Looking stylish, wonderfully fit, vigorous and very expensive, Madonna, the Material Girl, hit the half-century mark in August. A flurry of magazine and newspaper articles resulted as well as TV and radio commentaries.
Not your mother’s 50’s but the New 50’s! new 60′s! and new 70′s!
Madonna is a great example of what 50 can look like these days. I don’t personally go for the surgical work she probably had done to enhance her appearance, but then I’m not a celebrity so surgery isn’t required. I do, however, love her attitude, her discipline for exercise and good nutrition, and her continuing ambition and desire to excel and do well.
This lady is not a wall flower at 50 and neither is that script written for us- men or women. There are other famous names who are reaching 50 in 2008: Ellen DeGeneres, Sharon Stone, Alec Baldwin, Jamie Lee Curtis, Kevin Bacon and Prince Albert of Monaco.
Obviously, aging isn’t what we may have assumed. Even if you take away the nips and tucks and fillers, I think it’s the attitude plus exercise, better skin care, sun protection, less smoking, better concepts of good nutrition and a different standard of what is healthy.
Madonna is a reflection of how the perception of aging has changes in our society. Men and women in their 50s and 60s do look 10 to 15 years younger than the last generation. True, age is something that’s still easier to accept for men. That’s beginning to change also when considering the film, “Sex and the City.” I for one am enjoying the perception change. Can’t wait to see what happens when Madonna turns 60!
When it comes to nutrition, the research is loaded with information on malnutrition and its impact as you age. Malnutrition remains a health issue for the elderly but usually not for the folds aged 60 to 80 or even 85. Times have changed!. The other reason that not much has been studies is because the experts have not figured out how to deal with loss of muscle mass and bone mineral density that takes place naturally as you age and diet. In fact, weight loss is usually not recommended because it may mean even less muscle mass and bone density.
I for one do not see the problem. The complication only means that the nutrition program for someone 60 or older who is obese has to be very carefully outlined so that there are enough nutrients that bone density and muscle mass loss are not increased. The nutrition plan, the lifestyle plan, if you will, requires steps that we probably all should be taking: a low calorie diet with physical activity and social support.
Of course there will be some exceptions depending upon the individual. Older people, for example, need to be careful that they take in enough vitamin D, vitamin B-12, fiber and that they hydrate. Someone else may need more omega 3. Most health experts recommend a minimum of 30 minutes of aerobic exercise for those who do not have physical problems. I personally think that number should be at least 45 minutes or an hour 6 or 7 days a week especially if all your joints and pieces and parts work.
A healthier lifestyle is available to you no matter your age. And some kind of a healthier lifestyle is also available to you even with some physical limitations. Start with small steps and move ahead.
The noise about osteopenia and osteoporosis is that with either you increase your risk of breaking a bone without being physically fit and having a healthy lifestyle. The weaker your bones are the less stability and balance you have and you are more likely to fall. Breaking a hip bone, for example, is well documented as the beginning of the end for 25 percent of the people who do break their hip bone. The goal, then, is not to put yourself at risk by making sure your bones have some density and mass. This is anti aging medicine at its finest.
Osteopenia is treated by taking steps to keep it from progressing to osteoporosis. Most people can achieve this by changing their lifestyle. This includes changing their diet to include sources of calcium such as dairy and green vegetables. Taking a calcium and vitamin D supplement are also part of the solutions.
Exercise is also important in maintaining strong bones. Weight bearing exercises such as walking or biking and dancing are good choices. Add to that light weights or elastic bands to help the upper body.
There are also medicines to treat bone thinning but these are more commonly used when you have passed osteopenia and are in osteoporosis. Some of the medicines used for osteopenia are bisphosphonates, raloxifene and hormone replacement. The problem is the drugs carry risks so many experts say the diagnosis and drug treatment does more harm than good.
I am not sure you can prevent osteopenia, at least not completely. It all depends on your family history, if you are thin, how much calcium and vitamin D you received when you were a child and as a young adult raising children. The trick is to increase your bone density before you are 30 when the density peaks. If you are over 30 it is not too late to make lifestyle changes.
The fact is doctors do not agree on the treatment for osteopenia and for osteoporosis as well. Much of the controversy revolves around when to take the medications and where. I am very skeptical about taking medicine for osteopenia because I see it not as a disease but as a marker for the risk of osteoporosis.
Complicating the issue even more is how do you determine the degree of risk in the early stages of bone loss? I truly believe that overly enthusiastic marketing may have resulted in too aggressive treatment of younger women who probably were at relatively low risk of fracture.
Let me know what you think about this issue of bone mass and treatment and meds. Personal stories of experiences with the meds would be wonderful.
To your successful health.
Ruthan
Ruthan Brodsky
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Health Writer
Tagged with: balancing your life • feeling fit • maintaining bone strength
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