporosis, 00:11:54.71\00:11:57.98 how can we strengthen our bones - what's the best way? 00:11:58.01\00:12:00.62 Okay, now this is a multifactorial... 00:12:00.65\00:12:03.12 There are many ways we can strengthen our bones. 00:12:03.15\00:12:05.72 So I say, "Let's think about the elephant again." 00:12:05.75\00:12:08.66 Elephants have strong bones, how do they do it? 00:12:08.69\00:12:10.83 Well the first thing we want to do is make sure 00:12:10.86\00:12:13.66 we're on a movement program. 00:12:13.70\00:12:15.63 We want to keep moving the parts. 00:12:15.66\00:12:17.20 And if we think about it, over the last 100 years, 00:12:17.23\00:12:19.63 people have more bone fractures, their bones are weaker. 00:12:19.67\00:12:22.77 Well, let's ask ourselves "why?" We don't move as much! 00:12:22.80\00:12:25.81 We have cars now, we have ways to move around. 00:12:27.34\00:12:29.81 We don't walk; we sit at the desk all day long; 00:12:29.84\00:12:32.45 we sit in a car all day long; we watch TV too much; 00:12:32.48\00:12:36.02 we sit in front of the media; we don't move our body parts. 00:12:36.05\00:12:39.15 We're not active like we were made to be. Right! 00:12:39.19\00:12:40.89 And when we do that, the muscles which are connected 00:12:40.92\00:12:43.76 to the bone - don't keep the bones doing. 00:12:43.79\00:12:45.73 And when the bones and the muscles aren't working 00:12:45.76\00:12:47.60 together, the bones become weaker. 00:12:47.63\00:12:49.70 If you don't use it, you lose it. Right! 00:12:49.73\00:12:52.53 And that's very interesting... 00:12:53.13\00:12:54.47 Here's a bone quiz for you... 00:12:54.50\00:12:56.00 Let's see if you get this right, Nick. 00:12:57.11\00:12:58.54 This is going to be hard and we'll see if 00:12:58.57\00:12:59.91 you can do it out there too. 00:12:59.94\00:13:01.28 See if you can answer these questions about bones. 00:13:01.31\00:13:03.11 What is the biggest bone in the body - what's the name 00:13:03.14\00:13:06.58 of the biggest bone? I'm going to go with the femur. 00:13:06.61\00:13:08.22 Yeah, you got that one. All right! 00:13:08.25\00:13:10.55 Now, I didn't think that's the biggest bone 00:13:10.59\00:13:12.35 in my friend the elephant... so now this is going to be a 00:13:12.39\00:13:14.26 hard one, okay? 00:13:14.29\00:13:15.62 What is actually the smallest bone... 00:13:15.66\00:13:18.83 You know, now you know how to use the femur. 00:13:18.86\00:13:20.20 What's the smallest bone in the body and how is it used? 00:13:20.23\00:13:23.33 I'm going to say that there are some 00:13:23.37\00:13:24.70 bones in our ear that help us hear. 00:13:24.73\00:13:26.07 Yeah, Nick you nailed it, you know that we have 00:13:26.10\00:13:29.24 3 bones - the malleus, the incus and the stapes 00:13:29.27\00:13:31.87 which are very small bones. 00:13:31.91\00:13:33.24 Those bones usually don't have fractures because we're 00:13:33.27\00:13:35.74 using them all the time. Right - sure. 00:13:35.78\00:13:37.58 Because we're hearing things; 00:13:37.61\00:13:38.95 the sound wave energy comes in, it's moving all the time. 00:13:38.98\00:13:42.18 The bigger bones we fracture seem to be the ones that 00:13:42.22\00:13:45.62 carry lots of weight and we don't move. 00:13:45.65\00:13:47.92 So the biggest muscles in our body, the gluteus maximus, 00:13:47.96\00:13:50.73 the muscles that do our femur and the hip, 00:13:50.76\00:13:52.53 they get weak because we don't move and then we get up 00:13:52.56\00:13:55.53 suddenly when we get in an awkward situation 00:13:55.56\00:13:58.13 we fall - our bones can't keep up with it, they break. 00:13:58.17\00:14:01.60 So the first big principal #1, we think about our elephant, 00:14:01.64\00:14:05.31 he moves. Okay? 00:14:05.34\00:14:06.98 The second principal, let's think about the elephant again. 00:14:07.01\00:14:09.98 What does he eat? Greens! 00:14:10.01\00:14:12.18 Lots of greens and beans and anything with calcium. 00:14:12.81\00:14:15.98 Our bones have calcium in it. 00:14:16.02\00:14:18.25 We have to get enough calcium in our body into our bones. 00:14:18.29\00:14:21.32 So #2, we have to eat lots of calcium. 00:14:21.36\00:14:24.49 Now here's another thing... 00:14:24.53\00:14:25.86 Is an elephant outside or inside? Outside! 00:14:25.89\00:14:29.40 All the time. Outside. 00:14:29.43\00:14:30.77 So when he's outside, he gets sunlight, 00:14:30.80\00:14:32.83 activates vitamin D. 00:14:32.87\00:14:34.97 We need vitamin D to move the calcium into the bone. 00:14:35.00\00:14:39.01 To move it from the diet, move it into the bone, 00:14:39.04\00:14:41.51 we need vitamin D. 00:14:41.54\00:14:43.45 In fact, vitamin D is in every cell of the body. 00:14:43.48\00:14:46.18 Vitamin D is not only important to make your bones strong, 00:14:46.21\00:14:48.52 but it is important for muscle health. Really? 00:14:48.55\00:14:50.65 To keep your muscles strong, you have to have vitamin D. 00:14:50.69\00:14:52.89 That's why sometimes when older people fall more 00:14:52.92\00:14:55.36 because their muscle gets weaker. 00:14:55.39\00:14:56.76 It's really a vitamin D deficiency. 00:14:56.79\00:14:59.49 If they don't have vitamin D, their muscles get weak, 00:14:59.53\00:15:01.90 then they're more likely to fall, 00:15:01.93\00:15:03.26 and put pressure on the bone and break it. 00:15:03.30\00:15:04.63 So without vitamin D, you can't do much with the calcium. 00:15:04.67\00:15:08.24 That's right - you can't get the calcium into the bone 00:15:08.27\00:15:10.57 without vitamin D in there. 00:15:10.61\00:15:11.94 So again, our Mr. Elephant, he's outside taking vitamin D. 00:15:11.97\00:15:15.64 He's outside taking calcium. 00:15:15.68\00:15:17.15 He's outside moving and working. 00:15:17.18\00:15:19.01 He's not sitting. 00:15:19.05\00:15:20.55 He's keeping his bones strong. 00:15:20.58\00:15:22.12 I don't know if I've ever heard of an elephant breaking a bone. 00:15:22.15\00:15:26.45 I don't know if it's... because they do the things 00:15:26.49\00:15:29.12 that God designed them to do to keep bone health. 00:15:29.16\00:15:31.53 So if we can do the same thing, 00:15:31.56\00:15:33.33 we're going to keep our bones the healthiest, 00:15:33.36\00:15:35.16 but those are 3 things that are very important. 00:15:35.20\00:15:37.73 Now, there are other things that I have to mention... 00:15:37.77\00:15:39.93 There are some medications that weaken the bones, 00:15:39.97\00:15:43.27 and I probably need to mention the medications... 00:15:43.30\00:15:45.47 I have a list here: Steroids that some people take, 00:15:45.51\00:15:48.88 those weaken bones. 00:15:48.91\00:15:50.65 Are these steroids to fight diseases or steroids 00:15:51.78\00:15:54.42 to get big and strong? 00:15:54.45\00:15:55.78 Well any steroid for a prolonged period of time. 00:15:55.82\00:15:58.95 Short-term usually not, but there have been some 00:15:59.35\00:16:01.89 football players that have osteonecrosis of the hip 00:16:01.92\00:16:05.36 after taking long-term steroids. 00:16:05.39\00:16:07.93 Some people have disease conditions, lupus and arthritis, 00:16:07.96\00:16:11.73 they're on steroids. 00:16:11.77\00:16:13.10 These people have higher chances of having bone fractures. Right 00:16:13.13\00:16:16.00 So steroids can do it. 00:16:16.04\00:16:17.77 Certain antiseizure drugs can do it. 00:16:17.81\00:16:20.48 Here's an interesting one... 00:16:20.51\00:16:22.88 The medicines that block acids in the stomach, 00:16:22.91\00:16:25.45 the proton pump inhibitors, they block acid, 00:16:25.48\00:16:28.52 and when they block acid in the stomach, 00:16:28.55\00:16:30.82 it changes the pH in our body. Right 00:16:30.85\00:16:33.22 You know, positive charges and negative charges. 00:16:33.25\00:16:36.02 If you have too much negative charge, 00:16:36.06\00:16:37.73 your body tries to balance it with positive. 00:16:37.76\00:16:39.76 Calcium is a positive charge. 00:16:39.79\00:16:42.00 So, literally, if you take those medicines, 00:16:42.03\00:16:44.63 and you're more acidic, it would pull calcium out of the bones. 00:16:44.67\00:16:47.87 So long-term proton pump inhibitors or acidic 00:16:47.90\00:16:51.47 in nature, it pulls positive charges, calcium, 00:16:51.51\00:16:55.91 out of our bones which makes our bones weaker 00:16:55.94\00:16:57.85 when we take them long-term. 00:16:57.88\00:16:59.48 So stay away from those, long-term, if you can. 00:16:59.51\00:17:01.85 Certain antidepressants can make the bones weaker. 00:17:01.88\00:17:05.42 Certain other medicines, different types of long-term 00:17:05.45\00:17:10.33 progesterone can make it weaker too. 00:17:10.36\00:17:12.63 So there are a lot of things that can make 00:17:12.66\00:17:14.16 our bones weaker medicine-wise. 00:17:14.20\00:17:16.10 Then, before I go on, I want to talk a few seconds 00:17:16.13\00:17:19.23 not on medicines, but on illnesses. 00:17:19.27\00:17:21.20 Certain illnesses make our bones weak, diabetes is a big one, 00:17:21.24\00:17:24.34 but diabetes makes our bones weak. 00:17:24.37\00:17:26.61 The different inflammatory bowel diseases... 00:17:26.64\00:17:29.84 We talked about that on previous shows 00:17:30.61\00:17:31.95 about how the bowel flora changes. Right 00:17:31.98\00:17:34.28 When that changes, it can also cause all sorts of problems. 00:17:34.32\00:17:37.29 Rheumatoid arthritis, anorexia nervosa because we don't eat it. 00:17:37.32\00:17:40.46 Different types of malnutrition because we just don't eat it. 00:17:40.49\00:17:43.59 Those are all disease conditions 00:17:43.63\00:17:45.76 that make our bones worse too. 00:17:45.79\00:17:48.50 So, we talked about the medicines that make it worse. 00:17:48.53\00:17:50.97 We talked about a little bit about 00:17:51.00\00:17:52.37 the three things that can make it stronger. 00:17:52.40\00:17:54.20 Oh smoking! Smoking makes our bones weak. Oh Okay 00:17:54.24\00:17:57.34 Did you know that? I did not. 00:17:57.37\00:17:58.71 Alcohol can make our bones weak. Really? 00:17:58.74\00:18:00.68 So if you're a smoker or alcohol, 00:18:00.74\00:18:02.64 you have a family history, just don't do it! Right 00:18:02.68\00:18:05.58 Just don't do it because we don't want to have a fall 00:18:05.61\00:18:08.02 and a broken hip in our later years or in our younger years. 00:18:08.05\00:18:11.22 So I want to know about calcium... 00:18:11.25\00:18:12.75 Is there ever a way that you can get 00:18:12.79\00:18:14.12 too much calcium in your body... Yes there is. 00:18:14.16\00:18:15.99 And what does your body do with that? 00:18:16.02\00:18:17.49 Well, most people do not get too much calcium 00:18:17.53\00:18:21.66 from eating a regular diet, 00:18:21.70\00:18:23.03 you know, from eating a whole food plant-based diet. 00:18:23.06\00:18:24.83 But sometimes people eat too much supplements of calcium. 00:18:24.87\00:18:28.74 And too much calcium has been associated with kidney stones, 00:18:28.77\00:18:32.47 okay, you get stones and those are very painful. Right 00:18:32.51\00:18:35.41 Too much calcium has also been associated with 00:18:35.44\00:18:37.58 cardiovascular disease. 00:18:37.65\00:18:38.98 But the people that I see that get too much calcium 00:18:39.01\00:18:42.05 are the people that are taking too many supplements, 00:18:42.08\00:18:44.65 and they also are eating calcium. 00:18:44.69\00:18:46.86 There are also diseased states with the parathyroid glands 00:18:47.39\00:18:50.49 which regulate calcium. 00:18:50.53\00:18:51.89 Those can have a problem too, but we can easily 00:18:51.93\00:18:55.00 tell if someone is getting too much calcium, 00:18:55.03\00:18:56.80 we can measure the amount in the blood, 00:18:56.83\00:18:58.83 and we can tell if they're getting too much calcium... 00:18:58.87\00:19:00.64 But that is a great question! 00:19:00.67\00:19:02.14 We don't want anyone to get too much of a good thing, 00:19:02.17\00:19:04.51 and we talked about this earlier. 00:19:04.54\00:19:05.97 Anything in excess is not good. That's right. 00:19:06.01\00:19:09.94 We talked about eating greens, but we want you to eat a 00:19:09.98\00:19:11.55 balanced diet of lots of different 00:19:11.58\00:19:13.05 colors, not just greens. Right 00:19:13.08\00:19:14.72 Now let's say that I have a family history of 00:19:15.05\00:19:17.85 osteoporosis and I'm a little bit younger, 00:19:17.89\00:19:20.89 and I want to get in a movement program... 00:19:20.92\00:19:23.26 Is there any type, like if I exercise for an hour 00:19:23.29\00:19:26.29 in the morning - is that going to be most beneficial for me or 00:19:26.33\00:19:28.66 do I need to worry about moving frequently? 00:19:28.70\00:19:30.57 Is it the amount or the frequency of movement? 00:19:30.60\00:19:32.33 We're finding it's more the frequency. 00:19:32.37\00:19:34.07 Every hour, we want someone to get up and be moving. 00:19:34.10\00:19:37.27 That's the minimum because God made us that way. 00:19:38.07\00:19:40.38 Also, we sort of move in intervals. 00:19:40.41\00:19:42.74 You know, move fast for 6 minutes, 00:19:42.78\00:19:44.41 a little bit slower for 6 minutes. 00:19:44.45\00:19:45.81 We want to do that and if we can add some 00:19:45.85\00:19:47.22 long-term walking, resistance training is good 00:19:47.25\00:19:49.78 for the muscles, very, very important. 00:19:49.82\00:19:52.19 So to summarize, we want to move; 00:19:52.22\00:19:55.12 we want to have vitamin D, make sure we're not deficient, 00:19:55.16\00:19:57.73 get out in the sunshine... like an elephant... 00:19:57.76\00:19:59.23 We want to move all the body parts, 00:19:59.26\00:20:00.83 and we want to bring a lot of calcium in our body. 00:20:00.86\00:20:03.10 We want to make sure we don't have 00:20:03.13\00:20:04.50 diseases that weaken our bones. 00:20:04.53\00:20:05.87 If we are, we want to be more careful. 00:20:05.90\00:20:07.37 We want to make sure we are not 00:20:07.40\00:20:08.74 on medicines that can weaken our bones. 00:20:08.77\00:20:10.24 If we do that, we've done almost everything within 00:20:10.27\00:20:12.67 our power to keep our bones strong. 00:20:12.71\00:20:15.11 Thank you Dr. Marcum, I think those 00:20:15.14\00:20:16.48 are some great suggestions for better bone health. 00:20:16.51\00:20:18.85 And if you have more questions, please visit our website at: 00:20:18.88\00:20:21.35 heartwiseministries.org 00:20:21.38\00:20:23.52 where you can ask the doctor your questions. 00:20:23.55\00:20:25.69 We'll be back in just a moment as Dr. Marcum 00:20:25.72\00:20:27.79 would like to pray for you. 00:20:27.82\00:20:29.16 When it comes to your bones, I want you to remember 00:20:34.03\00:20:37.90 our friend the elephant. 00:20:37.93\00:20:39.60 Elephants move, elephants eat lots of 00:20:39.63\00:20:43.30 greens and elephants stay out in the sunshine! 00:20:43.34\00:20:46.54 Those will be a great way to help keep your 00:20:46.57\00:20:49.24 bones healthy. Let's pray together... 00:20:49.28\00:20:51.75 Father in Heaven, Thank You for making us 00:20:51.78\00:20:54.25 so wonderful and we want to thank You for helping 00:20:54.28\00:20:56.45 us to learn about what You created... 00:20:56.48\00:20:58.32 And help us to be good stewards of our bodies, 00:20:58.35\00:21:01.09 and realizing that we are to use them for You. 00:21:01.12\00:21:04.33 And thank You for this day and for the love You give us 00:21:04.36\00:21:06.70 is our prayer... Amen 00:21:06.73\00:21:09.60