FOUR YEARS AGO, Bill Holland, a middle-aged bike builder and avid cyclist from San Diego, thought he was in the shape of his life. Friends told him that, with his five-foot-ten-inch, 147-pound frame, he looked ten years younger than he really was. He ate a balanced diet and rode an average of 150 miles a week. And he'd kept that lifestyle up for the last 25 years.
Then, in May 2001, Holland, 48 at the time, volunteered to help a friend with her bone-density study at San Diego State University (SDSU). The results shocked him: He had borderline osteoporosis. "A doctor told me that I had the heart and lungs of a 17-year-old," says Holland, "and the bones of a 70-year-old."
Whoa. Osteoporosis? Isn't that something that afflicts the elderly? Yes, but not exclusively: If you maintain your fitness level solely through non-impact sports like cycling and swimming, you could be at risk for waking up at age 50 with the bones of a person 20 years older. Despite Holland's rigorous exercise habits and healthy diet, his bones had grown weakand ripe for failure.
Until now, few athletes have had reason to worry about skeletal strength. They assumed that a good diet and regular trainingtwo of the many requirements for bone healthwould keep their bones robust forever. But the results of the SDSU study (published in 2003), which measured the bone density of 27 masters cyclists like Holland, showed researchers just how significantly bones can deteriorate when not subjected to the rigors of load-bearing activities such as running or lifting weights.
Scientists have long known that low-impact exercises fail to trigger the body to fortify bones, but another significant discovery, often overlooked, is just how much precious bone-sustaining calcium leaches from the body via sweat. Besides the fluids and sodium we lose while hammering the pavement, pumping iron, or playing a pickup game, an additional 120 milligrams or so of calcium is sweated out during every hour spent exercising. And unless you replace that missing calcium with the right foods, it ain't coming back. So even those who go for high-impact sports like skiing and running can face a calcium deficitand an increased potential for broken bones.
Fortunately, you don't have to hang up the handlebars or pawn your Speedo: Calcium loss is both avoidable and reversible. To help counter the two things that affect healthy adults' bone density most adverselyparticipation in non-load-bearing sports and calcium lost through sweatwe've drawn up a two-part skeleton-insurance plan that will easily fit into your fitness regimen.