mind & bodyanalysisThe Conversation (US)

Menopause can quietly weaken bones – here’s what research reveals about protecting them

the gist

Bone is living tissue that constantly renews itself. Cells called osteoclasts remove old bone while osteoblasts build new bone, and estrogen helps keep the two in balance. As estrogen falls around menopause, removal can outpace rebuilding, and bones can become porous and fragile, a condition called osteoporosis. The loss often causes no pain until a fracture happens. In a US study of 862 women, bone density at the lower spine and near the hip dropped fastest from about a year before the final period to two years after it, then slowed rather than stopped. Because menopause is only confirmed after 12 months without a period, loss starts before anyone knows it. Risk also depends on body weight, smoking, alcohol and family history, and a bone density scan can assess it.

so what

Bone loss is often treated as an old-age issue, but the menopausal transition is when it speeds up. Knowing this makes it easier to check risk early and protect bone with exercise, diet and medical advice.

fun fact

Your skeleton is gradually replaced over time: the whole adult skeleton is remodelled roughly every ten years.

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Illustrative photo · James Heilman, MD, CC BY-SA 3.0, via Wikimedia Commons