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Soda Lowers Your Bone Mass
While enjoying a cola or two every day might seem harmless enough,
recent research suggests that those tasty drinks could be compromising
your bone health.
"There is enough evidence that high consumption of soda
and carbonated beverages is associated with somewhat lower bone
mass in children, and that's a real concern and people should
be aware of it," said Dr. Lawrence Raisz, director of the
University of Connecticut Center for Osteoporosis.
The exact mechanism behind the problem isn't clear, but experts
believe that drinking soda -- particularly colas -- affects bone
density in several ways. One reason may be that people who drink
colas are simply less likely to get enough calcium and vitamin
D in their diets, because the soda is replacing more nutritious
beverages, such as milk or calcium-fortified juice.
Or, it could be related to the caffeine in colas, because caffeine
has been linked to a higher risk of osteoporosis.
The third possible explanation focuses on one of the ingredients
found in colas: phosphoric acid. Phosphoric acid can cause an
imbalance in the body as the body seeks to neutralize the acid
with calcium. If there isn't enough calcium in the diet, the body
will take calcium from the bones.
"Phosphate is in milk, but milk also contains calcium and
vitamin D. In soft drinks, there is just phosphoric acid and no
calcium. Extra overzealous drinking may lead to a phosphoric acid
imbalance, and if there's not enough calcium, the body goes to
the bones to restore the balance," explained Dr. Primal Kaur,
director of the Osteoporosis Center at Temple University Health
Sciences Center in Philadelphia.
Low levels of calcium are associated with the development of
osteoporosis, a disease that thins the bones so much that they're
at risk of fracture. More than half of Americans, especially postmenopausal
women, have an increased risk of developing osteoporosis, according
to the National Osteoporosis Foundation.
In a study that included more than 2,500 people with an average
age of about 60, researchers from Tufts University found that
cola consumption by women was associated with lower bone mineral
density at three hip sites, regardless of age, menopause, total
calcium and vitamin D intake. The women reported drinking an average
of five carbonated drinks a week, four of which were colas.
There was less of a problem with decaffeinated cola, but the
findings were similar for diet soft drinks. The researchers didn't
find an association between cola drinking and lower bone mass
in men.
Results of the study were published recently in theAmerican Journal
of Clinical Nutrition.
"Moderation is really important. If you really like soft
drinks, you don't need to take them out of your diet completely,
but limit yourself to one or two glasses" a week, Kaur said.
And, she added, make sure you're getting enough calcium and vitamin
D to protect your bone health. Vitamin D needs vary by age, and
where you live, so check with your doctor to find out how much
vitamin D you should be consuming each day. Kaur said that if
you're not getting at least 1,000 to 1,200 milligrams of calcium
daily from your diet, you should take a calcium supplement to
ensure you're getting adequate amounts of the mineral.
Another important way to prevent osteoporosis, according to Raisz,
is to exercise.
"The standard recommendation is a half an hour a day for
adults and an hour a day for kids, butanythingis better than nothing,"
he said. "Try to walk at least a half a mile a day, and engage
in a weight-bearing exercise of some sort."
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