Authors: Carol Svec
Follow this program if you have osteopenia or osteoporosis, or a family history of bone density problems.
STEP 1…
START WITH THE BASICS
These are the first things you should do to help preserve bone density:
- See your doctor for advice about osteoporosis diagnosis or prevention if…you are a woman in menopause who has never had a bone density scan…you have ever had an eating disorder…you have taken corticosteroid medications for three or more months at any time in your life.
- Take a multivitamin. See guidelines on Chapter 10.
- Begin taking calcium supplements with vitamin D
3
and optional magnesium. If you’re a man, speak with you physician before taking calcium supplements.- Start an exercise program.
- If you smoke, quit. Encourage people in your life to quit smoking, too.
STEP 2…
YOUR ULTIMATE GROCERY LIST
A nutrition plan is only as good as the foods that you choose. This list contains foods with high levels of nutrients that help strengthen bones, plus some foods used as ingredients in the meal plans and recipes. You don’t have to purchase every item…but these foods should make up the bulk of what you eat for the week. If you find yourself getting bored, try some unfamiliar foods from the list—they may become favorites.
FRUIT
Apricots
Bananas
Berries (boysenberries, blackberries, raspberries, strawberries)
Cantaloupe
Clementines
Grapefruit and juice (pink, red)
Guava
Juice, calcium-fortified
Kiwi
Lemons (and juice)
Limes (and juice)
Lychees
Mangos
Melon, honeydew
Oranges (and juice)
Papaya
Persimmons
Pineapple
Plums
Prunes (and juice)
Raisins
Tangerines
Watermelon
VEGETABLES
Artichokes (including hearts)
Arugula
Asparagus
Avocado
Beans (black, white, pinto, kidney, lima, garbanzo, navy)
Beets
Bok choy
Broccoli
Broccoli raab
Brussels sprouts
Cabbage (including Chinese, red)
Carrots
Cauliflower
Chickpeas (garbanzo beans)
Collard greens
Corn
Corn (for meal plan): baby corn or frozen kernels
Endive
Escarole
Kale
Kohlrabi
Lentils
Lettuce (all varieties, especially romaine)
Mushrooms (especially shiitake)
Mustard greens
Okra
Parsley
Parsnips
Peas (black-eyed, split)
Peas, green
Peppers (hot; yellow/red/green)
Pepper, jalapeño
Potatoes, sweet
Potatoes, white
Pumpkin
Radicchio
Rutabagas
Seaweed
Shallots
Snow peas
Soybeans (including edamame)
Spinach
Squash, summer (all varieties)
Squash, winter (acorn, butternut)
Swiss chard
Tomatoes (including cherry tomatoes, green tomatoes; tomato sauce, juice, paste)
Tomatoes, canned, diced, no salt added (for meal plan)
Turnip greens
Watercress
Yams
SEAFOOD
ALL seafood and fish are good sources of protein
Black cod (sablefish)
Herring
Mackerel (not king)
Salmon, wild (with bones)
Sardines (with bones)
Snapper
LEAN MEATS/EGGS/SOY FOODS
Beef, lean
Chicken breast
Eggs
Ham, lean
Natto (fermented soybeans)
Pork tenderloin
Soy crisps
Tempeh
Tofu, extra-firm (for meal plan)
Tofu with calcium
Turkey breast
Veal
NUTS AND SEEDS (PREFERABLY UNSALTED)
Almonds
Cashews
Flaxseed
Peanut butter
Peanuts
Pistachio nuts
Pumpkin seeds
Sesame seeds
Soy nuts
Sunflower seeds
WHOLE GRAINS
Amaranth
Bread, whole grain
Cereal, fortified whole grain
Millet
Oatmeal
Pasta, preferably whole wheat
Quinoa
Rice, brown
Waffles, calcium-fortified whole grain
Wheat germ
DAIRY
Cheese (fat-free, reduced-fat)
Cheese (for meal plan): fat-free, reduced-fat, Cheddar, feta, mozzarella, Parmesan, Swiss
Cheese, soy
Ice cream, low-fat
Milk (vitamin D-fortified fat-free, 1% reduced-fat, enriched/fortified soy)
Yogurt (fat-free, low-fat)
Yogurt, frozen (fat-free, low-fat)
Yogurt, soy
MISCELLANEOUS
Basil, fresh
Bay leaves
Bread crumbs, whole wheat
Broth, chicken, fat-free, low-sodium
Chocolate syrup, light
Cinnamon, ground
Cornstarch
Dill, fresh
Flour, all-purpose
Flour, soy
Garlic
Ginger, fresh
Honey
Hot cocoa, diet (less than 200 calories)
Hot sauce
Margarine, vitamin-D-fortified, soft tub, trans fat-free
Mayonnaise, reduced-fat
Mint, fresh
Mustard, Dijon
Nonstick cooking spray
Nutmeg
Oil, canola
Oil, sesame
Oregano, dried
Paprika
Parsley, fresh
Pepper, black
Pepper, crushed red
Rosemary, dried and fresh
Salad dressing, reduced-calorie
Salsa
Soy crisps
Soy sauce, reduced-sodium
Sugar
Taco seasoning, mild or hot
Taco shells, hard or soft
Thyme, fresh
Vinegar, apple cider
Vinegar, balsamic
STEP 3…
GOING ABOVE AND BEYOND
If you want to do everything you can to prevent or control osteoporosis, here are some additional things you might try:
- Limit the amount of salt you eat.
- Limit alcohol consumption to no more than four drinks per week.
- If you need to diet for weight loss, do it in a way that is smart for your bones. See Weight Loss, Chapter 3, for more information.
- If you are underweight, talk with your doctor to learn the healthiest ways to bring your weight up.