Calcium + Vitamin D: “Little To No Use” vs Fractures?

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We’ve written before about supplementation of calcium and vitamin D, for example:

Vit D + Calcium: Too Much Of A Good Thing? ← this also talks about safe and effective doses, and what goes wrong if you take too much

And even if you get the dosage right, there are still more ways to mess it up! See: How Taking Vitamin D Supplements Can Sabotage Your Vitamin D Levels

Which latter is mostly because of people making mistakes in the category of: Vitamin D2 vs Vitamin D3: What You Would Benefit From Knowing

But we still should supplement to keep our bones healthy, right?

Per the title of this one (the main title, at the top, with the words “little to not use” in it), no, it’s probably not that helpful, really. To be clear, getting plenty of these things one way or another is important; diet is the best means of doing it (more on this later in the “learn more” section), and if anything, it’s possible those who supplement in order to “be on the safe side” and “cover all bases” may:

  1. fall into the sabotage trap we talked about up top
  2. fall into complacency by not including enough dietary sources “because the supplements will cover it”

Recently, researchers (Dr. Katherine Desforges et al.) did a very large (n=153,902 over the course of 69 randomized controlled trials) systematic review and meta-analysis and found that calcium supplements, vitamin D supplements, or the combination of both provided little to no clinically meaningful reduction in fractures for most adults studied, and even the absolute reduction in fracture risk was too small to be considered clinically meaningful.

That’s absolute risk reduction for fractures in general; calcium, vitamin D, and/or combined supplementation also showed little to no benefit for:

  • Total number of falls
  • Hip fractures
  • Vertebral fractures
  • Non-vertebral fractures
  • Risk of falling*

*This may seem like an odd one to include, but it is relevant too, for example: The Common Meds That Make You More Likely To Die From A fall

You may be wondering how applicable these numbers are to you, and who the sample population was. Most participants were:

  • Not considered at high risk for fractures or falls (73%)
  • Living independently in the community (87%)

The findings therefore apply mainly to typical independently-living adults, especially older adults without severe osteoporosis or other major bone disorders. Evidence was more limited for:

  • Individuals with specific metabolic bone diseases
  • People at very high fracture risk
  • Residents of nursing homes or long-term care facilities
  • People already receiving osteoporosis medications

For the longest time, calcium and vitamin D supplementation has been routinely recommended for bone health. This review shakes that all up, and strongly suggests that for the average adult, these supplements are unlikely to meaningfully prevent fractures or falls.

You can read the paper itself, here: Calcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis

As for what to do instead, you might consider checking out:

Want to learn more?

There is also a common issue that a lot of people get enough calcium and vitamin D, but then a lot of that calcium doesn’t make it past the arteries.

Thus, the calcium paradox: we want to get (usually: more) calcium, but we want it building our bones, not lining our arteries. How, then, to resolve this problem, and simultaneously fight the dual threats of calcium deficiency (osteoporosis) and calcium excess (atherosclerosis)?

The answer lies in vitamin K2, which assists the calcium in getting to where you need it, rather than having it accumulating where you don’t.

Learn more: Vitamin K2 And The Calcium Paradox

And as for why you might want to favor getting it from food if you can, then while the title says “vitamins”, this book discusses an assortment of vitamins, minerals, and other nutrients; the “other nutrients” category including amino acids (branched chain and essential), prebiotics and probiotics, and triglycerides of various kinds:

Eat Your Vitamins – by Mascha Davis, RDN ← see our review, here

Take care!

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  • Red Cabbage vs Cauliflower – Which is Healthier?

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    Our Verdict

    When comparing red cabbage to cauliflower, we picked the cabbage.

    Why?

    In terms of macros, there’s no meaningful difference between them; they’re both mostly water with just enough fiber to hold them together, a small amount of carbs, and an even more trivial amount of protein. So, a tie on macros.

    Looking at the vitamins, red cabbage has more of vitamins A, B1, B2, B6, C, E, and K, while cauliflower has more of vitamins B3, B5, B9, and choline. So, a 7:4 win for red cabbage.

    In the category of minerals, red cabbage has more calcium, manganese, and iron, while cauliflower has more copper, phosphorus, and potassium. The margins of difference are comparable too, thus, a 3:3 tie on minerals.

    It’s always worth taking a look at polyphenols for plants like these, but in this case, once again, there’s not much to set one above the other. However, it’s good to note also that despite them both being Brassica oleracea (same species, different cultivar), there isn’t much overlap in their polyphenol content, meaning they complement each other very well. In particular, red cabbage is a source of luteolin and quercetin, while cauliflower is a source of gallic acid and caffeic acid, for example.

    Adding up the three ties and the one win for red cabbage, gives the cabbage the victory today—but do enjoy either or both; diversity is good!

    Want to learn more?

    You might like to read:

    21 Most Beneficial Polyphenols & What Foods Have Them

    Enjoy!

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  • Three Daily Servings of Beans?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    It’s Q&A Day at 10almonds!

    Have a question or a request? We love to hear from you!

    In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

    As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

    So, no question/request too big or small

    ❝Not crazy about the Dr.s food advice. Beans 3X a day?❞

    For reference, this is in response to our recent article on the topic of 12 things to aim to get a certain amount of each day:

    Dr. Greger’s Daily Dozen

    So, there are a couple of things to look at here:

    Firstly, don’t worry, it’s a guideline and an aim. If you don’t hit it on a given day, there is always tomorrow. It’s just good to know what one is aiming for, because without knowing that, achieving it will be a lot less likely!

    Secondly, the beans/legumes/pulses category says three servings, but the example serving sizes are quite small, e.g. ½ cup cooked beans, or ¼ cup hummus. And also as you notice, dips/pastes/sauces made from beans count too. So given the portion sizes, you could easily get two servings in by breakfast (and two servings of whole grains, too) if you enjoy frijoles refritos, for example. Many of the recipes we share on this site have “stealth” beans/legumes/pulses in this fashion

    Take care!

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  • Mango vs Plum – Which is Healthier?

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    Our Verdict

    When comparing mangos to plums, we picked the mangos.

    Why?

    In terms of macros, mangos have more fiber and carbs for the same (minimal) protein, scoring a first-round win as the “most food per food” option here.

    In the category of vitamins, mangos have a lot more of vitamins A, B2, B3, B5, B9, B7, B9, C, and E, while plums have a little more vitamin K, so that’s an easy 9:1 win for mangos.

    Looking at minerals, mangos have more calcium, copper, magnesium, manganese, potassium, and selenium, while plums have more iron, phosphorus, and zinc, yielding a 6:3 win for mangos here.

    In other considerations, plums do have some anticancer properties that aren’t known of mangos (beyond “fruit is generally a good food to eat vs cancer”), so that is a point in their favor.

    Still, adding up the sections makes for a clear overall win for mangos, but by all means do enjoy either or both, as diversity is best!

    Want to learn more?

    You might like:

    Top 8 Fruits That Prevent & Kill Cancer

    Enjoy!

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  • Peach vs Passion Fruit – Which is Healthier?

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    Our Verdict

    When comparing peach to passion fruit, we picked the passion fruit.

    Why?

    It wasn’t close!

    In terms of macros, passion fruit has more than 2x the protein, 2x the carbs, and 7x the fiber. That’s a big difference!

    In the category of vitamins, peach has more of vitamins B1, B5, E, and K, while passion fruit has more of vitamins A, B2, B3, B6, B7, B9, C, and choline. Again, not close.

    When it comes to minerals, peach has more manganese and zinc, while passion fruit has more calcium, copper, iron, magnesium, phosphorus, potassium, and selenium—and most of those margins are “by multiples”, not just a fraction more. Again, a clear winner here.

    Adding up these three overwhelming wins for passion fruit makes for an obvious total win for passion fruit.

    As ever, enjoy both, but if you’re going to pick one, then one of these fruits is extra passionate about bringing you nutrients.

    Want to learn more?

    You might like to read:

    Top 8 Fruits That Prevent & Kill Cancer ← peaches are on this list!

    Take care!

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  • Breathing For Pain Relief & Core Strength (How To Reconnect Your Breath & Body)

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    Dr. Amy Konvalin explains how to do it and why it works:

    Take a deep breath…

    A lot of people people overuse neck and shoulder “accessory” muscles due to stress, posture, and habits like mouth breathing, which leads to tension and increasingly shallow breathing. In contrast, using your diaphragm improves movement, reduces pain, supports your core, and helps calm your nervous system via the vagus nerve.

    So, let’s do this in stages:

    • First, diaphragmatic breathing: lie on your back to start, as this reduces strain and prevents dizziness while learning the pattern. Breathe in through your nose and let your belly rise, then breathe out through your mouth slowly but purposefully, like blowing out a candle. Let your belly expand on the inhale and fall on the exhale, using your hands for feedback if you need to.
    • Next, abdominal control: allow your abdominals to relax and lengthen on the inhale, then gently contract them on the exhale to push air out. Your strongest abdominal engagement should happen at the end of the exhale when your belly is flat. Don’t flatten or move your lower back yet, and don’t lift your glutes yet either; keep your spine in a neutral position throughout.
    • Next, integrating with movement: once breathing and abdominal control improve, add leg movement (for example a bridge) to train breathing during activity. Exhale, contract your abdominals, then lift your hips using your glutes, keeping control of your breathing. Breathe in as you lower yourself back down, and continue controlled breathing while moving, but do prioritize breathing quality over movement.
    • Finally, back-body breathing: the diaphragm also expands your back ribs, so full breathing includes movement in both the front (belly) and back (rib cage). You can use a hands-and-knees position with a neutral spine, to better feel your back ribs expand. Start the inhale with belly expansion, then take a little more air to expand your back ribs, before exhaling with abdominal contraction. Dr. Konvalin notes that the rib motion is subtle, and so urges us to focus on the sensation rather than expecting large visible movement.

    The idea of all of this is to retrain your body so diaphragmatic breathing happens all day, reducing tension and improving overall function.

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might like this book we reviewed a little while back:

    The Oxygen Advantage – by Patrick McKeown

    Take care!

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  • Sleep divorce: could sleeping separately from your partner lead to a better night’s rest?

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    Hundreds of years ago, it was common for married couples among the European upper classes to have separate bedrooms. Sleeping separately was a symbol of luxury and status historically reserved for royalty and the very wealthy.

    Nowadays, it’s common for married couples and other couples in relationships to sleep in the same bed. But sometimes – for reasons from conflicting schedules to snoring to sleep talking – couples might choose to sleep separately in pursuit of a better night’s sleep.

    This is known as “sleep divorce”. Though I prefer the term “sleep separation”, as this doesn’t have to be a permanent arrangement – but more on that later.

    So why might couples choose to sleep separately? And what does the evidence say about the effects on sleep quality if you sleep alone versus with a partner?

    Cemile Bingol/Getty Images

    Why do couples opt for a sleep separation?

    Couples may choose to sleep apart if one partner’s sleep is disturbing the other’s, or both are disrupting one another. This can happen for a variety of reasons.

    These include waking up frequently in the night, mismatched body clocks (for example, one person coming to bed later than the other), conflicting schedules (for example, shift workers), snoring, twitching legs or sleep talking.

    Parents with babies and young children may choose to sleep separately to avoid both partners’ sleep being disturbed.

    Those with conflicting preferences for sleeping environments, such as one partner liking a cool room with a fan and the other preferring warmth, may also decide to sleep apart.

    What are the benefits of sleeping alone?

    Many couples say they prefer to sleep – and sleep better – next to their partner.

    But when scientists measure sleep objectively, such as via an electroencephalogram (EEG) to assess brain waves, the data actually shows poorer sleep quality when co-sleeping. So sleeping alone may, in fact, mean better quality and longer sleep.

    Research also shows when one member of the couple has a sleep disorder, such as insomnia or sleep apnoea (where breathing is frequently interrupted during sleep), these people often inadvertently wake up their partner when they wake in the night. So sleeping alone could be a good idea if your bed partner has a sleep disorder.

    What’s more, studies have found sleep disturbances are linked to reduced relationship satisfaction. So sleeping apart could actually mean happier couples.

    Finally, anyone who has struggled with their sleep will know anxiety around sleep is common. Many clients I have seen who experience insomnia report sleeping alone can alleviate some of their anxiety because at least they know they won’t disturb, or be disturbed by, their partner.

    A birds-eye-view of a couple turned away from each other in bed.
    Disturbed sleep has been linked to lower relationship satisfaction. Gorodenkoff/Shutterstock

    Are there any downsides to separate sleeping arrangements?

    Some people dislike sleeping alone, reporting comfort, and feelings of safety and protection when sleeping alongside their partner – and loneliness when they don’t.

    Sleeping separately also requires two rooms, or at least two beds. Many couples may not have these options available to them in their home.

    Sleeping separately is often stigmatised, with some people seeing it as the death of a couple’s sex life. But while sleeping in separate beds may provide fewer opportunities for sex, this doesn’t necessarily mean the end of intimacy.

    Sleeping apart could mean some couples actually have more sex. We know better sleep is linked to more positive feelings about relationships, so it’s possible the desire to be intimate could increase after a good night’s sleep in separate beds. Sleeping apart may even mean some couples have more energy to be intimate.

    Nonetheless, if you choose to sleep separately from your partner, it’s important to have an open discussion and prioritise opportunities for connection and intimacy. One client I worked with referred to “visiting rights” where her partner came into her bed for a short period before sleep or in the morning.

    Who should potentially consider a sleep separation?

    You may wish to think about a “sleep separation” if you are disturbing each other’s sleep, have young children, or have different preferences in terms of temperature, light and noise, which are causing issues.

    Ultimately, if sleeping in the same bed is leading to poor sleep then sleeping apart, if it’s possible, could help.

    If you can’t sleep separately there may be other ways to reduce disturbance from a partner such as using an eye mask, white noise or earplugs.

    If you decide to try a sleep separation, remember this can be a flexible arrangement or “re-set” and doesn’t have to be permanent, or every night. Some couples find sleeping separately during the working week but sharing a bed on the weekend works well for them.

    Lastly, it’s important to talk to your GP about any persistent sleep problems, such as snoring, insomnia, or unusual behaviour during sleep (for example, shouting or walking around), as there may be an underlying sleep disorder which needs treating.

    Alix Mellor, Research Fellow, Psychology, Monash University

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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