28/05/2026
We all need bone health
If you’re interested in health longevity, engaging in regular endurance exercise is just about the best tool in the box. Numerous studies have demonstrated that compared to their sedentary peers, endurance athletes who undertake rigorous training can expect to enjoy several health benefits, all leading to improved functional age. These include:
1. Enhanced insulin sensitivity;
2. Reduced blood pressure;
3. Improved blood cholesterol profile;
4. Reduced body fat;
5. Reduced risk of coronary heart disease (as the result of 1-4);
6. Better quality of life as we mature;
7. Improved mental health.
Despite all these numerous health benefits however, there’s one aspect of health that is not necessarily improved by endurance exercise and could be worsened by it – and that is bone health. If insufficient bone mass has been developed during early adulthood, for whatever reason, and then excessive bone mass loss occurs later in life, due to menopause for example, the mineral structure of the bone becomes progressively more porous and can lead to osteoporosis (or porous bones!). I’ve posted previously about the benefits of strength workouts to support better bone health and muscle mass as we mature, which is vital!
Research and subsequent clinical application have established blood tests are valuable for assessing athlete bone health by measuring markers like Vitamin D, calcium, parathyroid hormone, and markers of bone turnover (e.g., P1NP, CTX-1). While not directly imaging bone structure (which are expensive), these tests, if undertaken regularly, reveal nutritional deficiencies, turnover imbalances, and systemic factors that indicate increased stress fracture risk and poor bone density. The first thing to say is that while regular blood testing can yield some very useful information about bone metabolism, it is no substitute for a specific bone DXA scan.
All endurance athletes (and their coaches) should remember the golden rule: if you are an endurance athlete in a chronic calorie deficit and short of bone-building nutrients such as calcium, magnesium and vitamin D, no amount of impact loading or strength workouts will arrest the decline in bone density. Seeking professional medical and/or nutritional support, including regular blood testing, to support long term bone health is a viable option.
21/05/2026
14/05/2026
07/05/2026
30/04/2026
23/04/2026
16/04/2026
09/04/2026