cover of episode Enhancing Bone Health at Every Age

Enhancing Bone Health at Every Age

2025/2/26
logo of podcast Perform with Dr. Andy Galpin

Perform with Dr. Andy Galpin

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Dr. Andy Galpin
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我是一名教授和科学家,也是帕克大学人类绩效中心的执行主任。我今天要讨论的是骨骼健康。我之所以要讨论这个话题,主要是因为有50%的人会在人生的某个阶段骨折。因此,我们要尽最大努力减少骨折的可能性,并确保骨折能够正确快速地愈合。此外,在骨折的病例中,有5%到10%的骨折无法正确愈合。因此,在发生骨折后,我们要确保自己不属于这10%的人群,这样我们的骨骼才能正确快速地愈合。很显然,骨折越频繁,我们的健康状况就越差。骨折无法正确愈合会导致一系列短期和长期的健康问题。 人们往往认为骨骼健康问题只存在于老年人和绝经后的妇女身上,但事实并非如此。全球男女老少都普遍存在骨骼健康问题,而且这一问题正在迅速增加。最近的一些数据表明,至少在美国,2007年骨骼健康状况不佳的患病率约为9%,而在过去十年中,这一数字已上升至近13%。此外,骨骼健康问题是一种“沉默性疾病”,没有明显的症状,直到骨折才会被发现。但好消息是,骨骼健康问题在很大程度上是可以预防和可逆转的,大约20%到40%的骨骼健康状况取决于你的生活方式。当然,遗传因素也起着作用,但你可以通过改变生活方式来改善骨骼健康。

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Chapters
This chapter emphasizes the widespread prevalence of poor bone health, its silent nature, and its surprising increase, particularly in the past decade. It highlights the significant role of lifestyle in determining bone health and introduces the 'three I's' approach: investigate, interpret, and intervene.
  • 50% of people will break a bone at some point in their lives
  • 5-10% of broken bones don't heal correctly
  • Prevalence of poor bone health is extraordinarily high and rising
  • 20-40% of bone health is determined by lifestyle

Shownotes Transcript

Bone health is often dismissed as something only “old people” or postmenopausal women should worry about, but evidence clearly indicates that poor bone health is extremely common—even among young, healthy people, including men. It is also highly preventable and reversible through various lifestyle and other modifiable factors.

In this episode, I explain what bone health actually means; bone loss conditions like osteoporosis and osteopenia; how the bone remodeling process works; why poor bone health is increasing at a surprising rate; and, most importantly, exactly what to do to prevent or reverse bone loss.

I discuss the three I’s—investigate, interpret, and intervene—to help assess your bone health. I explain how high-intensity impact training, nutrition, and certain supplements can improve bone health. Finally, I explore emerging treatments, such as stem cells, peptides, and light therapy, and their potential for improving bone healing.

Read the full episode show notes at performpodcast.com).

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Timestamps

00:00:00 Bone Health

00:02:43 Sponsors: LMNT & David Protein

00:05:24 Osteoporosis, Osteopenia, Poor Bone Health

00:08:00 Bone & Mineral Health, Calcium Storage, Tool: Calcium Status & Blood Test

00:12:26 Magnesium, Phosphorus, Vitamin D; Bone Mineral Density (BMD)

00:15:05 Bone Remodeling, Wolff’s Law, Osteoclasts & Osteoblasts

00:21:05 Lifestyle Factors & Bone Metabolism

00:23:23 Kids & Bone Mineral Density Peak, Age-Related Loss, Menopause, Girls & Movement

00:29:52 Sponsor: AG1

00:31:33 Non-Modifiable Variables: Genetics, Menopause, Age?

00:34:47 “The Big 7” Modifiable Variables: Environmental Toxins, Diseases, Medication, Sedentary Behavior, Malnutrition

00:40:31 Chronic Stress & Cortisol; Poor Sleep & Clock Genes

00:47:23 Investigate: FRAX Tool, DEXA Scan, QCT

00:54:02 Interpret: DEXA Scan, T-Score, Z-Score

01:01:39 Sponsors: Momentous & Renaissance Periodization

01:04:11 Evidence vs Action Continuum; Medications, Bisphosphonates

01:07:33 Intervene: Physical Activity, Resistance Training, Tool: Sports & Kids/Teens

01:12:50 Adults & Exercise, Progression, Load Changes

01:17:45 LIFTMOR Trial, High Intensity Impact Training & Bone Mineral Density

01:22:23 Tool: Bone Health Exercise Guidelines

01:25:48 Calcium Supplements?, Dietary Protein, Fish Oil, Collagen

01:31:44 Biologicals, Bone Healing, Stem Cells; Platelet-Rich Plasma (PRP), Peptides (BMP vs. BFP)

01:40:14 Physical Heat & Bone Healing; Heat & Gut Microbiota

01:46:04 Low Intensity Laser Therapy (LILT), Red Light Therapy; Electricity & Bone Healing

01:51:32 Zero-Cost Support, YouTube, Spotify & Apple Subscribe & Reviews, Sponsors, YouTube Feedback, Social Media, Perform Newsletter

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