Vegetarian Women at Higher Odds for Hip Fracture

Newest Girls’s Well being Information

By Denise Mann HealthDay Reporter

THURSDAY, Aug. 11, 2022 (HealthDay Information)

Report numbers of persons are turning to plant-based diets to benefit from the various well being advantages they provide, however this will likely come on the expense of their bones, a brand new examine suggests.

Precisely what did researchers discover? Center-aged ladies who by no means eat meat could also be extra more likely to break a hip than ladies who repeatedly devour meat and/or fish.

Extra examine is required to grasp why vegetarians appear to be at larger threat for hip fractures, however researchers suspect that low physique mass index (BMI) and nutrient shortfalls play a job.

“While a decrease BMI is helpful for a lot of well being situations, being underweight can result in inadequate fats mass, and poor bone and muscle well being, which may every enhance hip fracture threat,” stated examine writer James Webster. He’s a doctoral researcher from the College of Meals Science and Diet on the College of Leeds in England. BMI is an estimate of physique fats primarily based on weight and peak. The typical BMI of vegetarians within the examine was barely decrease than that of meat eaters.

“Individuals with much less fats mass have much less cushioning throughout falls, and falls account for 90% of hip fractures,” he defined.

Meat and fish are additionally wonderful sources of a number of vitamins for bone well being, together with protein, vitamin B12 and vitamin D.

“It’s potential to get most of those vitamins from plant sources, eggs and dairy merchandise, [but] earlier research have discovered decrease intakes of those vitamins in vegetarians,” Webster stated. Within the examine, vegetarians had decrease intakes of protein and vitamin B12 than of us who ate meat 5 or extra occasions every week.

Within the examine, researchers checked out charges of hip fractures in over 26,000 ladies aged 35 to 69 who ate meat not more than 4 occasions every week (occasional meat eaters); pescatarians who ate fish however not meat; vegetarians; and common meat-eaters who consumed meat at the very least 5 occasions every week. The ladies stuffed out meals frequency questionnaires, and these had been in contrast towards hospital information to see who suffered a hip fracture. Throughout about 20 years of follow-up, there have been 822 hip fractures.

Vegetarians had been the one group who had an elevated threat of hip fracture as soon as researchers managed for different elements recognized to extend this threat, together with smoking standing and bodily exercise degree.

The findings had been printed on-line Aug. 11 within the journal BMC Drugs.

There are steps that vegetarians can take to higher shield their bones whereas having fun with the center and different well being advantages of a plant-based weight loss plan, Webster stated. This begins with sustaining a wholesome weight, which will increase the probability of wholesome bones and muscle groups, and helps to scale back hip fracture threat.

Consuming a lot of vegatables and fruits, nuts, legumes, beans and entire grains supplies many of the vitamins wanted for bone well being and fracture prevention, he added.

Contemplate fortified meals and dietary supplements, too, he instructed. “Consuming meals fortified with key vitamins or taking dietary dietary supplements may assist keep away from dietary deficiencies, significantly for vitamin B12 and omega-3 fatty acids, that are tough to get from plant meals immediately,” Webster stated.

Avoiding smoking and extreme alcohol consumption, whereas getting common train, may assist preserve bones robust. “Resistance train, the place you raise or pull towards resistance, akin to weight coaching, could also be significantly useful via growing bone and muscle power,” Webster stated.


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New Austrian analysis printed final week backs up this recommendation: Vegans who raise weights or do power coaching have stronger bones than vegans who solely do different types of train, akin to biking or swimming.

Dietitians not concerned with the brand new examine identified that constructing robust and wholesome bones entails extra than simply getting sufficient calcium.

Magnesium, potassium, boron, zinc, copper, manganese, vitamin D and vitamin K2 are additionally necessary, stated Robin Foroutan, a New York dietitian.

“Protein is critically necessary to constructing a robust and versatile bone matrix,” she stated. “Vegetarian sources of protein could also be harder to digest and take up for some individuals, which makes the protein much less bioavailable.”

Specializing in high-quality sources of vegetarian protein, in addition to darkish leafy greens, nuts, seeds and different high-mineral plant meals, can help wholesome bones, Foroutan stated.

Lona Sandon, program director of scientific diet within the College of Well being Professions at College of Texas Southwestern Medical Heart in Dallas, agreed.

Her recommendation to vegetarians? “Purpose for loads of high quality protein from eggs and dairy sources if they’re prepared to incorporate these of their weight loss plan,” Sandon stated. If not, up your bean, legume, nut, nut butter and seed consumption to guarantee sufficient quantities of all of the bone-building vitamins past calcium.

Marion Nestle, a retired professor of diet, meals research, and public well being at New York College, cautioned that extra analysis is required earlier than drawing any conclusions about fracture threat in vegetarians.

“Vegetarians who do not eat pink meat however eat different animal merchandise needs to be at no larger threat for bone fractures,” she stated, however underweight vegans, nonetheless, could possibly be lacking important vitamins.

SOURCES: James Webster, doctoral researcher, College of Meals Science and Diet, College of Leeds, England; Robin Foroutan, MS, RDN, dietitian, New York; Lona Sandon, PhD, RDN, LD, program director, scientific diet, College of Well being Professions, College of Texas Southwestern Medical Heart, Dallas; Marion Nestle, PhD, MPH, professor emerita, diet, meals research and public well being, New York College, New York Metropolis; BMC Drugs, Aug. 11, 2022, on-line


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