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title: How to Prevent Osteoporosis in Your 20s
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt785a92ccdc4715e8/6988604b524fc06711df4294/aging-health-illo.jpg?branch=production&width=1000&quality=75&auto=webp&crop=16:9)


# What You Can Do in Your 20s to Prevent Osteoporosis

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<!-- video src="https://cdn.jwplayer.com/manifests/WsjliKpO.m3u8" -->
## Video: New Bone Suggests Lucy Walked Like Us

[Watch (HLS stream): New Bone Suggests Lucy Walked Like Us](https://cdn.jwplayer.com/manifests/WsjliKpO.m3u8) (2:43)

![New Bone Suggests Lucy Walked Like Us](https://cdn.jwplayer.com/v2/media/WsjliKpO/poster.jpg?width=720)

_Published 2011-02-19. A new bone from the foot of the same species as the famous Lucy skeleton is a clue to when human ancestors started walking like people, not apes_


by 

[Alison Mango / Health.com](https://time.com/author/health-com/)


## Alison Mango / Health.com


Contributor

Nov 2, 2016 4:00 PM UTC

![TIME.com stock health aging](https://static.time.com/v3/assets/bltea6093859af6183b/blt785a92ccdc4715e8/6988604b524fc06711df4294/aging-health-illo.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Illustration by Sydney Rae Hass for TIME

by 

[Alison Mango / Health.com](https://time.com/author/health-com/)


## Alison Mango / Health.com


Contributor

Nov 2, 2016 4:00 PM UTC

Twenty-somethings have a lot on their minds: finishing school, settling into a career, taking control of their finances. [Bone health](http://www.health.com/mind-body/bone-health) isn’t always top of mind. When we’re young, our bone tissue is constantly being created and destroyed, so it’s easy to take our rock-solid skeleton for granted. But as we age, this process slows down, and our bodies gradually lose bone faster than new bone is built. For some people, this deterioration causes their bones to become especially weak, brittle and porous, a condition called [osteoporosis](http://www.health.com/osteoporosis). People with this disease are more susceptible to bone breakage—particularly in the hip, spine, and wrist—and can also experience pain, limited mobility and stooped posture.

While osteoporosis can develop in both men and women at different ages, it most frequently affects older women who have gone through [menopause](http://www.health.com/menopause). (Estrogen levels drop during menopause, and experts believe the hormone [helps maintain bone density](http://www.health.com/mind-body/bone-health#7-pacifier-hormone-bones).) The good news, though, is that there’s a lot you can do in your 20s to strengthen your bones and reduce your risk of getting osteoporosis later on.

“Bone loss is inevitable in women,” says Deena Adimoolam, MD, assistant professor of diabetes, endocrinology and bone disease at the Icahn School of Medicine at Mount Sinai. “But there are plenty of lifestyle changes that can help slow down the process.”


Your bones are still being rebuilt in your 20s, she explains, which means you can continue to strengthen them during this time. Here, a few smart lifestyle strategies that can help offset your risk.

**_Health.com:_**[_10 Things Every Woman Should Know About Maintaining Healthy Bones_](http://www.health.com/mind-body/bone-health/?xid=time)

### **Stay active**

One of the very best things you can do for healthy bones in your 20s is establish an exercise routine you can stick to. But not all workouts are created equal.

“Physical activity has been shown to have beneficial effects on bone health, especially by adding weight-bearing activities into daily workouts,” says Dr. Adimoolam.

In other words, make sure you’re taking advantage of those free weights at the gym, as well as other forms of resistance training like yoga, running, tai chi and brisk walking. Even better, schedule a [plyometrics workout](http://www.health.com/health/gallery/0,,20488631,00.html): According to a study from Brigham Young University, exercises that involve jumping may significantly improve hip bone mineral density in premenopausal women.


**_Health.com:_** [_10 Ways to Have Great Posture as You Age_](http://www.health.com/health/gallery/0,,20446224,00.html/?xid=time)

### **Eat the right foods**

The diet choices you make in your 20s can help build strong bones for life: “Calcium and vitamin D are very important for bone health,” says Dr. Adimoolam. She recommends filling your plate with three servings of calcium-rich foods every day. This can include both dairy and [non-dairy sources](http://www.health.com/health/gallery/0,,20845429,00.html)—think milk and yogurt, as well as kale, edamame, almonds and oranges. Foods that are high in [vitamin D](http://www.health.com/health/gallery/0,,20504538,00.html) include salmon and other fatty fish, eggs and fortified cereal.

Other bone-building foods to load up on: Bananas (potassium may help increase bone strength by reducing resorption), prunes (vitamin K may promote bone health) and olive oil (it contains a compound called oleuropein that may prevent bone loss).

**_Health.com:_** [_10 Ways to Fight Osteoporosis_](http://www.health.com/health/gallery/0,,20530252,00.html/?xid=time)

### **Maintain a healthy weight**

In addition to eating well and exercising, Dr. Adimoolam stresses the importance of aiming for a healthy weight. “Women who are underweight are at risk of developing osteoporosis at an earlier age,” she says. Belly fat could also up your risk: Recent research from Harvard found that premenopausal women who had more visceral fat had decreased bone mineral density.


**_Health.com:_**[_10 Healthy Calcium-Packed Recipes_](http://www.health.com/health/gallery/0,,20364808,00.html/?xid=time)

### **Understand your risk factors**

Some women have greater risk of developing osteoporosis than others. If these factors apply to you, consider discussing bone health with your doctor. He or she might recommend a bone density scan to start monitoring your bone mass from an earlier age.

**You have a family history.** If osteoporosis runs in your family—if your mother or grandmother has it, for example—you have an increased risk of developing it yourself. This is especially true if a family member had early-onset osteoporosis, meaning it started before age 60.

**You have irregular periods.** Because estrogen may be linked to bone density, a woman who isn’t having a regular period may not be benefiting from the hormone’s protective effects on bone health, Dr. Adimoolam explains. Similarly, if your period stops for more than a year and you’re not on birth control, let your doctor know. (Most birth control pills contain estrogen, so if you don’t have your period and you’re on the pill, you don’t have to be too concerned about your bone health, Dr. Adimoolam says.)


**You have premature** **ovarian failure.** Women who have this condition, which occurs when the ovaries fail before age 40, have a higher risk of osteoporosis, Dr. Adimoolam says.

**You’re a smoker.** As if you needed another [reason to quit](http://www.health.com/smoking): In addition to lung cancer, heart disease, and stroke, smoking cigarettes can also contribute to osteoporosis.

_This_ [_article_](http://www.health.com/osteoporosis/how-to-prevent-osteoporosis) _originally appeared on_ [_Health.com_](http://www.health.com)


## Transcript

>> Paleoanthropologists have long suspected that Australopithecus afarensis, which lived more than 3. 2 million years ago, was among the first species to walk upright. But the problem was, the most complete skeleton we have of the species, one called Lucy, was missing key bones in the foot that could have confirmed how afarensis carried itself. Lucy's hip and pelvic bones certainly supported the idea that she spent most of her day upright. But the true evidence lay in her feet.

>> When we look at particular bones in her foot, they can help tell us whether it was optional. And of course, humans are the only primates that live today that have an [ unk ]. It reflects the fact that they walk in two legs.

>> Now, some of the same researchers who discovered Lucy have found a critical bone from one of her contemporaries in Hadar, Ethiopia. The researchers based at University of Missouri and the Institute of Human Origins in Arizona have found a metatarsal bone, which connects the toes to the ankle, and reveals a lot about the body it supports. We visited William Harcourt- Smith, an anthropologist at the American Museum of Natural History, to learn more about how important this find is.

>> The bone that we're talking about that was found a short while ago and described last week is from here. It's called the fourth metatarsal. And it tells you a little bit about arching on this side. But it's not much arching on this side. If you turn the foot around to the inside of the foot, those kind of bones will tell you about the really significant portion of the arch that helps during running. And it's really a hallmark of being a modern human. So, a lot more would help us understand it.

>> While Harcout- Smith and others are still hoping to find more bones from man's early ancestors, he says this afarensis fossil still reveals a lot about human evolution.

>> There's a number of modifications in the afarensis' foot that are more human- like and indicate bipedal locomotion. However, there are other features in the afarensis' foot, including the lack of an arch on the inside and curved finger bones that indicate climbing behavior, that indicate that it's not fully human- like. So, I would say it has a combination of human- like features and ape- like features. It's definitely the foot of a biped, but not a biped like us, and not a creature that would have been bipedal all of the time.

>> Just like there are many bones missing in Lucy's skeleton, there are still many gaps in our understanding of how we got from afarensis to modern man.

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