1. Beyond Calcium: Get the Info on Building Strong Bones Caroline Pelley Rachael Veith Charlotte Menten

3. What Would You Like To Know?

4. Bones ●Facts and Myths Diet ●What nutrients are important for building strong bones Trivia Game Exercise ●What exercises could I try to maintain and build strong bones Overview

5. Myth: Bone is a solid, stagnant organ. Myth: Children and teens do not need to worry about bone health Bone Background: What is Bone?

6. Watch Bone in Action!

7. Calcium * Calcium gives bone it structure by acting like scaffolding * 99% of the body’s calcium is found in bone and teeth * Sources: milk, yogurt and other dairy products, kale, broccoli, Chinese cabbage are also good vegetable source

8. Vitamin D * Vitamin D helps the body use calcium * We can get vitamin D from the sun * Sources: Sunshine! Salmon, tuna, and other fatty fish, also found in liver and egg yolk, and some mushrooms

9. Vitamin K * Vitamin K allows calcium to attach and harden bones * Good bacteria in our intestines can make vitamin K, and our body can recycle it * Sources: Found in many green vegetables like kale, spinach, collards, also in egg yolk, cheese, and chicken

10. Magnesium * Magnesium is part of bones structure, and helps to stabilize calcium * 60% of the body’s magnesium is found in the skeleton * Sources: Nuts, beans, whole grains, green leafy vegetables, rice, beef, chicken, and more

11. Phosphorus * Phosphorus makes up the structural part of bone * 85% of phosphorus in the body is found in the skeleton * Sources: Found in many foods, but animal products are better absorbed by the body than plant

13. This or That Which Option is Better for Bone Health?

14. This OR That

15. Dried Apricots Dried Fruit Pumpkin Seeds Walnut

16. This OR That Kale Iceberg Lettuce

17. Kale!

18. This OR That

19. Salmon!

20. This OR That

21. Mushrooms and Broccoli!

22. Exercise for Strong Bones Why? ● Makes bones stronger o Increase calcium content o Grow more dense ●Strength, balance, coordination to prevent falls

23. What types of exercise? ●Weight-bearing o High-impact o Low-impact ●Muscle-strengthening

24. Weight-bearing Exercise ●High-impact o Dancing o High-impact aerobics o Hiking o Jogging or running o Stair-climbing o Tennis o Zumba

25. Weight-bearing Exercise ●Low-impact o Elliptical machines o Low-impact aerobics o Stair-step machine o Tai-chi o Walking

26. Muscle-strengthening ●Lifting weights ●Elastic exercise bands ●Weight machines ●Own body weight

27. How much should I exercise? Weight-bearing: 30 minutes, 3 - 4 days/week Muscle-strengthening: 2 - 3 days/week Try to exercise your balance and posture every day!

28. Now let’s practice exercises you can do at home! Source: National Osteoporosis Foundation (I WILL RE-WORD THIS)

29. Corner Stretch ●Stretch shoulders ●Improve posture ●2 on each side ●3 times a week

30. Hip Abductor ●Strengthen hips ●Improve balance ●10 on each side, repeat ●2 - 3 times a week

31. Prone Leg Lifts ●Lower back and buttocks ●Stretches hips, thighs ●10 on each side ●2-3 times a week

32. Toe & Heel Raises ●Lower back ●Balance ●10 times each side ●Every day

33. Wall Slide ●Thigh, abs, back ●Posture ●10 times ●2 - 3 times a week

34. Summary Both DIET and EXERCISE are crucial for building strong bones Eat a diet high in fruits, vegetables and whole grains. Look to the handout for foods with specific nutrients for bone health Practice weight-bearing and muscle strengthening exercises