It is well known that calcium and vitamin D are important for bone health, but the role of protein has been controversial. When protein is metabolized in the body, acid is generated. This acid has to be neutralized and calcium is a natural ‘buffer’. Since an increase in dietary protein results in greater calcium loss in the urine, it was thought that excess dietary protein was pulling calcium out of the bones, and subsequently weakening them.
Is Protein Bad for Bone?
A recent meta-analysis (where researchers do an exhaustive search of the medical and scientific literature and base conclusions on what the highest quality studies collectively demonstrate) found that protein did not have a negative effect on bone mineral density (BMD). In fact, there was a slight positive effect of dietary protein on BMD. There was no effect, either positive or negative, on fracture incidence (1).
So based on this extensive review, and commentary from other researchers (2-3), it can be concluded that protein is not bad for bone health. So will eating more protein increase your bone strength?
Maybe, however large long-term studies are still needed to confirm this.
The Importance of Protein
Protein is an excellent source of energy and has multiple roles in the body: muscles, hair, skin, enzymes, antibodies, hormones, neurotransmitters and for storage and transport of other molecules. Unfortunately, many seniors, especially if they are living on their own, and subsiding on ‘tea and toast’, do not get enough protein in their diet.
A poor quality diet quality can lead to weakness, fatigue, sleeping problems, nutritional deficiencies, and a host of other problems. This is a disaster for the well-being of seniors, those most susceptible to osteoporosis, and may worsen the chances of a fall.
Improving Dietary Intake of Protein
In our low-fat world, many foods are being shunned because of their fat content. Eggs, nuts, cheese, milk and other dairy products are easy sources of protein for older adults and seniors. Additional dietary sources of protein include meat and legumes (but these often take more preparation and/or cooking time).
One of the easiest ways to add more protein to our diet is to have it at breakfast. It has been shown that having a caffeinated coffee and either a muffin, bagel, or donut at breakfast dramatically increases insulin levels in the body (4). Having this type of breakfast repeatedly over time, may increase your chance of developing diabetes.
All of us, no matter what our age, can benefit from having some protein in the morning. I personally start my day with a protein shake, made from high quality whey protein.
Conclusions
- Protein has a slight positive effect on bone mineral density, not a negative effect as previously thought.
- Protein is an important component of everyone’s diet, and should NOT be avoided by those with osteoporosis.
- Incorporating modest amounts of protein in the diet of older adults and seniors will enhance overall health.
- Having a protein shake or a protein-rich food in the morning is a healthier choice than a coffee-and-a-carbohydrate breakfast.
References
- Darling, AL et al. (2009) Dietary protein and bone health: a systematic review and meta-analysis. Am J Clin Nutr 90: 1674-92.
- Kerstetter, JE (2009) Dietary protein and bone: a new approach to an old question. Am J Clin Nutr 90: 1451-2.
- Bonjour, JP (2005) Dietary protein: an essential nutrient for bone health. J Am Coll Nutr 24: 526S-36S.
- Moisey, LL et al. (2008) Caffeinated coffee consumption impairs blood glucose homeostasis in response to high and low glycemic index meals in healthy men. Am J Clin Nutr 87: 1254-61.
Kent MacLeod is the founder of Nutrichem, an award-winning pharmacist with over 25 years of experience in delivering patient centered complementary health care based on an Orthomolecular approach to health and wellness. He has researched, formulated and tested a broad range of nutritional formulas and supplements including a NutriChem vitamin line formulation for Autism, Down Syndrome, and Attention Deficit Disorder.
Kent was named Canadian Compounding Pharmacist of the Year, by the Professional Compounding Centers of America, in 2009.
Kent has lectured extensively, worldwide on matters pertaining to children’s health, women’s issues, all types of developmental disorders and general and specific topics relating to pharmacology and the impact on overall health.
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{ 3 comments… read them below or add one }
Very informative and much needed information for older people in our society. I have been training with Margaret for over four years now and can attest to the positive effects of the correct exercises in weight control and maintainance of bone density
Hi Margaret, I greatly value your evidence-based approach in guiding me on my journey toward wellness. I particularly appreciate your taking the time to summarize, in plain language, what would amount to extensive reading. When I can stick to your guidelines for my protein intake, it has a significant impact on my carbohydrate cravings; I skip my cookies & coffee breaks, don’t get the (likely insulin-induced) shakes and best of all…..LOSE WEIGHT. It’s such a win-win formula. This evidence helps me to re-commit in my constant challenge to change my behaviour. Do you mind sharing your morning shake recipe? Or is it on the site already. Thanks for all of the ways you help me,
Jan
Hi Janis: I have asked Kent MacLeod for some protein shake recipes. He has given me two and I have provided them in a separate post. Enjoy!
- Margaret